RESUMEN
ObjectiveãIn recent years, studies have reported a prefectural-level disparity in life expectancy. Therefore, we analyzed the related factors using the National Database (NDB), which includes data pertaining to the specific health checkup conducted for 20 million individuals. By doing so, we aimed to obtain basic data for developing future health promotion measures.MethodsãWe used specific health checkup items from NDB Open Data for 2014, and life expectancy data from Prefecture Life Table for 2015. The specific health checkup items were adjusted by age using Japanese population data for 2015. A multiple linear regression analysis was conducted using specific health checkup items that were significantly related to average life expectancy as explanatory variables.ResultsãIn men, excessive drinking, smoking, antihypertensive drug use, systolic blood pressure, and hyperglycemia were independently and inversely related to life expectancy. In women, smoking and antihypertensive drug use emerged as significant factors.ConclusionsãAnalysis using NDB Open Data showed that lifestyle factors such as smoking and drinking, and cardiovascular risk factors such as high blood pressure and hyperglycemia, were strongly related to life expectancy. These result suggest that it is necessary to focus on the above factors when prefectural authorities implement health promotion measures.
Asunto(s)
Bases de Datos Factuales , Esperanza de Vida , Anciano de 80 o más Años , Consumo de Bebidas Alcohólicas/efectos adversos , Consumo de Bebidas Alcohólicas/epidemiología , Anticolesterolemiantes , Antihipertensivos/efectos adversos , Glucemia , Presión Sanguínea , Índice de Masa Corporal , Femenino , Humanos , Japón , Estilo de Vida , Masculino , Análisis de Regresión , Factores de Riesgo , Factores Sexuales , Fumar/efectos adversos , Fumar/epidemiología , Triglicéridos/sangreRESUMEN
The importance of home care medicine has been well recognized by the National and Prefectural policy. We have conducted several meetings on home care medicine and discussed various problems and barriers that need to be overcome. These meetings were held with various professionals. The meetings, however, were conducted with little communication between professionals, especially regarding cancer and non-cancerous lesions. The members who perform the home care medicine are the same persons regardless of the regions they are from. We are, therefore, trying to improve the communication between these professionals in order to consolidate these meetings. We have recognized and understand the present status of home care medicine through these meetings and are willing to make efforts to improve the home medical practice and care.