2006 Fiscal Year Final Research Report Summary
Epidemiologic Study about Empowerment of Community Health Activities in Municipalities
| Project/Area Number |
16590513
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Public health/Health science
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| Research Institution | Hamamatsu University School of Medicine (2006)
Jichi Medical University (2004-2005) |
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Principal Investigator |
OJIMA Toshiyuki Hamamatsu University School of Medicine, Faculty of Medicine, Professor, 医学部, 教授 (50275674)
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| Project Period (FY) |
2004 – 2006
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| Keywords | Empowerment / Municipalities / Community Health Activities / Epidemiology |
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| Research Abstract |
In the first year, preceding studies were reviewed ; concept of empowerment was clarified under the condition of regional public health activities in municipalities. In the second year, the current state of the empowerment of the regional public health activities in municipalities was analyzed by descriptive epidemiology. Proportion of municipalities that made the most use of original ideas by staffs was 13.0% ; that made use of ideas by residents was 8.8% ; that health central staffs or public health nurses took charge of forming budget was 70.4% ; that tried to activate community organizations was 22.0%. Proportion of municipalities with high or relatively high subjective empowerment degree was 28.5%. In the second and third year, criterion-related validity about the empowerment was examined. Prevalence of high blood pressure (moderate degree or more) and prevalence of smoking were low in the municipalities with a high subjective empowerment. The odds ratios (95% confidence interval) adjusted by population size and number of public health nurses were estimated between subjective empowerment degree and various public health outcomes. Odds ratio that mothers trusted and felt easy for regular baby checkup programs was 1.35 (1.07-1.71) ; that mothers did not smoke before and during pregnancy was 1.72 (1.24-2.38) ; and they were statistically significant. Moreover, odds ratio between each element that consists of empowerment and subjective empowerment degree was examined. Odds ratio that a municipality worked together with community organizations to form regional health plan or public health programs was 2.21 (1.64-2.98) ; that often report public health affaires to the mayor was 2.18 (1.69-2.82) ; and they were statistically significant. The study revealed certain relations between empowerment and outcomes of the community health activities in the municipalities.
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