Epidemiological study of absenteeism among elementary and middle school students: Research into an early detection and management system

• Project/Area Number: 16K01760
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Applied health science
• Research Institution: Shimane University
• Principal Investigator: FUJITA Yasuyuki 島根大学, その他部局等, 名誉教授 (70173440)
• Co-Investigator(Kenkyū-buntansha): 井上 顕 高知大学, 教育研究部医療学系臨床医学部門, 教授 (40469036) ; 梶谷 光弘 島根大学, 医学部, 特任教授 (60774552) ; 竹下 治男 島根大学, 学術研究院医学・看護学系, 教授 (90292599)
• Project Period (FY): 2016-04-01 – 2020-03-31
• Project Status: Completed (Fiscal Year 2019)
• Budget Amount: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000); Fiscal Year 2018: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000); Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000); Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
• Keywords: 学校保健 / 長期欠席者 / 社会医学 / 教育学 / 環境

Outline of Final Research Achievements

Elementary and middle school students of the Izumo First Junior High School district answered a questionnaire on their life, underwent serum cortisol measurements, and were surveyed regarding long-term absenteeism. The results of the questionnaire on life during the 10 years from the 2008 to 2017 academic years were sorted into a first period (2008-2012) and a second period (2013-2017). The percentage of middle school students who woke up by 6:30 in the morning increased in the second period compared with the first period. An examination of the association between serum cortisol and lifestyle showed serum cortisol levels were associated with a disciplined lifestyle in middle school students. Analysis of long-term absenteeism in sixth-year elementary school students and middle school students revealed an increase in the percentage of long-term absentees after moving up a grade, from the sixth year of elementary school to the first year of middle school.

Academic Significance and Societal Importance of the Research Achievements

本研究は、島根県出雲市立第一中学校区の小・中学生を対象とし、家庭環境因子、学校環境因子、社会環境因子、宿主因子と生体内ストレス指標及び長期欠席との関連を横断研究、縦断研究により解明した。本研究調査・解析について、疫学・社会医学の専門家はもとより、看護学、精神医学、教育学の専門家による連携を組み実施した。長期欠席者の実態の把握とともに、長期欠席に関連する要因を多角的に検討した上で明確にした。その結果に基づいて長期欠席者の早期発見と管理体制を示唆し、社会還元することにより、わが国における小・ 中学生の長期欠席者減少に向けた有効な対策の確立を目的とした。

Research Products

• [Journal Article] Lessons from the 2018 Northern Osaka Prefecture Earthquake (2019)
  • Author(s): Inoue K, Hashioka S, Fujita Y, Takeshita H.
  • Journal Title: Int Med J Volume: 26 Pages: 442-443
  • Peer Reviewed
• [Journal Article] More Effective Suicide Prevention Measures Are Needed for Young Japnese: A Comparison of Japanese and Hungarian Suicide Rates. (2019)
  • Author(s): Inoue K. Hashioka S. Takeichi N. Noso Y. Hoshi M. Takeshita H, Fujita Y, Zhunusov YT, Apbassova M, Shabdarbayeva D, Chaizhunussova N .
  • Journal Title: Int Med J Volume: 26 Pages: 453-454
  • Peer Reviewed
• [Journal Article] The Need to Develop a Strategy With an Evidence-Based Guideline for the Prevention Of Gaming Disorder. (2019)
  • Author(s): Hashioka S, Inoue K, Takeshita H, Kamura M, Fujita Y
  • Journal Title: Asia Pac J Public Health Volume: 31 Pages: 267-268
  • Peer Reviewed
• [Journal Article] Aspects of a Large Tsunami That Struck the Sunda Strait in Indonesia: Lessons for Japan and the Rest of the World. (2019)
  • Author(s): Inoue K, Takeshita H, Hashioka S, Takeichi N, Fujita Y
  • Journal Title: Asia Pac J Public Health Volume: 31 Pages: 574-575
  • Peer Reviewed
• [Journal Article] A Proposal of 4 criteria for future collaborative research between Semey and Japan: Suggestions focusing on Kochi, Hiroshima, and Shimane. (2019)
  • Author(s): Inoue K, Chaizhunussova N, Noso Y, Takeichi N, Hashioka S, Takeshita H, Fujita Y, Apbassova M, Shabdarbayeva D, Berekenova G, Hoshi M, Kobayashi S, Zhunussov YT
  • Journal Title: Sci Healthcare Volume: 21 Pages: 106-112
  • Peer Reviewed
• [Journal Article] High Serum Cortisol Levels as a potential Indicator for Changes in Well-regulated Daily Life among Junior High School Students (2019)
  • Author(s): Inoue K, Hashioka S, Takeshita H, Kamura M, Fujita Y
  • Journal Title: Tohoku J Exp Med Volume: 249 Pages: 143-146
  • NAID: 130007741337
  • Peer Reviewed
• [Journal Article] The need to develop a strategy with an evidence-based guideline for the prevention of gaming disorder. (2019)
  • Author(s): Hashioka S, Inoue K, Takeshita H, Kamura M, Fujita Y.
  • Journal Title: Asia Pac J Public Health Volume: 印刷中
  • Peer Reviewed / Open Access
• [Journal Article] Ongoing efforts coordinated by personnel in numerous areas and disciplines to encourage local children to lead healthy lifestyles during early childhood, later childhood, and early adolescence. (2019)
  • Author(s): Inoue K, Fujita Y, Takeshita H, Hashioka S, Kamura M.
  • Journal Title: J St Mar Med Ins. Volume: 19 Pages: 25-28
  • NAID: 40021879323
  • Peer Reviewed / Open Access
• [Journal Article] A discussion of approaches to dealing with neurodevelopmental disorders with a focus on autism spectrum disorder and attention-deficit/hyperactivity disorder. (2019)
  • Author(s): Inoue K, Matsumoto H, Ueta N, Hashioka S, Takeshita H, Kamura M, Fujita Y, Horiguchi J, Nurgul O, Timur M, Zhanat S, Seksenbaev N, Gulnara B, Kulabuhova N, Chaizhunusova N.
  • Journal Title: J St Mar Med Ins. Volume: 19 Pages: 36-39
  • NAID: 40021879447
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] The importance of ascertaining what suicide prevention campaigns have been conducted at the national and local level and understanding, based on those campaigns, approaches that are needed to devise future preventive measures at the municipal level. (2018)
  • Author(s): Inoue K, Nishimura M, Fujita Y, Takeshita H, Takinami Y, Mimura M, Fujita Y.
  • Journal Title: J St Mar Med Ins. Volume: 18 Pages: 46-49
  • NAID: 40021519064
  • Peer Reviewed / Open Access
• [Journal Article] Urgent need for more effective measures to prevent drug abuse by regular stimulant users in Japan: The need for coordinated efforts to prevent drug abuse. (2018)
  • Author(s): Inoue K, Fukunaga T, Fujita Y, Takeshita H, Takinami Y, Okazaki Y.
  • Journal Title: J St Mar Med Ins. Volume: 18 Pages: 53-56
  • NAID: 40021519094
  • Peer Reviewed / Open Access
• [Journal Article] Alteration in plasma free amino acid levels and its association with gout (2017)
  • Author(s): MH Mahbub, Natsu Yamaguchi, Hidekazu Takahashi, Ryosuke Hase, Hiroki Amano, Mikiko Kobayashi-Miura, Hideyuki Kanda, Yasuyuki Fujita, Hiroshi Yamamoto, Mai Yamamoto, Shinya Kikuchi, Atsuko Ikeda, Naoko Kageyama, Mina Nakamura, Yasutaka Ishimaru, Hiroshi Sunagawa, Tsuyoshi Tanabe
  • Journal Title: Environmental Health and Preventive Medicine Volume: 印刷中
  • NAID: 210000130177
  • Peer Reviewed
• [Journal Article] Plasma free amino acid profiles evaluate risk of metabolic syndrome, diabetes, dyslipidemia, and hypertension in a large Asian population (2017)
  • Author(s): Natsu Yamaguchi, M. H. Mahbub, Hidekazu Takahashi, Ryosuke Hase, Yasutaka Ishimaru, Hiroshi Sunagawa, Hiroki Amano, Mikiko Kobayashi- Miura, Hideyuki Kanda, Yasuyuki Fujita, Hiroshi Yamamoto, Mai Yamamoto, Shinya Kikuchi, Atsuko Ikeda, Mariko Takasu, Naoko Kageyama, Mina Nakamura, Tsuyoshi Tanabe
  • Journal Title: Environmental Health and Preventive Medicine Volume: 印刷中
  • NAID: 210000130210
  • Peer Reviewed
• [Journal Article] Factors related to the awakening mood for seventh-grade students in rural Japan (2016)
  • Author(s): Takeshi Uchida, Hideyuki Kanda, Mikiko Miura, Naoki Kakazu, Hideki Tamura, Masayuki Yamasaki, Masanori Kamura, Yasuyuki Fujita
  • Journal Title: International Medical Journal Volume: 23 Pages: 476-480
  • Peer Reviewed
• [Presentation] 中学生における生活習慣事項とコルチゾールの関連について (2019)
  • Author(s): 井上顕、藤田委由、竹下治男、嘉村正徳
  • Organizer: 第115回日本精神神経学会学術総会
• [Presentation] A basic study on specific measures to promote healthy lifestyles and mental and physical health among elementary and middle school students in a region of Shimane Prefecture: efforts involving school-related personnel and university personnel ～collaborative action from several fields to be conducted in Kazakhstan～ (2018)
  • Author(s): Inoue K, Fujita Y, Takeshita H, Hashioka S, Chayzhunusova N, Kamura M.
  • Organizer: INTERNATIONAL SCIENTIFIC AND PRACTICAL CONFERENCE MODERN INNOVATIVE METHODS IN MODERNIZATION OF MEDICAL EDUCATION, SCIENCE AND PRACTICE” DEDICATED TO THE 65th ANNIVERSARY OF SEMEY MEDICAL UNIVERSITY.
  • Int'l Joint Research
• [Presentation] Joint study of influence about genetic and environmental factors in Neurodevelopmental Disorders in the future by viewpoints of Psychiatry, Social Medicine, Physical Medicine and Radiology in Semipalatinsk. (2017)
  • Author(s): Inoue K, Chayzhunusova N, Fujita Y, Takeshita H, Takinami Y, Moriwaki S, Nurgul O, Timur M, Zhanat S, Seksenbaev N, Bitebayeva D, Sharapiyeva A, Chegedekova S, Saimova A, Noso Y, Hoshi M, Takeichi N, Okazaki Y.
  • Organizer: XⅢ International Research and Practice Conference:
  • Int'l Joint Research
• [Presentation] Aiming at epidemiological and statistical suicide investigations in Semey by cooperation of some fields based on the research experience in Shimane Prefecture. (2017)
  • Author(s): Inoue K, Miyaoka T, Chayzhunusova N, Ezoe S, Hashioka S, Nagahama M, Nurgul O, Timur M, Zhanat S, Seksenbaev N, Bitebayeva D, Sharapiyeva A, Chegedekova S, Saimova A, Noso Y, Hoshi M, Takeichi N, Moriwaki S, Takinami Y, Takeshita H, Fujita Y, Horiguchi J.
  • Organizer: XⅢ International Research and Practice Conference:
  • Int'l Joint Research