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Saito T, Imahashi K, Yamaki C. Use of General Health Examination and Cancer Screening among People with Disability Who Need Support from Others: Analysis of the 2016 Comprehensive Survey of Living Conditions in Japan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:219. [PMID: 38397708 PMCID: PMC10888656 DOI: 10.3390/ijerph21020219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Revised: 02/07/2024] [Accepted: 02/07/2024] [Indexed: 02/25/2024]
Abstract
Research on preventive healthcare services among people with disability in Japan is scarce. This study aimed to (1) examine the relationship between disability and the use of general health examination (GHE) and cancer screening (lung, gastric, colorectal, breast and cervical cancer) and (2) explore the reasons for not using GHE. This cross-sectional study used secondary data from individuals aged 20-74 years (n = 15,294) from the Comprehensive Survey of Living Conditions of 2016. Binomial logistic regression analysis was conducted to examine the relationship between disability and non-participation in preventive services. In addition, a descriptive analysis was conducted to explore the reasons for non-participation in GHE. Consequently, disability was identified as an independently associated factor for non-participation in GHE (odds ratios (OR): 1.73; 95% confidence interval (95%CI): 1.14-2.62) and screening for colorectal (OR: 1.78; 95%CI: 1.08-2.94), gastric (OR: 2.27; 95%CI: 1.27-4.05), cervical (OR: 2.12; 95%CI: 1.04-4.32) and breast cancer (OR: 2.22; 95%CI: 1.04-4.72), controlling for confounding factors. The most dominant reason for non-participation was "I can go to see the doctor anytime, if I am worried (25/54, 46.3%)." Our findings imply the existence of disability-based disparity in preventive healthcare service use in Japan.
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Affiliation(s)
- Takashi Saito
- Department of Social Rehabilitation, Research Institute of National Rehabilitation Center for Persons with Disabilities, 4-1 Namiki, Tokorozawa 359-8555, Japan;
| | - Kumiko Imahashi
- Department of Social Rehabilitation, Research Institute of National Rehabilitation Center for Persons with Disabilities, 4-1 Namiki, Tokorozawa 359-8555, Japan;
| | - Chikako Yamaki
- Institute for Cancer Control, National Cancer Center, 5-1-1 Tsukiji, Chuou 104-0045, Japan;
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Yamada M, Sekine M, Tatsuse T. Prevalence of coronary heart disease and its risk factors by working environment among Japanese male workers. INDUSTRIAL HEALTH 2023; 61:395-405. [PMID: 36261338 PMCID: PMC10731413 DOI: 10.2486/indhealth.2022-0149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/06/2022] [Accepted: 10/15/2022] [Indexed: 06/16/2023]
Abstract
Work is a major social determinant of health. We conducted a cross-sectional study to explore the association between coronary heart disease (CHD), its risk factors, and the working environment among Japanese male workers. We collected data from 10,572 workers (mean age 49.9 yr) who underwent annual medical check-ups in Toyama, Japan, in 2016. This study included data from health check-ups and questionnaires on medical history of CHD, hypertension, and diabetes, and the use of medication. The working environment included company size and industry categories. Company size was classified into 4 categories according to the number of full-time workers (1-20, 21-100, 101-300, 301-). The industry category was classified into 10 categories. Logistic regression analysis was performed to explore the association. In total, 1.5% of patients had a history of CHD and 31.5% and 11.0% of participants were suffering from hypertension and diabetes, respectively. Compared to workers in a large company, those in a smaller company were more likely to have CHD. Moreover, there was a significant association between CHD's risk factors and working in the transportation industry. Health providers, including medical doctors, should consider employee working environment as a potential risk factor for CHD.
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Affiliation(s)
- Masaaki Yamada
- Department of Epidemiology and Health Policy, School of Medicine, University of Toyama, Japan
| | - Michikazu Sekine
- Department of Epidemiology and Health Policy, School of Medicine, University of Toyama, Japan
| | - Takashi Tatsuse
- Department of Epidemiology and Health Policy, School of Medicine, University of Toyama, Japan
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Oshio T, Sugiyama K, Ashida T. Effect of social activities on health checkups and recommended doctor visits: a fixed-effects analysis in Japan. INDUSTRIAL HEALTH 2023; 61:446-454. [PMID: 36725030 PMCID: PMC10731418 DOI: 10.2486/indhealth.2022-0194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 01/27/2023] [Indexed: 06/18/2023]
Abstract
Health checkups are considered to promote occupational and public health. This study aimed to investigate the extent to which participation in social activities encourages middle-aged people to participate in health checkups and adhere to doctor-visit recommendations. We analyzed 337,024 longitudinal observational studies involving 33,420 individuals aged 50-59 yr in the baseline year (2005) derived from a nationwide, population-based, 14-wave survey. We estimated fixed-effects logistic models to elucidate how people's participation in health checkups and recommended doctor visits are affected by participation in social activities. Attending health checkups was positively associated with participation in social activities, with an odds ratio (OR) of 1.19 (95% confidence interval [CI]: 1.15-1.22) and a marginal effect of 3.3% (95% CI: 2.7%-3.9%). Adherence to doctor-visit recommendations was also positively associated with participation in social activities, with an OR of 1.15 (95% CI: 1.08-1.23) and a marginal effect of 3.3% (95% CI: 1.8%-4.8%), although the association was observed only among regular employees. These results provide new insights into the effectiveness of health checkups.
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Affiliation(s)
- Takashi Oshio
- Institute of Economic Research, Hitotsubashi University, Japan
| | - Kemmyo Sugiyama
- Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Japan
- Department of Community Health, Public Health Institute, Japan
| | - Toyo Ashida
- Hitotsubashi Institute for Advanced Study, Hitotsubashi University, Japan
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Seko R, Kawado M, Yamada H, Hashimoto S. Intention to work among outpatients with malignant neoplasms, ischemic heart disease, and cerebrovascular disease. FUJITA MEDICAL JOURNAL 2023; 9:3-7. [PMID: 36789125 PMCID: PMC9923448 DOI: 10.20407/fmj.2021-025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Accepted: 11/24/2021] [Indexed: 02/16/2023]
Abstract
Objectives Employment support for working age people with disease is important. We investigated the intention to work among outpatients with malignant neoplasms, ischemic heart disease, and cerebrovascular disease. Methods We used anonymous data from the 2007, 2010, and 2013 Comprehensive Survey of Living Conditions in Japan, a self-administered nationwide questionnaire survey. Data for 154,445 participants (76,059 men and 78,386 women) aged 20-64 years were analyzed using logistic regression models adjusted for covariates. Results The number of outpatients with malignant neoplasms, ischemic heart disease, and cerebrovascular disease was 851, 1,037, and 716, respectively. The adjusted odds ratio for not working in people with the intention to work was significantly higher among outpatients with the three diseases than among non-outpatients, for both men and women. The adjusted odds ratio for intention to seek permanent work in unemployed people with the intention to work was lower among outpatients with cerebrovascular disease than among non-outpatients for men (p=0.093), and was significantly higher among outpatients with malignant neoplasms than among non-outpatients for women (p=0.007). Conclusions This study identified a high proportion of unemployed people with the intention to work among outpatients with these three diseases, and suggests that there are disease-associated differences in employment type sought.
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Affiliation(s)
- Rumi Seko
- Faculty of Nursing, Fujita Health University, School of Health Sciences, Toyoake, Aichi, Japan
| | - Miyuki Kawado
- Department of Hygiene, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan
| | - Hiroya Yamada
- Department of Hygiene, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan
| | - Shuji Hashimoto
- Department of Hygiene, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan
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Sanaati F, Geranmayeh M, Behboodi Moghadam Z, Zareiyan A, Samadaee Gelehkolaee K, Mirghafourvand M. A population-based study of health-promoting behaviors and their predictors in Iranian males, 2019. Arch Public Health 2021; 79:23. [PMID: 33632343 PMCID: PMC7905917 DOI: 10.1186/s13690-021-00543-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Accepted: 02/14/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Health-promoting lifestyle (HPL) is any measure taken to maintain a person's health. The most important and influential factor in maintaining and enhancing health are health-promoting behaviors (HPB). This study aimed to determine HPB and their predictors among Iranian men. METHODS In this cross-sectional study, 783 Iranian men, living in Tehran, were selected, using multistage cluster sampling. The employed questionnaires, namely the sociodemographic questionnaire, Health-Promoting Lifestyle Profile II (HPLP-II), and the second part of the Personal Resource Questionnaire (PRQ 85-Part 2), were completed through interviews. The relationship between the dependent variables (HPLP-II and its subdomains) and independent variables (sociodemographic characteristics and social support) was investigated using the adjusted General Linear Model (GLM). RESULTS The mean ± standard deviation of the total HPLP-II score was 2.72 ± 0.44 in the range of 1-4. Among the six dimensions of the HPB, the participants achieved the highest score (3.00 ± 0.52) and lowest score (1.96 ± 0.56) in spiritual growth and physical activity, respectively. The Pearson test showed that the perceived social support was significantly correlated with HPLP-II (r = 0.23; p < 0.001) and all of its subdomains (r = 0.09-0.24; p < 0.001). Based on the adjusted general linear model, social support, age, job, and income adequacy were the predictors of HPL in men and could explain 30.9% of the variance of the HPL score. CONCLUSIONS The research findings confirmed the importance of social support and modifying variables (social and personal) in the incidence of HPB in men.
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Affiliation(s)
- Fovziye Sanaati
- Department of Midwifery, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Mehrnaz Geranmayeh
- Department of Midwifery, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Armin Zareiyan
- Public Health Department, Nursing Faculty, AjA University of Medical Sciences, Tehran, Iran
| | | | - Mojgan Mirghafourvand
- Midwifery Department, Social determinants of Health Research Center, Tabriz University of Medical Sciences, P.O. Box: 51745-347, Shariati Street, Tabriz, 513897977, Iran.
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Oshio T, Tsutsumi A, Inoue A. Determining whether periodic health checkups have any preventive effect on deterioration in health among middle-aged adults: A hazards model analysis in Japan. J Occup Health 2021; 63:e12291. [PMID: 34762338 PMCID: PMC8582294 DOI: 10.1002/1348-9585.12291] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Revised: 10/18/2021] [Accepted: 10/27/2021] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES We aimed to examine the long-term impact of periodic health checkups (PHCs) on health outcomes among middle-aged adults. METHODS We used longitudinal data from 29 770 individuals (15 399 men and 14 371 women) aged 50-59 years in the baseline year (2005), obtained from a population-based 14-wave survey. PHC participants were defined as those who underwent PHCs for the first three consecutive waves, and we investigated the onset of inpatient care for five types of non-communicable diseases (diabetes, heart disease, stroke, hypertension, and dyslipidemia) as well as poor self-rated health and problems in the activities of daily living in the subsequent 11 waves. Cox-proportional hazards models were used to estimate the impact of PHCs on health outcomes by employing the propensity score matching (PSM) method. RESULTS Participation in PHCs was closely related to a respondent's socioeconomic status and health behavior. After controlling for these factors by PSM, the hazard models showed that PHCs postponed the onset of inpatient care for hypertension (hazard ratio, 0.56; 95% confidence interval: 0.36-0.85) among men, but PHCs had no impact on any other health outcomes in men or women. CONCLUSIONS The preventive impact of PHCs on health deterioration is generally limited among middle-aged adults. Future studies should address policy measures to enhance the effectiveness of PHCs.
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Affiliation(s)
- Takashi Oshio
- Institute of Economic ResearchHitotsubashi UniversityKunitachi‐shiTokyoJapan
| | - Akizumi Tsutsumi
- Department of Public HealthKitasato University School of MedicineSagamiharaKanagawaJapan
| | - Akiomi Inoue
- Institutional Research CenterUniversity of Occupational and Environmental Health, JapanKitakyushuFukuokaJapan
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Maeda M, Filomeno R, Kawata Y, Sato T, Maruyama K, Endo M, Wada H, Ikeda A, Tanigawa T. Association of employment and company size with lung cancer screening participation among Japanese based on the socioeconomic conditions using the Comprehensive Survey of Living Conditions. Int J Clin Oncol 2020; 25:670-680. [DOI: 10.1007/s10147-019-01594-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Accepted: 12/02/2019] [Indexed: 10/24/2022]
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Kanamori S, Tsuji T, Takamiya T, Kikuchi H, Inoue S, Takagi D, Kai Y, Yamakita M, Kameda Y, Kondo K. Size of company of the longest-held job and mortality in older Japanese adults: A 6-year follow-up study from the Japan Gerontological Evaluation Study. J Occup Health 2020; 62:e12115. [PMID: 32515877 PMCID: PMC7176136 DOI: 10.1002/1348-9585.12115] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 02/03/2020] [Accepted: 02/05/2020] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES Very few longitudinal studies have investigated the question of whether differences in company size may give rise to health inequalities. The aim of this study was to examine the relationship between company size of the longest-held job and mortality in older Japanese adults. METHODS This study used longitudinal data from the Japan Gerontological Evaluation Study. Surveys were sent to functionally independent individuals aged 65 or older who were randomly sampled from 13 municipalities in Japan. Respondents were followed for a maximum of 6.6 years. The Cox proportional hazards model was used to calculate mortality hazard ratios (HRs) for men and for women. Analysis was carried out on 35 418 participants (197 514 person-years). RESULTS A total of 3935 deaths occurred during the 6-year follow-up period. Among men, in Model 1 that adjusted for age, educational attainment, type of longest-held job, and municipalities, mortality HRs decreased significantly with increasing size of company (P for trend = .002). Compared to companies with 1-9 employees, the mortality HR (0.78, 95% confidence interval: 0.68-0.90) was significantly lower for companies with 10 000 or more employees. However, there were no significant differences among women (P for trend = .41). CONCLUSIONS In men, mortality in old age may decrease with increasing size of company of the longest-held job. To reduce health inequalities in old age due to differences in size of company, studies should be conducted to determine the underlying mechanisms and moderating factors and those findings should be reflected in labor policies and occupational health systems.
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Affiliation(s)
- Satoru Kanamori
- School of NursingTokyo Women's Medical UniversityTokyoJapan
- Department of Preventive Medicine and Public HealthTokyo Medical UniversityTokyoJapan
| | - Taishi Tsuji
- Department of Social Preventive Medical SciencesCenter for Preventive Medical SciencesChiba UniversityChibaJapan
| | - Tomoko Takamiya
- Department of Preventive Medicine and Public HealthTokyo Medical UniversityTokyoJapan
| | - Hiroyuki Kikuchi
- Department of Preventive Medicine and Public HealthTokyo Medical UniversityTokyoJapan
| | - Shigeru Inoue
- Department of Preventive Medicine and Public HealthTokyo Medical UniversityTokyoJapan
| | - Daisuke Takagi
- Department of Health and Social BehaviorGraduate School of MedicineThe University of TokyoTokyoJapan
| | - Yuko Kai
- Physical Fitness Research InstituteMeiji Yasuda Life Foundation of Health and WelfareTokyoJapan
| | - Mitsuya Yamakita
- College of Liberal Arts and SciencesKitasato UniversityKanagawaJapan
| | - Yoshito Kameda
- Department of Social Preventive Medical SciencesCenter for Preventive Medical SciencesChiba UniversityChibaJapan
| | - Katsunori Kondo
- Department of Social Preventive Medical SciencesCenter for Preventive Medical SciencesChiba UniversityChibaJapan
- Center for Well‐being and SocietyNihon Fukushi UniversityAichiJapan
- Center for Gerontology and Social ScienceNational Center for Geriatrics and GerontologyAichiJapan
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