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

{"title":"[Support provided for persons with disabilities and patients with intractable diseases during the COVID-19 pandemic].","authors":"Chisato Tanikake, Jinichi Suzuki, Tatsuko Sugii, Tomoko Tachibana, Yoshimi Hashimoto, Tomoko Kodama","doi":"10.11236/jph.24-091","DOIUrl":"10.11236/jph.24-091","url":null,"abstract":"<p><p>Objectives　Considering the difficulty and importance of supporting persons with disabilities (PWDs) and patients with intractable diseases during the COVID-19 pandemic, we monitored and reported support activities for PWDs and patients with intractable diseases.Methods　We attempted to identify the issues to be resolved by the keywords \"disability\" and \"intractable disease\" from 2019-2022 during the COVID-19 pandemic. The information materials were (1) abstracts from the general meetings of the Japanese Society of Public Health and the Society of Local Public Health journals (2019-2021), (2) foreign academic journals; (3) newspapers (national papers [Asahi Shimbun, Yomiuri Shimbun, Mainichi Shimbun, Sankei Shimbun], in 2021), media information, such as magazines and websites, (4) legislation, notifications, and research expenses, and (5) patient group information. We made several proposals for the Japanese Society of Public Health.Results　In 2020, facilities for PWDs did not have a system for receiving advice from infection control experts. During the COVID-19 pandemic, PWDs experienced trouble because of the characteristics of their disabilities, such as difficulty in accessing COVID-19 information. Children with disabilities felt stressed owing to the closure of daycare facilities. Further web research is necessary, considering the changes in working style. In 2021, local governments were requested to prepare manuals to provide information to PWDs and respond to infections according to the characteristics of each disability, and support from academic societies was anticipated. In 2022, local governments led collaborations with medical care facilities, health, and welfare. Support from academic societies was desirable to eliminate regional disparities, such as creating manuals for infection control and COVID-19.Conclusion　We believe that receiving advice from various experts on supporting welfare systems for facilities for PWDs during the COVID-19 pandemic helped us achieve our initial goals. We hope that all the experts will continue to work from the perspective of whether anyone is left behind concerning health and welfare.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"303-314"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257450","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":"[Challenges in implementing evidence-based standardized home visits for newborns, infants, and their caregivers: Lessons from the Republic of Korea].","authors":"Kyoko Yoshioka-Maeda, Saki Doi, Mari Ikeda, Hideki Hashimoto","doi":"10.11236/jph.24-133","DOIUrl":"https://doi.org/10.11236/jph.24-133","url":null,"abstract":"<p><p>Objective　In Japan, home-visit programs for newborns and infants have been implemented based on the Maternal and Child Health Act and Child Welfare Act. However, these programs vary widely across municipalities. This study aimed to examine the current state and challenges of scientifically designed and standardized home-visit programs in the Republic of Korea and obtain practical implications for Japan.Methods　Information was collected through collaboration with individuals affiliated with the Seoul National University College of Medicine and from publicly available sources.Results　In the Republic of Korea, the Maternal and Early Childhood Home Visiting Program targets children aged ≤ 2 years and their mothers. Based on \"the Family Partnership Model,\" the program emphasized partnerships between nurses, social workers, and caregivers. Initiated in Seoul in 2013 as the Seoul First Step Project, it expanded nationwide in 2019 as part of the Early Life Health Management Program. The program integrates the social-ecological model, proportionate universal approach, and life course approach, offering basic visits to all applicants and ongoing visits to families requiring additional support. The coverage rate of home-visit programs relative to the number of births has reached approximately 30%.To address the shortage of nurses, group programs in which mothers learn parenting skills together and the distribution of parenting manuals and leaflets were implemented. A standardized 320-h in-service training program was developed to ensure standardized home visits. Regular supervision and reflection opportunities were provided to the staff to ensure the quality of the home visits. Inspired by the U.S. HomVEE framework, multidimensional evaluation indicators assessed home environment, child safety, growth and development, maternal well-being, and community support.Conclusion　In the Republic of Korea, partnerships between universities, administrative organizations, and healthcare professionals (nurses, social workers, and physicians) have fostered evidence-based program designs, standardized in-service training, and evaluation outcomes. Although Japan has achieved high implementation rates of meticulous home visits, in-service training and evaluation should be improved. To address health inequalities from early life stages, translate evidence into practical applications, and improve the quality of home-visit programs by leveraging the strengths of all stakeholders involved.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045086","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":"[Comparison of salt reduction policies and trends levels in dietary salt intake in Japan and other countries: A narrative review].","authors":"Koki Torami, Chika Okada, Mieko Nakamura","doi":"10.11236/jph.24-122","DOIUrl":"https://doi.org/10.11236/jph.24-122","url":null,"abstract":"<p><p>Objectives　This study compared salt reduction policies and trends in dietary salt intake between Japan and other countries to facilitate future implementation of salt reduction initiatives in Japan.Methods　Information on salt reduction policies, salt intake, and target values in G7 member countries (Japan, the United States, Canada, the United Kingdom, Italy, France, and Germany) and countries with similar food cultures (China and Korea) since 2000 has been collected from institutional, article, and report websites. If sodium data were available for a specific country (the United States, Canada, or Korea), the sodium value and the salt equivalent value, calculated by multiplying the sodium value by 2.54, were presented. The percentage reduction was calculated from the baseline and assessment values of salt reduction policies in Japan and the United States. In other countries, it was calculated from near-year values before and after the salt reduction policy because these countries did not confirm the baseline and assessment values. Results　All the target countries set target values for dietary sodium or salt intake. The salt equivalents of the target values ranged from 5.8 g/day (Canada) to 9.9 g/day (Korea). In the United Kingdom, Italy, and France, some food industries, such as bread and pasta, have entered a pact to limit sodium. Korea has been implementing a salt reduction approach, not only in the food industry but also at home, such as the development of salt reduction menus. The main sources of dietary sodium in the United States, Canada, the United Kingdom, Italy, France, and Germany are processed and cooked foods, whereas in Japan, China, and Korea, sodium is consumed at home from condiments. Although the current salt intake could not be compared because of differences in the approach and years studied, it ranged from 6.9 g/day (Canada) to 10.2 g/day (China). Salt intake showed a decreasing trend in all countries, especially Korea and the United Kingdom, with particularly large reductions (32.2% and 14.8%, respectively). The United States and Japan showed lower reductions than other countries (2.2% and 4.7%, respectively). Conclusion　This study revealed that the percentage reduction in salt intake among the Japanese population was lower than that in other countries, highlighting the need for a tailored approach to salt reduction policies in Japan.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997759","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":"[Poverty status of households delinquent to paying school lunch fees: A descriptive study using the 2023 JACSIS study].","authors":"Kotone Tanaka, Daisuke Nishioka, Yasutake Tomata, Takahiro Tabuchi","doi":"10.11236/jph.24-097","DOIUrl":"https://doi.org/10.11236/jph.24-097","url":null,"abstract":"<p><p>Objective　This study aimed to describe the living conditions of households that had experienced arrears in school lunch fees for economic reasons and compile basic data to devise measures to address the problem of arrears in school lunch fees and child poverty.Methods　We used data from the JACSIS study (2023), focusing on households with at least one school-age child. A state of arrears in school lunch fees was defined as \"experiencing arrears\" if the participants reported that they had experienced being unable to pay their children's school lunch fees for financial reasons, and \"not experiencing arrears\" otherwise. We employed a set of indicators to evaluate the poverty and living conditions of guardians and children, such as deprivation, household income, changes in income, and food insecurity for household poverty status, and items related to adverse childhood experiences of guardians and children's living conditions. The number and percentage of respondents for each indicator were calculated by school lunch payment status.Results　Of the 1,919 participants, 88 (4.6%) had experienced arrears in school lunch fees, while 1,831 (95.4%) had not. Among those who had experienced arrears, 97.7% were in a state of deprivation, compared to 9.1% of those who had not experienced arrears. Additionally, those who had experienced arrears had a higher percentage of households with an income of less than four million yen (10.0% without experience of arrears vs. 17.1% with experience), reduced income (48.4% vs. 85.2%), and higher food insecurity (11.2% vs. 26.1%). Children from households with arrears were more likely to be respond \"I do not know\" or \"I do not want to answer\" by their guardians on all items related to childhood adverse experiences. They were also more likely to have guardians with mental illness (7.4% vs. 27.3%) and to experience domestic violence (14.4% vs. 80.7%).Conclusion　The findings suggest that households with school lunch fee arrears were likely to be experiencing severe poverty and situations suggestive of child maltreatment. Therefore, identifying arrears in school lunch fees as a sign of poverty may reduce the incidence of such arrears and help protect children's right to a healthy upbringing by connecting families to appropriate support.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014374","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 application forms of housing adaptations in the Japanese long-term care insurance system by care need level and professional type: A descriptive study].","authors":"Rumiko Tsuchiya-Ito, Satomi Kitamura, Tomoyuki Ota, Shinji Hattori","doi":"10.11236/jph.24-081","DOIUrl":"https://doi.org/10.11236/jph.24-081","url":null,"abstract":"<p><p>Objectives　Statistical data on housing adaptation services provided by Japanese long-term care insurance are limited. We described the application status by analyzing the application forms of housing adaptation services based on differences in care need levels and health and social welfare professional types.Methods　We obtained data from the application forms of housing adaptation services in Hachioji City, Tokyo in fiscal year 2015. The variables were individual factors (age, care needs level, family status, primary disease, and information about housing) and detailed content of the applied housing adaptations (daily activities expected to improve, expected effects, and types of housing adaptations). We described the number and percentage of individuals according to care need level and type of professional; care managers (long-term care agencies), care manager (community comprehensive support centers), social workers, public health/registered nurses, housing environment coordinators, and certified housing renovation specialists.Results　We analyzed 1,652 participants. The participants were mostly in care needs level 1 (30.2%), and individuals in care needs level 3 (33.3%) applied for housing adaptation during hospitalization. Regarding the daily activities expected to improve, individuals requiring severe care needs likely aimed for toileting (care support level 1; 47.2%, care need levels 4/5; 57.8%) but less likely to expect to improve going outside and up and down the stairs. Individuals with care needs level 1 expected the greatest improvement in their bathing activities (58.1%). Regarding the expected effects, \"fall preventions,\" \"improved ease of activities,\" and \"reducing the applicant's mental burden and anxiety\" were crucial regardless of their care need levels, and \"enabling what cannot be done\" and \"reducing the burden on caregivers\" were more likely to be expected in individuals with more severe care needs. Regarding professional differences, the highest percentages of \"enabling what cannot be done\" were for care managers (long-term care agency) in toileting, bathing, and going outside, and social workers in getting up and down the stairs, and moving indoors. The certified housing renovation specialists emphasize on \"reducing the burden on caregivers.\" The most common type of housing adaptation was the installation of handrails or grab bars.Conclusion　Housing adaptations differ depending on applicants' care needs and professional types. A system that considers the different needs should be designed depending on their care need levels and professional types and has a place in which each profession can understand the differences.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797244","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":"[Recommendations for avoiding medical strain: A comparative analysis of regional responses in Hyogo Prefecture during the eighth wave of COVID-19].","authors":"Masanori Hamada, Ryutaro Masago, Kazuo Miyamura, Hiroshi Sumi, Akira Sudou, Masakazu Shinohara","doi":"10.11236/jph.24-096","DOIUrl":"https://doi.org/10.11236/jph.24-096","url":null,"abstract":"<p><p>Objectives　During the eighth wave of COVID-19 in Hyogo Prefecture (October 1, 2022-February 28, 2023), the overwhelming transmissibility of the virus caused a significant strain on the healthcare system. This study focused on Amagasaki Health Center, Akashi Health Center, Sumoto Health Center (island region), and Asago Health Center (rural region) and their unique responses. The difference between the calculated \"required number of critical care beds\" (based on hospitalization recommendations) and the number of secured hospital beds was used as a measure of bed capacity strain, while the number of incidents involving difficulty in emergency transport was used as an indicator of a strain on emergency medical services. The aim of this study was to propose strategies to avoid medical system overload during future infectious disease pandemics based on the responses of each health center and regional healthcare system.Methods　Each fire department provided information on incidents involving difficulties with emergency transport. The \"required number of critical care beds\" was defined as the cumulative daily number of hospitalization recommendations(minus the number of patients who had exceeded the standard 10-day hospitalization period outlined in the guidelines). In the Amagasaki and Akashi Health Center jurisdictions, the number of patients hospitalized daily based on recommendations was recorded. These data were used to evaluate the validity of the calculated required number of critical care beds and assess the effectiveness of back end support operations.Results　Within the Amagasaki Health Center jurisdiction, where a consistent approach was adopted to hospitalize patients at designated medical institutions (from recommendation to discharge), the required number of critical care beds peaked significantly beyond the number of secured hospital beds. This peak coincided with a surge in COVID-19 emergency transport difficulties. In contrast, the Akashi Health Center jurisdiction, with back end support beds, partially mitigated bed-capacity strain and emergency transport difficulties. The Sumoto Health Center's jurisdiction minimized a healthcare strain by prioritizing the continuation of its regular medical care system. In the Asago Health Center jurisdiction, approximately half of the hospital beds were in psychiatric hospitals. Patients in these facilities could continue treatment therein, allowing the region to avoid significant healthcare constraints.Conclusion　Increasing the number of secure hospital beds alone is insufficient for preventing regional healthcare strains in SARS-type pandemics, such as COVID-19. Operating back end support systems and enabling self-contained treatment in facilities, such as care homes for older adults and psychiatric hospitals, are effective measures for avoiding this strain.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775065","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 education on controlling digital device use and lifestyle habits for adolescents' physical and mental health: School health promotion activities at a junior high school in Matsue City].","authors":"Yuki Kuwabara, Aya Kinjo, Hongja Kim, Yoneatsu Osaki","doi":"10.11236/jph.24-102","DOIUrl":"https://doi.org/10.11236/jph.24-102","url":null,"abstract":"<p><p>Objectives　Healthy Parents and Children 21 (Tier 2) promotes health education collaboration across multifaceted sectors in order to realize a society that supports the physical and mental health of the next generation. The purpose of this report is to provide an overview of the school's health activities and present the findings obtained through surveys and health education activities at a junior high school.Methods　The activities were focused on activities targeting the junior high school in Town A, Matsue City, Shimane. The town launched a pediatric lifestyle-related disease control project in 1991. Even after the municipal merger, local school health committee activities were maintained. The Division of Environmental and Preventive Medicine at Tottori University has been participating in school health activities in Town A since the beginning of the project. Elementary and junior high schools in Town A allowed medical students from Tottori University to participate in health activities for social medicine training. Herein, we discuss (1) the results of the survey conducted at A junior high school in 2022; topics included lifestyle, digital device use, and mental health (Patient Health Questionnaire-9) and (2) feedback from junior high school students, school health workers, and medical students regarding activities for social medicine training.Results　Medical students provided a 50-minute health education program at A junior high school. Based on interviews and questionnaires administered to junior high students and school health workers, important health issues were identified. Accordingly, the medical students planned a program aimed at acquiring favorable lifestyle habits, with a particular focus on sleep and excessive digital device use. The program was conducted in each second-grade class. Additionally, activities at the junior high school and town A allowed us to collaborate with the Matsue City Board of Education and Youth Development Organization. They shared our concerns about adolescent lifestyles and digital device use.Conclusion　Our activity provided health education on controlling digital device use and promoting favorable lifestyles using a peer education strategy. In the future, connecting related sectors and making the best use of local resources are desirable for developing activities for a broader area. Evaluating the effectiveness of these activities and establishing a system that enables primary healthcare workers, schools, and local boards of education to develop their own school health activities in collaboration with the local government are warranted.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775063","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 burnout and job-quitting intentions among public health center staff during the COVID-19 pandemic: A nationwide survey in Japan.","authors":"Kazuya Taira, Takahiro Itaya, Kana Iwasaki, Yumiko Iwase, Sayaka Tabuchi, Misa Shiomi","doi":"10.11236/jph.24-076","DOIUrl":"10.11236/jph.24-076","url":null,"abstract":"<p><p>Objective　The coronavirus disease 2019 pandemic has imposed considerable stress on public health centers (PHCs) in Japan, raising concerns over staff burnout and intention to quit. Therefore, this study aimed to examine the relationship between burnout and job-quitting intention among PHC staff members and estimated the prevalence of burnout and job-quitting intentions among these staff members.Methods　This study employed a cross-sectional design. Survey requests were sent to all 468 PHCs in Japan. For the centers that agreed to participate, we confirmed the number of distributed surveys and conducted them via mail. The prevalence of burnout and job-quitting intentions was calculated after adjusting for age, sex, department, and occupation. The Burnout Scale includes three subscales; exhaustion, cynicism, and efficacy. We calculated descriptive statistics for each burnout subscale and assessed the relationship between burnout and job-quitting intentions using generalized estimating equations.Results　We received responses from 23.9% of PHCs (112/468) and 29.3% of staff (1754/5990). Adjusted prevalence was 48.0% (95% confidence interval [CI]; 45.8-50.2%) and 62.2% (95% CI; 59.4-64.9%) for burnout and job-quitting intentions, respectively. Notably, public health nurses demonstrated a pronounced adjusted prevalence of 51.7 (95% CI; 47.2-56.2) and 65.8 (95% CI; 61.7-69.9) for burnout and job-quitting intention, respectively. Of the three burnout domains, only exhaustion (median; 4.40 [interquartile range [IQR]; 3.00-5.80]) had a median score higher than the cut-off value, whereas cynicism (median; 3.40 [IQR; 2.20-5.00]) and efficacy (median; 3.17 [IQR; 2.33-4.33]) had moderate scores. Burnout was a significant predictor of high job-quitting intentions (adjusted relative risk; 1.54, 95% CI; 1.40-1.70).Conclusion　The high prevalence of job-quitting intentions among PHC staff highlights the need for interventions to prevent or reduce burnout. Addressing burnout is essential to reduce job-quitting intentions among Japanese PHC staff members.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"208-217"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856967","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":"Foster parent support and needs of public health nurses, pediatric nurses, and childcare workers: A survey of three municipalities with high foster parent placement rates in Japan.","authors":"Yoko Ishii, Sanae Tomita, Sachiko Ikeda, Akane Yamamoto","doi":"10.11236/jph.24-032","DOIUrl":"10.11236/jph.24-032","url":null,"abstract":"<p><p>Objective　This study aimed to elucidate foster parent support afforded by and the related needs of public health nurses, pediatric nurses, and childcare workers in Japan.Methods　We conducted a quantitative study involving 95 public health nurses, 450 pediatric nurses, and 360 childcare workers in three municipalities with foster parent placement rates higher than the national average in Japan. The participants were questioned regarding their experiences in supporting foster parents at work; participation in foster parent support training; awareness and perceptions of foster parents; knowledge about foster parents, foster children, and the foster care system; and confidence in supporting foster parents. Descriptive statistics were used to analyze quantitative data. Fisher's exact test was used for statistical analysis.Results　Questionnaires were collected from 179 participants (recovery rate: 19.8%). The breakdown of respondents was as follows: 19 public health nurses (10.6%), 77 pediatric nurses (43.0%), and 83 childcare workers (46.4%). Twenty-four participants (13.4%) replied that they had participated in foster parent support training, and 46 (25.7%) replied that they had experience supporting foster parents at work. Only 20.8% of the respondents answered that they were confident in supporting foster parents. There were differences in the experience of supporting foster parents at work and participation in foster parent support training depending on the participants' job type. The proportion of public health nurses was high in both categories. Experience supporting foster parents at work and participation in foster parent support training were significantly related to confidence.Conclusion　We found that the limited opportunities for public health nurses, pediatric nurses, and childcare workers to engage in supporting foster parents and participate in foster parent support training contribute to their low confidence levels in these areas. Our findings underscore the necessity of disseminating knowledge about foster care systems and fostering an understanding of foster families among pediatric nurses and childcare workers. Integrating training related to social care and foster care systems into basic nursing education is necessary. Moreover, actively listening to the perspectives and experiences of foster parents can provide valuable insights for professionals in these fields.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"238-244"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878725","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 cancer risk perception among high school sophomores: An analysis of national survey data based on a cancer education logic model to promote cancer control].","authors":"Hiroko Yako-Suketomo, Yuichi Ichinose, Yoshino Hosokawa, Asae Oura, Takuya Shimane, Koshu Sugisaki, Asuka Nakagawa, Takahiro Higashi","doi":"10.11236/jph.24-047","DOIUrl":"10.11236/jph.24-047","url":null,"abstract":"<p><p>Objective　Using a nationwide survey of cancer education outcomes that contribute to cancer control, this study aimed to determine the short-term outcomes of cancer education associated with students' perceptions of cancer risk.Methods　An online survey was administered to second-year high school students between September and December 2022. The participants were asked about two basic attributes and 33 short-term outcome measures, as shown in the cancer education logic model. Of the 238 schools randomly selected nationwide, 145 (30,208 students) participated (60.9% of the institutions responded). Of the 21,692 respondents, 20,402 indicated that they would participate in the survey. The analysis included 19,785 respondents (response rate; 65.5%). After calculating the percentage of responses for each item, we conducted a Chi-square test with sex as the dependent variable and logistic regression analysis with cancer risk awareness as the dependent variable, using sex as the adjustment variable for statistical analysis. The significance level was set at P＜0.05.Results　The percentage of responses based on the calculation method for each indicator ranged from 67.6-88.4% and 77.5-93.1% among male and female students, respectively, for the seven indicators of cancer prevention. Contrastingly, the percentages for the three indicators in the field of cancer care ranged from 4.3-89.1% and 6.6-89.8% among male and female students, respectively. Cancer risk awareness among female students was higher than that among male students at 3,196 (31.9%) and 2,814 (28.8%), respectively (P＜0.001). Additionally, more female students knew about cancer, whereas more male students felt stigmatized. Furthermore, in an analysis in which sex was used as a moderating variable, 25 of the 33 items were risk perception-related factors. Of these, odds ratio was 0.92 (95% confidence interval; 0.86-0.98) for those who found it easy to judge \"the basis of cancer information.\"Conclusion　Cancer risk perception was positively associated with sex and many short-term outcome measures in cancer education. Improved health education on cancer as a typical disease and an appropriate social environment for such education are required.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"185-198"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856981","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}