論文 - 秋山　美紀

Effect modification by geographic area on the association between health literacy and self-rated health: a nationwide cross-sectional study in Japan

Ishikawa H., Ogawa R., Otsuki A., Saito J., Yaguchi-Saito A., Kuchiba A., Fujimori M., Fukuda Y., Shimazu T., Hayakawa M., Hosono S., Inoue M., Kaji Y., Katanoda K., Matsuda T., Matsuoka Y.J., Odawara M., Takahashi H., Takahashi M., Uchitomi Y., Umezawa J., Watanabe O., Yoshimi I., Kreps G.L., Sakurai N., Momosaka T., Akiyama M., Miyawaki R., Okubo R., Akamatsu R., Kawasaki Y., Fujisaki K., Ogawa L., Imamura H., Nakaya K., Nakaya N., Mitsutake S., Sasai H.

BMC Public Health （BMC Public Health）  23 （ 1 ）  2023年12月

　概要を見る

Background: Health literacy (HL) has gained increasing attention as a factor related to health behaviors and outcomes. This study aimed to investigate geographic differences in HL levels and effect modification by geographic area on their relationship with self-rated health in the Japanese population using a nationwide sample. Methods: Data for this study were derived from a nationally representative cross-sectional survey on health information access for consumers in Japan using a mailed self-administered questionnaire in 2020 (INFORM Study 2020). Valid responses from 3,511 survey participants, selected using two-stage stratified random sampling, were analyzed in this study. HL was measured using the Communicative and Critical Health Literacy Scale (CCHL). Multiple regression and logistic regression analyses were conducted to examine the associations between geographic characteristics and HL and effect modification on the association between HL and self-rated health by geographic area, controlling for sociodemographic characteristics. Results: The mean HL score was 3.45 (SD = 0.78), somewhat lower compared with previous studies on the Japanese general population. HL was higher in Kanto area than in Chubu area, after controlling for sociodemographic factors and municipality size. Furthermore, HL was positively associated with self-rated health after controlling for sociodemographic and geographic factors; however, this association was more evident in eastern areas than in western areas. Conclusion: The findings indicate geographic differences in HL levels and effect modification by geographic area on the relationship between HL and self-rated health in the general Japanese population. HL was more strongly associated with self-rated health in eastern areas than in western areas. Further investigation is needed to explore the moderating effects of areal features, including the distribution of primary care physicians and social capital, when formulating strategies to improve HL in different contexts.

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Screening practices of cancer survivors and individuals whose family or friends had a cancer diagnoses—a nationally representative cross-sectional survey in Japan (INFORM Study 2020)

Akiyama M., Ishida N., Takahashi H., Takahashi M., Otsuki A., Sato Y., Saito J., Yaguchi-Saito A., Fujimori M., Kaji Y., Shimazu T.

Journal of Cancer Survivorship （Journal of Cancer Survivorship）  2023年

ISSN  19322259

　概要を見る

Purpose: We examined cancerscreening practices and related beliefs in cancer survivors and individuals with family or close friends with a cancer diagnosis compared to individuals without the above cancer history for 5 population-based (gastric, colorectal, lung, breast, cervical) and 1 opportunistic (prostate) cancer screenings using nationally representative cross-sectional survey in Japan. Methods: We analyzed 3269 data from 3605 respondents (response rate, 37.1%) and compared the screening beliefs and practices of cancer survivors (n = 391), individuals with family members (n = 1674), and close friends with a cancer diagnosis (n = 685) to those without any cancer history (n = 519). Results: Being a cancer survivor was associated with screening for gastric (OR, 1.75; 95% CI, 1.04–2.95), colorectal (OR, 1.56; 95% CI, 1.03–2.36), and lung cancer (OR, 1.71; 95% CI, 1.10–2.66) but not breast, cervical cancer or PSA test. Having a family cancer diagnosis was associated with colorectal and lung cancer screening. Having friends with a cancer diagnosis was associated with PSA test. Cancer survivors and family members perceived themselves as being more susceptible and worried about getting cancer than individuals without any cancer history. Cancer survivors strongly believed screening can detect cancer and were more likely to undergo screening. Subgroup analysis indicated an interrelation between gastric and colorectal cancer screening among survivors. Conclusions: A cancer diagnosis in oneself or family or friend influences an individual’s health-related belief and risk perception, which can increase the likelihood of cancer screening. Implications for Cancer Survivors: Targeted and tailored communication strategies can increase awareness of cancer screening.

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Patterns of alcohol and alcohol-flavoured non-alcoholic beverage advertisements over Japanese free-to-air television networks

Kato M., Ishikawa H., Kiuchi T., Akiyama M., Kawamura Y., Okuhara T., Ono N., Miyawaki R.

BMC Public Health （BMC Public Health）  22 （ 1 ）  2022年12月

　概要を見る

Background: Alcohol use is a serious public health challenge worldwide. Japan has no government regulations or legal penalties against advertising alcoholic beverages on television (TV). Instead, advertisements depend on the Japanese alcohol industry’s self-regulation on airtime (no advertisements from 5 am to 6 pm) and the content of alcoholic beverages, which must not tempt minors. However, many adolescents (10 to 19 years old) watch TV from 6 pm to 11 pm. The aim of this study was to describe the pattern in the advertising of alcoholic beverages and alcohol-flavoured non-alcoholic beverages (AFNAB) in Japan during the popular TV viewing time for adolescents. Methods: A secondary analysis of advertising airtime data from five free-to-air Japanese TV networks in the Greater Tokyo area that aired between 12 August and 3 November 2019, was performed. Results: During the study period, 5215 advertisements for alcoholic beverages and AFNABs aired (1451.75 min). In total, 2303 advertisements (44.2%) were beer, low-malt beer, or beer-taste beverages, 277 (5.3%) were whisky, 2334 (44.8%) were local alcoholic beverages (shochu and seishu), and 301 (5.8%) were AFNAB. On average, more advertisements aired on weekends (67.6 advertisements) than on weekdays (59.3 advertisements) per day. Approximately 30% of advertisements for AFNABs were aired during the time restricted for alcohol advertising, although AFNABs are considered alcohol according to industry guidelines. During the popular television viewing time for young adolescents, about two to three times more advertisements were aired per hour than during the rest of the day, on both weekdays and weekends (p < 0.001). Conclusion: The number of alcohol advertisements aired at times when adolescents often watch TV is 2 to 3.2 times higher than that at other times of the day. Furthermore, despite the industry’s self-imposed regulations, some alcoholic beverages are still advertised. Therefore, other methods to protect children and adolescents from exposure to advertisements for alcoholic beverages should be investigated and implemented.

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Charged metabolite biomarkers of food intake assessed via plasma metabolomics in a population-based observational study in Japan

Shibutami E., Ishii R., Harada S., Kurihara A., Kuwabara K., Kato S., Iida M., Akiyama M., Sugiyama D., Hirayama A., Sato A., Amano K., Sugimoto M., Soga T., Tomita M., Takebayashi T.

PLoS ONE （PLoS ONE）  16 （ 2 February ）  2021年02月

　概要を見る

Food intake biomarkers can be critical tools that can be used to objectively assess dietary exposure for both epidemiological and clinical nutrition studies. While an accurate estimation of food intake is essential to unravel associations between the intake and specific health conditions, random and systematic errors affect self-reported assessments. This study aimed to clarify how habitual food intake influences the circulating plasma metabolome in a free-living Japanese regional population and to identify potential food intake biomarkers. To achieve this aim, we conducted a cross-sectional analysis as part of a large cohort study. From a baseline survey of the Tsuruoka Metabolome Cohort Study, 7, 012 eligible male and female participants aged 40-69 years were chosen for this study. All data on patients' health status and dietary intake were assessed via a food frequency questionnaire, and plasma samples were obtained during an annual physical examination. Ninety-four charged plasma metabolites were measured using capillary electrophoresis mass spectrometry, by a non-targeted approach. Statistical analysis was performed using partial-least-square regression. A total of 21 plasma metabolites were likely to be associated with long-term food intake of nine food groups. In particular, the influential compounds in each food group were hydroxyproline for meat, trimethylamine- N-oxide for fish, choline for eggs, galactarate for dairy, cystine and betaine for soy products, threonate and galactarate for carotenoid-rich vegetables, proline betaine for fruits, quinate and trigonelline for coffee, and pipecolate for alcohol, and these were considered as prominent food intake markers in Japanese eating habits. A set of circulating plasma metabolites was identified as potential food intake biomarkers in the Japanese community-dwelling population. These results will open the way for the application of new reliable dietary assessment tools not by self-reported measurements but through objective quantification of biofluids.

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Reliability of plasma polar metabolite concentrations in a large-scale cohort study using capillary electrophoresis-mass spectrometry

秋山 美紀

PLOS ONE 13 （ 1 ）  2018年01月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  1932-6203

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Physical Activity, Fitness And Cognitive Function Among Community-dwelling Elderly -baseline Data Of Fujisawa Plusten Project.

秋山 美紀

MEDICINE AND SCIENCE IN SPORTS AND EXERCISE 49 （ 5 ） 216 - 216 2017年05月

研究論文（学術雑誌）, 共著,  ISSN  0195-9131

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医療・介護の連携と情報システム－プラットフォームの視点からの考察

秋山 美紀

慶應経営論集 31 （ 1 ） 229 - 256 2014年03月

研究論文（大学，研究機関等紀要）, 単著

A Population-Based Survey on Perceptions of Opioid Treatment and Palliative Care Units: OPTIM Study

Igarashi, Ayumi, Miyashita, Mitsunori, Morita, Tatsuya, Akizuki, Nobuya, Akiyama, Miki, Shirahige, Yutaka, Eguchi, Kenji

AMERICAN JOURNAL OF HOSPICE &amp; PALLIATIVE MEDICINE 31 （ 2 ） 155 - 160 2014年03月

研究論文（学術雑誌）, 査読有り,  ISSN  1049-9091

Regional Medical Professionals' Confidence in Providing Palliative Care, Associated Difficulties and Availability of Specialized Palliative Care Services in Japan

Hirooka, Kayo, Miyashita, Mitsunori, Morita, Tatsuya, Ichikawa, Takeyuki, Yoshida, Saran, Akizuki, Nobuya, Akiyama, Miki, Shirahige, Yutaka, Eguchi, Kenji

JAPANESE JOURNAL OF CLINICAL ONCOLOGY 44 （ 3 ） 249 - 256 2014年03月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  0368-2811

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Effects of a programme of interventions on regional comprehensive palliative care for patients with cancer: a mixed-methods study

Morita, Tatsuya, Miyashita, Mitsunori, Yamagishi, Akemi, Akiyama, Miki, Akizuki, Nobuya, Hirai, Kei, Imura, Chizuru, Kato, Masashi, Kizawa, Yoshiyuki, Shirahige, Yutaka, Yamaguchi, Takuhiro, Eguchi, Kenji

LANCET ONCOLOGY 14 （ 7 ） 638 - 646 2013年06月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  1470-2045

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在宅医療・介護の連携における情報通信技術（ICT）活用の現状と今後の展望

秋山 美紀

Nextcom 15   26 - 34 2013年

研究論文（大学，研究機関等紀要）, 単著

What patients in the advanced stages of cancer know and believe about palliative and home care: a nationwide survey in Japan.

AKIYAMA Miki, Takebayashi T, Morita T, Miyashita M, Hirai K, Matoba M, Akizuki, N, Shirahige Y, Yamagishi A, Eguchi K.

Supportive Care in Cancer 20 （ 5 ） 923-31 2012年05月

研究論文（学術雑誌）, 共著, 査読有り

Pain intensity, quality of life, quality of palliative care, and satisfaction in outpatients with metastatic or recurrent cancer:a Japanese nationwide, region-based, multicenter survey

Yamagishi A, Morita T, Miyashita M, Igarashi A, AKIYAMA M, Akizuki N, Shirahige Y, Eguchi K.

Journal of Pain and Symptom Management 43 （ 3 ） 503-14 2012年03月

研究論文（学術雑誌）, 共著, 査読有り

A scale for measuring feelings of support and security regarding, cancer care in a region of Japan: A potential new endpoint of cancer care

秋山 美紀

Journal of Pain and Symptom Management 43 （ 2 ） 218-25 2012年02月

研究論文（学術雑誌）, 共著, 査読有り

A region-based palliative care intervention trial using the mixed-method approach: Japan OPTIM study

Morita, Tatsuya, Miyashita, Mitsunori, Yamagishi, Akemi, Akizuki, Nobuya, Kizawa, Yoshiyuki, Shirahige, Yutaka, Akiyama, Miki, Hirai, Kei, Matoba, Motohiro, Yamada, Masako, Matsumoto, Taketoshi, Yamaguchi, Takuhiro, Eguchi, Kenji

BMC PALLIATIVE CARE 11   638 - 646 2012年01月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  1472-684X

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Providing palliative care: the views of community general practitioners and district nurses in Japan

Yamagishi A, Morita M, Miyashita M, Ichikawa T, Akizuki N, Shirahige Y, AKIYAMA Miki, Eguchi K,

Journal of Pain and Symptom Management 43 （ 1 ） 59-67 2012年01月

研究論文（学術雑誌）, 共著, 査読有り

A region-based palliative care intervention trial using the mixed-method approach: Japan OPTIM Study

Morita T, Miyashita M, Yamagishi A, Akizuki N, Kizawa Y, Shirahige Y, Akiyama M, Hirai K, Matoba M, Yamada M, Matsumoto T, Yamaguchi T, Eguchi

BMC Palliative Care 11 （ 1 ） Epub ahead of Print 2012年01月

研究論文（学術雑誌）, 単著, 査読有り

Preferred place of care and place of death of the general public and cancer patients in Japan

Yamagishi A, MOrita T, Miyashia M, Yoshida S, Akizuki N, Shirahige Y, AKIYAMA M, Eguchi K

Supportive Care Cancer    Epub Ahead of print PMID: 22270089 2012年01月

研究論文（学術雑誌）, 共著, 査読有り

地域における多施設・多職種デスカンファレンス参加者の体験に関する探索的研究

和泉典子, 柏倉貢, 冨樫清, 鈴木聡, 秋山美紀, 奥山慎一郎, 難波幸井, 渋谷美恵, 鈴木聡

Palliat Care Res (Web) 7 （ 2 ） 354-362 2012年

研究論文（学術雑誌）, 共著,  ISSN  1880-5302

How participants experience and perceive a multi-institutional and multidisciplinary conference after a cancer patient’s death in the home setting in the community : an exploratory study

秋山 美紀

Palliative Care Research 7 （ 2 ） 354-362 2012年

研究論文（学術雑誌）, 共著

Knowledge, beliefs, and concerns about opioids, palliative care, and homecare of advanced cancer patients: a nationwide survey in Japan

秋山 美紀

Supportive Care in Cancer 20 （ 5 ） 923-931 2012年

研究論文（学術雑誌）, 共著

Public Awareness, Knowledge of Availability, and Readiness for Cancer Palliative Care Services: A Population-Based Survey across Four Regions in Japan

Hirai, Kei, Kudo, Tadashi, Akiyama, Miki, Matoba, Motohiro, Shiozaki, Mariko, Yamaki, Teruko, Yamagishi, Akemi, Miyashita, Mitsunori, Morita, Tatsuya, Eguchi, Kenji

JOURNAL OF PALLIATIVE MEDICINE 14 （ 8 ） 918 - 922 2011年08月

研究論文（学術雑誌）, 査読有り,  ISSN  1096-6218

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Transforming healthcare with information technology in Japan: a review of policy, people, and progress

秋山 美紀

Int J Med Inform 80 （ 3 ） 157-170 2011年03月

研究論文（学術雑誌）, 単著, 査読有り

ICTの利活用による持続的な成長の実現～コミュニケーションの権利を保障する「国民本位」のICT利活用社会の構築～

秋山 美紀

平成22年版情報通信白書 （株式会社　ぎょうせい）  2010年07月

研究論文（その他学術会議資料等）, 共著

地域協働型のがん情報提供の試み:慶應義塾大学からだ館がん情報ステーション

秋山 美紀

医学図書館雑誌 57 （ 2 ） 193-198 2010年06月

研究論文（学術雑誌）, 単著,  ISSN  0445-2429

非同期・蓄積型メディアが訪問看護師と在宅主治医のコミュニケーションと連携に与える効果

秋山 美紀

医療マネジメント学会雑誌 10 （ 3 ） 504-509 2009年12月

研究論文（学術雑誌）, 単著, 査読有り

地域診療所医師の在宅緩和ケアに関する意識調査

秋山 美紀的場元弘、武林亨、中目千之、松原要一

緩和医療学会誌 4 （ 2 ） 112-122 2009年11月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  1880-5302

Administrators' perspectives on end-of-life care for cancer patients in Japanese long-term care facilities

Fukahori, Hiroki ; Miyashita, Mitsunori ; Morita, Tatsuya ; Ichikawa, Takayuki ; Akizuki, Nobuya ; Akiyama, Miki ; Shirahige, Yutaka ; Eguchi, Kenji

Supportive Care in Cancer 17 （ 10 ） 1247-1254 2009年10月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  0941-4355

日本復活になぜ情報通信が必要なのか

秋山 美紀

平成21年版情報通信白書 （株式会社　ぎょうせい）  2009年07月

研究論文（その他学術会議資料等）, 共著

保険調剤薬局薬剤師と病院医師とのネットワークを用いた情報共有が服薬指導に与える効果

秋山 美紀、武林亨、平井愛山

日本医療マネジメント学会雑誌 9 （ 4 ） 504-509 2009年03月

研究論文（学術雑誌）, 共著, 査読有り

‘Palliative Care in Japan: Current Status and a Nationwide Challenge ot Improve Palliative Care by the Cancer Control Act and the Outreach Palliative Care Trial of Integrated Regional Model Study

山岸　明美、森田達也、秋山 美紀他

American Journal of Hospice and Palliative Medicine 25 （ 5 ） 412-418 2008年10月

研究論文（学術雑誌）, 共著, 査読有り

「ヒューマンネットワークとNet4U」

秋山 美紀

鶴岡地区医師会報「めでぃかすとる」 2008年07月

研究論文（学術雑誌）, 単著

政策形成と評価における「学」の役割と総合政策学の研究手法

秋山 美紀

総合政策学ワーキングペーパーシリーズ ; no. 116 （慶應義塾大学 大学院 政策・メディア研究科）     1-22 2007年01月

研究論文（その他学術会議資料等）, 単著

地域医療連携における組織間関係と情報共有ネットワーク-3地域における2組の比較事例分析-

秋山 美紀

組織科学 40 （ 2 ） 74-87 2006年12月

研究論文（学術雑誌）, 単著, 査読有り,  ISSN  02869713

組織を越えた職種間連携に非同期蓄積型メディアが与える影響

秋山 美紀

慶應義塾大学大学院政策・メディア研究科博士論文 2006年11月

研究論文（その他学術会議資料等）, 単著, 査読有り

診療情報の電子化、情報共有と個人情報保護についての考察

秋山 美紀

総合政策学ワーキングペーパーシリーズ （慶応義塾大学院政策・メディア研究科）     1-22 2004年03月

研究論文（その他学術会議資料等）, 単著

Information-sharing Systems and Inter-organizational Power: Implementation of an Electronic Patient Record System for Regional Cooperation

秋山 美紀

Proceedings of 8th Pacific Asia Conference on Information Proceedings of 8th Pacific Asia Conference on Information Systems    209-222 2004年

研究論文（研究会，シンポジウム資料等）, 単著, 査読有り

制度変化と情報技術が情報の非対称性に与える影響（佳作受賞）

秋山 美紀

情報通信学会誌2003年度年報・20周年記念論文集 （情報通信学会誌2003年度年報・20周年記念論文集）     15－26 2003年

研究論文（研究会，シンポジウム資料等）, 単著, 査読有り

Convergence and Regulatory Institutions: Comparison between the United Kingdom and Japan

秋山 美紀

ロンドン大学LSE修士論文 2002年08月

研究論文（学術雑誌）, 単著, 査読有り

メディア融合と規制

秋山 美紀

公益事業研究  （ 2 ） 21－32 2002年

研究論文（研究会，シンポジウム資料等）, 単著, 査読有り