• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Social determinants of health related to multimorbidity utilizing big data: Network analysis and GIS

Research Project

Project/Area Number 16K15372
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Hygiene and public health
Research InstitutionKyoto University

Principal Investigator

TAKAHASHI Yoshimitsu  京都大学, 医学研究科, 准教授 (40450598)

Co-Investigator(Kenkyū-buntansha) 中山 健夫  京都大学, 医学研究科, 教授 (70217933)
石崎 達郎  地方独立行政法人東京都健康長寿医療センター(東京都健康長寿医療センター研究所), 東京都健康長寿医療センター研究所, 研究部長 (30246045)
後藤 禎人  京都大学, 医学研究科, 特定研究員 (80820901)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
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ビッグデータ / 多疾患罹患 / 社会的決定要因 / ネットワーク分析 / 医療ビッグデータ / レセプトデータ / ナショナルデータベース(NDB) / 健康の社会的決定要因 / 社会ネットワーク分析 / GIS / 社会医学 / 地理情報システム
Outline of Final Research Achievements

We aimed to examine the prevalence of multimorbidity with special reference to non-communicable diseases (e.g. diabetes mellitus, hypertension and dyslipidemia). We analyzed Comprehensive Survey of Living Conditions in Japan as a self-reported survey. We also analyzed National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB) (for insured people) and Fact-finding Survey on Medical Assistance (for public assistance recipients) as claims data. The highest prevalence of comorbidities was hypertension-dyslipidemia (5%), followed by hypertension-eye diseases (4%) and hypertension-diabetes (4%). The prevalence of non-communicable diseases with public assistance recipients was higher than one with insured people. Low socioeconomic status and multimorbidity were associated with cancer screening delivery.

Academic Significance and Societal Importance of the Research Achievements

多疾患の実態を把握するために、様々なデータベースを活用した。自記式調査として利用した国民生活基礎調査は、保健、医療、福祉、年金、所得等国民生活の基礎的事項を調査する基幹統計調査であり、代表性の高いデータといえる。また、レセプトとしてNDBと医療扶助実態調査は、公的医療保険加入者および生活保護受給者に関するレセプトのほぼ悉皆調査である。本研究では、種類の異なる、代表性の高いデータを用いて多疾患の実態を把握した。性年齢・社会経済状況を考慮した有病割合の把握は、多疾患の実態を把握するための基礎情報として利用できる可能性がある。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (10 results)

All 2020 2019 Other

All Journal Article (5 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 5 results,  Open Access: 3 results) Presentation (3 results) Remarks (2 results)

  • [Journal Article] Association of pharmacological treatments for hypertension, diabetes, and dyslipidemia with health checkup participation and identification of disease control factors among older adults in Tokyo, Japan2020

    • Author(s)
      Mitsutake Seigo、Ishizaki Tatsuro、Tsuchiya-Ito Rumiko、Teramoto Chie、Shimizu Sayuri、Yamaoka Takuya、Kitamura Akihiko、Ito Hideki
    • Journal Title

      Preventive Medicine Reports

      Volume: 17 Pages: 101033-101033

    • DOI

      10.1016/j.pmedr.2019.101033

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Drug prescription patterns and factors associated with polypharmacy in >1?million older adults in Tokyo2020

    • Author(s)
      Ishizaki Tatsuro、Mitsutake Seigo、Hamada Shota、Teramoto Chie、Shimizu Sayuri、Akishita Masahiro、Ito Hideki
    • Journal Title

      Geriatrics & Gerontology International

      Volume: 20 Issue: 4 Pages: 304-311

    • DOI

      10.1111/ggi.13880

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Status of use of protease inhibitors for the prevention and treatment of pancreatitis after endoscopic retrograde cholangiopancreatography: An epidemiologic analysis of the evidence-practice gap using a health insurance claims database2019

    • Author(s)
      Seta Takeshi、Takahashi Yoshimitsu、Yamashita Yukitaka、Nakayama Takeo
    • Journal Title

      Drug Discoveries & Therapeutics

      Volume: 13 Issue: 3 Pages: 137-144

    • DOI

      10.5582/ddt.2019.01029

    • NAID

      130007682074

    • ISSN
      1881-7831, 1881-784X
    • Year and Date
      2019-06-30
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Association of physical performance and self-rated health with multimorbidity among older adults: Results from a nationwide survey in Japan.2019

    • Author(s)
      Ishizaki T, Kobayashi E, Fukaya T, Takahashi Y, Shinkai S, Liang J
    • Journal Title

      Archives of Gerontology and Geriatrics

      Volume: 84 Pages: 103904-103904

    • DOI

      10.1016/j.archger.2019.103904

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Patterns of Co-Occurrence of Chronic Disease Among Older Adults in Tokyo, Japan2019

    • Author(s)
      Mitsutake Seigo、Ishizaki Tatsuro、Teramoto Chie、Shimizu Sayuri、Ito Hideki
    • Journal Title

      Preventing Chronic Disease

      Volume: 16

    • DOI

      10.5888/pcd16.180170

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 生活保護受給者における糖尿病有病割合の地域差:マルチレベルロジスティック回帰分析2020

    • Author(s)
      高橋由光, 仙石多美
    • Organizer
      第30回日本疫学会学術総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 日本における生活保護受給者の生活習慣病実態調査2020

    • Author(s)
      仙石多美, 中山健夫, 石崎達郎, 加藤源太, 大寺祥佑, 岩尾友秀, 酒井未知, 後藤禎人, 高橋由光.
    • Organizer
      第30回日本疫学会学術総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 国民生活基礎調査匿名データ(高等教育関係)を用いた解析実習と効果:質的内容分析2019

    • Author(s)
      高橋由光
    • Organizer
      第78回日本公衆衛生学会総会
    • Related Report
      2019 Annual Research Report
  • [Remarks] 国民生活基礎調査匿名データ 解析実習を行いました(2019年度)

    • URL

      http://sph.med.kyoto-u.ac.jp/news/5435/

    • Related Report
      2019 Annual Research Report
  • [Remarks] 国民生活基礎調査匿名データ 解析実習を行いました(2018年度)

    • URL

      http://sph.med.kyoto-u.ac.jp/news/4986/

    • Related Report
      2019 Annual Research Report

URL: 

Published: 2016-04-21   Modified: 2021-02-19  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi