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

{"title":"[Factors associated with language development delay of early childhood: Analysis of health checkup questionnaire for children].","authors":"Marie Sugihara, Etsuko Toyazaki, Mami Iwata","doi":"10.11236/jph.24-025","DOIUrl":"10.11236/jph.24-025","url":null,"abstract":"<p><p>Objectives　Language development is assessed in health checkups for children aged 18 and 36 months in public health centers to identify those with language delay and promote language development in early childhood. This study examines factors associated with language development to provide parents with evidence-based information.Methods　We used the data from the health checkup questionnaire filled by parents of 18- and 36-month-old children born between April 2019 and March 2020 and undergone 18- and 36-month health checkups by March 2023 in Yokohama city, Japan. The sample included 12,710 children. Language delay was defined as the inability to speak at least three words and three-word sentence for 18- and 36-month-old children, respectively. Bivariate and multivariate logistic regression were applied to assess the odds ratios (OR) for language delay in 18 and 36 months and associated factors; birth order, weeks of birth, mother's age, and existence of a ternary relationship in 18 months. Moreover, we assessed the OR for language delay in 18 and 36 months to understand the language development in early childhood.Results　Language delay was observed in 17.5% and 6.7% of 18- and 36-month-old children, respectively. Multivariate logistic regression analysis revealed significant associations of language delay in 18-month-old children and assessed factors; first-born children (OR; 1.39 [1.25-1.53]); preterm birth (OR; 1.80 [1.46-2.21]); and pregnancy at age ≥ 35 years (OR; 1.24 [1.12-1.37]), but no significant associations of language delay in 36-month-old children and these factors. Language delay in 18- and 36-month-old children were significantly associated, adjusting for potential confounders (OR; 6.81 [5.79-8.00]).Conclusion　Children's background since birth should be checked to assess 18-month language development during health checkups. Children with language development delay at 18-month health checkups should be identified and followed for further support.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"52-60"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633132","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":"[Changes in attitudes toward suicide after brief gatekeeper education: Findings from population-based repeated cross-sectional surveys conducted among middle-aged and older adults].","authors":"Hirofumi Oyama, Yuko Harima, Tomoe Sakashita, Hisanaga Sasaki, Haruka Oyama, Yoshimi Maguchi","doi":"10.11236/jph.24-021","DOIUrl":"10.11236/jph.24-021","url":null,"abstract":"<p><p>Objective　This study aimed to investigate changes in attitudes toward suicide following a universal home visitation program that included a brief face-to-face educational session focusing on gatekeeper roles in Japan.Methods　Between 2015 and 2017, members of 169 households in an intervention district from a northern Japanese township were invited to attend an educational session during home visits. The participation rate was 72.8%, with 94.5% of the participants aged over 40. Repeated cross-sectional population-based surveys were conducted among adults in the towns in 2015 and 2021. Data from the surveys, focusing on individuals aged 40-79 years and residing in the intervention and matched control districts (where no visits occurred and only information was distributed through leaflets), were used to assess the prevalence of self-reported views toward suicide. The self-reported views encompassed \"no substantial thoughts,\" \"inevitable,\" \"shameful,\" \"annoying,\" \"tragic,\" \"must be managed,\" and \"romantic\" in addition to personal and perceived stigma, depressive symptoms (assessed using the Kessler Psychological Distress Scale-6), and suicidal ideation. Data were analyzed using generalized linear mixed models. The Cochran-Armitage test was used to analyze linear trends in the proportion of views that exhibited changes.Results　Participation rates were 61.8% (n ＝ 357) in 2015 and 52.8% (n ＝ 257) in 2021. The intervention group showed a significant difference in the prevalence of the \"inevitable\" view between baseline and 4-year follow-up (P ＝ 0.026). Marginal pre-post differences were observed among the two types of stigma; however, the symptoms remained unchanged. A marginally significant difference in the change of the \"inevitable\" view was observed between the two groups. In the follow-up, more knowledgeable respondents in the intervention group were less likely to view suicide as \"inevitable,\" a trend not seen in the control group.Conclusions　The universal home visitation program, including a face-to-face session focusing on the gatekeeper role, was associated with a decreased prevalence of the \"inevitable\" attitude between the baseline and 4-year follow-up among community-dwelling adults aged 40-79. This suggests that face-to-face interactions with healthcare professionals can reduce the tendency to condone suicide among middle-aged and older adults in community settings.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"12-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513943","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":"[Cross-sectional study of factors related to declining participation in community gathering places providing communal meals: A social marketing framework].","authors":"Tatsunosuke Gomi, Keiko Motokawa, Maki Shirobe, Masanori Iwasaki, Ayako Edahiro, Shuichi Obuchi, Yoshinori Fujiwara, Hidenori Arai, Shuichi Awata, Hirohiko Hirano","doi":"10.11236/jph.24-003","DOIUrl":"10.11236/jph.24-003","url":null,"abstract":"<p><p>Objectives　While Community gathering places known as \"kayoi-no-ba\" providing communal meals play a crucial role in promoting the health of older adults, the researches supporting their operations and maintenance is limited. Social marketing has been successful in implementing strategic public health programs. This study aimed to identify factors associated with declining participation in kayoi-no-ba providing communal meals using a social marketing framework based on the 4Ps marketing mix (product, promotion, place, and price).Methods　In November 2019, this cross-sectional study surveyed kayoi-no-ba providing communal meals nationwide via a mail. A total of 580 kayoi-no-ba organizers with complete data participated. Changes in the number of participants were assessed using a questionnaire in order to determine the decrease since their establishment. Survey items were organized based on the 4Ps marketing mix framework and treated as independent variables. Multivariate Poisson regression analysis was conducted with participant decrease as the dependent variable, and prevalence ratios (PR) were calculated. The opening period and the number of participants at the time of the survey were included as covariates.Results　A total of 154 kayoi-no-ba experienced the decline in participants (26.6%). Multivariate analysis revealed the following. For product variables, a high frequency of monthly events was significantly associated with a lower PR for participant decrease (0.92). Among promotion variables, kayoi-no-ba with a registration system had a significantly higher PR for participant decrease (1.49). For place variables, a higher population density in the region was significantly associated with a lower PR (0.90), whereas a higher ratio of the population aged 65 years and older was significantly associated with a higher PR (1.05). The price variables did not show a significant association with the decrease in participants.Conclusions　Except price, the other three marketing 4Ps were significantly associated with decreases in participants at kayoi-no-ba providing communal meals. Future efforts should focus on developing and evaluating kayoi-no-ba strategies to ensure sustained participant engagement and promote the health of older adults through communal meals.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"22-31"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513944","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":"[A review of the literature on sedentary behavior].","authors":"Mikako Yasuoka, Takashi Nakagata, Yosuke Yamada, Koichiro Oka, Shigeru Inoue, Rei Ono","doi":"10.11236/jph.24-057","DOIUrl":"10.11236/jph.24-057","url":null,"abstract":"<p><p>Sedentary behavior (such as sitting, watching TV, and driving) is characterized by little physical movement and low energy expenditure (≤1.5 metabolic equivalents). Previous studies have shown associations between sedentary behavior and adverse outcomes, including cancer, cardiovascular disease, and death. This study is a narrative review that aims to summarize the assessment tools for sedentary behavior as well as the association between sedentary behavior and adverse health outcomes. Additionally, guidelines for future research on sedentary behavior are discussed.Sedentary behavior is assessed using subjective methods such as questionnaire responses or objective methods such as accelerometer readings. Although questionnaire methods have low validity, they allow researchers to collect information regarding the purpose or occasion of physical activity at a low cost. Accelerometers are expensive but collect precise information on the duration of sedentary behavior. Sedentary behavior is a risk factor for the incidence of cardiovascular diseases and cancer and associated mortality. The association between sedentary behavior and some diseases such as cancer type have been reported. Previous studies have found a dose-response relationship between sedentary time and adverse outcomes. Research on the associations between sedentary behavior and the subtypes of stroke, heart disease, and orthopedic diseases is insufficient; further studies are needed to clarify these associations. Recently, sedentary behavior has been the focus of guidelines in some countries because of increasing evidence on its adverse consequences. Intervention studies have shown that taking breaks and replacing sedentary behavior with vigorous or high-intensity physical activity benefit the health of participants. Future studies are needed to examine the cutoff values of sitting time that reduce the risk of morbidity for each disease and the health effects of interventions that shorten sitting time.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"3-11"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633090","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":"[Possibility of diffusion and challenges of a frailty prevention class hosted by older adults: Efforts by the Saitama Prefecture Silver Human Resources Center Federation Headquarters].","authors":"Yu Nofuji, Shoji Shinkai, Yosuke Osuka, Satoshi Seino, Miki Narita, Kumiko Nonaka, Yuri Yokoyama, Shizue Hagiwara, Toshie Fujikura, Yoshinori Fujiwara, Hiroshi Murayama","doi":"10.11236/jph.24-069","DOIUrl":"10.11236/jph.24-069","url":null,"abstract":"<p><p>Objectives　Since 2018, the Saitama Prefecture Silver Human Resources Center (SHRC) Federation Headquarters and Tokyo Metropolitan Institute for Geriatrics and Gerontology has attempted to diffuse a business model in which SHRC members are compensated for operating a frailty prevention class. This activity report clarifies these efforts, examines the feasibility of diffusing this model based on each SHRC's project implementation status, and summarizes the relevant issues.Methods　To promote the commercialization of classes, all 58 SHRCs in Saitama Prefecture were offered (1) class programs comprising a multifactorial program (exercise, nutrition, and social interactions) and teaching materials, (2) training courses for frailty prevention supporters who manage the classes (three days × four blocks/year), (3) project information exchange meetings (held once annually), and (4) consultation support for project implementation. A questionnaire survey on the project implementation status was conducted among SHRC employees to evaluate the possibility of project diffusion based on adoption, implementation, and continuation. Furthermore, project implementation issues were categorized using free descriptions as codes to create subcategories based on content and categories based on subcategory similarities.Results　Regarding adoption, among the 58 SHRCs, 43 (74.1%) participated in training courses for frailty prevention supporters and 34 (58.6%) implemented the project from 2018 onwards. Regarding implementation, 23 (39.7%) SHRCs provided rewards to frailty prevention supporters (67.6% of the SHRC that implemented the project). Regarding continuation, 21 of the 28 SHRCs (75.0%) that began the project by 2021 continued it for two years or longer. Moreover, implementation challenges related to project initiation, supporters, new entrants, and class management were categorized.Conclusions　More than half of the SHRCs implemented the project, 40% of SHRC provided rewards for frailty prevention supporters, and 75% of SHRCs that implemented the project continued working on it. Hence, the model may be extended to other regions. However, four issues have been identified. The model is likely to have a ripple effect, increasing the number of individuals involved in community frailty prevention and creating attractive employment opportunities for the elderly. We intend to address these challenges and disseminate our model further.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"42-51"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633201","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":"[Practice and evaluation of the suicide prevention gatekeeper training program incorporating dialogue].","authors":"Takuya Nakagawa, Taichi Narita, Youtaro Katsumata","doi":"10.11236/jph.24-023","DOIUrl":"10.11236/jph.24-023","url":null,"abstract":"<p><p>Objective　This study aimed to examine the practice and evaluation of the suicide prevention gatekeeper training program incorporating dialogue conducted as part of a comprehensive suicide prevention project.Methods　To provide individual support for suicide prevention, supporters' flexibility should be improved. The Niigata City Mental Health Center aims to improve traditional lecture-based human resource development programs for suicide prevention. In fiscal year (FY) 2017, we developed a \"Gatekeeper Training Textbook for Suicide Prevention\" that incorporates dialogue. Training programs using this textbook have been conducted since FY 2018. A self-administered questionnaire survey was administered to 975 participants in training programs from FY 2018-2022. The survey included the type of institution, understanding of responding to suicide risk, decrease/no decrease in difficulty in responding to suicide risk, and opinions and impressions of the programs. Data were analyzed using descriptive statistics and the difference in the proportions of decrease/no decrease in difficulty in responding to suicide risk by institutions was examined. Descriptions of the program's learning and awareness were analyzed qualitatively.Results　There were 761 (78.1%) respondents. Regarding their understanding of responding to suicide risk, 95.9% of the respondents answered, \"I understood better.\" Questions about the decrease/no decrease in difficulty in responding to suicide risk revealed that youth- and child-rearing support institutions scored higher than other institutions, whereas school-related institutions scored lower than other institutions regarding the rate of decrease in \"2; asking individuals who have self-harmed about their wounds,\" \"4; appropriately assessing the urgency of suicide risk,\" \"6; asking about their desire to die,\" and \"7; asking about their plans to commit suicide.\" Comments and opinions about the program were divided into four categories.Conclusion　We have developed a new method for suicide prevention gatekeeper training that incorporates dialogue and involves training with various community supporters. The number of respondents who answered that the difficulty decreased regarding receptive responses and cooperation with other institutions increased after training. Additionally, the respondents' understanding of their responses and cooperation were reported in free-written descriptions. However, training content and evaluation methods that match each organization's characteristics should be considered because there were differences in the tendency of decreases in difficulty after training between institutions.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"32-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633249","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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","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":"[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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","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}