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64 巻 , 1 号
選択された号の論文の6件中1~6を表示しています
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  • 多田 學
    64 巻 (1998) 1 号 p. 1-2
    公開日: 2010/06/28
    ジャーナル フリー
  • 高野 健人
    64 巻 (1998) 1 号 p. 5-25
    公開日: 2010/06/28
    ジャーナル フリー
    Health level in Shita-machi area of Tokyo was studied by using aggregate data concerning death and disease. Indicators concerning residential environment and socioeconomic condition were also analyzed for conjecture of area situation about health supporting environment and personal skill level . The Shita-machi area is relatively low in health indicators employed in the present study in comparison with Yamanote and Musashino area, and area of Chiba Prefecture near the Shita-machi area. It was also pointed out that health level of the Shita-machi area was below the average level of the whole country whereas socioeconomic levels were higher in the Shita-machi area compared to the average level of the whole country .
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  • 安里 龍, 里光 恵理子, 鈴木 隆史, Bradley JWILLCOX, ディビッド 糸数, 秋坂 真史, 新城 澄枝, 広井 祐三
    64 巻 (1998) 1 号 p. 26-36
    公開日: 2010/06/28
    ジャーナル フリー
     日本におる健康増進対策は3つの要因一栄養,運動,休息一の上になりたっている.このような政策は,WHOの憲章が社会的・精神的要因の重要性を指摘しているにもかかわらず,すべて形而下的問題として設定されている.われわれは,将来における公的な健康対策がどうあるべきかを追求すべく,人々が健康管理に対してもつ潜在的意識を抽出することを計画した.「あなたは,ご自身の健康管理に対し,思い出すままご自身の表現で対策項目を挙げて下さい」という簡単なアンケート用紙を作成し,1995年,それを近くの一般成人女性100人に配り,73人から回答を得た.各人一人当たり平均3.7項目の対策が挙げていた,すなわち全項目数は273あった.これら全項目の中には,お互い類似するものがあった.それらを除き,類似のない項目,すなわち重複のない項目のみを数えると,46あった.これらの中で前述の3要因に関する項目が全体の74%占めていた.このことは,これら3要因が既に日本のあらゆる人々に定着していることを示唆しているものである.さらに46項目をその類似性によって分類すると,栄養,運動,休息,社会的・精神的作用,衛生的作用,生活のリズム,生理的要求および健康教育という8つの要因が得られた.社会的・精神的作用は,前記の3つの要因についで,14%という高い頻度で挙げられた.以上の結果は健康対策を立て,それを実施する上において,3要因の以外の要因,特に社会的・精神的対策をも考慮する必要があろう.この事実は,日本においてこれらの対策がより公的に配慮されるべきものであることを示唆しているであろう.
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  • 西澤 昭, 田原 靖昭, 湯川 幸一, 綱分 憲明, 小原 達朗
    64 巻 (1998) 1 号 p. 37-47
    公開日: 2011/10/21
    ジャーナル フリー
     体組成を求める算定式に身体密度は不可欠である.しかし算定式が確立しているわけではなく,用いる算定式によって同じ身体密度でも体脂肪率が異なることになる.特に児童,生徒の年齢では,除脂肪組織の比重が成人より小さいという報告もあり,そのまま成人の算定式にあてはめると問題の生じる可能性がある.そこで本研究では身体組成算定の基礎になる身体密度に関する問題を検討するための試みとして身体密度を年齡別にもとめ詳細に検討した. 身体密度の測定は水中秤量法によった.被験者は10歳(小学4年生)から18歳(高校3年生)の男子268名と女子332名の計600名であった.加齢と身体密度の関係をみると男子では年齢が大きくなるにつれ身体密度が大きくなる傾向にあったが,女子では逆に身体密度は減少する傾向がみられた.この時期の男子では密度の大きい除脂肪量が増加すること,および女子では逆に密度が小さい脂肪量の増加が顕著なことに起因していることが考えられた. 男子の10歳から18歳までの各年齢間で身体密度の平均値を比較すると最小が1.0530g/ml(11歳)で最大が1.0695g/ml(14歳)であった.女子は最小が1.0415g/ml(16歳)で最大が1.0530g/ml(13歳)であった. 小児期では,除脂肪組織の密度が成人とは異なることや脂肪量と除脂肪量の増加の傾向が男女で異なることなどから,この年代について身体組成を求める推定式を明らかにする必要性が示唆された.
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  • 江澤 和江, 牛込 三和子, 輪湖 史子, 川村 佐和子
    64 巻 (1998) 1 号 p. 48-60
    公開日: 2010/06/28
    ジャーナル フリー
    A survey on all patients with intractable diseases was conducted in a local administrative region (municipal region) for the purpose of understanding what percentage of patients receiving financial aid for treatment with intractable diseases was covered under the financial aid for treatment for intractable diseases and for gathering information on the actual medical situation of the beneficiaries of this system. The results of this survey are summarized as follows; 1) The medical costs of 66.5% of the 209 patients were covered under the medical assistance system for intractable diseases (Beneficiary Group), while the medical costs of the remaining 33.5% of the patients were not (Non-beneficiary Group). 2) As a result of the assessment of characteristics of both the Beneficiary Group and Non-beneficiary Group, there were differences between the groups with regard to health problems, needs for public health service, medical care or welfare. The patients in the Beneficiary Group were likely to be affected by shorter period of diseases and more than half of them could lead maintain almost normal lives. The patients in the Non-beneficiary Group were likely to be affected by the diseases for a longer period and more than half of them required daily assistance by other people or mechanical ventilation and had needs for public health service, medical care or welfare. 3) Today, the number of patients with intractable diseases is grasped only through applications for various medical assistance systems by administrative institution. The results of this survey suggest that the collection of such information by one administrative institution is possible for only two-thirds of the patients with intractable diseases. These results suggest that cooperation among public health service institutions, medical institutions and welfare institutions is essential for tracking down the non-beneficiaries of the medical assistance system for intractable diseases, which is requried for the collection of accurate information on patients with intractable diseases.
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  • 安 弼濬, 金 貞順
    64 巻 (1998) 1 号 p. 61-72
    公開日: 2010/06/28
    ジャーナル フリー
    In order to create a database for developing an appropriate health policy for aged people in Korea, particularly for those living in rural farming communities, the present study compared health status and disease pattern among aged Koreans residing in Korean farming villages and the descendants of Koreans who migrated to China more than one hundred years age. The subjects in this study were 467 Koreans in 10 Korean farming villages northeast of Seoul and 223 Korean migrants in 2 villages in the Korean Autonomous Region in northeast China. All of them were 60 years old or over in age . The same investigation team interviewed the subjects of both groups in July 1995. In addition, clinical examination was conducted in order to determine the prevalence of three diseases: diabetes mellitus, hypertension and anemia. The results were compared between the two groups . The interview survey revealed that the prevalence of the disorders during the 2 weeks prior to the investigation was higher among both male and female subjects of Korean migrants. A comparison of the disease pattern showed higher incidences of cancer, accidental injuries and poisoning due to agricultural chemicals among Koreans of rural farming villages, whereas cerebrovascular disorders and chronic obstructive pulmonary diseases were more common among Korean migrants . Clinical examination demonstrated a higher prevalences of diabetes among villagers in Korea whereas the prevalences of hypertension and anemia were higher among Korean migrants. In rural Korea, the diseases related to life style, were not common. On the other hand, diseases such as hypertension and anemia, which were related to malnutrition, low income, and bad hygiene, were still prevalent among Korean migrants but rarely occur among Korean villagers.
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