Prospective Health Diary Study for New Onset Chest Symptoms in the Japanese General Population

Tokuda, Yasuharu; Ohde, Sachiko; Takahashi, Osamu; Shakudo, Masaaki; Yanai, Haruo; Shimbo, Takuro; Fukuhara, Shunichi; Hinohara, Shigeaki; Fukui, Tsuguya

doi:10.2169/internalmedicine.47.0384

Cited by 4 publications

(7 citation statements)

References 36 publications

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“…However, the rate of cough and sputum production, wheezing, or dyspnea on exertion varied greatly between studies I and II. This observation differed from that of a previous study involving general subjects in Japan who showed a similarly high prevalence of COPD (20). However, it could not be concluded from the present data whether spirometry should be performed to diagnose airflow obstruction in patients with exertional dyspnea (21), because the prevalence of subjects who complained of dyspnea was high throughout the 4 years of study I as well as in the 1-day screening used in study II.…”

Section: Discussioncontrasting

confidence: 99%

Concerns with the Health Check-up System for Chronic Obstructive Pulmonary Disease on two Japanese Islands

et al. 2011

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Objective Early diagnosis is a key factor in the management of chronic obstructive pulmonary disease (COPD). Although mass screening is widely used, little is known about its accuracy and efficacy. This study investigated whether using spirometry during mass screening to detect COPD among community residents might be ineffective because of variability in the training and experience of examiners. Participants and Methods Both spirometry and a self-written questionnaire-based survey, including questions designed to detect respiratory symptoms, were conducted on community residents. Two separate studies were conducted on islanders living in similar environments. Study I was performed from 2004 to 2007 on Hachijyo Island residents, while study II, with a similar study design, was performed in 2003 on Inno Island residents. Results In study I, 3,592 subjects underwent examination over the 4-year study period; of these, 378 subjects underwent repeated examinations. Approximately 25% of the subjects had respiratory symptoms. Acceptable spirometry recordings were obtained for 62.0% (2004) to 84.1% (2006) of the subjects. In study II, 167 of the 254 subjects (65.7%) had respiratory symptoms. Acceptable assessment recordings were achieved in 254 subjects (95.5%). The suitability of the recordings was influenced by the extent/level of training of the examiners and the accompanying thoracic specialists. Conclusion We concluded that the effectiveness of health check-ups for COPD evaluation using spirometry was greatly influenced by the quality of the examiners, even when the subjects had respiratory symptoms. Thus, we recommend caution when screening for early signs of COPD during health check-ups.

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Section: Discussioncontrasting

confidence: 99%

Concerns with the Health Check-up System for Chronic Obstructive Pulmonary Disease on two Japanese Islands

et al. 2011

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“…Additional details regarding the sampling and study methods of the Japan Health Diary Study have been previously described. 12,13 In the present study, participation was limited to those who completed questionnaires about PSS. Participants with known psychiatric comorbidities were excluded because their responses to the mental health questionnaire were considered to be different from those of general healthy population.…”

Section: Study Populationmentioning

confidence: 99%

Association Between Frequency of Pruritic Symptoms and Perceived Psychological Stress

Yamamoto

Yamazaki²,

Hayashino³

et al. 2009

Arch Dermatol

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Main Outcome Measures: Frequency of pruritic symptomsassessedbyself-reportedhealthdiariesoverthe1-month period and subsequent psychological stress measured using the Japanese version of the Perceived Stress Scale. Results: The 2224 participants had a mean age of 44.6 years, 1212 (54.5%) were women, and 70 (3.1%) presented with pruritic symptoms. Multivariable analysis showed that patients with pruritic symptoms had significantly higher psychological stress than those without pruritic symptoms (␤ coefficient, 2.33; 95% confidence interval [CI], 0.53-4.14; P =.01). Furthermore, a linear trend was observed between increased psychological stress and increased severity of pruritic symptoms, with ␤ coefficients for the first, second, and third tertiles for symptoms of 0.81 (95% CI, −1.97 to 3.59), 1.77 (95% CI, −0.82 to 4.37), and 4.86 (95% CI, 1.29 to 8.43), respectively (P value for trend, .004). Conclusion: Our results suggest that frequency of pruritic symptoms is associated with psychological stress in the general population.

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“…Data on the HLCS-J for members of the general public were obtained from a health diary study of Japanese people, which has been described extensively elsewhere 14 . The health diary study was a prospective cohort study conducted in 2003 for a population-weighted random sample of households controlled for the size of cities, towns and villages to examine health status and healthcare utilization [15][16][17][18][19][20] . For the purpose of the current study, data of the HLCS-J and demographics were mined from the original dataset, then filtered to include all pertinent data collected from adult participants aged 18 and older.…”

Section: Study Subjectsmentioning

confidence: 99%

Comparison of health locus of control between physicians and the general public

Tokuda

Okubo

Yanai

et al. 2010

Health Education Journal

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Objective: Health locus of control (HLC) is associated with health behaviours. We aimed to investigate the difference of HLC to understand the potential gap in health beliefs between physicians and the general public. Design and setting: Physicians and the general public were surveyed in Japan using a cross-sectional survey. Data on the Japanese version of the HLC scale (HLCS-J) from 2194 members of the general public and 895 physicians were available. Method: Multi-group structural equation modelling analysis was used for examining differential item functioning (DIF) in the HLCS-J between the groups. Results: Uniform DIF was identified for the dimensions of internal, professional control and control by spiritual powers. Mean score for chance control (17.2) among physicians was greater than that (14.9) among the general public (adjusted p<0.001), while mean score for family control (21.7) among physicians was lower than that (22.1) among the general public (adjusted p<0.001). Conclusion: Physicians are more likely to have a higher chance control but lower family control than the general public. Further studies are needed to evaluate the relationships between individual physicians’ HLC and their health behaviours.

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Prospective Health Diary Study for New Onset Chest Symptoms in the Japanese General Population

Cited by 4 publications

References 36 publications

Concerns with the Health Check-up System for Chronic Obstructive Pulmonary Disease on two Japanese Islands

Concerns with the Health Check-up System for Chronic Obstructive Pulmonary Disease on two Japanese Islands

Association Between Frequency of Pruritic Symptoms and Perceived Psychological Stress

Comparison of health locus of control between physicians and the general public

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