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Do differences in health seeking behaviors between ethnic minorities lead to variations in U5MR in SVK province?

Research Project

Project/Area Number 25300015
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypePartial Multi-year Fund
Section海外学術
Research Field Area studies
Research InstitutionNagasaki University

Principal Investigator

OKUMURA Junko  長崎大学, 熱帯医学研究所, 教授 (40323604)

Research Collaborator NISHIMOTO Futoshi  
PONGVOGSA Tiengkham  
KANEKO Satoshi  
MIYOSHI Miki  
MOJI Kazuhiko  
KOUNAVONG Sengchanh  
Project Period (FY) 2013-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥17,940,000 (Direct Cost: ¥13,800,000、Indirect Cost: ¥4,140,000)
Fiscal Year 2017: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2016: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Fiscal Year 2015: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Fiscal Year 2014: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2013: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Keywordsラオス / 少数民族 / 健康希求行動 / 乳児死亡 / 死亡要因 / 小児死亡 / 小児疾病罹患 / 栄養状態 / 乳幼児 / 乳幼児死亡
Outline of Final Research Achievements

We have conducted a 3-year-longitudinal study. After baseline survey on target children, we visited them every two weeks in order to ask questions on illness related issues. Also, anthropometric data was collected.
Altogether we followed 382,109 person days of 422 children. Finally, the mean age of children was 4.9 years. The observed total sick days was 2,804 days. The mean illness duration was 13.3 days. Major symptom was fever, cough, and diarrhea. According to health records in the catchment area, malaria outbreak were reported in 2014 which seems to be related to 10 deaths in the same year. Stunting rate was 62% and it was another background problem which may influence on children’s health in the area and vice versa.
Vaccination seems the most powerful factor to promote child health. Giving sticky rice to infants and accessibility to health care service were positively associated to morbidity. The latter means better access to non-traditional food such as Junk food.

Academic Significance and Societal Importance of the Research Achievements

地理的制約から保健医療サービスの利用が困難な地域では,疾病罹患頻度はアクセス良好な村に比して低かった。他方,保健医療サービスへのアクセスが良好な地域は,スナック菓子などのジャンクフードへのアクセスもよく,これらを与えられた小児は,空腹を訴える頻度が低下し,栄養不良に陥り疾病に罹患しやすくなることが示唆された。これまで,地域の開発や経済発展の影響を受けることが少なかった地域に,急速に多様な商品が導入されていくとその影響は小児の健康に害を及ぼすことが示唆される。また、本研究はラオス国内の地域間にある健康格差を明らかにすることができ,同国における人々の健康を推進するうえで意義がある。

Report

(7 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Annual Research Report
  • 2016 Annual Research Report
  • 2015 Annual Research Report
  • 2014 Annual Research Report
  • 2013 Annual Research Report
  • Research Products

    (12 results)

All 2018 2017 2016 2015 2014 Other

All Int'l Joint Research (4 results) Journal Article (1 results) Presentation (7 results) (of which Int'l Joint Research: 3 results)

  • [Int'l Joint Research] National Inst. of Public Health(ラオス)

    • Related Report
      2018 Annual Research Report
  • [Int'l Joint Research] National Inst. of Public Health(ラオス)

    • Related Report
      2017 Annual Research Report
  • [Int'l Joint Research] National Inst. of Public Health(ラオス)

    • Related Report
      2016 Annual Research Report
  • [Int'l Joint Research] National Inst.of Public Health(ラオス)

    • Related Report
      2015 Annual Research Report
  • [Journal Article] エコヘルスの視点からみた母子保健-ラオスの事例から2014

    • Author(s)
      奥村順子
    • Journal Title

      医学のあゆみ

      Volume: 249(8) Pages: 706-711

    • Related Report
      2014 Annual Research Report
  • [Presentation] Ill-health of Children in the southern rural Lao PDR: A three-year longitudinal study2018

    • Author(s)
      Junko Okumura, Futoshi Nishimoto, Tiengkham Pongvogsa, Satoshi Kaneko, Miki Miyoshi, Sengchanh Kounavong
    • Organizer
      Annual Meeting; International Society for Social Pediatrics and Child Health, Kongress 2018, Bonn. Universitätsklinikum Bonn, Biomedizinisches Zentrum. 2018, September 27
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 21.ラオス中南部における少数民族の健康リスクについて(3年間のLongitudinal study)2018

    • Author(s)
      Junko Okumura, Futoshi Nishimoto, Tiengkham Pongvogsa, Satoshi Kaneko, Miki Miyoshi, Kazuhiko Moji, Sengchanh Kounavong
    • Organizer
      第28回日本疫学会学術総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 34.Children’s health condition in the southern rural Lao PDR: A three-year longitudinal study in seven villages2018

    • Author(s)
      Junko Okumura
    • Organizer
      The 10th Asia Pacific Global Summit on Healthcare, Keynote Forum
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 20.Children’s health survey for underprivileged population in Lao PDR: A Two-year longitudinal study2017

    • Author(s)
      Junko Okumura, Futoshi Nishimoto, Tiengkham Pongvogsa, Satoshi Kaneko, Miki Miyoshi, Kazuhiko Moji, Sengchanh Kounavong
    • Organizer
      グローバルヘルス合同大会2017 国口7「地域保健・学校保健・思春期保健」 於:東京大学
    • Related Report
      2017 Annual Research Report
  • [Presentation] CHILDREN'S HEALTH CONDITION IN XEPON DISTRICT: TWO-YEAR LONDITUDINAL STUDY IN SEVEN VILLAGES2016

    • Author(s)
      Junko Okumura, Futoshi Nishimoto, Tiengkham Pongvongsa, Miki Miyoshi, Satoshi Kaneko, Kazuhiro Moji, Sengchanh Kounnavong
    • Organizer
      The 10th National Health Research Forum 'Health Research Capacity Strengthening Toward Sustainable Development'
    • Place of Presentation
      Daosavannh Resort & Spa Hotel, Savannakhet, Lao PDR
    • Year and Date
      2016-10-27
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Child health in Xepon district: Through a comparison among seven villages2015

    • Author(s)
      Junko Okumura, Futoshi Nishimoto, Tiengkham Pongvogsa, Satoshi Kaneko, Miki Miyoshi, Kazuhiro Moji, Sengchanh Kounnavong
    • Organizer
      The 9th National Health Research Forum to support National Health Research System Strengthening in Lao PDR
    • Place of Presentation
      Vientiane, Lao PDR
    • Year and Date
      2015-10-13
    • Related Report
      2015 Annual Research Report
  • [Presentation] Interim report on child health survey in Xepon district, Savannaketh Province, Lao PDR2014

    • Author(s)
      Junko Okumura, Futoshi Nishimoto, Tiengkham Pongvogsa et al.
    • Organizer
      The 8th National Health Research Forum, Lao PDR
    • Place of Presentation
      Vientiane, Lao PDR
    • Year and Date
      2014-10-16 – 2014-10-17
    • Related Report
      2014 Annual Research Report

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Published: 2013-05-21   Modified: 2022-02-22  

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