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A prospective study on effect of periodic health examination for prevention of chronic diseases

Research Project

Project/Area Number 01480211
Research Category

Grant-in-Aid for General Scientific Research (B)

Allocation TypeSingle-year Grants
Research Field 公衆衛生学
Research InstitutionUniversity of Occupational and Environmental Health, Japan (UOEH)

Principal Investigator

OKUBO Toshiteru  Institution, Department, Title of Position Uoeh, SCH. of MED., Professor, 医学部, 教授 (90051549)

Co-Investigator(Kenkyū-buntansha) TSUCHIYA Kenzaburo  UOEH, President and Dean, 学長 (00050922)
YAMAGUCHI Naohito  National Cancer Center, Head, 研究所, 室長 (80119031)
FUNATANI Fumio  Institution, Department, Title of Position UOEH, SCH. of MED., Assoc. Professor, 医学部, 助教授 (70119006)
Project Period (FY) 1989 – 1991
Project Status Completed (Fiscal Year 1991)
Budget Amount *help
¥6,800,000 (Direct Cost: ¥6,800,000)
Fiscal Year 1991: ¥1,400,000 (Direct Cost: ¥1,400,000)
Fiscal Year 1990: ¥1,300,000 (Direct Cost: ¥1,300,000)
Fiscal Year 1989: ¥4,100,000 (Direct Cost: ¥4,100,000)
KeywordsPeriodic Health Examination / Prevention of Chronic Diseases / Epidemiology / Follow-up Study
Research Abstract

Two cohorts of a community population and a working poplation have been organized to evaluate effectiveness of periodic health examination for primary and secondary prevention of chronic diseases. The member of the community cohort was selected from those who attended periodic health examinations offered by the Health Care Program for Senior Person in 1989 and/or 1990 and submitted written agreement to become a member of the cohort. Workers of municipalities in a prefecture composed the worker's cohort. A total of 22, 478 workers who belong one of 118 municipalities are offered periodic health examination under a same program. Analysis is done to clarify 1)effectiveness of each test of the examination for early detection of disease and 2)effectiveness of the examination from aspect of health education and program management. For the first analysis, a survey of incidence for average of 117 days after an examination of the community cohort revealed 47% of the member visited medical facilities at least once during the period. Only 15% of them were detected by the examination. Based on the results, a mathematical model was created to estimate detectable proportion of a subclinical disease when a screening test is applied to a given population. Introduced variables for the model are interval of the examination, length of subclinical stage, specificity and sensitivity of the test. Positive predictive values of the tests are estimated for the occupational cohort. The range of estimated values distributed rather widely from 20% to 96'/. . A detailed survey on diabetes mellitus revealed 379 positive cases on fasting blood sugar test among 6920 workers who have no history of diabetes. Amonly this positive group only 126 visited physicians during one year after the examination. A postexamination questionnaire survey of the community cohort proved a substantial improvement in life style if it is compared to the preexamination.

Report

(4 results)
  • 1991 Annual Research Report   Final Research Report Summary
  • 1990 Annual Research Report
  • 1989 Annual Research Report
  • Research Products

    (8 results)

All Other

All Publications (8 results)

  • [Publications] 香山 不二雄,舟谷 文男 ほか: "パソコンを用いた中小事業所の健康診断支援システムの実務運用例" 産業医学ジャ-ナル. 14(4). 34-40 (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] F. KAYAMA, T. ODAWARA, S. ODA, F. FUNATANI, K. YAHATA, N. KUWANO, Y. KODAMA: "Use of a data processing system on microcomputer for health care of small scale enterprises" Occupational Health Journal. 14-4. 34-40 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 香山 不二雄,舟谷 文男 ほか: "パソコンを用いた中小事業所の健康診断支援システムの実務運用例" 産業医学ジャ-ナル. 14(4). 34-40 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 山口 直人: "住民健診受診者のその後の受療行動に関する追跡研究" 日本公衆衛生雑誌. 37. 281-288 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 大久保 利晃: "産業医活動マニュアル 第2章 健康情報とその評価" 医学書院,

    • Related Report
      1990 Annual Research Report
  • [Publications] 山口直人: "ライフスタイルの家族内伝幡とがんの家族集積性" 癌の臨床. 36. 413-417 (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] 山口直人: "成人病スクリ-ニングプログラムの数量的評価の理論と方法" 産業医科大学雑誌. 12. 83-88 (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] 山口直人: "住民健診受診者のその後の受療行動に関する追跡研究" 日本公衆衛生雑誌.

    • Related Report
      1989 Annual Research Report

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Published: 1989-04-01   Modified: 2016-04-21  

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