[Current issues in access to care services for the elderly in Japan focusing on special permanent residents and foreign-born Japanese: A report by the Monitoring Report Committee of the Japanese Society of Public Health].

　Japan is currently one of the countries with a long life expectancy, in which a great number of older people need care for their daily living. Japan has become increasingly internationalized due to an increase in foreigners and international marriages. As the number of elderly foreigners and foreign-born Japanese increase, older adults who do not use Japanese as their first language will need more opportunities to receive care.　We examined characteristics such as country of origin, language spoken, lifestyle, living environment, and cultural background of elderly people who were either foreign permanent residents living in Japan or foreign-born Japanese (hereinafter referred to as elderly with an international background, in short, EIB) receiving care support. Ichushi-web, a medical literature database, was used [last search date: June 2, 2018]. These searches extracted 205 papers. After the first and second extraction procedures, only two papers matched this theme. These two reports were for Korean residents in Japan, so-called special permanent residents, and repatriates from China and their spouses, many of whom were aged 75 years old and above.　The number of permanent residents in Japan who speak a foreign language as their first language is increasing. Inhibition of communication between EIB and healthcare welfare service providers is expected to be an obstacle while accessing care support services. For this reason, we must provide them with information related to Japanese healthcare services. Medical interpretation efforts are scattered and the response to EIB in the event of disasters has been discussed. From the perspective of multicultural coexistence, it is necessary to provide long-term care insurance services and medical services to EIB. Such efforts may include development and sharing of tools and the placement of staff who can communicate with non-Japanese speakers. Staff must also understand various illness- and health awareness-related issues.　In the future, considering the increasing number of EIB who may require care services, we must consider cultural backgrounds and language diversification for EIB. These issues require clarification and development of acceptable solutions.

Evaluation of the effects of a health education program on the improvement of hypercholesterolemia.

This study examined the effects of a health education program based on the self- reliance and self-action philosophy and the use of group work methodology on hypercholesterolemia during and after the intervention period. Thirty-two people participated in the study. Measurement values were obtained at the commencement of the intervention (Baseline), during the 6-month intervention period, at the end of the 6-month intervention period (Middle Point) and 6 months after Middle Point (End Point). The average number of steps per day significantly increased during the 6-month intervention period. The energy intake and fat intake levels significantly decreased during the 6-month intervention period. Total cholesterol, triglyceride, and atherosclerosis-index levels significantly decreased between Baseline and End Point. The HDL cholesterol levels significantly increased between Baseline and End Point. Statistically significant decrease was also observed in total cholesterol and atherosclerosis-index levels between Baseline and Middle Point, and between Middle Point and End Point. It is concluded that the health education program based on self-reliance and self-action philosophy using a group work methodology is effective for improving hypercholesterolemia. Especially, the improvement in the serum total cholesterol and atherosclerosis-index levels was sustained even after the intervention period.