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2019 Fiscal Year Annual Research Report

Interventions to minimize inequity in health through health promotion interventions.

Research Project

Project/Area Number 17H02164
Research InstitutionTokyo Medical and Dental University

Principal Investigator

中村 桂子  東京医科歯科大学, 大学院医歯学総合研究科, 教授 (00211433)

Co-Investigator(Kenkyū-buntansha) 清野 薫子  東京医科歯科大学, 大学院医歯学総合研究科, 講師 (10508336)
Project Period (FY) 2017-04-01 – 2020-03-31
Keywords健康格差 / ヘルスプロモーション / ヘルスリテラシー / バングラディシュ / アフガニスタン / ベトナム / ヘルシースクール
Outline of Annual Research Achievements

標準的な疾病予防プログラムによって健康格差が拡大することがあり、これに対し「Health Promotion Paradox」の概念が提案されている。本研究では、①糖尿病患者教育における社会格差の構造の解明において、バングラディシュの500人の2型糖尿病患者の調査から、社会経済水準(SES)が低い糖尿病患者の血糖コントロールは、SESが高い糖尿病患者よりも低いことを示し、この関係は定期的な医療機関受診が少ないこと、健康の自己管理の実践が行われていないことが仲介因子となっていることを明らかにした。②地域住民の生活習慣病予防リテラシーと技能の社会格差の解析において、アフガニスタンで実施した600人の学校教師の調査結果を分析し、食糧不安状況下にあることは、その他のSES条件を調整したうえで、総コレステロール値高値、グリコヘモグロビン値高値、高血圧と関係があり、生活習慣病に関するリテラシーがあることが、健康的な行動様式の選択と健康的な血液生化学指標との関連を示した。③母子保健における社会格差縮小をもたらす介入要素の分析において、ベトナム、フエ市の648人の11歳児の子どものメンタルヘルス調査から、ネット上のいじめの行動は親の受容的態度が子どものメンタルヘルスの良好な状況と関係があることを示した。④学校単位の健康推進教育(ヘルシースクール活動)が健康格差縮小にもたらす効果の検証において、2,043人の児童を対象としたう蝕有病状況と学校および学区の環境条件とのデータの解析を行った。学区ごとのSESが児童のう蝕有病状況と関連すること、学校全体での健康推進活動の実施は、学区ごとの社会環境指標等を調整した後でもう蝕有病状況が小さいことを示した。⑤健康の社会的格差を縮小することを測定する持続可能な開発目標の指標を、地域の公衆衛生活動の評価に取り入れることについて提案を行った。

Research Progress Status

令和元年度が最終年度であるため、記入しない。

Strategy for Future Research Activity

令和元年度が最終年度であるため、記入しない。

  • Research Products

    (22 results)

All 2020 2019 Other

All Int'l Joint Research (5 results) Journal Article (8 results) (of which Peer Reviewed: 8 results,  Open Access: 7 results) Presentation (9 results) (of which Invited: 1 results)

  • [Int'l Joint Research] Ministry of Public Health, Afghanistan(アフガニスタン)

    • Country Name
      AFGHANISTAN
    • Counterpart Institution
      Ministry of Public Health, Afghanistan
  • [Int'l Joint Research] University of Dodoma/Muhimbili University(タンザニア)

    • Country Name
      TANZANIA
    • Counterpart Institution
      University of Dodoma/Muhimbili University
  • [Int'l Joint Research] Hue University Medicine and Pharmacy(ベトナム)

    • Country Name
      VIET NAM
    • Counterpart Institution
      Hue University Medicine and Pharmacy
  • [Int'l Joint Research] University of the Philippines(フィリピン)

    • Country Name
      PHILIPPINES
    • Counterpart Institution
      University of the Philippines
  • [Int'l Joint Research] Rasjahi University(バングラデシュ)

    • Country Name
      BANGLADESH
    • Counterpart Institution
      Rasjahi University
  • [Journal Article] Relationships among cyberbullying, parental attitudes, self-harm and suicidal behavior among adolescents: results from a school-based survey in Vietnam2020

    • Author(s)
      Nguyen Hoang Thuy Linh、Nakamura Keiko、Seino Kaoruko、Vo Van Thang
    • Journal Title

      BMC Public Health

      Volume: 20 Pages: 476

    • DOI

      doi.org/10.1186/s12889-020-08500-3

    • Peer Reviewed / Open Access
  • [Journal Article] Fear of falling and cognitive impairment in elderly with different social support levels: findings from a community survey in Central Vietnam2020

    • Author(s)
      Vo Thi Hue Man、Nakamura Keiko、Seino Kaoruko、Nguyen Hoang Thuy Linh、Van Vo Thang
    • Journal Title

      BMC Geriatrics

      Volume: 20 Pages: 141

    • DOI

      doi.org/10.1186/s12877-020-01533-8

    • Peer Reviewed / Open Access
  • [Journal Article] Mediators of the association between low socioeconomic status and poor glycemic control among type 2 diabetics in Bangladesh2020

    • Author(s)
      Rahman Mosiur、Nakamura Keiko、Hasan S. M. Mahmudul、Seino Kaoruko、Mostofa Golam
    • Journal Title

      Scientific Reports

      Volume: 10 Pages: 6690

    • DOI

      doi.org/10.1038/s41598-020-63253-8

    • Peer Reviewed / Open Access
  • [Journal Article] The impact of a school-based tooth-brushing program on dental caries: a cross-sectional study2019

    • Author(s)
      Tashiro Yuri、Nakamura Keiko、Seino Kaoruko、Ochi Shiro、Ishii Hiroshi、Hasegawa Masaru、Kawauchi Yoshimichi、Chiba Mitsuyuki
    • Journal Title

      Environmental Health and Preventive Medicine

      Volume: 24 Pages: 83

    • DOI

      doi.org/10.1186/s12199-019-0832-6

    • Peer Reviewed / Open Access
  • [Journal Article] Health Status and Health Facility Utilization of Community-Dwelling Elderly Living Alone in the Philippines: A Nationwide Cross-Sectional Study2019

    • Author(s)
      Moncatar TJ Robinson、Nakamura Keiko、Rahman Mosiur、Seino Kaoruko
    • Journal Title

      Health

      Volume: 11 Pages: 1554~1572

    • DOI

      doi.org/10.4236/health.2019.1111117

    • Peer Reviewed / Open Access
  • [Journal Article] SDGsを地域の公衆衛生活動の推進に活かす2019

    • Author(s)
      中村桂子
    • Journal Title

      公衆衛生

      Volume: 83 Pages: 496-498

    • Peer Reviewed
  • [Journal Article] Lipid and Diabetic Profiles of School Teachers in Afghanistan Facing Food Insecurity and Their Association with Knowledge Relating to Healthy Lifestyle2019

    • Author(s)
      Arab Ahmad Shekib、Nakamura Keiko、Seino Kaoruko、Hemat Shafiqullah、Mashal Mohammad Omar、Tashiro Yuri
    • Journal Title

      Food and Nutrition Sciences

      Volume: 10 Pages: 678~693

    • DOI

      doi.org/10.4236/fns.2019.106050

    • Peer Reviewed / Open Access
  • [Journal Article] Geographical Patterns of Tuberculosis Notification Rates and Their Associations with Sociodemographic Characteristics in Communes in Phnom Penh, Cambodia2019

    • Author(s)
      Miyashita Ayano、Hiraki Aya、Nakamura Keiko、Takano Takehito、Seino Kaoruko、Al-Sobaihi Saber、Heng Ngy Mean、Pichenda Koeut
    • Journal Title

      Journal of Tuberculosis Research

      Volume: 07 Pages: 118~129

    • DOI

      10.4236/jtr.2019.72011

    • Peer Reviewed / Open Access
  • [Presentation] Effects of physical activity on periodontitis in type 2 diabetes in Bangladesh.2019

    • Author(s)
      Hasan SMM, Nakamura K, Seino K, Rahman MM
    • Organizer
      78th Annual Conference of Japanese Society of Public Health
  • [Presentation] Predictors of type of health facility use among elderly in the Philippines2019

    • Author(s)
      Siongco KLL, Nakamura K, et al.
    • Organizer
      78th Annual Conference of Japanese Society of Public Health
  • [Presentation] Instrumental activities of daily living of the elderly in the central Viet Nam.2019

    • Author(s)
      Han TDT, Nakamura K, et al.
    • Organizer
      78th Annual Conference of Japanese Society of Public Health
  • [Presentation] Association between cognitive impairment and fear of falling among older adults: a Viet Nam community - based survey.2019

    • Author(s)
      Vo MTH, Nakamura K, et al.
    • Organizer
      78th Annual Conference of Japanese Society of Public Health
  • [Presentation] Does the residence of Filipino elderly living alone affect NCD and facility use?2019

    • Author(s)
      Moncatar TJR, Nakamura K, et al.
    • Organizer
      78th Annual Conference of Japanese Society of Public Health
  • [Presentation] Rural-Urban disparities in receiving antenatal care among women in Afghanistan.2019

    • Author(s)
      Alemi S, Nakamura K, et al.
    • Organizer
      78th Annual Conference of Japanese Society of Public Health
  • [Presentation] Leave no one behind: some African women face difficulty in accessing healthcare.2019

    • Author(s)
      Bintabara D, Nakamura K, et al.
    • Organizer
      78th Annual Conference of Japanese Society of Public Health
  • [Presentation] Are Tanzania tuberculosis facilities ready to provide management of diabetes?2019

    • Author(s)
      Shayo FK, Nakamura K, et al.
    • Organizer
      78th Annual Conference of Japanese Society of Public Health
  • [Presentation] 持続可能な開発目標(SDGs)の達成 にむけた元気な健康都市づくりの展開2019

    • Author(s)
      中村桂子
    • Organizer
      第15回健康都市連合日本支部大会
    • Invited

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Published: 2021-01-27  

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