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

{"title":"[Association between health checkups, vaccination, and social isolation among people on public assistance: The case of Izumi Public Health and Welfare Center, Sendai City].","authors":"Shingo Hayashi","doi":"10.11236/jph.24-008","DOIUrl":"https://doi.org/10.11236/jph.24-008","url":null,"abstract":"<p><p>Objective　The healthcare management support program for public assistance recipients has been mandated at all welfare centers since 2021 because the importance of healthcare support for them has recently been recognized in Japan. However, the factors that hinder preventive healthcare service utilization have not been empirically investigated. This survey aimed to identify the relationship between health checkups, vaccination services, and social isolation among people on public assistance.Methods　The survey participants were 1,739 public assistance recipients within the jurisdiction of the Public Health and Welfare Center, Izumi Ward, as of January 1, 2022. Data on basic attributes, number of household members, household type, and employment status were obtained from the welfare system. Whether the recipient had received a health checkup or COVID-19 vaccination was determined from the medical receipt. We created four items assessing social isolation. Logistic regression analysis was performed to examine the relationship between the number of health checkups, vaccination, and social isolation.Results　A total of 444 participants (response rate: 25.5%) were included in this analysis. Forty-four (9.9%) participants received a health checkup, and 336 (75.7%) received a vaccination. Logistic regression analysis revealed that attendance at health checkups was positively associated with face-to-face contact, non-face-to-face contact, emotional support, and instrumental support. In particular, the odds ratio of face-to-face contact was 3.59 (95% confidence interval: 1.85-6.94). Vaccination was positively associated with face-to-face contact, non-face-to-face contact, emotional support, and instrumental support. In particular, the odds ratio of instrumental support was 1.58 (95% confidence interval: 1.02-2.54).Conclusion　The findings of this survey revealed that social isolation was an important factor in facilitating the uptake of health checkups and vaccinations among welfare recipients in Sendai. Furthermore, this survey suggests that different types of social support should be incorporated into welfare services depending on the nature of the process by which the recipient accesses preventive services.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856917","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 and testing a draft scale evaluating older adults' perceptions of community-based connectedness with people: A pilot study.","authors":"Mami Kikuchi, Atsuko Ikeda, Michiyo Hirano","doi":"10.11236/jph.24-010","DOIUrl":"https://doi.org/10.11236/jph.24-010","url":null,"abstract":"<p><p>Objective　Connectedness is essential for maintaining the physical and mental health of older adults. However, measurements that consider the presence of community-dwelling people and explicitly focus on an individual's subjective sense of connectedness have not yet been established. This pilot study aimed to develop a draft scale that comprehensively measured older adults' perceptions of community-based connectedness with people.Methods　The scale development comprised three phases; item review, pre-test, and field verification. Phase 1 (item review) involved creating an item pool and evaluating content validity. Phase 2 (pretest) involved evaluating face validity and conducting item analysis on the preliminary version of the scale. Phase 3 (field verification) involved distributing the preliminary scale to 800 Japanese men and women aged ≥ 65 years residing in Asahikawa, Hokkaido, Japan. Validity was assessed by factorial validity using exploratory factor analysis and concurrent validity using correlation analysis. Reliability was confirmed by Cronbach's α coefficient using the internal consistency method.Results　The evaluation of content validity in Phase 1 and face validity in Phase 2 yielded 30 items. In phase 3, of the 800 questionnaires that were distributed, 343 were returned, of which 309 included responses to all items and were analyzed. Exploratory factor analysis resulted in a 22-item scale comprising three factors that assessed perceptions of community-based connectedness. The Cronbach's α for the total scale was 0.967, and the α coefficients for inclusion, reciprocity through provision, and reciprocity through reception were 0.941, 0.915, and 0.928, respectively. The total scale scores were significantly positively correlated with purpose in life (rs = .453, P < .001) and negatively correlated with loneliness (rs = -.307, P < .001).Conclusion　The 22-item draft scale exhibited adequate reliability and validity. Perceptions of connectedness measured by this scale can be used to support public healthcare interventions for community-dwelling older adults.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856987","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":"[Thoughts of older adults living in an isolated community on a remote island while continuing to live in familiar surroundings].","authors":"Miyuki Yoshida, Madoka Tatsukawa, Shinsuke Otani, Kazumi Fujimura","doi":"10.11236/jph.23-112","DOIUrl":"https://doi.org/10.11236/jph.23-112","url":null,"abstract":"<p><p>Objective　This study clarified the thoughts of older adults living in an isolated community on a remote island while continuing to live in familiar surroundings. Additionally, suggestions for health policies were obtained.Methods　Island B, a remote island in Prefecture A, is isolated and surrounded by the sea. It has a population of 138 people and an aging rate of 48.6% (R2). We conducted semi-structured interviews with seven older adults living on Island B and qualitatively and inductively analyzed the contents, which consisted of (1) thoughts about living in one's own home in a familiar community; (2) nursing, medical, and preventive care as well as social and human resources that could help support one's life; and (3) continuing to live on the island. Codes, subcategories, and categories were generated based on verbatim transcripts of the interviews.Results　The average age of the study participants was 76.9 years. The daily life independence level for older adults with disabilities was J1-2. They thought that \"their life on the island was easygoing and enjoyable\" but also that \"the strong ties among the islanders may become a hindrance.\" They expressed that \"life on the island is founded on mutual support\" and the availability of life support services allows them to \"live a comfortable life on the island.\" Additionally, because of the insulation provided by the sea, \"connections outside of the island were regarded as minimally essential.\" Regarding life on the island in the future, they stated that \"they cannot do anything about the island's decay,\" \"life on the island will become critical due to the scarcity of living resources,\" \"life on the island will not be possible under any circumstances in the future,\" and \"they need to accept that they will not be able to die on the island as they would like to.\" Regarding continuing to live on the island, they believed that \"self-help efforts are essential to preserve independence\" and \"a resolute spirit is necessary when facing your last days.\"Conclusion　The results of the study highlight the importance of providing support for physical fitness activities to maintain links with the world off the island, providing opportunities to promote mutual assistance among older islanders, strengthening the medical system using ICT, and encouraging islanders to regularly discuss with their distant family members how they would like to spend the final days of their lives.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Associations between fall injury rates and instrumentation, equipment, and use among community-dwelling older adults: Computation using emergency medical service records].","authors":"Tetsuya Shimizu, Michiko Bando, Yasuko Aso, Tetsuji Yokoyama","doi":"10.11236/jph.24-022","DOIUrl":"https://doi.org/10.11236/jph.24-022","url":null,"abstract":"<p><p>Objective　This study aimed to examine the instrumentation, equipment, and use associated with falls among community-dwelling older adults, assess the injury rates by instrumentation, equipment, and use according to the characteristics of individuals with injuries, and identify the instrumentation, equipment, and use that cause severe injury.Methods　We analyzed individuals aged ≥ 65 years who experienced falls on their property and required emergency medical transport to a hospital in 2019. The fire departments in Saitama Prefecture provided relevant emergency records. We calculated injury rates and 95% confidence intervals (CI) per 100,000 person-years for each age group (classified as 65-74, 75-84, and ≥ 85 years), sex for each type of instrumentation, equipment, and use, and the number of moderate or severe injuries and their percentages. The instrumentation and equipment associated with falls were categorized using ICD-10 and subdivided according to the conditions of use. Logistic regression analysis was conducted to identify instrumentation, equipment, and use associated with moderate or severe injuries, after adjusting for sex and age groups, with the floor as a reference.Results　This study included 4,421 patients. Patients were categorized according to 44 types of instrumentation, equipment, and use associated with falls. Overall, 2,154 cases (48.7%) were classified as moderate or severe injuries. Older adults had higher fall injury rates on floors (injury rates; 450.9, 95% CI; 434.5-467.9), stairs (76.6, 69.9-83.8), beds (25.5, 21.7-29.8), steps (21.2, 17.7-25.1), and toilets (14.5, 11.6-17.8), with differences on instrumentation, equipment, and use, sex, and age groups. Logistic regression analysis revealed that the odds ratio (OR) for moderate or severe injuries was higher for falls occurring on the roof (OR; 8.95, 95% CI; 1.52-169.40).Conclusion　Fall injury rates and the characteristics of injured individuals among community-dwelling older adults differ based on the instrumentation, equipment, and use associated with falls. The implementation of measures to mitigate the external factors associated with this risk is necessary.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856923","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 effects of role stressors on anxiety, depression, and subjective well-being through primary appraisals].","authors":"Shinichi Kaneko","doi":"10.11236/jph.24-049","DOIUrl":"https://doi.org/10.11236/jph.24-049","url":null,"abstract":"<p><p>Objective　This study investigated the effects of role stressors on anxiety, depression, and subjective well-being (SWB), emphasizing primary appraisal.Methods　A web-based survey was conducted with 2,000 full-time employees in November 2023. The sample included 1,093 males and 907 females aged 20-64 years (mean (M)＝43.28, standard deviation (SD)＝11.96). Survey items included attributes (sex, age, occupation, and position), role stressors, primary appraisal (irrelevant, positive, harm/loss, threat, and challenge), anxiety, depression, and SWB. We conducted a stepwise multiple regression analysis with primary appraisals as the dependent variable and role stressors and attributes as independent variables. Thereafter, we conducted a stepwise multiple regression analysis with anxiety, depression, and SWB as dependent variables and primary appraisals of role stressors and attributes as independent variables.Results　Valid responses were obtained from 1,260 participants employed in sales and clerical work (valid response rate: 63.0%). The final sample included 548 males and 712 females aged 20-64 years (M＝44.75, SD＝11.61). Based on the results, positive, harm/loss, threat, and challenge appraisal positively influenced \"role unclearly\" and \"role overload.\" Moreover, anxiety positively influenced \"harm/loss\" and \"threat\" appraisals but negatively influenced \"challenge\" appraisals. Furthermore, depression positively influenced \"harm/loss\" and \"threat\" appraisals but negatively influenced \"challenge\" appraisals. Conversely, SWB positively influenced \"positive\" and \"challenge\" appraisals but negatively influenced \"harm/loss\" appraisals in role unclearly and \"harm/loss\" and \"threat\" appraisals in role overload.Conclusion　The anxiety, depression, and SWB of full-time employees in sales or clerical work were correlated with their primary appraisals of role stressors.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856959","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 roles and feelings among \"Kaigoyobou leaders\" responsible for community prevention activities over 10 years].","authors":"Hisashi Kawai, Atsushi Fukushima, Seigo Mitsutake, Manami Ejiri, Shuichi Obuchi","doi":"10.11236/jph.23-108","DOIUrl":"10.11236/jph.23-108","url":null,"abstract":"<p><p>Objectives　Community residents experience changes over time, including those in the care prevention system, governmental expectations, and their motivations. To support community-based prevention activities, it is necessary to clarify these changes. This study used a qualitative research method to examine changes in roles and feelings among \"Kaigoyobou leaders\" who had been involved in community-based care prevention activities for 10 years.Methods　The study participants were nine leaders (six men and three women) who had been active in community-based care prevention for approximately 10 years. Through one-hour semi-structured interviews, we explored their current activities, reasons for taking the leader training course, changes in the content of their activities since completing the course, changes in their roles in activities and feelings about the activities, and what they recognized as important in their activities. Interviews were transcribed verbatim and analyzed using a modified grounded theory approach. From the transcripts, we extracted \"concepts\" related to changes among the leaders and generated \"categories\" to summarize the concepts.Results　The analysis identified 28 concepts summarized into 12 categories. The categories included: \"belief in the activities\" (e.g., \"focusing on preventive effects\"), \"learning through trial and error\" (e.g., \"learning continuously\"), \"developing the activities\" (e.g., \"expanding the activities\"), \"commitment to the community\" (e.g., \"valuing connections with people involved in the activities\"), \"increasing required roles\" (e.g., \"taking consultations from juniors\"), \"relationship with the government\" (e.g., \"responding to requests from the government\"), \"benefits from the activities\" (e.g., \"receiving a sense of accomplishment and satisfaction from the activities\"), \"burden due to the activities\" (e.g., \"a shortage of group members\"), \"aging of stakeholders\" (e.g., \"increasing age of the participants\"), \"preparing for continuity\" (e.g., \"new people wishing to participate\"), \"considering ending activities\" (e.g., \"reducing activities due to increasing age of the leaders themselves\"), and \"impact of the coronavirus.\"Conclusion　Leaders' strong belief in their activities and their ability to adapt based on successful experiences were crucial. They responded effectively to environmental changes, including evolving government relationships. Fostering leadership belief, highlighting the benefits of activities, and supporting collaborative responses to environmental changes are essential for ongoing success.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"692-703"},"PeriodicalIF":0.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903788","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":"[Involvement of public health nurses in supporting mothers after maternity health checkups].","authors":"Ayaka Matsuoka, Keiko Yamazaki, Emiko Aoshima","doi":"10.11236/jph.23-091","DOIUrl":"10.11236/jph.23-091","url":null,"abstract":"<p><p>Objectives　This study aimed to analyze and clarify the role of public health nurses (PHNs) in assisting mothers who need assistance during antenatal checkups.Methods　This study was conducted in core city, A. The study participants were PHNs who experienced supporting at least three mothers who required support during maternity health checkups. We interviewed the respondents about their observations, decision points, difficulties in coordination, and other aspects of support. Data were extracted from verbatim transcripts and analyzed inductively.Results　Sixteen PHNs participants had an average of 9.3 years of experience. The analysis included 10 categories, 43 subcategories, and four themes. PHNs connected with mothers early depending on the mothers' wants, based on information gathered during the gestational period (theme 1). PHNs make early telephone visits to mothers based on information obtained during the gestational period. If the mother did not respond to the initial visit, the PHNs attempted to establish contact through other means.PHNs carefully observed and assessed mothers' childcare routines and mental and physical conditions (theme 2). To assess the mothers' mental health status, they were interviewed in detail using the Edinburgh postnatal depression scale. Determining the mother's condition was challenging; therefore, several PHNs conducted multiple visits and repeated the observations to achieve accurate assessments.The PHNs stayed close to their mothers and carefully supported them toward independence while assessing their progress (theme 3). PHNs established trusting relationships with mothers.PHNs served as coordinators in resolving problems and provided ongoing support in cooperation with medical institutions and related organizations (theme 4). The PHNs carefully coordinated consultations and encouraged mothers to consult psychiatrists if appropriate. Conclusion　Although PHNs provided attentive care to mothers requiring assistance, difficulties arise in accurately diagnosing postpartum depression and connecting mothers to psychiatric services. Guidelines that standardize the assessment of and responses to mental health issues are required. It is necessary to organize the problems faced by mothers and develop a system of cooperation among various organizations.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"682-691"},"PeriodicalIF":0.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302172","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":"[Telephone navigation and health check attendance among public assistance recipients: Lessons from two-year effort in Toyonaka City].","authors":"Daisuke Nishioka, Shoko Takemoto","doi":"10.11236/jph.24-037","DOIUrl":"10.11236/jph.24-037","url":null,"abstract":"<p><p>Objective　Poverty is a significant health determinant. As public assistance recipients experience difficulties in health management, a healthcare management support program to provide health checks has been implemented by welfare offices in Japan since 2021. However, effective approaches to maximize health check rates are limited. This study aimed to identify the impact of telephone navigation on recipients' health check-receiving behaviors, using data from welfare offices in Toyonaka City.Methods　This study included recipients aged 40-60 years who received telephone navigation for health check programs in 2021 and 2022. In 2021, telephone navigation was provided to eligible recipients. In 2022, the recipients were divided into two groups based on their household identification numbers (even/odd). We examined the difference in the health check rate in 2021 depending on whether the navigation system was connected. Additionally, we examined the differences across groups and navigation periods in 2022.Results　In 2021, 32 (7.9%) recipients received health checks. Twenty-six (10.2%) of the 255 recipients and six (4.1%) of the 148 recipients in the navigated and non-navigated groups, respectively, underwent health checks. In the navigated group, health check rates were higher among recipients in their 50s (13.3% vs. 3.1%; P = 0.006), unemployed recipients (13.9% vs. 3.6%; P = 0.014), those who did not receive previous health checks (9.1% vs. 1.5%; P = 0.003), and those who did not receive regular medical consultations (8.3% vs. 0%; P = 0.012). In 2022, 247 and 225 patients were assigned to the odd- and even-numbered groups, respectively, with no differences in their characteristics. During the intervention period, four (1.6%) of the 247 recipients and 10 (4.6%) of the 219 recipients in the odd- and even-numbered groups, respectively, underwent health checks. During the non-intervention period, five (2.1%) and six (2.7%) recipients of the odd- and even-numbered groups, respectively, underwent health checks. Health check rates were higher toward the deadlines. The estimated conditional odds ratio for receiving the health checks by the navigation was 1.35 (95% confidence interval; 0.59-2.93, P = 0.503).Conclusion　Telephone navigation may be effective in some recipients. Meanwhile, targeting recipients with attributes, such as \"in their 50s,\" \"unemployed,\" \"received no previous health checks,\" and \"received no regular medical consultations\" may increase the response rate. Therefore, policymakers should consider using reliable telephone navigation methods and navigating near deadlines.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"713-720"},"PeriodicalIF":0.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302182","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 longitudinal study among female college students' eating behaviors and food group intake based on the change in eating habit stages].","authors":"Junichi Kasamaki, Yoshiko Kasahara","doi":"10.11236/jph.24-012","DOIUrl":"10.11236/jph.24-012","url":null,"abstract":"<p><p>Objectives　This study aimed to longitudinally determine the eating behavior and food group intake of female students to examine the relationship between eating behaviors and intention to improve eating habits (change in eating habits stages) and help health education use the behavior change theory.Methods　This one-year longitudinal study included 130 female students from Japanese colleges. The stage at which eating habits and behaviors (skipping breakfast, eating out, instant food intake, and snacking) and intake of food groups rich in protein, calcium, vitamins, minerals, carbohydrates, and fats and oils were assessed. The stages were as follows; pre-contemplation or contemplation (lower group), preparation (middle group), and action or maintenance (upper group). A self-assessment questionnaire was administered to evaluate eating behaviors and food group intake frequencies using a 5-point Likert scale. P-values of <.05 were considered statistically significant.Results　A cross-sectional comparison of eating behaviors and food group intake scores demonstrated significant differences between the stages only in snacking behavior. The upper group consumed snacks significantly less frequently than the middle and lower groups. After one year, a longitudinal comparison of eating behaviors and food group intake scores revealed significant differences in the intake of food groups rich in vitamins and minerals (green and yellow vegetables), fats and oils in the pre-contemplation stage, intake of food groups rich in vitamins/minerals (green and yellow vegetables) and frequency of skipping breakfast in the preparation stage, and frequency of eating out and snacking in the action stage. Each stage demonstrated a decreasing trend in food intake and an increasing trend in the frequency of skipping breakfast, eating out, and snacking. The percentages of students whose eating habits stage dropped during the second year were 49.0%, 100%, and 77.8% in the preparation, action, and maintenance stages, respectively. This indicates that there are cases in which readiness reverses in stages with improved eating habits.Conclusion　In health education on eating habits, it is vital to understand the changes in eating habit stages for each eating behavior and details of actual eating behaviors and habits. Thus, health education should align to the needs of each individual to support them in transforming and maintaining a higher stage of change in their eating habits.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"704-712"},"PeriodicalIF":0.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302168","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 financial anxiety and subjective health and physical fatigue perceptions among mothers of 18-month-old infants].","authors":"Yasue Ogata, Yoshie Yokoyama","doi":"10.11236/jph.24-006","DOIUrl":"10.11236/jph.24-006","url":null,"abstract":"<p><p>Objective　Poverty is a factor that affects children's health through its role in parental depression and stress. While the association between financial status and depression or quality of life scores of mothers has been previously reported in Japan, no study has focused on mothers' subjective health and physical fatigue perceptions. This study aimed to examine the relationship between mothers' financial anxiety and subjective health and physical fatigue perceptions.Methods　We conducted a survey in parents attending routine health checkups for their 18-month-old infant in a single area of City A between November 2017 and October 2019. After excluding those for whom the required analysis data were missing, we analyzed data from 779 parents who responded to the survey and consented to the use of their children's health checkup data. The response variables were maternal subjective health and physical fatigue perceptions, and the explanatory variables were the presence of financial anxiety in mothers at their child's 3- or 18-month health checkups and financial anxiety situation in both periods. Financial anxiety was classified into four groups according to status at the 3- and 18-month time points. The independence of the qualitative variables among these four groups was verified using Fisher's exact test, and the relationship between financial anxiety and maternal subjective health and physical fatigue perceptions was evaluated using logistic regression analysis.Results　Financial anxiety was present in 54 mothers (6.9%) and 46 mothers (5.9%) at the 3- and 18-month checkup, respectively. Analysis of financial anxiety in both periods showed that 695 mothers (89.2%) had no financial anxiety at either time point, 30 (3.9%) had financial anxiety only at the 18-month checkup, 38 (4.9%) had financial anxiety only at the 3-month checkup, and 16 (2.1%) had financial anxiety at both time points. At the 18-month checkup, the odds ratios of poor subjective health and severe physical fatigue perceptions were 3.85 (95% confidence interval [CI]; 1.34-11.05) and 6.58 (95% CI; 2.18-19.85), respectively, among the mothers who had financial anxiety at both time points compared to those who had no financial anxiety at either time point.Conclusion　Financial anxiety may affect mothers' health. Therefore, mothers should be provided with solution-oriented support geared toward mitigating financial anxiety, in coordination with affiliated organizations, if financial anxiety is detected.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"673-681"},"PeriodicalIF":0.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903787","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}