Journal of Rural Medicine
Online ISSN : 1880-4888
Print ISSN : 1880-487X
ISSN-L : 1880-487X
Field report
The association between repeated specific health guidance during specific health checkups and mental health: a cross-sectional survey study in Japan
Daisaku NishimotoShimpei KodamaChiemi NishimotoKeiko KubotaAsutsugu KuronoIkuko Nishio
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JOURNAL OPEN ACCESS

2025 Volume 20 Issue 1 Pages 39-45

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Abstract

Objective: Repeated guidance through specific health guidance (SHG), a service that provides health advice to high-risk individuals for specific health examinations, may be affected by examinees’ mental health status. However, the association between repeated SHG sessions and mental health remains unclear.

Materials and Methods: Data were collected from 123 men and women who underwent specific health checkups at Jiaikai Izuro Imamura Hospital between April 13, 2021 and April 13, 2022 after receiving SHG in the previous year. A questionnaire survey was conducted to assess burnout, resilience, and lifestyle-related factors such as weight change and the amount of alcohol consumed. Odds ratios (OR) and 95% confidence intervals (CI) for repeated SHG were estimated using stepwise multiple logistic and mediation analyses.

Results: The results showed that repeated SHG was significantly associated with weight gain ≥10 kg from the age of 20 years (OR=4.41, 95% CI 1.74–11.20) and burnout subscale of cynicism (OR=4.18, 95% CI 1.31–13.33).

Conclusion: Weight loss guidance could be an effective component of SHG. Additionally, individuals who are repeatedly provided with SHG experience a mental health burden. Furthermore, interventions to reduce cynicism may be necessary to prevent the need for repeated SHG.

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© 2025 by THE JAPANESE ASSOCIATION OF RURAL MEDICINE

この記事はクリエイティブ・コモンズ [表示 - 非営利 - 改変禁止 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
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