2018 年 30 巻 2 号 p. 237-257
Healthy Parents and Children 21 （Phase 1）, and also Healthy Japan 21 （Phase 1）, are the first national health promotion campaigns in Japan to have concrete numerical targets; however, the national review of these programs mainly considers changes in each numerical target. Care for infants & environmental preparation system for continuous maternal care are emphasized in the 2nd Healthy Parents and Children 21. Herein, two new investigations were performed mainly for the 1st. The index framework that contributed to the policy effect was investigated using ordered multivariate, multilevel and multinominal logistic regression analysis （mixed model）. Considering the first basic task on adolescent healthcare, the contribution of the health standard index framework to the administrative effort index was very low （odds ratio＝0.041, 95％ CI: 0.002-0.703）. In the third basic task on improving the environment for children, the framework of the citizen’s behavioral index was negatively associated （i.e., disassociated） with the change in each indicator （parameter estimate＝－1.63, 95％ CI: －2.64-0.62）. Promoting adolescent healthcare was selected as the 2018 task of the Japan Agency for Medical Research and Development. The assimilation points were also suggested under the forensic view, but not included in this health promotion effort. The degree to which the indicators accurately reflected reality is defined here as assimilation. Disassociation was also recognized among the indicators concerning child abuse, including the number of deaths caused by child abuse reported by Healthy Parents and Children 21 and by the National Police Agency, （Jonckheere-Terpstra test P＝0.02 in the contingency table）. Further, the constitution of the subjective indicators concerning child abuse was confirmed to be different by cluster analysis, Mantel-Henzel χ2 analysis （P＝0.02）, and logistic regression analysis （odds ratio＝1.44, 95％ CI: 1.02-2.50）.
