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ハマノ ツヨシ
HAMANO TSUYOSHI
濱野 強 所属 京都産業大学 現代社会学部 健康スポーツ社会学科 職種 教授 |
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| 言語種別 | 英語 |
| 発行・発表の年月 | 2012/11 |
| 形態種別 | 研究論文 |
| 査読 | 査読あり |
| 標題 | Effect of Environmental and Lifestyle Factors on Hypertension: Shimane COHRE Study |
| 執筆形態 | その他 |
| 掲載誌名 | PLOS ONE |
| 出版社・発行元 | PUBLIC LIBRARY SCIENCE |
| 巻・号・頁 | 7(11),pp.e49122 |
| 著者・共著者 | Tsuyoshi Hamano,Yoshinari Kimura,Miwako Takeda,Masayuki Yamasaki,Minoru Isomura,Toru Nabika,Kuninori Shiwaku |
| 概要 | Background: In recent years there has been increasing evidence of an association between residential remoteness and hypertension (HTN); however, no study has examined the effects of residential remoteness-lifestyle associations on HTN. The objective of this study was to evaluate the effects of residential remoteness, as measured by road network distance and elevation, and lifestyle associations, including access to daily products as a measure of car use, on HTN in a rural region in Japan.
Method: This is a cross-sectional population based study. We analyzed data from the Shimane COHRE study conducted from 2006 to 2009 in the rural mountainous regions of Japan. After excluding missing data, we conducted a logistic regression analysis of the data for 1,348 individuals and examined the effects of residential remoteness and lifestyle associations, including road network distance, elevation and access to daily products as a measure of car use, on the prevalence of HTN. Principal Findings: In participants without access to car use, the odds ratios for self-reported HTN (i.e. taking antihypertensive medication) were significantly increased in those living in moderate (odds ratio (OR): 2.21, 95% confidence interval (CI): 1.19-4.08) and far (OR: 2.55, 95% CI: 1.00-6.51) road distances, whereas there were no significant associations in participants with access to car use. There were no significant associations between elevation and HTN for participants either with or without access to car transportation. Conclusions: Our findings show that specific residential remoteness-hypertension associations vary according to access to daily products as a measure of car use in a rural mountainous area of Japan. These results advance the understanding and importance of considering residential environment, "where people live," in establishing health policy. Citation: Hamano T, Kimura Y, Takeda M, Yamasaki M, Isomura M, et al. (2012) Effect of Environmental and Lifestyle Factors on Hypertension: Shimane COHRE Study. PLoS ONE 7(11): e49122. doi: 10.1371/journal.pone.0049122 |
| DOI | 10.1371/journal.pone.0049122 |
| ISSN | 1932-6203 |
| PMID | 23152860 |