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

{"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":"10.11236/jph.24-117","url":null,"abstract":"","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"428-434"},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","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":"[Development of the shortened scale for health interest].","authors":"Takuya Yamada, Kumi Sugimoto, Yoko Nishizawa, Hirono Ishikawa, Yoshiharu Fukuda","doi":"10.11236/jph.24-070","DOIUrl":"10.11236/jph.24-070","url":null,"abstract":"<p><p>Objective　Addressing the needs of a population that is indifferent to health is becoming increasingly important. Previous research has developed the \"Interest in Health Scale,\" which assesses the level of interest in health. It comprises three subscales; health consciousness, motivation, and value. This study aimed to enhance the usability of the 12-item Interest in Health Scale by creating a shortened version.Methods　Using data from a web survey of 800 participants, factor analysis was conducted on the 12-item Interest in Health Scale to select items for the shortened version. From the factor analysis, two items were selected from each subscale based on their factor loadings to create a 6-item scale, and a 4-item scale was created, excluding two items from the health value subscale. We evaluated the reliability of the newly created shortened version, its correlation with the 12-item version, and its validity through correlations with health literacy (CCHL scale) and lifestyle habits (diet, exercise, alcohol consumption, and smoking).Results　Cronbach's alpha was 0.72 and 0.80 for the 6- and 4-item scale, respectively. The correlation coefficients between the 12-item and 6- and 4-item versions were 0.94 and 0.88, respectively. The correlation with health literacy were 0.28, 0.27, and 0.22 for the 12-, 6-, and 4-item versions, respectively. The correlation coefficients for the four lifestyle habits were similar across all the three scales.Conclusion　This study created 6- and 4-item versions of the scale with reliability and validity comparable to that of the 12-item version. While the 6-item version, containing all three subscales, is preferable for measuring health interest more easily, the 4-item version, which excludes health value for convenience, can be used.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"419-427"},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257423","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":"[Examining the perspective of community general support centers and promoting the use of early stage dementia-intensive support teams: Comparing institutions with and without support teams].","authors":"Yumi Kozaki","doi":"10.11236/jph.24-014","DOIUrl":"10.11236/jph.24-014","url":null,"abstract":"<p><p>Objectives　Although numerous studies have explored early stage dementia-intensive support teams, focusing on their effectiveness and associated challenges, there is insufficient research on community comprehensive support centers that use support teams. Thus, we focused on community comprehensive support centers from the perspectives of their operators and users, examined the actualities and challenges of support team use, and considered ways to encourage such use.Methods　A questionnaire survey was mailed to 2,000 community general support centers selected through evenly-spaced sampling from 5,625 centers in Japan. The survey was conducted from November to December 2022. The survey included basic attributes (institution and presence of a support team), number of times a support team was used, actual number of users, and issues with support team use. For the analysis, we defined centers with and without support teams as \"operators\" and \"users,\" respectively, and analyzed each group. The participants' demographic details and data related to the frequency of use of support teams were tabulated. Text mining was used to analyze free-field responses.Results　A total of 773 responses were received (response rate; 38.8%). Among the respondents, 313 (41.5%) had support teams and 441 (58.4%) did not. The support team use rate was 86.6% for the former and 79.4% for the latter. In 2021, most respondents noted that approximately \"1-5 individuals\" used support teams, regardless of whether the support center had one.Challenges with support team use identified by centers without support teams were as follows; requirements of support recipients and rules for use under \"mechanisms of use,\" involvement of team doctors and expertise of team members under \"support functions,\" and collaborative support relationship and dissemination of project information under \"system for use.\" Support centers with support teams identified the following challenges; requirements of support recipients and management rules under \"management mechanisms,\" involvement of team doctors and healthcare collaboration under \"support functions,\" and team members role awareness and staff shortage under \"management system.\"Conclusion　Many comprehensive centers infrequently used support teams. To promote support team use, the system must be reviewed from the operator and user perspectives to simplify the support team system's rules and ease the requirements for support recipients. Moreover, all dementia supporters must engage in regular and ongoing discussions about the dementia support system, focusing on the municipal responsibility for system operation.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"397-407"},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257429","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 associated with program implementation competencies used to improve health service development capacity of public health nurses: A nationwide survey of prefectures and cities with public health centers].","authors":"Mirei Shimodawa, Reiko Okamoto, Keiko Miyamoto, Keiko Koide, Masako Kageyama","doi":"10.11236/jph.24-054","DOIUrl":"10.11236/jph.24-054","url":null,"abstract":"<p><p>Objectives　Public health nurses (PHNs) are necessary in introducing evidence-based health programs to address various health challenges. This study aimed to identify the factors related to PHNs' ability to implement programs across different career-level groups.Methods　A self-administered questionnaire was administered to PHNs working in prefectures or cities with public health centers. PHNs were categorized into three career-level groups based on their seniority and position; novice with ≥ 5 years of experience, no-position with ≥ 6 years of experience without a position, and with-position with ≥ 6 years of experience holding a position. Simple regression analysis was conducted using the Implementation Degree Assessment Sheet (Okamoto et al., 2022; IDAS) score as the dependent variable and experience in developing new projects, learning experiences, horizontal development exposure, and PHNs' competency scale scores as independent variables. Stepwise multiple regression analysis was conducted with the IDAS score as the dependent variable and statistically significant variables in the simple regression analysis as the independent variables. The competency measurement scales used were the Professional Development Scale (PDS), Reflective Practice Skill Scale (RPS), and Research Utilization Competency Scale (RUC).Results　We obtained 702 out of 966 valid responses (72.7%). The overall mean IDAS scores was 115.7; 107.6 for novice PHNs, 111.3 for no-position PHNs, and 119.6 for with-position PHNs. Multiple regression analysis revealed that RPS and PDS scores contributed to novice and with-position PHNs' abilities. Additionally, \"recognition of the importance of horizontal development: agree\" significantly influenced novice PHNs' ability, whereas RUC score contributed to with-position PHNs' ability. RUC scores and recognition of the current implementation of horizontal development significantly contributed to the ability of No-position PHNs.Conclusion　For improving PHNs' program implementation abilities, novice PHNs should focus on reflective practices, improve professional knowledge and skills, acquire knowledge and competence in program implementation, and improve understanding of its importance. Moreover, no-position PHNs must collect, examine, and use information, such as recent research findings. With-position PHNs must continuously improve their skills and apply them comprehensively in management and program implementation. These findings underscore the importance of tailored program implementation training for each career level, providing opportunities to reflect on practice and one's own activities, and assessing the level of mastery.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"408-418"},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257443","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":"[The association between public transportation electric-powered cart stoppage and the risk of incident functional disability in older people: A longitudinal study comparing three waves of data (pre-operation, post-operation, and post-stoppage)].","authors":"Shuhei Kobayashi, Kazushige Ide, Ryota Watanabe, Masaki Fukusada, Masamichi Hanazato, Masashige Saito, Katsunori Kondo","doi":"10.11236/jph.24-139","DOIUrl":"https://doi.org/10.11236/jph.24-139","url":null,"abstract":"<p><p>Objective　Green-slow mobility (electric-powered carts), with travel speeds below 20 km/h on public roads, is expected to promote outings and social participation, potentially reducing the risk of functional disabilities. When electric-powered cart operations stop in a community, outings and social connections may decrease, thereby increasing the risk of functional disability. This study investigated whether the risk of functional disability increased among users after electric-powered cart operation ended.Methods　This longitudinal study employed a natural experimental design and analyzed three waves of data: before electric-powered carts were introduced, during operation/immediately after operation stopped, and sometime later (post-stoppage). For each wave, data were gathered through a self-administered survey. After operation stopped, secondary analyses were conducted. Electric-powered carts remained out of service for four months following the demonstration project's conclusion. Participants included 78 adults over age 65 residing in Nitto, Taishi, and Kawachinagano. They completed all three surveys and reported using electric-powered carts at least once monthly during operation. The primary outcome variable was the risk assessment scale, which predicts the likelihood of requiring long-term care within three years (range: 0-48, with higher scores indicating a greater risk). The primary explanatory variables were survey waves (preoperative, during the operation/immediately after operations stopped, and post-stoppage). Covariates included baseline characteristics, such as sex, education, marital status, employment, economic hardship, and living alone. A linear mixed-effects model was used to analyze the data, reporting coefficients (B), 95% confidence intervals (CI), and P values. Additional analyses stratified the participants by cart usage frequency (at least once weekly vs. 1-3 times monthly).Result　Among people who used carts at least once weekly (n = 31, 39.7%), the mean risk scores were the lowest during operation/immediately after operation stopped (20.0) and the highest post-stoppage (21.8). The coefficient of the association between survey timing and risk scores was 0.01 (-0.78-0.81, P = 0.975) during operation/immediately after operation stopped, and 0.49 (-0.31-1.28, P = 0.231) after post-stoppage. For people using carts at least once/week, the association was 0.71 (-0.75-2.17, P = 0.341) pre- and 1.77 (0.31-3.24, P = 0.017) post-stoppage. No significant associations were found for those using carts 1-3 times monthly.Conclusion　Stopping electric-powered cart operations may increase the risk of long-term care, particularly for [at least] once weekly users. Sustained cart usage is vital for healthy aging among older adults.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251066","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":"[Age-related changes in physical and psychological functions among community-dwelling middle-aged and older adults: A cross-sectional study].","authors":"Rei Otsuka, Yukiko Nishita, Young-Jae Hong, Midori Takada, Chikako Tange, Rumi Kozakai, Hiroshi Shimokata, Atsuhiko Ota, Hiroshi Yatsuya","doi":"10.11236/jph.24-137","DOIUrl":"https://doi.org/10.11236/jph.24-137","url":null,"abstract":"<p><p>Objectives　As the number of older workers increase, the proportion of occupational accidents among them has increased. To prevent such accidents, it is crucial to understand the characteristics of age-related decline in physical and psychological function from middle to old age. This study aimed to elucidate these characteristics and discuss occupational health issues in middle to old age.Methods　This study was part of the National Institute for Longevity Sciences - Longitudinal Study of Aging, involving 1,153 men and 1,117 women Japanese community-dwelling participants aged 40-84 years during the seventh wave (2010-2012). Hearing function, visual function, postural balance, motor fitness, gait function, cognitive function, mental health, and bone mineral density were measured using a survey. Descriptive statistics and z-scores (based on the age groups; 40-44, 45-54, 55-64, 65-74, and 75-84) were calculated based on sex and age group. Statistical significance was set at P < 0.05 (z-score; ≥ ±1.96).Results　Compared to those aged 40-44 years, those aged 75-84 showed significantly lower z-scores for hearing function (z-score for air-conduction pure-tone threshold at 8,000 Hz; +4.78 for men, +4.91 for women), near visual acuity (+4.42 for men), information processing ability (-3.94 for women), and muscular endurance (z-score for upper body raising; -2.73 for men, -2.38 for women). Conversely, age differences were relatively small (-0.5 < z-score < 0.5 in all ages) in gait pace, depression scores, and life satisfaction in both sexes.Conclusion　Hearing function (especially at high frequencies) scores were significantly lower in older age groups, followed by near visual acuity, information processing ability, and muscular endurance in both sexes. However, there were no clear age-related differences in the gait pace, psychological health, or life satisfaction. Occupational health check-ups must be implemented based on an understanding of the characteristics of changes in physical and psychological functions with aging.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251064","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":"[Current status and challenges in the utilization of information and communication technology and digitalization in public health nursing activities: A national survey of supervisory public health nurses in local governments].","authors":"Eiki Akatsuka, Atsuko Taguchi, Chika Yoshida, Shoko Miyagawa, Daisuke Sugiyama","doi":"10.11236/jph.24-095","DOIUrl":"https://doi.org/10.11236/jph.24-095","url":null,"abstract":"<p><p>Objectives　To understand the current conditions and challenges in the utilization and digitalization of information and communication technology (ICT) in public health nursing, using a nationwide survey of local government public health nurses. The study also seeks to provide recommendations for enhancing the utilization of ICT in public health nursing.Methods　An online, anonymous, and self-administered survey of public health nurses in supervisory positions across 47 prefectures and 1,741 municipalities was conducted. The survey collected information on the type of municipality (prefecture, government-designated city, city with health centers, or other municipalities). Additionally, data on the extent of the utilization of ICT in public health nursing activities, the status of current initiatives, and challenges in promoting ICT were collected. The survey was conducted between October 2023 and January 2024.Results　A total of 577 responses (response rate: 32.3%) were received, of which 524 were valid, with no missing items. Among the responding municipalities, 55.9% reported active promotion of ICT projects. However, only 26.7% reported that these projects were progressing smoothly. The most common ICT activity was conducting meetings via online calls (83.0%). The level of implementation of ICT varied depending on the initiative and the type of municipality. The most significant challenge identified by public health nurses was concern regarding the inclusion of cohorts facing difficulties in adapting to digital technologies (89.1%). This was followed by challenges in formulating a vision or policy for the utilization of ICT in public health nursing activities (86.1%) and difficulties in understanding procedures for promoting the utilization of ICT in their activities (82.8%). Each of these issues was recognized as a challenge by >80% of the municipalities surveyed. At the organizational level, the most commonly reported challenge was the difficulty of securing adequate budgets to facilitate utilization of ICT in public health nursing activities (52.7%). By municipality type, approximately 60% of prefectural governments reported that the internet environment available to public health nurses was inadequate. Similarly, approximately 60% of prefectural and government-designated city governments identified a shortage of accessible ICT devices for public health nurses as a challenge.Conclusion　Although many local governments actively promote the utilization of ICT in public health nursing activities, significant challenges remain. The progress and implementation of ICT initiatives varies by municipality. However, several challenges are common across regions. To promote the utilization of ICT in public health nursing, it is essential to enhance workforce development for the utilization of ICT for public health nurses, while also facilitating the sharing of good practices and expertise among municipalities.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251065","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 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}