1.Factors associated with nutritional status in children aged 6-24 months in Central African Republic- An anthropometric study at health centers in Bangui -
Yoko IWANAGA ; Mizuko TOKUNAGA ; Sayo IKUTA ; Hiroyuki INADOMI ; Miyuki ARAKI ; Yuko NAKAO ; Harumi MIYAHARA ; Mayumi OHNISHI ; Kazuyo OISHI
Journal of International Health 2009;24(4):289-298
Background
According to the state of the world's children 2006, 28% of children under five years of age in sub-Sahara Africa are malnourished, which has serious effects on these children's health and lives.
Extensive research has been conducted on child malnutrition in a variety of developing countries. These studies have established scientific indexes to lead and coordinate international action to assist the needy. Central African Republic, however, has been a blind spot. Therefore, the present study was conducted in order to clarify the nutritional status and associated factors of 6 to 24-month-old children in the district of Boy-rabe, Bangui, Central African Republic.
Methods
Participants were mothers with children aged 6-24 months who visited either a government-run clinic or the NGO-run clinic, Amis d'Afrique, between August 26th and September 16th of 2006. Mothers were interviewed using a structured questionnaire and measurements of the children's weight and length were collected. Weight, length, and age data were compared with child growth standards proposed by the WHO to calculated z-scores for evaluatinglength-for-age (wasting), weight-for-length (stunted growth), and weight-for-age (underweight). The following factors were investigated for their association to malnutrition in children: “demographic characteristics”, “access to food”, “maternal and child-care practices”, and “poor water/sanitation and inadequate health services”.
Results
A total of 126 mother-child pairs participated in this study and valid data from 109 pairs were subjected to analysis. The rates of wasting, stunted growth, and underweight children were 20.2%, 61.5% and 42.2%, respectively.
Incomplete vaccination (p=0.043) and the mother not having a partner (p=0.046) were significantly associated with wasting. Stunted growth was found to be associated with older child's age (p<0.001), older mothers' age (p=0.005), mothers who had stopped breast-feeding (p=0.031), insufficient breast-feeding (p=0.032), mothers with child death experience (p=0.022), mothers with a number of delivery experiences (p=0.026) and mothers with a partner (p=0.042). Underweight children were associated with incomplete vaccination (p=0.043) and mothers with child death experience (p=0.046).
Conclusion
In total, 8 factors were found to be significantly associated with child's malnutrition and household/family level. In particular, severe acute malnutrition, or wasting, was related to insufficient vaccination, while chronic malnutrition, or stunted growth, was significantly associated with breast-feeding.
2.Developing an Instrument to Measure Climacteric Symptoms among Korean and Japanese Women.
Ae Ri SONG ; Kazuyo OISHI ; Euy Hoon SUH ; Harumi MIYAHARA ; Hisayoshi NAKAJIMA ; Yuko NAKAO ; Miyuki ARAKI ; Makiko YAMASAKI
Journal of Korean Academy of Nursing 2006;36(4):637-644
PURPOSE: The purpose of this study was to construct a measurement instrument for climacteric symptoms among Korean and Japanese women. METHODS: From Dec. 1st of 2003 to March 30th of 2004, in-depth interviews were made with 26 women (15 in Jinju, Korea and 11 in Nagasaki, Japan) aged from 45 to 59 years who had not taken hormone replacement therapy to relieve the climacteric symptoms. A draft questionnaire with 45 items was constructed on the basis of the interview data and literature review. Three obstetricians, three PhDs in nursing science, and a chief nurse who was exclusively in charge of the climacteric management, examined the draft questionnaire to evaluate content validity. After deletions 39 items remained for a preliminary questionnaire. A survey was conducted by using a convenient sampling method in Jinju of Korea and Nagasaki of Japan during the period from April 1st, 2004 to July 10th, 2005. RESULTS: Factor analysis identified 4 factors, which were "mental and psychological symptoms", "physical symp-toms", "loss of autonomic nervous system symptoms", "sexual symptoms". These four factors explained 46.9% of total variance. CONCLUSIONS: The results demonstrated that climacteric symptom scale was multidimensional, and the reliability and validity of the scale was supported.
*Climacteric/ethnology
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Factor Analysis, Statistical
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Female
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Humans
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Japan
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Korea
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Middle Aged
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*Nursing Assessment
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*Questionnaires
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Reproducibility of Results
3.For making a declaration of countermeasures against the falling birth rate from the Japanese Society for Hygiene: summary of discussion in the working group on academic research strategy against an aging society with low birth rate.
Kyoko NOMURA ; Kanae KARITA ; Atsuko ARAKI ; Emiko NISHIOKA ; Go MUTO ; Miyuki IWAI-SHIMADA ; Mariko NISHIKITANI ; Mariko INOUE ; Shinobu TSURUGANO ; Naomi KITANO ; Mayumi TSUJI ; Sachiko IIJIMA ; Kayo UEDA ; Michihiro KAMIJIMA ; Zentaro YAMAGATA ; Kiyomi SAKATA ; Masayuki IKI ; Hiroyuki YANAGISAWA ; Masashi KATO ; Hidekuni INADERA ; Yoshihiro KOKUBO ; Kazuhito YOKOYAMA ; Akio KOIZUMI ; Takemi OTSUKI
Environmental Health and Preventive Medicine 2019;24(1):14-14
In 1952, the Japanese Society for Hygiene had once passed a resolution at its 22nd symposium on population control, recommending the suppression of population growth based on the idea of cultivating a healthier population in the area of eugenics. Over half a century has now passed since this recommendation; Japan is witnessing an aging of the population (it is estimated that over 65-year-olds made up 27.7% of the population in 2017) and a decline in the birth rate (total fertility rate 1.43 births per woman in 2017) at a rate that is unparalleled in the world; Japan is faced with a "super-aging" society with low birth rate. In 2017, the Society passed a resolution to encourage all scientists to engage in academic researches to address the issue of the declining birth rate that Japan is currently facing. In this commentary, the Society hereby declares that the entire text of the 1952 proposal is revoked and the ideas relating to eugenics is rejected. Since the Society has set up a working group on the issue in 2016, there have been three symposiums, and working group committee members began publishing a series of articles in the Society's Japanese language journal. This commentary primarily provides an overview of the findings from the published articles, which will form the scientific basis for the Society's declaration. The areas we covered here included the following: (1) improving the social and work environment to balance between the personal and professional life; (2) proactive education on reproductive health; (3) children's health begins with nutritional management in women of reproductive age; (4) workplace environment and occupational health; (5) workplace measures to counter the declining birth rate; (6) research into the effect of environmental chemicals on sexual maturity, reproductive function, and the children of next generation; and (7) comprehensive research into the relationship among contemporary society, parental stress, and healthy child-rearing. Based on the seven topics, we will set out a declaration to address Japan's aging society with low birth rate.
Aging
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Birth Rate
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trends
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Child
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Child Health
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Environmental Exposure
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adverse effects
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prevention & control
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Female
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Health Planning Guidelines
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Humans
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Japan
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epidemiology
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Male
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Occupational Health
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Reproductive Health
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education
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Research Design
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standards
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Societies, Scientific
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organization & administration
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Stress, Psychological
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prevention & control
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Women's Health