研究者詳細 - 神田　秀幸

論文 - 神田　秀幸

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高血圧症と社会要因との関連益田研究から

福田茉莉, 久松隆史, 絹田皆子, 中畑典子, 谷口かおり, 神田秀幸

Journal of Epidemiology 32 ( Suppl.1 ) 111 - 111 2022年1月

2年間の前向き地域研究からみた室温・外気温が家庭血圧に与える影響益田研究

絹田皆子, 久松隆史, 福田茉莉, 谷口かおり, 中畑典子, 神田秀幸

Journal of Epidemiology 32 ( Suppl.1 ) 126 - 126 2022年1月

高血圧症と社会要因との関連益田研究から

福田茉莉, 久松隆史, 絹田皆子, 中畑典子, 谷口かおり, 神田秀幸

Journal of Epidemiology 32 ( Suppl.1 ) 111 - 111 2022年1月

2年間の前向き地域研究からみた室温・外気温が家庭血圧に与える影響益田研究

絹田皆子, 久松隆史, 福田茉莉, 谷口かおり, 中畑典子, 神田秀幸

Journal of Epidemiology 32 ( Suppl.1 ) 126 - 126 2022年1月

公衆衛生の観点からみたアディクション公衆衛生の観点からみたインターネット嗜癖・ゲーム障害

神田秀幸, 福田茉莉, 絹田皆子, 久松隆史

日本アルコール・薬物医学会雑誌 56 ( 6 ) 150 - 150 2021年12月

産業保健の現場における減酒支援ブリーフインターベンションの飲酒量改善への効果

桑原祐樹, 金城文, 藤井麻耶, 尾崎米厚, 真栄里仁, 美濃部るり子, 樋口進, 吉本尚, 大塚雄一郎, 井谷修, 兼板佳孝, 地家真紀, 神田秀幸

日本アルコール・薬物医学会雑誌 56 ( 6 ) 288 - 288 2021年12月

障害(disorder,disability,dysfunction)と疾患(disease):どこが違うのか? 公衆衛生学的な観点からみたdiseaseとdisorderの考え方

神田秀幸, 久松隆史

日本アルコール・薬物医学会雑誌 56 ( 6 ) 131 - 131 2021年12月

障害(disorder,disability,dysfunction)と疾患(disease):どこが違うのか? 公衆衛生学的な観点からみたdiseaseとdisorderの考え方

神田秀幸, 久松隆史

日本アルコール・薬物医学会雑誌 56 ( 6 ) 131 - 131 2021年12月

公衆衛生の観点からみたアディクション公衆衛生の観点からみたインターネット嗜癖・ゲーム障害

神田秀幸, 福田茉莉, 絹田皆子, 久松隆史

日本アルコール・薬物医学会雑誌 56 ( 6 ) 150 - 150 2021年12月

地域におけるIoT高血圧管理研究が高血圧有病率・認知率・治療率・管理率へ与える影響

久松隆史, 福田茉莉, 絹田皆子, 谷口かおり, 中畑典子, 神田秀幸

日本公衆衛生学会総会抄録集 80回 358 - 358 2021年11月

地域一般住民における自己採血型簡易血液検査(指先採血)の導入と実施状況

神田秀幸, 久松隆史, 福田茉莉, 絹田皆子, 中畑典子, 谷口かおり, 杉山大典, 岡村智教

日本公衆衛生学会総会抄録集 80回 356 - 356 2021年11月

地域一般住民における自己採血型簡易血液検査(指先採血)の導入と実施状況

神田秀幸, 久松隆史, 福田茉莉, 絹田皆子, 中畑典子, 谷口かおり, 杉山大典, 岡村智教

日本公衆衛生学会総会抄録集 80回 356 - 356 2021年11月

地域におけるIoT高血圧管理研究が高血圧有病率・認知率・治療率・管理率へ与える影響

久松隆史, 福田茉莉, 絹田皆子, 谷口かおり, 中畑典子, 神田秀幸

日本公衆衛生学会総会抄録集 80回 358 - 358 2021年11月

Trends in the co-use of alcohol and tobacco among Japanese adolescents: periodical nationwide cross-sectional surveys 1996–2017 査読国際誌

Maya Fujii, Yuki Kuwabara, Aya Kinjo, Aya Imamoto, Maki Jike, Yuichiro Otsuka, Osamu Itani, Yoshitaka Kaneita, Ruriko Minobe, Hitoshi Maesato, Susumu Higuchi, Hisashi Yoshimoto, Hideyuki Kanda, Yoneatsu Osaki

BMJ Open 11 ( 8 ) e045063 - e045063 2021年8月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：BMJ

<sec><title>Objectives</title>This study aimed to assess trends in the prevalence of alcohol use depending on smoking behaviours and that of smoking depending on drinking behaviours among Japanese adolescents.

</sec><sec><title>Design</title>This was a retrospective study using Japanese school-based nationwide surveys conducted between 1996 and 2017.

</sec><sec><title>Setting</title>Surveyed schools, both junior and senior high schools, considered representative of the entire Japanese population, were sampled randomly.

</sec><sec><title>Participants</title>We enrolled 11 584–64 152 students from 179 to 103 schools yearly. They completed a self-reported and anonymous questionnaire on smoking and drinking behaviour.

</sec><sec><title>Results</title>Since 1996, the prevalence of alcohol use and smoking among adolescents decreased in each survey (p<0.01). The prevalence of alcohol use in the non-smokers group was 29.0% in 1996 and 4.0% in 2017, and in the smokers group, it was 73.3% in 1996 and 57.4% in 2017. The reduction rate (the difference in prevalence between 1996 and 2017 divided by the prevalence in 1996) was 0.86 in the non-smokers group and 0.22 in the smokers group. The prevalence of smoking in the non-drinkers group was 6.7% in 1996 and 0.7% in 2017, while that in the drinkers group was 32.5% in 1996 and 18.9% in 2017. The reduction rate was 0.90 in the non-drinkers group and 0.42 in the drinkers group. Therefore, downward trends differed among the groups. In a subanalysis of senior high school students, we divided students into three groups according to their intention to pursue further education. Between 1996 and 2017, there was a consistent difference in the prevalence of alcohol use and smoking among these groups.

</sec><sec><title>Conclusions</title>Alcohol use and smoking among Japanese adolescents seem to have reduced. However, certain groups showed poor improvements, and health risk behaviour disparity exists, which may widen further. We need to focus on high-risk groups and implement appropriate measures or interventions accordingly.

</sec>

DOI： 10.1136/bmjopen-2020-045063

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The association between Internet usage and sleep problems among Japanese adolescents: three repeated cross-sectional studies 査読

Yuichiro Otsuka, Yoshitaka Kaneita, Osamu Itani, Yuuki Matsumoto, Maki Jike, Susumu Higuchi, Hideyuki Kanda, Yuki Kuwabara, Aya Kinjo, Yoneatsu Osaki

Sleep 44 ( 12 ) zsab175 - zsab175 2021年7月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Oxford University Press (OUP)

<title>Abstract</title>
<sec>
<title>Study Objectives</title>
Sleep problems and problematic Internet use have important implications for adolescent health; however, there have been no large-scale surveys using comprehensive measures. We examined the association between Internet use duration and sleep problems among Japanese adolescents.

</sec>
<sec>
<title>Methods</title>
We used data from the Lifestyle Survey of Adolescents collected in 2012, 2014, and 2017. We calculated the change in sleep status (insomnia, sleep duration, bedtime, and sleep quality) and Internet usage (screen time and services such as Internet surfing, social media use, streaming such as YouTube, and online gaming). A binary logistic model was estimated for insomnia. Generalized ordered logit models were employed for the ordinal outcomes (sleep duration, bedtime, sleep quality, and multidimensional sleep health). Sampling weights were constructed based on participation rate on survey years and selection rates from population statistics.

</sec>
<sec>
<title>Results</title>
We analyzed data from 248 983 adolescents. Sleep status was unchanged; however, many adolescents used more Internet services and for longer durations. The odds ratio of Internet screen time for all sleep problems (insomnia, shorter sleep duration, later bedtime, and worse sleep quality) gradually declined. Longer Internet screen time (&gt;5 hours) was strongly associated with all sleep problems. Internet services were also associated with sleep problems; particularly, social media use and online gaming were linked to later bedtimes.

</sec>
<sec>
<title>Conclusions</title>
Despite the decreased strength in the association between Internet usage and sleep problems, longer Internet time was strongly associated with sleep problems. Public health interventions should consider Internet use as an intervention target to improve adolescents’ health.

</sec>

DOI： 10.1093/sleep/zsab175

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Clarifying the factors affecting the implementation of the "early to bed, early to rise, and don't forget your breakfast" campaign aimed at adolescents in Japan

Yuuki Matsumoto, Yoshitaka Kaneita, Maki Jike, Yoneatsu Osaki, Hideyuki Kanda, Susumu Higuchi, Osamu Itani, Yuichiro Otsuka

SLEEP AND BIOLOGICAL RHYTHMS 19 ( 3 ) 325 - 336 2021年7月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：SPRINGER JAPAN KK

Purpose This study aimed to assess the success of the Japanese government's "Early to bed, early to rise, and don't forget your breakfast" (EB, ER, and DFB) health promotion program for adolescents, which has been ongoing since 2006. Methods We randomly selected 264 junior and senior high schools and conducted a survey of their habits related to EB, ER, and DFB. We defined EB, ER, and DFB as follows: bedtime before 10 p.m. (junior high school) or 11 p.m. (senior high school) and waking-up before 7 a.m., at which point the student should eat breakfast every day. Multivariate analysis was performed on the students' lifestyles, and school-related factors were set as independent variables. Results Data from 84,988 participants (31,474 from junior and 53,514 from senior high school) were analyzed. The effective response rates were 47.9% for junior high schools and 53.7% for senior high schools (overall rate: 51.4%). The data showed that 70-80% of students complied with ER and DFB, while less than 10% complied with EB. For almost all adolescents, "using the Internet >= 2 h/day" was the most negative factor influencing EB, ER, and DFB, and "family rules for using the Internet" was the most positive factor. Conclusions For Japanese adolescents, it is especially important to promote the achievement of EB, and limits on the amount of time and rules for using the Internet were significantly related factors. Further study is required to clarify these causal relationships for an improved implementation of EB, ER, and DFB.

DOI： 10.1007/s41105-021-00321-0

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A nationwide cross-sectional study of difficulty waking up for school among adolescents 査読国際誌

Yu Kinoshita, Osamu Itani, Yuichiro Otsuka, Yuuki Matsumoto, Sachi Nakagome, Yoneatsu Osaki, Susumu Higuchi, Jike Maki, Hideyuki Kanda, Yoshitaka Kaneita

Sleep 44 ( 11 ) zsab157 - zsab157 2021年6月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Oxford University Press (OUP)

<title>Abstract</title>
<sec>
<title>Study Objectives</title>
To determine the prevalence of and risk-factors for difficulty waking up for school among adolescents.

</sec>
<sec>
<title>Methods</title>
We used a self-administered questionnaire (140 junior high schools [JHSs]; 124 senior high schools [SHSs]) selected randomly in 2012 from throughout Japan.

</sec>
<sec>
<title>Results</title>
Total response rate: 60.7%. Data from 38 494 JHS and 61 556 SHS students were analyzed. The prevalence of at least one instance of school tardiness/absence due to difficulty waking up over a 30-day period was 10.9 (95% confidence-interval:10.5–11.3)%/2.9(2.7–3.1)% for JHS-boys and 7.7(7.3–8.1)%/2.0(1.8–2.2)% for JHS-girls. The prevalence was 15.5(15.1–15.9)%/5.6(5.3–5.9)% for SHS-boys and 14.4(14.0–14.8)%/5.9(5.6–6.2)% for SHS-girls. We used ordinal regression to identify the risk factors associated with the experience of school tardiness/absence. Factors significantly associated with school tardiness in all four groups (JHS boys/girls, SHS boys/girls) were “no-participation-in-club-activities,” “early-morning-awakening,” “feeling bad throughout a morning,” “drinking,” and “smoking.” Among associated factors, the highest odds ratio was found for monthly smoking-days (none vs. at least one-day or more) for JHS-girls at 5.30(3.57–7.85). Factors significantly associated with school absence in all four groups were “no wishing to go to university,” “no participation in club activities,” “disorders of initiating and maintaining sleep,” “long internet use,” “drinking,” “smoking,” “poor-mental-health” and “feeling bad throughout a morning.” Among associated factors, the highest odds ratio was found for monthly smoking-days (none vs. at least one-day or more) for JHS-girls at 4.60(3.45–6.15).

</sec>
<sec>
<title>Conclusions</title>
These results suggest that the risk factors for difficulty waking up among adolescents are sleep status, lifestyle, and mental health, which can indicate the presence of an underlying disease.

</sec>

DOI： 10.1093/sleep/zsab157

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Relationship between insomnia with alcohol drinking before sleep (Ne-Zake) or in the morning (Mukae-Zake) among Japanese farmers 査読

Rie Sato, Takashi Hisamatsu, Hideki Tsumura, Mari Fukuda, Kaori Taniguchi, Haruo Takeshita, Hideyuki Kanda

Alcohol 93 57 - 62 2021年6月

The Choosing Wisely Initiative and MRIs: Over- and Under-Diagnosis in Japan and Myanmar 査読

Takashi Watari, Tin Myo Hlaing, Hideyuki Kanda

Cureus 13 ( 4 ) 14342 2021年4月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Cureus, Inc.

Recently, the "Choosing Wisely" initiative has gained traction and high-value care has garnered attention. However, the actual situation of high-value care is different between developed and developing countries. To elucidate this, we highlight the differences between the high-value care provided by healthcare systems in Japan and Myanmar, as representations of developed and developing countries, respectively. Despite the total numbers of magnetic resonance imaging (MRI) equipment in Japan being 400 times higher than in Myanmar, and gross domestic product per capita being 32 times higher in Japan, the individual costs (out of pocket expenditures) per MRI scan are the same (USD 60). However, the total cost per MRI scan is different, implying that differing healthcare costs indicate the existence of over- and under-diagnosis problems among different countries. This study suggests that detailed patient histories and physical examinations are important for selecting relevant diagnostic imaging and reducing unnecessary imaging.

DOI： 10.7759/cureus.14342

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Trends in sleep problems and patterns among Japanese adolescents: 2004 to 2017 査読国際誌

Yuichiro Otsuka, Yoshitaka Kaneita, Adam P. Spira, Ramin Mojtabai, Osamu Itani, Maki Jike, Susumu Higuchi, Hideyuki Kanda, Yuki Kuwabara, Aya Kinjo, Yoneatsu Osaki

The Lancet Regional Health - Western Pacific 9 100107 - 100107 2021年4月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Elsevier BV

Background: Sleep problems in adolescence, such as insomnia and short sleep duration, are associated with physical and mental health problems. However, little is known about the recent trends in sleep problems among adolescents. Therefore, this study examined trends in sleep problems among Japanese adolescents. Methods: Using data from the Lifestyle Survey of Adolescents collected in 2004 (n = 102,451), 2008 (n = 95,680), 2010 (n = 98,867), 2012 (n = 101,134), 2014 (n = 85,931), and 2017 (n = 64,417), we calculated the trends of insomnia, shorter sleep duration, late bedtimes, and poor sleep quality. Multivariable logistic regression analysis models were used to examine the association of each sleep problem and survey years. Findings: We analyzed data from 545,285 Japanese adolescents. Results indicated that, since 2004, the odds ratio for insomnia have decreased (Adjusted odds ratio [AOR] 0•85, 95% CI 0•82-0•87), as have the odds ratio for poor sleep quality (AOR 0•92, 95% CI 0•88-0•95). However, the odds ratio for shorter sleep duration (AOR 1•13, 95% CI 1•10-1•17) and late bedtimes tended to increase (AOR 1•06, 95% CI 1•03-1•08) during this period. Interpretation: The prevalence of insomnia symptoms and poor sleep quality among adolescents decreased from 2004 to 2017. However, there were increasing trends toward shorter sleep duration and late bedtimes. These changes are both relieving and concerning. Teachers, parents, and health professionals should consider educating adolescents regarding sleep hygiene, adjusting schedules of extracurricular activities, and enhancing time management to improve their sleep quantity. Funding: This study received funding from Japan's Ministry of Health, Labour and Welfare.

DOI： 10.1016/j.lanwpc.2021.100107

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