[Nihon koshu eisei zasshi] Japanese journal of public health最新文献

{"title":"[Health status and living conditions of fathers of multiple babies: Analysis of the Comprehensive Survey of Living Conditions].","authors":"Shinobu Miyoshi, Manami Ochi, Michi Niimura, Haruko Yatake, Kenji Takehara, Tsuguhiko Kato","doi":"10.11236/jph.24-088","DOIUrl":"10.11236/jph.24-088","url":null,"abstract":"<p><p>Objective　This study explored the physical and mental health status and living conditions of fathers raising 0-year-old multiples in Japan compared with those raising singletons to gain insight into fathers' health issues and the need for support.Methods　Household and health data from the Comprehensive Survey of Living Conditions (2016, 2019, and 2022) were used. Because of the small number of fathers with multiples in each dataset, three datasets were combined. The t-test and Fisher's exact probability test were used to compare fathers with multiples and singletons for various factors.Results　Fathers with multiples were significantly more likely to sleep for < 5 h than those of singletons. There was no significant difference between both groups in the percentage of fathers with a K6 score of ≥ 10. However, the percentage of fathers with multiples exceeded the target set by the government. There were no differences in the counseling status regarding worries and stress. The proportion of consultations with public institutions was extremely low in both groups.Conclusion　The analysis of representative data from Japan highlights health issues and the need for support for fathers with multiples. Fathers with multiples showed a high percentage of short sleep durations, worries, and stress related to childcare. The need for mental health support, accumulation of knowledge and experience on support for fathers with multiples, and development of support systems were suggested.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"352-358"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Emotions of family caregivers of individuals with young-onset dementia when seeking support in the early stages after diagnosis].","authors":"Yumi Tomura, Michiyo Hirano","doi":"10.11236/jph.24-062","DOIUrl":"10.11236/jph.24-062","url":null,"abstract":"<p><p>Objectives　Family caregivers of individuals with young-onset dementia (YOD) often struggle to seek help, despite the heavy burden of care. This study explored their feelings when attempting to find support in the early stages after diagnosis.Methods　This qualitative descriptive study conducted semi-structured interviews with eight family caregivers of patients with YOD at home. The analysis extracted and coded passages related to feelings in situations in which family caregivers sought support. By comparing and examining the meanings of the codes, we identified broader themes and developed categories iteratively.Results　In the early stages after diagnosis, family caregivers were concerned about \"fear and anxiety about developing dementia at a young age,\" \"desire for any information about YOD,\" \"desire to continue currently as long as possible for the future,\" \"desire to protect the dignity of the individual with YOD as a member of society,\" \"hesitation to tell others that he/she has YOD,\" and \"desire to protect their life, mind, and body, which is still in the mid-life.\" These concerns prompted them to seek the support of others.Conclusion　Family caregivers demonstrated earnest wishes for patients with YOD and themselves in the early stages after diagnosis. They dealt with unique YOD-related struggles, including prejudice, the impact on others, and personal hesitations. Seeking support helped alleviate negative feelings arising from the diagnosis process. Family support services should prioritize early outreach at diagnosis, proactively identify difficulties, and tailor them to patients and caregivers. The attitude of the support staff, who anticipate daily life challenges and approach the family, can significantly facilitate support-seeking by caregivers.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"369-377"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Health-promoting activities and facilitating/inhibiting factors in hospitals, clinics, and nursing care facilities: Public interest corporation survey results].","authors":"Teruko Kawabata, Hidenori Uda, Masakazu Nakamura, Takashi Yamada, Noriko Sasaki, Yuichi Imanaka","doi":"10.11236/jph.24-074","DOIUrl":"10.11236/jph.24-074","url":null,"abstract":"<p><p>Objective　Medical and nursing care services within community-based integrated care systems are vital in community health. This study aimed to assess the current status of health-promoting activities across hospitals, clinics, and nursing homes operated by the Japan Association for Development of Community Medicine and explore differences depending on the type of facility and strategies for expanding these activities.Methods　Between April 2022 and September 2023, we conducted web-based surveys, followed by telephone and email interviews. The survey covered three main areas; health-promoting activities for patients/users, the community, and staff (options), willingness to expand activities (10-point scale), and facilitating and inhibiting factors (open-ended responses). Responses were analyzed according to facility type, and activities were categorized according to the 2020 Standards for Health-Promoting Hospitals and Health Services (The 2020 HPH Standards).Results　The response rate was 100%. Activities were implemented across all facilities. The percentages of facilities that implemented activities in hospitals, clinics, and nursing homes were as follows; patients/users (96.0, 84.5, 94.4, P = 0.011), community (96.0, 83.3, 100.0, P < 0.001), and staff (100.0, 72.9, 94.4, P < 0.001). The implementation rates were significantly lower in clinics than in hospitals and nursing homes. The mean number of activities in small clinics with < 50 staff (S) was significantly lower than that in large clinics with > 50 staff (L) for patients/users (S, L, difference) (4.1, 6.2, P = 0.034), community (4.9, 9.1, P < 0.001), and staff (1.6, 3.8, P < 0.001). Willingness did not vary by facility type (median of 7.0); however, conviction, as a determinant of willingness, was slightly higher in clinics and nursing homes than in hospitals (hospital = 7.0, clinics and nursing homes = 8.0). The most common facilitating factor for hospitals was \"development of organizational structure,\" such as the establishment of a promotion committee, whereas for clinics and nursing homes, it was the \"provision of educational materials and know-how.\" The most common inhibiting factor was \"increasing workload.\" These activities aligned with almost all 2020 HPH standards; however, the evaluation system needed improvement.Conclusion　All facilities are implementing health-promoting activities according to the 2020 HPH standards and have expressed eagerness to expand their activities. Developing organizational structures, ensuring the profitability of activities, developing evaluation indicators for measuring results, and establishing an evaluation system are crucial for expansion.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"340-351"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Residential areas, travel burdens, and children with cancer: Analysis of mobility and mortality ratios using data from Japan's national population-based cancer registry].","authors":"Anna Tsutsui, Yoshitaka Murakami, Takako Fujimaki, Masayuki Endo, Yuko Ohno","doi":"10.11236/jph.24-086","DOIUrl":"10.11236/jph.24-086","url":null,"abstract":"<p><p>Objectives　Although childhood cancer treatment has recently become centralized at specialized hospitals worldwide, the relationship between mortality ratios and living in rural areas or traveling long distances for treatment remains controversial. In the present study, we examined whether regional differences in patient mobility and mortality ratios exist in Japan.Methods　We investigated 10,713 patients with cancer aged ≤18 years, diagnosed between 2016 and 2019, registered in the national cancer registry data. The patients were divided into two categories based on their residence at diagnosis: urban and rural. Urban areas were defined as metropolitan or urban areas according to the 2015 census or as prefectural cities; all other areas were defined as rural. Additionally, we divided the patients into two groups based on the one-way travel time to the treatment hospital (≤1 h or >1 h), as estimated from location information at the community level using route-planner web services. Next, we calculated the percentage of patients who received treatment within their residences in both areas and for each treatment type. We compared the percentage of distant metastasis in all cancers and each diagnosis group between the two areas using the chi-square test. We finally applied Cox proportional hazard models to obtain adjusted mortality hazard ratios for urban versus rural areas and travel times of ≤1 h versus >1 h.Results　Overall, 77% of the patients were classified as urban residents. The percentages of patients receiving treatment within their residency, secondary medical care area, prefecture, and regional block levels were 22-46%, 80-87%, and 95-99%, respectively. Only central nervous system tumors (III) showed a significant difference in the percentage of distant metastases, which were more common in urban areas (6% vs. 3%). The adjusted mortality hazard ratios were not significantly different between urban and rural areas for all cancers or each diagnosis group. The travel time comparison yielded significant differences of 1.17 for all cancers and 2.57 for lymphomas (II).Conclusion　Approximately 80% of the patients received treatment within their prefecture, although a few traveled long distances across regional blocks. We observed no differences in the mortality ratio between urban and rural areas, although significant differences were found in all cancers and one cancer in the travel burden comparison. These results highlight the need for continued evaluation of the increasing trend in patient travel burden and its impact on survival, as childhood cancer treatment has become centralized in Japan.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"331-339"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Support methods and effectiveness to reduce maternal depression and anxiety in Japan: A literature review].","authors":"Ayaka Hanyuda, Kemal Sasaki, Ritei Uehara","doi":"10.11236/jph.24-042","DOIUrl":"10.11236/jph.24-042","url":null,"abstract":"<p><p>Objectives　In Japan, support services are provided to help postpartum women within one year after childbirth. This study conducted a literature review of these support methods and their effectiveness in reducing depression and anxiety among postpartum women.Methods　We searched for Japanese and English literature published until August 2023 using the PubMed, Igaku Chuo Zasshi, CiNii Research, and Cochrane Library databases. We included original papers that provided support for postpartum women discharged from delivery facilities within one year of childbirth in Japan and assessed changes in depression and anxiety. The included studies were organized according to study design, number of participants, intervention period, support methods, assessment time, and main outcomes. The support methods and their effectiveness in reducing depression and anxiety were examined.Results　This review included 22 studies from PubMed, Igaku Chuo Zasshi, CiNii Research, and Cochrane Library. Regarding support provided after childbirth, the following methods reduced depression and anxiety; support from the childbirth hospital, care services after childbirth, exercise support, and physical contact between the mother and child. For continuous support during pregnancy, the following methods reduced depression and anxiety; continuous support from certain midwives and comprehensive support based on the assessment of the health status and need for support of postpartum women. Concerning other support, the following methods reduced depression and anxiety; health checkups for two weeks after childbirth, coaching based on the assessment of the current status of child-rearing, consultation services using an application, parenting support, and support for Chinese residents in Japan, while focusing on cultural differences and social support. Eight of these support programs were provided through collaborations between various healthcare professionals, such as physicians and nurses.Conclusion　This literature review found that some support methods reduced depression and anxiety among postpartum women. Planning based on the assessment of the mother's health condition and needs and multidisciplinary cooperation enhanced the effectiveness of support services for postpartum women.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"359-368"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Association between individuals with unknown health status as identified by the National Health Insurance (KDB) system and frailty: A cross-sectional study in Yamato city, Japan].","authors":"Yukie Ishida, Mihoko Hasegawa, Kaori Nagase, Yasutake Tomata, Kazumi Tanaka","doi":"10.11236/jph.24-104","DOIUrl":"https://doi.org/10.11236/jph.24-104","url":null,"abstract":"<p><p>Objectives　Integrated implementation of health services and long-term care (LTC) prevention for older adults require programs to understand the health status of persons with unknown health status and connect them to appropriate services. Previous studies have suggested that identifying such individuals can predict those at high risk of needing LTC pertaining to care level ≥ 2 or death; however, the relationship with frailty remains unclear. This cross-sectional study aimed to examine the association between individuals with unknown health status identified using the National Health Insurance (KDB) system and corresponding frailty.Methods　We used response data from the LTC Prevention Questionnaire (an all-inclusive survey conducted in 2020 targeting older adults aged ≥65 years who were not certified as requiring LTC in Yamato City, Japan). The analysis included 16,186 older adults aged ≥76 years. They were divided into two groups: \"unknowns\" (those who did not receive medical checkups or medical care in 2019-2020) and \"knowns\" (those who received medical checkups or medical care in 2019-2020). Univariate analysis and multivariate logistic regression analysis were performed for frailty (at risk for ≥8 items) in the Kihon Checklist and the applicable criteria for each field, and odds ratios (ORs) and 95% confidence intervals (CIs) were calculated for each.Results　The OR for frailty was 1.58 (95% CI: 1.21-2.07), which was statistically significant and higher among those who had been unknown health status for two consecutive years, even after adjustment for sex, age group, and family structure. The adjusted OR for each criterion in the Kihon Checklist was 2.26 (95% CI: 1.55-3.30), which was the highest for \"prevention/support for homebound\" among those who were unknown for two consecutive years. Statistically significant associations were found for \"20 items except five related to prevention/support for depression\" and \"improvement of motor functions.\"Conclusion　Frailty was significantly associated with individuals aged ≥76 years who had not received health checkups or medical care for two consecutive years and were not certified as requiring LTC. In programs for understanding the status of persons with unknown health status and connecting them to appropriate services, it is considered necessary to actively implement measures against frailty, not just to recommend that such individuals receive health checkups and medical care.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Associations between the characteristics of the facility and staff, collaboration with the community, and development of business continuity plans in children's homes].","authors":"Satsuki Nakamura, He Mu, Chiharu Tanigawa, Ayako Okochi","doi":"10.11236/jph.24-092","DOIUrl":"https://doi.org/10.11236/jph.24-092","url":null,"abstract":"<p><p>Objectives　Children's homes are residential facilities that provide care for children if circumstances prevent them from living with their guardians. In case of disasters, it is necessary to continue caring for the children and supporting the community. Therefore, developing business continuity plans (BCP) is essential. Since April 2023, children's welfare institutions have been required to develop BCPs. However, this process is currently behind schedule. This study aimed to identify the factors that influence BCP formulation in children's homes and provide recommendations to support their development.Methods　Between April and June 2023, a self-administered questionnaire survey was conducted with the staff-in-charge of BCP development at 579 facilities belonging to the National Council of Child Welfare. The questionnaire items included status of BCP development, characteristics of the children's homes and their disaster-related experiences, background of staff-in-charge of BCP development, and the development of a cooperative framework with the community The association between BCP development status and each item was analyzed using χ² or Fisher's exact test (significance level; 5%). This study was approved by the Ethics Review Committee of our institution.Results　In total, 184 valid responses (31.8%) were analyzed. The results showed that 76 facilities (41.3%) had developed BCPs, the admission capacity of children's homes was 44.7±18.7, 45 facilities (24.5%) had disaster-related experiences, and 99 facilities (53.8%) had welfare evacuation centers and developing BCPs. Significant differences were found in BCP development status, sex, experience with BCP development, participation in BCP development training, and need for assistance in BCP development. Regarding the relationship between the intention to develop a BCP and system of cooperation and collaboration with the local community, there was a significant difference in participation in local disaster prevention drills.Conclusion　The status of BCP development in children's homes was related to sex, experience with BCP development, participation in BCP development training, and the need for support. The intention to create a BCP is related to previous experience, participation in BCP formulation training, and involvement in local disaster drills. To promote BCP development in children's homes, previous experiences with BCP development, training sessions, and community disaster drills must be considered.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Factors related to diet quality among public assistance recipients].","authors":"Shingo Hayashi","doi":"10.11236/jph.24-143","DOIUrl":"https://doi.org/10.11236/jph.24-143","url":null,"abstract":"<p><p>Objectives　This study aimed to identify factors associated with diet quality among public assistance recipients. Specifically, the study examined the impact of basic attributes and social isolation (emotional support, instrumental support, face-to-face contact, and non-face-to-face contact) on diet quality.Methods　The participants of this survey were 1,878 public assistance recipients within the jurisdiction of the Public Health and Welfare Center, Izumi Ward, Sendai City, Miyagi Prefecture, as of October 1, 2023. As an indicator of diet quality, the \"Diet Quality Score for Japanese (DQSJ)\" was used, calculated using a 12-item simplified questionnaire. Data on DQSJ scores and social support were collected from the participants, whereas basic attributes, including sex, age, household size, household type, and employment status, were obtained from the public assistance system. Participants were classified into low- and high-DQSJ groups based on the median DQSJ score, and a descriptive analysis was conducted to assess its association with basic attributes and social support. Logistic regression analysis was performed to evaluate the association between covariates and high-DQSJ status.Results　Responses were obtained from 485 participants (25.8%), who formed the analysis cohort. The group comprised 256 females (52.8%) and 229 males (47.2%), with a mean age of 55.3 years and a median DQSJ score of 10.5. Logistic regression analysis adjusting for covariates revealed that males (reference: females) had significantly lower odds of belonging to the high-DQSJ group (odds ratio [OR] = 0.61, 95% confidence interval [CI]: 0.43-0.89). Emotional support was significantly associated with higher odds of being in the high-DQSJ group (OR = 1.52, 95% CI: 1.01-2.30), while a stronger association was observed for instrumental support (OR = 2.33, 95% CI: 1.52-3.58). Conversely, no statistically significant associations were observed between face-to-face and non-face-to-face contact.Conclusion　This study suggests that emotional and instrumental support are important factors that contribute to improved diet quality among public assistance recipients. However, face-to-face and non-face-to-face contact did not directly impact diet quality. These findings indicate that strengthening emotional and instrumental support is effective in enhancing diet quality among public assistance recipients.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Indoor Radon Mitigation: Recommendations from a Building Sanitation and Disease Prevention Perspective].","authors":"Ichiro Yamaguchi, Kenichi Azuma, Kyoichi Goto, Sumitaka Kobayashi, Takehiro Michikawa, Yuko Sato, Masayuki Shima","doi":"10.11236/jph.24-117","DOIUrl":"https://doi.org/10.11236/jph.24-117","url":null,"abstract":"","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the evolving landscape of public health and social medicine: Opportunities and challenges for trainees in Japan's healthcare system.","authors":"Soichiro Saeki","doi":"10.11236/jph.24-111","DOIUrl":"10.11236/jph.24-111","url":null,"abstract":"","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"315-316"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}