Japanese Journal of Health Education and Promotion
Online ISSN : 1884-5053
Print ISSN : 1340-2560
ISSN-L : 1340-2560
Volume 28, Issue 4
Displaying 1-8 of 8 articles from this issue
Preface
Original Articles
  • Fumi HAYASHI, Keiko SAKAGUCHI, Kaori KOIWAI, Yukari TAKEMI
    2020 Volume 28 Issue 4 Pages 245-258
    Published: November 30, 2020
    Released on J-STAGE: December 08, 2020
    JOURNAL FREE ACCESS

    Objectives: We evaluated subjective diet-related quality of life (SDQOL) among children, then compared these SDQOL scores based on children’s dietary behaviors and attitudes in accordance with the child’s or family members’ smartphone use during a child’s mealtime.

    Methods: This was a cross-sectional study. In March 2019, a self-administered questionnaire survey was conducted using a collective method to fifth graders enrolled in three public elementary schools in S city, Saitama prefecture. Data of 255 children (114 boys and 141 girls), excluding those who were absent on that day, were included in the analysis. Subjects were divided into four groups according to dietary behaviors, attitudes, and smartphone usage. The SDQOL scores were then compared using the Kruskal–Wallis test.

    Results: The SDQOL scores were high among the children who answered that they had good dietary behaviors and attitudes, did not use the smartphones by themselves, and whose families did not use smartphones during a child’s mealtime. However, SDQOL scores were low for children whose family members often used smartphones, even if they had good dietary behaviors and attitudes. Furthermore, even when the children themselves and their families used smartphones, SDQOL scores were high for children who had good dietary behaviors such as voluntary mealtime communication with the family.

    Conclusions: To improve SDQOL scores, it is suggested that it is important for the family members to not use smartphones during mealtime, and to create an environment that encourages voluntary conversation even if the family members use smartphones while eating.

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  • Mayumi OHNISHI, Haruka SHOZAKI-ITO, Tomoko TANAKA-SHIBAYAMA, Yumi MATS ...
    2020 Volume 28 Issue 4 Pages 259-268
    Published: November 30, 2020
    Released on J-STAGE: December 08, 2020
    JOURNAL FREE ACCESS

    Objective: This study aimed to compare recognition related to intimate partner violence (IPV) among first-year university students in 2008 and 2014.

    Methods: A cross-sectional study using a self-administered questionnaire survey was completed by first-year students attending a university in the capital city of a Japanese prefecture in 2008 and 2014.

    Results: In the 2008 study, 331 questionnaires were distributed, and 322 (97.3%) responses were returned. In the 2014 study, 423 questionnaires were distributed, and 410 (96.6%) responses were returned. A total of 274 responses from the 2008 survey and 371 responses from the 2014 survey were used in the analysis. Regardless of demographic characteristics, students’ recognition improved from 2008 to 2014 for only one survey item: “I would terminate a relationship with my boyfriend/girlfriend if he/she were violent” (adjusted odds ratio: 1.86; 95% confidence interval: 1.28, 2.71). However, despite this improvement, positive recognition of the item mentioned above remained at 36.7% in 2014. Although the overall recognition score did not improve between 2008 and 2014, multiple regression analysis showed that being female (β=0.11, P=0.009), majoring in a medical/health discipline (β=0.18, P<0.001), and having previously attended lectures/seminars about domestic violence and/or dating violence (β=0.11, P=0.006)—other than in the survey year—were associated with better recognition of violence.

    Conclusion: Overall recognition of IPV among first-year students at one university in a nonmetropolitan area of Japan did not significantly improve from 2008 to 2014.

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  • Tatsuaki SAKAMOTO, Misaki SAKO, Akiho KONDO, Naomi HAYAMI
    2020 Volume 28 Issue 4 Pages 269-277
    Published: November 30, 2020
    Released on J-STAGE: December 08, 2020
    JOURNAL FREE ACCESS

    Objective: This study investigated the relationship between desired physique and school lunch food waste among junior high school students.

    Methods: A cross-sectional study was conducted among 887 junior high school second graders in Kumamoto Prefecture. Of these, 716 valid responses were analyzed. Data were collected for basic demographic information, height, weight, food waste during lunchtime, desired physique, subjective length of school lunchtime, and school lunch preference. Food waste during lunchtime was the dependent variable, and desired physique (no desired physique, desire for a thin physique, or desire for a well-built physique) was the independent variable. We conducted a logistic regression analysis. Model 1 was not adjusted, model 2 was adjusted for basic demographic characteristics and school lunch service (individual school kitchen/central kitchen), and model 3 was adjusted for basic demographic characteristics, degree of obesity, subjective length of school lunchtime, and preference of school lunch as control variables.

    Results: In total, 68 males and 136 females left the school lunch. In Model 3, desired physique was not related to food waste during lunchtime for male students. In contrast, desire for thinness was associated with food waste during lunchtime (adjusted odds ratio is 1.92, 95% CI is [1.07, 3.46]) for female students.

    Conclusion: The desire for thinness was associated with food waste during lunchtime among female students. Health education needs to include discussions about desired physique, especially among female students.

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  • Yoshino HOSOKAWA, Hiroko YAKO-SUKETOMO, Koichiro OKA
    2020 Volume 28 Issue 4 Pages 278-286
    Published: November 30, 2020
    Released on J-STAGE: December 08, 2020
    JOURNAL FREE ACCESS

    Objective: The purpose of this study was to investigate the relationship between community consciousness and experience as parents in school among elderly people participating in regional sports.

    Methods: We conducted a cross-sectional study using a self-administered questionnaire survey with 766 residents aged 60 years and over who participated in the region’s sports programs. The questionnaire covered socio-demographic characteristics, experience as a parent in school, and community consciousness. We conducted a binomial logistic regression analysis with community consciousness as a dependent variable, experience as a parent in school as the independent variable, and gender, age, years of residence, occupation, living arrangement, marital status, and place of residence during raising children as covariates.

    Results: The binomial logistic regression analysis revealed a significant relationship between community consciousness and attending school events (OR [95%CI]=3.48 [1.44, 8.40]), setting up school events (2.40 [1.45, 4.00]), parents’ and teachers’ association activities (1.76 [1.10, 2.82]), teachers’ and parents’ social interactions (1.81 [1.14, 2.87]), social capital among parents (1.86 [1.16, 2.97]), and trust in school (3.10 [1.74, 5.52]).

    Conclusion: We confirmed a significant positive relationship between community consciousness and relationships with other parents and neighbors through experience as parents in school among elderly people participating in regional sports.

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  • Kimihiro MIYAKE, Sachi TOMOKAWA, Aya TOMOKAWA, Takashi ASAKURA
    2020 Volume 28 Issue 4 Pages 287-298
    Published: November 30, 2020
    Released on J-STAGE: December 08, 2020
    JOURNAL FREE ACCESS

    Objective: This study aimed to examine childcare workers’ self-assessment of health-related activity implementation and its results in childcare facility, preschool teacher efficacy in health-related practice, and factors related to these elements.

    Methods: We applied a convergent parallel mixed-method design, and conducted interviews with a responsible person and a self-administered questionnaire survey among childcare workers in a childcare facility. The survey included questions addressing general information, self-assessment of health-related activity implementation and results, reasons for self-assessment, and self-efficacy in health-related practices.

    Results: The survey response rate was 61.5% (24/39). Among respondents, 29.2% answered that health-related activity implementation was “good enough”; 25.0% reported that the results of these activities were “good enough.” Directly health-related activities as well as daily care activities were mentioned as reasons for the self-assessment of implementation. Several reasons were reported regarding self-assessment of the results, including actual performance and changes in children’s behaviors. Years of service in the facility was significantly associated with self-assessments of implementation (P=0.004) and results (P=0.006), and classes for which respondents were responsible were significantly associated with self-assessment of implementation (P=0.008). The average score of preschool teacher efficacy was 80.1 (standard deviation: 9.0). No items showed a significant association with efficacy.

    Conclusions: Characteristics of the facility were strongly reflected in the survey results. The results indicated that measures, including training for newcomers, facilitation of daily routines, and visualization of children’s changes, are beneficial to enhance health-related activities in childcare facilities.

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Field Report
  • Rie AKAMATSU, Mihono KOMATSU, Mika SAIKI
    2020 Volume 28 Issue 4 Pages 299-306
    Published: November 30, 2020
    Released on J-STAGE: December 08, 2020
    JOURNAL FREE ACCESS

    Objective: We produced a booklet, entitled “Promoting our health and a healthy planet in restaurants,” to study the appropriate amount of food to serve and take at restaurants and conducted groupwork among graduate students using it. This paper reports the content of the booklet and process evaluation of the group work.

    Field activity: Given that the booklet aimed to study the appropriate amount of food for one person, we targeted restaurants with single servings. Eight illustrations in the booklet described two stories of a man shopping at a clothing store and having lunch at a restaurant. The participants discussed their perspective regarding problem-solving for taking an appropriate amount of food relative to these stories.

    Assessments: Thirty-four students participated in the groupwork and thirty-three answered the questionnaire after the groupwork (response rate: 97.1%). All students answered that the groupwork was an “appropriate length of time,” and over 90% said that the instructions for the groupwork and the illustrations in the booklet were “easy to understand.” Thirty-one students (93.9%) answered that “they learned new things” and that the content was varied such as【feeling group dynamics】which included [knowing different points of view] and【lack of knowledge of appropriate amount of food】.

    Future implications: The groupwork revealed the participants’ opinions. The groupwork finished earlier than was instructed, so we revised the instructions and formulated an additional material based on answers from the participants. In the future, using booklets during groupworks among workers at restaurants or other age groups will be necessary.

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Special Article: “Let's extend healthy life expectancy award” by the MHLW: case report
  • Misato KIDO
    2020 Volume 28 Issue 4 Pages 307-313
    Published: November 30, 2020
    Released on J-STAGE: December 08, 2020
    JOURNAL FREE ACCESS

    Objective: KSK corporation has maintained that all employees are non-smokers since achieving a smoking rate of 0% in the company-wide non-smoking campaign for about two and a half years. In addition, we are focusing on health management, starting with the “Waku-Waku Health Plan.” In this report, we introduce the activities of our non-smoking campaign and the “Waku-Waku Health Plan” which got the “Smart Life Project Award ” by Ministry of Health, Labour and Welfare in 2019.

    Project contents: We have begun non-smoking campaign from April, 2013. From the result, the smoking rate decreased to zero smokers from first thirty-one percent of all employees. However, the non-smoking campaign alone is not enough for maintaining and promoting the health of employees, so we have planned the “Waku-Waku Health Plan,” a health activity that allows them to voluntarily and happily work for a long period of time. This activity is free for them to work toward their goals for individual health issues, such as smoking cessation, exercise, diet, sleep, etc. It improved the results of the medical examination and health habits, and improved productivity.

    Future Prospects: While the results of the medical examination have improved, the results of lipid metabolism, blood glucose level, liver function are still worse than the national average. We understood that there is a problem in a drinking custom by a questionnaire. Therefore, we would like to plan for activation of the project which promotes “moderate drinking” as well as develop a flexible healthy policy according to the social trends.

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