[Nihon kōshū eisei zasshi] Japanese journal of public health
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Nihon Koshu Eisei Zasshi · Jul 2021
[The effects of the "Tabepo Check Sheet," which lists 10 food groups, on the dietary variety of older adults in a metropolitan area].
Objectives This study examined the effects of checking the "Tabepo Check Sheet," which has 10 food groups, on changes in dietary variety among older adults living in Japanese metropolitan areas. Methods We used baseline and two-year follow-up data from a community-wide intervention to prevent frailty in Ota City, Tokyo. A total of 8,635 non-disabled residents (4,145 men and 4,490 women) aged 65-84 years who responded to the self-administered questionnaire surveys in 2016 and 2018, were included in the two analyses. ⋯ The multivariate adjusted OR (95% CI) of DVS ≥7 points was 1.40 (1.10-1.78) in the checked versus the non-checked group. Conclusions These results suggest that checking the "Tabepo Check Sheet" may improve dietary variety. However, the effects of dietary variety improvement may be weakened by the incidence of skipped meals, social isolation, frailty, and lack of social participation.
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Nihon Koshu Eisei Zasshi · Jan 2020
[Elements that cancer peer supporters working in Japanese hospitals consider to be important in helping them perform their role].
Objectives The purpose of this study was to identify elements that cancer peer supporters working in Japanese hospitals consider to be important in helping them perform their role. Methods A qualitative inductive research was conducted. Introductions to potential participants were obtained from a patient association that agreed to help with the study. ⋯ These were "matters regarded as important for continuity and qualitative improvement of cancer peer support working." Areas that call for improvement in relation to this are preparation of support systems and learning environments. Another matter regarded as important was category [5]. This was a "matter regarded as important to smoothen and facilitate cancer peer support working." Placing importance on relationships of trust with medical staff and hospitals could be considered a distinctive characteristic of cancer peer supporters working at hospitals.
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Nihon Koshu Eisei Zasshi · Jan 2020
[Factors related to bereaved family's satisfaction with end-of-life care at geriatric health services facilities].
Objectives In Japan, the proportion of older people receiving end-of-life care in geriatric health services facilities (GHSF) is increasing. However, to our knowledge, there have been no previous studies investigating the relationship between the structure of GHSFs and the quality of end-of-life care evaluated by bereaved families. Methods We secondarily analyzed data from the survey done by the Japan Association of Geriatric Health Services Facilities (JAGHSF) in January 2014. ⋯ In a multivariable logistic regression analysis, family members' satisfaction was significantly associated with regular medical consultation by doctors for facility users (adjusted odds ratio 2.94, 95% CI 1.52-5.70), explanation about patients' conditions at the time of admission by facility staff other than doctors (2.07, 1.01-4.25), explanation about patients' conditions at the time of deterioration by facility staff other than doctors (3.12, 1.17-8.33), and stress management by doctors for facility staff (3.63, 1.84-7.16). Conclusions Respect for the roles of the facility staff other than doctors, such as the participation of facility staff in explaining situations for facility users and family members and management of facility staff stress, may improve satisfaction with end-of-life care among bereaved family members. More attention is needed for these factors to improve the quality of end-of-life care in GHSFs.
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Nihon Koshu Eisei Zasshi · Jan 2020
[Awareness of the term "frailty" and its correlates among older adults living in a metropolitan area].
Objectives This study aimed to examine the awareness of the term "frailty" and its correlates among older adults living in a Japanese metropolitan area. Methods We used baseline and 2-year follow-up data from a community-wide intervention on preventing frailty in Ota City, Tokyo. In July 2016, we conducted a self-administered questionnaire survey via mail to investigate the lifestyle and health status of 15,500 non-disabled residents aged 65-84 years from all 18 districts. ⋯ Older adults, especially women, who had higher socioeconomic status, better exercise and dietary habits, and stronger social connections, were significantly more aware of the term. In contrast, individuals who were socially isolated and/or frail did not know the term. Thus, it is crucial to develop specific measures to promote frailty prevention among high-risk individuals.
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Nihon Koshu Eisei Zasshi · Jan 2020
[Association of health literacy with hypertension, diabetes, and dyslipidemia: A cross-sectional survey of a regional Japanese community].
Objectives This study aimed to identify how communicative and critical health literacy (CCHL) was associated with hypertension, diabetes, and dyslipidemia in a regional Japanese community. Methods A cross-sectional survey was conducted through stratified random sampling to achieve the study objectives. The sample comprised adults aged 20-75 years, residing in Ebetsu in Hokkaido, Japan. ⋯ Conclusion Male participants with the highest CCHL scores had a significantly lower prevalence of hypertension than those with the lowest CCHL scores. However, these associations were found to be non-significant after adjusting for confounding factors. Future studies on the association of CCHL with lifestyle disorders should apply a longitudinal design.