研究者詳細 - 神田　秀幸

論文 - 神田　秀幸

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家庭血圧測定実施者における食習慣と食物摂取状況の変化益田研究(第2報)

中畑典子, 福田茉莉, 宮川健, 谷口かおり, 久松隆史, 神田秀幸

日本公衆衛生学会総会抄録集 78回 330 - 330 2019年10月

勤労者における測定環境室温と家庭血圧値の変動に関する横断研究益田研究より

神田秀幸, 福田茉莉, 中畑典子, 宮川健, 谷口かおり, 久松隆史

日本高血圧学会総会プログラム・抄録集 42回 375 - 375 2019年10月

IoTを活用した長期家庭血圧管理研究の実践報告と課題益田研究(第1報)

福田茉莉, 中畑典子, 宮川健, 谷口かおり, 久松隆史, 神田秀幸

日本公衆衛生学会総会抄録集 78回 330 - 330 2019年10月

Association between excessive supraventricular ectopy and subclinical cerebrovascular disease: a population‐based study 査読

T. Hisamatsu, K. Miura, A. Fujiyoshi, A. Kunimura, T. Ito, I. Miyazawa, S. Torii, A. Shiino, K. Nozaki, H. Kanda, H. Arima, T. Ohkubo, H. Ueshima

European Journal of Neurology 26 ( 9 ) 1219 - 1225 2019年9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：Wiley

Background and purpose: The association between an increased supraventricular ectopic beat (SVEB) and subclinical cerebrovascular disease remains unclear. Given the emerging concept that an increased SVEB is a marker of atrial cardiomyopathy or atherosclerosis burden, we sought to determine whether excessive supraventricular ectopic activity (ESVEA) is associated with a higher burden of subclinical cerebrovascular disease in the middle-aged to older cohort with neither apparent stroke nor atrial fibrillation. Methods: We conducted a cross-sectional population-based study of 462 men (mean age, 68.1 years) who underwent 24-h Holter electrocardiography and brain magnetic resonance imaging. ESVEA was defined as the presence of >10 SVEBs/h. Subclinical cerebrovascular diseases were defined as silent brain infarct (SBI), white matter hyperintensity (WMH) and intracranial atherosclerotic stenosis (ICAS). The association of ESVEA with the presence of subclinical cerebrovascular diseases was adjusted for potential confounding covariates. Results: A total of 88 (19.0%) participants had ESVEA and 81 (17.5%), 91 (19.7%) and 109 (23.6%) had SBI, WMH and ICAS, respectively. In multivariable-adjusted Poisson regression with robust error variance, ESVEA was associated with the presence of WMH (relative risk, 1.58; 95% confidence interval, 1.06–2.36) and ICAS (relative risk, 1.49; 95% confidence interval, 1.02–2.18), but not with that of SBI (relative risk, 1.32; 95% confidence interval, 0.86–2.01). These associations were consistent when the graded distributions of subclinical cerebrovascular diseases were applied as outcomes in ordinal logistic regression. Conclusions: The ESVEA was independently associated with higher burdens of WMH and ICAS. This suggests that increased SVEBs might improve risk stratification of individuals at high risk of subclinical cerebrovascular disease and consequently apparent ischaemic stroke.

DOI： 10.1111/ene.13970

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その他リンク： https://onlinelibrary.wiley.com/doi/full-xml/10.1111/ene.13970

文献レビューによる未成年の飲酒が脳に及ぼす影響. 査読

辻雅善, 舩越駿介, 神田秀幸

近畿大学九州短期大学研究紀要 49 9 - 19 2019年4月

中山間地域在住の家族介護者における介護負担感に関連する要因－ソーシャルサポートに焦点を当てて－査読

橋村康二, 福田茉莉, 鈴木哲, 木村愛子, 佐藤利栄, 津村秀樹, 嘉数直樹, 神田秀幸

島根大学医学部紀要 41 23 - 28 2019年3月

担当区分：責任著者記述言語：日本語掲載種別：研究論文（大学，研究機関等紀要）出版者・発行元：島根大学医学部

本研究の目的は、中山間地域在住の家族介護者の介護負担感とソーシャルサポート(social support:以下SS)との関連、および要介護者の問題行動の有無別にこれらの関連を明らかにすることを目的とした。島根県の中山間地域在住の家族介護者246名を対象に、質問紙調査法にて研究を行った。回答不備を除く134名の結果を分析対象として介護負担感の高、低群について二群間比較を行った。結果、介護負担感高群は低群に比べ、SSの合計得点、家族内情緒的・手段的サポート得点、家族外手段的サポート得点が有意に低かった。要介護者が問題行動を有する場合は、介護負担感高群は低群に比べ、SSの合計得点、家族内情緒的・手段的サポート得点が有意に低かった。家族介護者以外の家族から提供されるSSを促進するための具体的な支援策が、介護負担感の軽減に有効であると考えられた。(著者抄録)

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その他リンク： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2019&ichushi_jid=J04309&link_issn=&doc_id=20190416590004&doc_link_id=%2Fdl0bulle%2F2018%2F004100%2F004%2F0023-0028%26dl%3D0&url=https%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Fdl0bulle%2F2018%2F004100%2F004%2F0023-0028%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

全国中学校教員におけるインターネットの使用状況とインターネット依存の実態

祝原あゆみ, 福田茉莉, 神田秀幸

産業衛生学雑誌 61 ( 2 ) 83 - 84 2019年3月

農業従事者における寝酒・迎え酒と不眠の関連

佐藤利栄, 津村秀樹, 福田茉莉, 江角幸夫, 三ヶ尻薫, 田村周作, 神田秀幸

日本衛生学雑誌 74 ( Suppl. ) S148 - S148 2019年2月

At-risk Internet addiction and related factors among junior high school teachers-based on a nationwide cross-sectional study in Japan. 国際誌

Ayumi Iwaibara, Mari Fukuda, Hideki Tsumura, Hideyuki Kanda

Environmental health and preventive medicine 24 ( 1 ) 3 - 3 2019年1月

担当区分：最終著者記述言語：英語掲載種別：研究論文（学術雑誌）

BACKGROUND: School teachers have a possibility toward at-risk Internet addiction (IA) due to increased opportunities to use the Internet, along with the spread of the Internet in recent years. Burnout syndrome (BOS) is found to be one of the symptoms related to unhealthy mental health, especially among teachers. This study aims to research the relationship between at-risk IA and the Internet usage or BOS by conducting a nationwide cross-sectional survey and examining the factors associated with IA. METHOD: This study was a cross-sectional survey by anonymous questionnaire. This survey was a random sampling survey of junior high schools across Japan in 2016. The participants were 1696 teachers at 73 schools (response rate in teachers 51.0%). We asked participants for details of their backgrounds, Internet usage, the Internet Addiction Test (IAT) by Young, and the Japanese Burnout Scale (JBS). We divided the participants into either the at-risk IA group (IAT score ≧ 40, n = 96) or the non-IA group (IAT score < 40, n = 1600). To compare the difference between at-risk IA and non-IA, we used nonparametric tests and t test according to variables. To analyze the relationship between the IAT score and the scores of three factors of the JBS (emotional exhaustion, depersonalization, and personal accomplishment), we used both ANOVA and ANCOVA, adjusted by relevant confounding factors. To clarify the contribution of each independent variable to IAT scores, we used multiple logistic regression analysis. RESULTS: In our study, at-risk IA was associated with using the internet many hours privately, being on the Internet both on weekdays and weekends, playing games, and surfing the Internet. In the relationship between IAT score and BOS factor score, a higher score for "depersonalization" had a positive relationship with at-risk IA, and the highest quartile for "decline of personal accomplishment" had a lower odds ratio with at-risk IA by multiple logistic regression analysis. CONCLUSION: We clarified there is a significant relationship between at-risk IA and BOS among junior high school teachers in a nationwide survey. Our results suggest that finding depersonalization at the early stage may lead to the prevention of at-risk IA among teachers. Those who are at-risk of IA may feel personal accomplishment through use of the Internet.

DOI： 10.1186/s12199-018-0759-3

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Association between unhealthy dietary behaviors and sleep disturbances among Japanese adolescents: a nationwide representative survey

Yuichiro Otsuka, Yoshitaka Kaneita, Osamu Itani, Yoneatsu Osaki, Susumu Higuchi, Hideyuki Kanda, Sachi Nakagome, Maki Jike, Takashi Ohida

SLEEP AND BIOLOGICAL RHYTHMS 17 ( 1 ) 93 - 102 2019年1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

PurposeDietary behaviors and sleep are important lifestyle factors to protect adolescent health. However, little is known about how dietary behaviors are related to sleep disturbances. The purpose of this study was to conduct a large-scale survey among Japanese adolescents to verify the association between unhealthy dietary behaviors and sleep disturbances.MethodsThis study included 65,688 and 99,581 students enrolled in 140 and 120 randomly selected junior and senior high schools, respectively. A total of 85,931 self-administered questionnaires were collected from 79 junior and 77 senior high schools from 2014 to 2015. The survey included questions on sleep patterns, dietary behaviors, alcohol consumption, and smoking, as well as questions on mental health. For dietary behaviors, we adopted the items on meal habits in the National Health and Nutrition Survey including, the frequency of eating breakfast, the frequency of family meals, and subjective diet quality. We performed a multivariate analysis on the relationship between the dietary behaviors and sleep disturbance.ResultsData from 84,988 questionnaires were analyzed. Boys and girls with less healthy dietary behaviors had a significantly higher prevalence for each sleep disturbance. Subjective sleep quality and insomnia were significantly associated with breakfast frequency, family meal frequency, and diet quality. Short sleep duration was significantly associated with breakfast frequency and family meal frequency, but not with subjective diet quality.ConclusionsOur study suggested that sleep and dietary behaviors affect one another. Those involved in public health education should encourage adolescents to establish healthy sleep patterns as well as healthy dietary behaviors.

DOI： 10.1007/s41105-018-0193-3

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Primary care doctor fostering and clinical research training in Sweden: Implications for Japan.

Takashi Watari, Masahiro Hirose, Patrik Midlöv, Yasuharu Tokuda, Hideyuki Kanda, Masanobu Okayama, Hiroo Yoshikawa, Kazumichi Onigata, Mikio Igawa

Journal of general and family medicine 20 ( 1 ) 4 - 8 2019年1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：Wiley

In 2018, a new training program for primary care physicians was launched in Japan. As physicians responsible for the training of new primary care physicians, we have faced many problems, particularly in rural areas. The influence of this new program on primary care physicians in rural areas of Japan has not been sufficiently investigated. The aim of this research was to improve training for primary care physicians in Japan by examining training programs in Sweden, where the population challenges are similar to those seen in Japan. In this paper, we will express our opinions and describe the differences in the primary care fostering systems and clinical research training for generalist in Japan and Sweden.

DOI： 10.1002/jgf2.211

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Bio-psychosocial factors of children and adolescents with internet gaming disorder: a systematic review. 国際誌

Nagisa Sugaya, Tomohiro Shirasaka, Kenzo Takahashi, Hideyuki Kanda

BioPsychoSocial medicine 13 3 - 3 2019年

担当区分：最終著者記述言語：英語掲載種別：研究論文（学術雑誌）

Previous large-scale studies suggest that internet gaming disorder (IGD) among children and adolescents has become an important public concern. Minors are known to be particularly susceptible to problematic internet gaming use owing to age-related underdevelopment of cognitive control. It has been shown that precursors of addictions appear during adolescence; therefore, prevention efforts must be established targeting minors who have their first experience with addictive substances and behaviors during pubescence. Since the DSM-5 classification of IGD in 2013, studies on IGD have drastically increased in number. Thus, we performed an updated review of studies of IGD in children and adolescents to assess the clinical implications of IGD. The search included all publication years, using PubMed, MEDLINE, and PsycINFO. Across studies, the presence of IGD had a negative effect on sleep and schoolwork in minors. Additionally, family factors, including the quality of parent-child relationships, were important social factors in minors with IGD. Brain imaging studies indicate that impaired cognitive control in minors with IGD is associated with abnormal function in the prefrontal cortex and striatum. Persistent pathological online game use from childhood may aggravate abnormal brain function; therefore, preventive care and early intervention are increasingly important. Although extant research supports the effectiveness of cognitive behavioral therapy for minors with IGD, effective psychological intervention for minors with IGD is an urgent issue that requires further research. This review, which presents updated findings of IGD in minors, is expected to contribute to the development of future research and be useful in clinical practice in the field of child and adolescent psychiatry.

DOI： 10.1186/s13030-019-0144-5

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Different socioeconomic backgrounds between hazardous drinking and heavy episodic drinking: Prevalence by sociodemographic factors in a Japanese general sample. 国際誌

Aya Kinjo, Yuki Kuwabara, Ruriko Minobe, Hitoshi Maezato, Mitsuru Kimura, Susumu Higuchi, Hiroshi Matsumoto, Takefumi Yuzuriha, Yoshinori Horie, Hideyuki Kanda, Hisashi Yoshimoto, Yoneatsu Osaki

Drug and alcohol dependence 193 55 - 62 2018年12月

記述言語：英語掲載種別：研究論文（学術雑誌）

BACKGROUND: Hazardous drinking (HD) and heavy episodic drinking (HED) constitute different types of alcohol-related harm. The socioeconomic status (SES) background of various alcohol consumption behaviors is not clear. The purpose of this study was to clarify existing SES differences between HD and HED. METHODS: The 2013 national survey regarding alcohol use among Japanese adults was utilized. The results from 1193 men and 1503 women aged 20-64 years were included in the analysis. Education attainment, household income, marital status, working status, and occupation were adopted as SES determinants. Binomial logistic regression analysis was conducted to estimate the odds ratios (ORs) of HD and HED for each SES group. RESULTS: ORs (95% confidence intervals) of HD were higher among persons with less education among both men [1.61 (1.18-2.20)] and women [1.78 (1.19-2.67)]. The OR of HED in men was significantly higher among those who belonged to high household income, were married, and managers or professionals. The OR of HED among women was higher in persons who were employed, as compared with those who engaged in housework. There were no correlations between HED and educational background. CONCLUSIONS: This study showed that in Japan, a lower educational background for both men and women was associated with a higher risk for HD, while higher current SES for men and working women were associated with a higher risk for HED. It is necessary to recognize the SES differences between HD and HED to achieve a policy to reduce alcohol-related harm.

DOI： 10.1016/j.drugalcdep.2018.08.015

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Problematic Internet Use and Its Relationship with Psychological Distress, Insomnia, and Alcoholism Among Schoolteachers in Japan

Hideki Tsumura, Hideyuki Kanda, Nagisa Sugaya, Satoshi Tsuboi, Mari Fukuda, Kenzo Takahashi

CYBERPSYCHOLOGY BEHAVIOR AND SOCIAL NETWORKING 21 ( 12 ) 788 - 796 2018年12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：MARY ANN LIEBERT, INC

Because schoolteachers are subject to suffer from mental health problems, this study aimed to examine the relationship between problematic Internet use (PIU) and psychological distress, insomnia, and alcoholism among schoolteachers. The cross-sectional study surveyed junior and senior high school teachers in Shimane prefecture, a rural area in Japan. A total of 2,663 junior and senior high school teachers (1,702 men and 961 women) completed the self-rated questionnaire measuring PIU, psychological distress, insomnia, and alcoholism. The results of hierarchical multiple regression analyses showed that psychological distress, insomnia, and alcoholism were associated with PIU among schoolteachers. The results indicate that schoolteachers with more severe psychological distress, insomnia, or alcoholism, regardless of gender, would use the Internet in a more problematic way. The study suggests that PIU could be an important condition related to multiple health problems in schoolteachers.

DOI： 10.1089/cyber.2018.0233

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The association between sleep disturbance and second-hand smoke exposure: a large-scale, nationwide, cross-sectional study of adolescents in Japan. 国際誌

Hisayoshi Morioka, Maki Jike, Hideyuki Kanda, Yoneatsu Osaki, Sachi Nakagome, Yuichiro Otsuka, Yoshitaka Kaneita, Osamu Itani, Susumu Higuchi, Takashi Ohida

Sleep medicine 50 29 - 35 2018年10月

記述言語：英語掲載種別：研究論文（学術雑誌）

OBJECTIVE: This study investigated the association between secondhand-smoke (SHS) exposure and sleep disturbance symptoms. METHODS: This study was a cross-sectional survey of junior and senior high school students throughout Japan. A total of 85,931 adolescents responded, and 84,988 questionnaires were included in the analysis. RESULTS: Adolescents who had never smoked accounted for 88.0% of respondents; among that group 39.1% reported having been exposed to SHS over the previous week. The results of multiple logistic regression analyses indicated that the adjusted odds ratios for insomnia symptoms such as difficulty initiating sleep (DIS), difficulty maintaining sleep (DMS) and early morning awakening (EMA), as well as sleep disturbance symptoms such as subjectively insufficient sleep and short sleep duration (<6 h), tended to be higher both among never-smoking adolescents with SHS exposure and among smoking adolescents, as compared with never-smoking adolescents without SHS exposure. When adolescents with one or more of DIS, DMS, and EMA were defined as having insomnia, the adjusted odds ratio for insomnia was highest for adolescents who smoked, followed in descending order by those exposed to SHS both inside and outside the home, those exposed to SHS only inside the home, those exposed to SHS only outside the home, and never-smoking adolescents without SHS exposure (p < 0.001). CONCLUSIONS: The present study has revealed that SHS exposure is associated with sleep disturbance. Thus, in addition to smoking cessation programs, it is also necessary to endorse measures to protect adolescents from SHS exposure in order to promote good sleep in this population.

DOI： 10.1016/j.sleep.2018.04.014

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戦後の公衆衛生活動の歴史的変遷島根県を例に

福田茉莉, 神田秀幸

日本公衆衛生学会総会抄録集 77回 337 - 337 2018年10月

中山間地域在住の家族介護者における介護負担感とソーシャルサポートとの関連

橋村康二, 福田茉莉, 嘉数直樹, 津村秀樹, 佐藤利栄, 神田秀幸

日本公衆衛生学会総会抄録集 77回 436 - 436 2018年10月

全国の中学校教員におけるインターネット依存とバーンアウトの関連

祝原あゆみ, 福田茉莉, 津村秀樹, 神田秀幸

日本公衆衛生学会総会抄録集 77回 575 - 575 2018年10月

農業従事者における精神的健康状態とその関連要因

佐藤利栄, 津村秀樹, 福田茉莉, 江角幸夫, 三ヶ尻薫, 田村周作, 神田秀幸

日本循環器病予防学会誌 53 ( 2 ) 184 - 184 2018年5月

Prevalence and Risk Factors of Internet Addiction Among Employed Adults in Japan.

Hideki Tsumura, Hideyuki Kanda, Nagisa Sugaya, Satoshi Tsuboi, Kenzo Takahashi

Journal of epidemiology 28 ( 4 ) 202 - 206 2018年4月

記述言語：英語掲載種別：研究論文（学術雑誌）

BACKGROUND: The prevalence of Internet addiction (IA) among employed adults has not been reported using a large sample. To clarify the actual status of addictive Internet use among employed adults, this study aimed to evaluate the prevalence and the risk factors of IA and at-risk IA among employed adults in Japan. METHODS: This cross-sectional study surveyed all junior and senior high school personnel in Shimane Prefecture, a rural area in Japan. Eligible participants included 3,211 junior and senior high school personnel (1,259 men and 1,952 women). Participants completed a questionnaire on their activities and factors related to Internet use. RESULTS: The prevalence of IA and at-risk IA was 0.03% and 4.82%, respectively. Furthermore, game playing was shown to be the Internet activity most closely associated with at-risk IA. CONCLUSIONS: This study showed that around 5% of school personnel in a rural area in Japan are at risk for developing addiction to the Internet and that using the Internet for game playing is related to at-risk IA. Our results suggest that employed adults should be instructed to use the Internet properly.

DOI： 10.2188/jea.JE20160185

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