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

{"title":"[Situations in which individuals with mental disabilities perceive the need for advocacy support and how to deal with them].","authors":"Masako Kageyama, Yui Hamada, Keiko Yokoyama","doi":"10.11236/jph.23-019","DOIUrl":"10.11236/jph.23-019","url":null,"abstract":"<p><p>Objectives　Policies promoting community integration of individuals with mental disabilities have increased the need for community advocacy. This study aimed to identify situations in which individuals with mental disabilities perceive the need for advocacy support and how to deal with them.Methods　In this qualitative descriptive study, group interviews were conducted with 13 peer advocates and 12 individuals with mental disabilities. A verbatim transcript of the interviews was created. Categories were generated by raising the level of abstraction from the perspective of \"Situations where individuals with mental disabilities require advocacy support and how to address them.\"Results　Situations requiring advocacy support occurred in outpatient psychiatry settings, psychiatric hospitalizations, welfare facilities, schools, neighborhoods, and places of employment; among family and relatives; and at consultation services. In outpatient psychiatry, \"difficulties in accessing medical care\" were reported. In psychiatric hospitalizations, participants felt \"pressured and unable to escape the environment.\" In welfare facilities, \"romantic relationships between users were discouraged.\" Regarding familial difficulties, \"limited understanding and acceptance of the disease,\" \"relationship deterioration due to poor hospitalization conditions and forced hospitalization,\" and \"marital difficulties due to mental illness\" were prevalent. Participants in schools experienced \"isolation due to their illness,\" and in the local community, there were \"problems related to reasonable accommodation of individuals with disabilities in neighborhood association activities.\" Employed participants faced \"inadequate consideration despite disclosing their illness to co-workers.\" At counseling institutions, participants felt \"forced to endure without resolution when consulting.\" Individuals with disabilities coped with these situations by \"transferring to a different clinic\" or \"changing facilities,\" but in the case of psychiatric hospitalization, they gave up and \"did not go against the staff.\"Conclusion　Individuals with mental disabilities need advocacy support for psychiatric care and diverse situations such as family, school, and community engagement. Efforts should be made to introduce an advocacy system in psychiatric hospitals and to disseminate accurate information about mental illness to high-risk age groups. Moreover, it is necessary to disseminate knowledge of reasonable accommodation and appropriate responses to individuals with mental illness. Peer advocates should educate individuals with disabilities about their rights and encourage proactive measures.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"784-794"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9742983","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":"[Relationship between coronavirus disease countermeasures and maternal and child health indicators].","authors":"Yumi Terakawa, Hiroshi Inada, Genki Imura, Nobutada Tabata, Keiko Yagi, Koji Nakayama, Hideki Yoshida","doi":"10.11236/jph.22-131","DOIUrl":"10.11236/jph.22-131","url":null,"abstract":"","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"795-801"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10302803","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 a scale to evaluate the rest levels of male workers].","authors":"Tamiko Tanino, Miyuki Ueno, Kazuko Yamada, Ikuharu Morioka","doi":"10.11236/jph.22-115","DOIUrl":"10.11236/jph.22-115","url":null,"abstract":"<p><p>Objectives　\"Rest\" has two aspects: \"repose,\" to recover from physical or mental fatigue, and \"restore,\" to re-establish physical, mental, and social health. Many male workers work for prolonged hours, and despite stress, they do not apply coping behaviors, unlike female workers. Consequently, taking sufficient rest is difficult for male workers. The aim of this study was to develop a scale incorporating multiple factors to evaluate the state in which male workers take rest.Methods　A questionnaire survey was conducted involving 330 male workers aged 20-59 years who had been engaged in two manufacturing industries. The questionnaire items were created with reference to an interview survey of male workers in the literature. After discussing with industrial hygiene experts and conducting a pretest to obtain surface validity, 70 items were used for analyses. In the exploratory factor analysis, promax rotation was used with the maximum likelihood method. In the confirmatory factor analysis, goodness of fit was confirmed with the covariance structure analysis. Health-related quality of life, job stress, work engagement, sleep, and self-assessment of rest were used to examine concurrent validity.Results　With the exploratory factor analysis, we introduced a scale containing 15 items, including three subscales: filling with spirit, enthusiasm for work, and recovery from fatigue. The reliability coefficient (Cronbach's alpha) of the three subscales and the overall scale ranged from 0.79 to 0.88 and 0.89, ensuring internal consistency. The confirmatory factor analysis showed a generally good fit. Their scores were correlated with many items of the health-related quality of life, job stress, work engagement, sleep, and self-assessment of rest.Conclusions　A 15-item \"Rest Evaluation Scale\" was created to evaluate the state in which male workers in the manufacturing industries take rest. Since the validity, reliability, and concurrent validity of this scale were satisfactory, this scale was considered to be an index evaluating the state of rest of male workers.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"775-783"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10302805","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":"[Developing scales to evaluate community practices among municipal public health nurses: content, perceptions of public health nurses, and organizational environment].","authors":"Tomoko Nagai, Yuki Yonekura, Maki Umeda, Kiyomi Asahara, Chie Kawasaki, Maasa Kobayashi, Taeko Shimazu, Naoko Endo, Junko Omori, Yasuko Mitsumori, Yuko Egawa, Satoko Nagata, Kazuko Saeki, Kiyomi Sagawa, Mikako Konishi","doi":"10.11236/jph.22-067","DOIUrl":"10.11236/jph.22-067","url":null,"abstract":"<p><p>Objectives　This study aimed to develop scales for evaluating the level of implementation of community practices and explore the perception of public health nurses in municipalities regarding their community practices.Methods　Draft scales were developed based on a literature review and interviews with municipal public health nurses. Subsequently, a questionnaire survey was conducted with municipal public health nurses across Japan in response to these draft scales. Respondents were recruited based on the municipality population size. Questionnaires were distributed to 2,074 individuals from 52 municipalities ensuring representation from diverse municipalities. Exploratory factor analysis was performed to determine the number of factors, while confirmatory factor analysis was performed to determine the factor structure. The reliability of the scales was assessed by calculating Cronbach's alpha coefficients, and their validity was tested by examining correlations with existing scales, namely the Moral Competence Scale for Public Health Nurses and the Professional Identity Scale for Public Health Nurses, and years of experience as a public health nurse.Results　A total of 721 (34.8%) valid respondents were included in the analysis. Three scales, methods of community practices (three factors, nine items), perceptions of public health nurses toward community residents through community practices (three factors, 10 items), and organizational environment supporting community practices (two factors, 11 items) were developed as indicators of the implementation of public health nurses' community practices. Cronbach's alpha coefficients for the three scales were 0.896, 0.913, and 0.868, respectively. As hypothesized, each subfactor exhibited a positive correlation with the existing scales. However, certain subfactors did not demonstrate any correlation with years of experience.Conclusion　The three scales developed in this study were individually examined for reliability and validity. These scales can be used independently or in combination, allowing public health nurses to select the most suitable scale(s) based on their objective.　A notable contribution of this study is the establishment of concrete indicators for evaluating community practices, addressing the previously vague nature of this evaluation. By incorporating the scale items into daily health practices, we anticipate that these indicators can be employed to evaluate community practices at the organizational and individual levels.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"759-774"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10000124","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":"[Relationship between low back pain and physical activity and sitting time among community-dwelling older adults: A cross-sectional study].","authors":"Mutsumi Nakamura,&nbsp;Shinichiro Sato,&nbsp;Yuta Nemoto,&nbsp;Takuya Yamada,&nbsp;Noriko Takeda,&nbsp;Kazushi Maruo,&nbsp;Yoshiharu Fukuda,&nbsp;Yoshinori Kitabatake,&nbsp;Takashi Arao","doi":"10.11236/jph.22-110","DOIUrl":"10.11236/jph.22-110","url":null,"abstract":"<p><p>Objectives　Japan has a high prevalence of low back pain among older adults requiring long-term care, which results in increasing expenses; therefore, prevention measures are necessary. This study aimed to examine the relationship between low back pain and physical activity and sitting time according to sex and age (65-74 years [young-old adults]; ≥75 years [old-old adults]) who had not received long-term care certification.Methods　A self-administered survey was mailed to 7,080 adults >65 years of age residing in Tsuru City (Yamanashi Prefecture, Japan) from January to February 2018, and had not received long-term care certification. Demographic information, health status (body mass index and medical history), lifestyle (dietary habits, alcohol consumption, and smoking), presence of low back pain, physical activity, sitting time, and social participation were measured. Low back pain was evaluated by asking, \"Did you experience pain in parts of the body other than the knees for the past month?\" Those who answered, \"experienced low back pain\" were categorized as \"with low back pain\". The short form of the International Physical Activity Questionnaire was used to assess physical activity, which was categorized into three groups: <150, 150-299, and ≥300 min/week. Sitting time was divided into two groups: <480 and ≥480 min/day. Multiple logistic regression analysis was used to determine the association between low back pain and physical activity and sitting time, according to sex and age.Results　Of the 7,080 individuals surveyed, 4,877 responded (2,217 male, 2,660 female), corresponding to a response rate of 68.9%. The number of older adults with low back pain was 1,542 (31.6%) including 673 (30.4%) males and 869 (32.7%) females. The rate of low back pain in young-old adults was 29.8% and 33.6% in old-old adults. There was no significant relationship between lower back pain and physical activity among the young-old adults. In the old-old adults, there was a significant relationship in the male ≥300 min group (odds ratio [OR] 0.66 [95%CI 0.48-0.89]), and in both female 150-299 (OR 0.69 [95%CI 0.48-0.99]) and ≥300 (OR 0.59 [95%CI 0.44-0.80]) min/week groups.Conclusion　The complaint rate for low back pain was approximately 30%, regardless of sex or age. These results suggest that interventions to prevent low back pain are necessary. Moreover, physical activity, but not sitting time, was associated with low back pain in both males and females among the old-old adults.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"690-698"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9748685","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 activity satisfaction and activity burden in foster parents: A cross-sectional study].","authors":"Yoko Ishii,&nbsp;Sanae Tomita","doi":"10.11236/jph.22-112","DOIUrl":"10.11236/jph.22-112","url":null,"abstract":"<p><p>Objectives　This study aimed to identify the relevant factors related to activity satisfaction (AS) and activity burden (AB) in foster parents on the basis of sex.Methods　A survey was conducted among 2,142 foster parents from 32 local foster parent associations. The inclusion criterion was survey respondents who had experience in raising foster children. The demographics, individual factors, and social support/capital factors were measured individually. The residential populations were examined at the municipal level. Based on previous studies, questions related to AS and AB were created using a four-item method. We performed multiple logistic regression analyses. The parents were divided into two groups based on the median total scores of AS and AB, identified as dependent variables.Results　A total of 1,052 parents responded to the survey (response rate, 49.1%), of whom 752 had no data deficiencies and had experience in fostering children; thus, they were included in the analysis, and were divided by sex into male (n=247, 32.8%) and female (n=505, 67.2%) groups. Among the men, multiple logistic regression analysis revealed that satisfaction with the child guidance center (CGC) was a significant factor related to AS and AB. Among the women, <10 years of experience as a foster parent, experience in caring for an infant, and participation in foster parent meetings were significant factors related to AS. Having a biological child, experience of fostering children with disabilities, satisfaction with the CGC, and participation in community activities were significant factors related to AB.Conclusion　Although factors related to AS and AB differed between men and women, satisfaction with the CGC was an important factor for both groups. This suggests that the CGC plays a crucial role in supporting foster parents. We believe that it is essential for the CGC to provide specialized support to foster parents and maintain close relationships with them.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"708-717"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10051778","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":"[Is RCT a practice?]","authors":"","doi":"10.11236/jph.23-061","DOIUrl":"10.11236/jph.23-061","url":null,"abstract":"","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"727"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41155780","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":"[Responses from the Editorial Board].","authors":"","doi":"10.11236/jph.23-200","DOIUrl":"10.11236/jph.23-200","url":null,"abstract":"","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"728"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174417","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":"[Report on COVID-19 infection prevention and control training sessions for care homes provided by Kawaguchi city and comparison with those provided by the local governments in Japan].","authors":"Ayako Nakayama,&nbsp;Koji Okamoto,&nbsp;Izumi Oki","doi":"10.11236/jph.22-121","DOIUrl":"10.11236/jph.22-121","url":null,"abstract":"<p><p>Objectives　We compared COVID-19 prevention and control information provided to care homes (CHs) by the Kawaguchi City public health center (PHC), which utilizes our precedent advice on nfection, with the information from several local governments (LGs) in Japan. This study aimed to highlight the role of LG-associated doctors in providing information to CHs, utilizing their precedent advice on infection control in CHs and medical facilities. This study analyzed the sector and type of information the LGs should provide to CHs to prevent and control COVID-19.Methods　We compared training sessions on COVID-19 prevention and control information provided to CHs by the Kawaguchi City PHC with training sessions offered by several other LGs in Japan that are available on their websites.Results　The Kawaguchi City PHC has been providing COVID-19 information to CHs when needed, including prevention and control information, through their doctors, utilizing our precedent advice on infection control, management of health conditions of staff and residents, and early detection of COVID-19. In contrast, 68 LGs announced that they have provided training sessions to CHs for the prevention and control of COVID-19 through their official homepages from March to September 2022. These training sessions involved information dissemination by infection control specialist nurses (42.6%), clinic or hospital doctors (32.4%), infection control specialist doctors (11.8%), and staff from LG headquarters, PHC, or LG-associated doctors (51.5%). Among the 68 LGs, 41 provided information that included hand hygiene (95.1%), personal protective equipment (92.7%), proper ventilation (51.2%), and management of staff (90.2%) and resident (58.5%) health conditions. Furthermore, Kawaguchi City PHC and several LGs provided information for the early detection of COVID-19.Conclusion　We suggest that LGs provide COVID-19 training sessions conducted by LG doctors that include management of staff and resident health conditions, provision of early detection information, and utilization of precedent advice on infection in CHs and medical facilities.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"718-726"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10051775","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 use of the \"health-supportive\" roadside station and self-rated health: A three-wave longitudinal study].","authors":"Daisuke Kumazawa,&nbsp;Motoki Tamura,&nbsp;Kazushige Ide,&nbsp;Atsushi Nakagomi,&nbsp;Katsunori Kondo","doi":"10.11236/jph.22-128","DOIUrl":"10.11236/jph.22-128","url":null,"abstract":"<p><p>Objective　Mutsuzawa town, Chiba Prefecture, relocated a \"health-supportive\" roadside station in 2019. The underlying hypothesis is that older people who use the roadside station will have better self-rated health than those who do not use it. We aimed to verify whether roadside station use was associated with a decrease in poor self-rated health.Method　This was a longitudinal study that compared and evaluated the roadside station use and non-use groups using three-wave panel data before and after relocation of the roadside station in September 2019. To obtain three-wave panel data, self-administered questionnaires were mailed three times: in July 2018 (FY 2018) before the station was relocated and in November 2020 (FY 2020) and January 2022 (FY 2021) after the relocation in 2019. The dependent variable was poor self-rated health in FY 2021, and the independent variable was use of the roadside station as of FY 2020. Covariates included basic characteristics from FY 2018, as well as going out, social participation, and interacting on social networks in FY 2018 and FY 2020. A multivariate analysis was conducted using multiple imputation to complete missing values for the Crude model, which included the basic attributes of FY 2018 (Model 1); going out, social participation, and interacting on social networks in FY 2018 (Model 2); and going out, social participation, and interacting on social networks in FY 2020 (Model 3). The cumulative incidence rate ratio (CIRR), 95% confidence intervals, and P-values were calculated using a modified Poisson regression analysis for each model.Results　Of the 576 participants, 344 (59.8%) were roadside station users. The multivariate analysis adjusted for basic attributes revealed that the number of people with poor self-rated health in the user group was significantly lower than that in the non-user group, with a CIRR of 0.67 (95% confidence interval: 0.45-0.99, P=0.043). However, the adjusted model showed a CIRR of 0.71 (95% confidence interval: 0.48-1.06, P=0.096) for going out, social participation, and interacting on social networks in FY2020 after the roadside station opened.Conclusion　Findings of this study revealed that, after adjusting for confounding factors prior to relocation of the roadside station, the number of people with poor self-rated health decreased in the user group. Thus, such commercial facilities as roadside stations, which give users an opportunity to go out and meet people, can provide a \"naturally healthy\" environment.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"699-707"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10051777","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}