[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":"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":"[Current status of relocation among terminally ill older residents of nursing facilities: Observational study using anonymous long-term care receipt information].","authors":"Takumi Shirakata, Sayaka Tabuchi, Mikiko Ito, Katsuyuki Miura, Tomotaka Sobue","doi":"10.11236/jph.24-038","DOIUrl":"10.11236/jph.24-038","url":null,"abstract":"<p><p>Objectives　In Japan, efforts to provide \"end-of-life care\" in nursing homes are increasing and its introduction through long-term care insurance in 2006 is a major step forward. However, previous studies have shown that relocating older adults to their end-of-life care affects their burden. This study examined individuals' end-of-life care use under long-term care insurance in older care facilities and investigated the relocation frequency among terminally ill older residents of nursing facilities using receipt data.Methods　The research targeted individuals aged ≥ 65 years under long-term care insurance who used formal end-of-life care services and were passed into residential facilities between April 1, 2018 and March 31, 2021. Data were obtained from anonymous long-term care certification information provided by the Ministry of Health, Labor, and Welfare. Six facilities providing end-of-life care were considered; older care facilities, geriatric health service facilities, designated establishments, and dementia group homes. A total of 233,735 individuals with service use records in the month of service cessation were aggregated according to facility, individual factors, and prefecture. Additionally, we defined end-of-life relocation as occurring if three categories of end-of-life care fees (day of death, 1-2 days before death, and 4-30 days before death) did not continue until the day of death.Results　The participants were individuals aged ≥ 85 years (83.35%), 25.29% were men, and 93.53% required a care level of ≥ 3. Older nursing care facilities recorded the highest number (114,356) of end-of-life care users. The proportion of individuals with moderate-to-severe dementia (level ≥ IIIa; approximately 80%) was higher in nursing homes for older adults, community-based nursing homes for older adults, and dementia group homes than in other facilities. Relocation during the terminal phase was less prevalent in facilities with higher doctor and nurse staffing levels. At the individual level, relocation is more frequent among men, younger individuals, those with lower care levels, and those with intact decision-making and communication abilities. Conclusion　Terminally ill residents aged ≥ 80 years with severe levels of care were the most likely to use end-of-life care. Moreover, 0.2-2% relocated across all facilities within 30 days before death. The relocation frequency increased based on individual factors and was mitigated by a thorough system of medical staff deployment.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"227-237"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878719","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}

{"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":"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":"218-226"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","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":"[Effect of the combination of \"weight gain of more than 10 kg since age 20\" and obesity on the new onset of diabetes mellitus].","authors":"Hanako Naruse, Kazuyo Kuwabara, Aya Hirata, Yukiko Imai, Daisuke Sugiyama, Mika Funamoto, Tomonori Okamura","doi":"10.11236/jph.24-017","DOIUrl":"10.11236/jph.24-017","url":null,"abstract":"<p><p>Objective　Few reports have examined the association between \"weight gain since the past combined with the presence of obesity\" and diabetes mellitus (DM). Therefore, we longitudinally examined the influence of the combination of \"weight gain of ≥10 kg since the age of 20 years\" and the presence of obesity on the new onset of DM.Methods　We identified 8,704 National Health Insurance enrollees in Habikino City, Osaka Prefecture, who underwent specific health checkups in 2013. After excluding those who had DM previously and those who were untraceable and had missing data, 5,708 participants were included in the analysis. The risk of the new onset of DM was classified into \"no weight gain/non-obese,\" \"no weight gain/obese,\" \"weight gain/non-obese,\" and \"weight gain/obese\" groups. Weight gain and obesity were defined as gaining ≥10 kg since the age of 20 based on responses to a standard questionnaire from the Ministry of Health, Labour and Welfare and a BMI ≥25 kg/m². A Cox proportional hazards model was used to examine the risk of the new onset of DM.Results　Participants' mean age was 64.3 ± 7.9 years. During the mean follow-up period of 3.14 ± 1.13 years, 126 (6.0%) men and 133 (3.7%) women developed DM. The hazard ratios (95% confidence interval [CI]) for the new onset of DM were significantly higher in the weight gain/non-obese (1.77 [95% CI: 1.26-2.49]) and weight gain/obese groups (2.76 [95% CI: 2.05-3.72]), with the no weight gain/non-obese group as the reference group. By sex, the hazard ratio for men in the weight gain/obese group was 2.06 (95% CI: 1.34-3.18), whereas the hazard ratio was higher for women in the weight gain/obese (3.68 [95% CI: 2.44-5.53]) and weight gain/non-obese groups (2.19 [95% CI: 1.35-3.55]).Conclusion　Weight gain was a risk factor for the development of DM in individuals without obesity. This factor was more pronounced in women, who had a higher risk of the new onset of DM if they had gained > 10 kg since the age of 20, even if their BMI was less than 25 kg/m². The results suggest that those who fall into this category should receive lifestyle improvement guidance, even if they are not eligible for specific health guidance.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"199-207"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878722","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 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":"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":"135-142"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","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":"[Comparison of document-based and on-site inspections of hospitals based on medical law: A case report from Osaka City during the COVID-19 pandemic].","authors":"Shiro Higaki, Akinori Okumachi, Koji Nakayama, Hideki Yoshida","doi":"10.11236/jph.24-048","DOIUrl":"10.11236/jph.24-048","url":null,"abstract":"<p><p>Objectives　On-site inspections of hospitals were conducted in Osaka City during fiscal years 2018 and 2019, whereas document-based inspections were performed during the COVID-19 pandemic in fiscal year 2021. This case report aimed to compare the outcomes of these two methods and provide a good indication of the method that should be selected in case of a pandemic.Methods　For on-site inspections, documents, including checklists, were sent to 351 hospitals from the Osaka City Public Health Office, and responses from each hospital were returned. On-site inspections were conducted, and the written instructions that indicated inadequate aspects and guidance were mailed to hospitals.For document-based inspections, documents were sent to 176 hospitals, and responses were returned. For hospitals that answered \"incomplete\" regarding the categories of medical safety management systems and hospital-acquired infection control, public health physicians called to confirm and instruct their inadequate responses, and the same step as the on-site inspection was executed. We compared and examined the outcomes of the on-site and document-based inspections.Results　In the on-site inspections, 12 of the 351 hospitals (3.4%) were recognized as inadequate because of a shortage of healthcare workers. In the document-based inspections, eight out of 176 hospitals (4.5%) were identified, and there was no significant difference.Regarding the medical safety management system, 95 of the 351 hospitals (27.1%) on on-site inspection and 21 of the 176 hospitals (11.9%) on document-based inspection received written instructions. The proportion of hospitals that received written instructions was significantly higher for on-site inspections than for document-based inspections (P < 0.001).For hospital-acquired infection control, 65 of 351 hospitals (18.6%) on on-site inspection and 17 of 176 hospitals (9.7%) on document-based inspection got written instructions. The proportion of hospitals that received written instructions was significantly higher for on-site inspections than document-based inspections (P = 0.007).Conclusion　Document-based inspection can easily unify the guiding criteria with fewer public health physicians. However, because of the limited amount of information available without checking the documents retained in hospitals, it is difficult to monitor the matters that need instructions. Thus, on-site inspection is preferable. However, if onsite inspection is difficult, inspection combined with online methods should be considered.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"126-134"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633130","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":"[Registered physiotherapists' knowledge of terms related to responding to evacuees during disasters and its status of use].","authors":"Nobuaki Moriyama, Yoshinari Funami, Shuichi Onoda, Hidehiko Yamada, Seiji Yasumura","doi":"10.11236/jph.24-030","DOIUrl":"10.11236/jph.24-030","url":null,"abstract":"<p><p>Objectives　Healthcare professionals are expected to adopt a multidisciplinary approach to protect the health status of individuals, particularly those with frailty, following unprecedented disasters. This study focused on the terms \"individual evacuation plan,\" \"residents requiring assistance in evacuation,\" and \"welfare shelters\" among physiotherapists, and the degree of knowledge and factors associated with knowledge of these terms were examined to consider ways for physiotherapists to participate more actively in disaster response.Methods　A web-based survey was conducted among members of the Fukushima Physical Therapy Association from March 8-31, 2023. The survey items included basic attributes, knowledge of \"individual evacuation plan,\" \"residents requiring assistance in evacuation,\" and \"welfare shelters,\" and the presence of opportunities to acquire knowledge, own evacuation experience, and experience supporting disaster survivors. The association between knowledge and length of career as a physiotherapist, presence of opportunities to acquire knowledge, own evacuation experience, and experience supporting disaster survivors were examined using the χ² test and residual analysis. Additionally, respondents were asked regarding their understanding of the physiotherapy recipients' \"individual evacuation plan\" and participation in formulating those plans. Those who understood and participated in those plans were asked to provide a free-form response about the use of the \"individual evacuation plan\" in providing routine physiotherapy and specific activities.Results　Of the 1,645 participants, 171 (10.4%) responded. The respondents' mean age was 38.4 ± 8.5 years. Seven (4.1%) ，21 (12.3%) ，and 17 (9.9%) respondents answered that they knew \"individual evacuation plan,\" \"residents requiring assistance in evacuation,\" and \"welfare shelters,\" respectively. Those who knew the specifics of the recipients' \"individual evacuation plans\" used them to conduct evacuation drills that assumed actual conditions and shared information with other healthcare professionals. The presence of opportunities to acquire knowledge, length of career, and experience supporting disaster survivors were associated with knowledge of \"individual evacuation plan,\" \"residents requiring assistance in evacuation,\" and \"welfare shelters,\" whereas the presence of own evacuation experience was not.Conclusion　The percentage of current physiotherapists who knew \"individual evacuation plan,\" \"residents requiring assistance in evacuation,\" and \"welfare shelters\" ranged from 4.1-12.3%. Enhancing curricula in pre-graduate education and ensuring learning opportunities for physiotherapists may be helpful in collaboratively participating in disaster responses.</p>","PeriodicalId":72032,"journal":{"name":"[Nihon koshu eisei zasshi] Japanese journal of public health","volume":" ","pages":"143-151"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633374","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}