With the decreasing mortality and the enforcement of "only one child family policy", China is becoming an aged society. It will be impossible to provide care for the elderly only depending on family supports when the family structures have changed tremendously and the aging population steep rising. Our study focused on the views of the parents with only one child in family in China. The aim was to identify the problems regarding the health care for the elderly, and analyzed the care needs for the elderly in the future. After 547 college students receiving basic courses in a university in the south China were selected, self-administered questionnaires were mailed to their parents. A total of 331 parents who responded were regarded as research objects (Overall response rate was 60%). The results were as follows. 1) The opinion on the care of the elderly was changing from conventional care provided by family members to the mixture of the family based care and the home care services in one-child family. 2) Since elderly care supported by family is limited, only half of the subjects expressed their worries concerning the health status, economic and health care in the future when they or their family members become old. 3) Regardless of their income level, more than 70 percent intent to use both family's care and home care service. Moreover, they were likely to depend on care centering on home care service as the home annual income became higher. 4) More than 80 percent preferred the institutional care, and they expected the more institutions as a future policy option. 5) As one of the measures against the aged society in China, improving the preventive activities and health care services, increasing the number of medical facilities and improving the quality of home care services is impending.
The purpose of this study was to clarify the actual situation of mental health in community dwelling, and the related factors with depressive symptoms among middlelife. Then, these results are use for the mental health promotion and the activities for suicide primary prevention. On the basis of a cross-sectional survey of middle-aged individuals (40-69 years of age), analyses were conducted using full answers of 510 residents (239 male, 271 female) in a farming village in Aomori prefecture. In this investigation, CES-D scale was used for measurement of depressive symptoms in the self-administered questionnaire. The results showed that the stress degree and the stress coping were worse than the whole country. The CES-D score was significantly higher in those who had no hobby or cultural activities, and those who had more stress or economic problem in both sexes. Furthermore, the score was significantly higher in those who did not sleep well. On the other hand, the score did not differ by drinking customs. There results suggest that not only sleep or stress coping but also hobby and culture activities are important in mental health promotion.
A case control study on urolithiasis was conducted in Laos, where the disease was endemic in order to clarify the relationship between diet patterns and life style related factors and the disease. As subjects of the study, 114 cases and 97 hospital based unmatched comparative subjects participated. By using a questionnaire, the diet patterns and life style related factors were asked and odds ratios were calculated for each of the factors. Factor analysis was performed to ascertain how the factors of food items were assembled by the composing factors, and covariance structure analysis (structure equation model) was adopted to clarify the relationship between those factors and the disease. Then the urolithiasis cases were divided into two groups, determined by the presence of upper and lower urinary tact stones because etiological differences were detected. Lower urinary tract stones revealed a positive relationship with traditional food items and a negative one with modern food items. In contrast, upper urinary tract stones showed a higher path coefficient to modern food items than to traditional ones in the structure equation model. It is suggested that in Laos the modernization of the diet pattern may elevate the incidence of upper urinary tract stones, though it decreases lower urinary tract stones.