Abstract:
BACKGROUND:Japan's historically low immigration rate and monolingual culture makes it a particularly interesting setting for clarifying non-national medical care. Our study objective was to examine disease patterns and outcome differences between Japanese and non-Japanese patients in a rapidly globalizing nation. METHODS:A secondary data analysis of 325 non-Japanese and 13,370 Japanese patients requiring tertiary care or ICU or HCU admission to the ED at the Tokyo Medical and Dental University medical hospital between 2010 to 2019 was conducted. Multivariable linear and logistic regressions models were applied to examine differences in percentage of diagnosis, mortality rates, and length of stay, stratified by Glasgow Coma Scale (GCS) scores to consider the impact of language barriers. Sex and age were adjusted. RESULTS:Non-Japanese patients had more anaphylaxis, burns, and infectious disease, but less cardiovascular diagnoses prior to adjustment. After adjustment, there were significantly more anaphylaxis (adjusted odds ratio (aOR) 2.7 (95% confidence interval (CI): 1.7, 4.4) and infectious disease diagnoses (aOR 2.2 (95% CI: 1.3, 3.7)), and marginally more burn diagnoses (aOR 2.3 (95% CI: 0.96, 5.3)) over Japanese patients. Regardless of GCS scores, there were no significant differences between non-Japanese and Japanese patient length of stay for anaphylaxis, burn, and infectious disease after covariate adjustment. CONCLUSION:There were more non-Japanese patients diagnosed with anaphylaxis, burns, and infectious disease, but no notable patient care differences for length of stay. Further prevention efforts are needed against anaphylaxis, burns, and infectious disease for non-Japanese tourists or residents.
journal_name
J Epidemioljournal_title
Journal of epidemiologyauthors
Ishii E,Nawa N,Matsui H,Otomo Y,Fujiwara Tdoi
10.2188/jea.JE20200211subject
Has Abstractpub_date
2020-12-05 00:00:00eissn
0917-5040issn
1349-9092pub_type
杂志文章abstract::This study aims to evaluate the contribution of the change in circulatory diseases mortality to the life expectancy at birth observed during the years 1955-1995 in Japan. We used data on the population and the number of deaths by cause, age, and sex in 1955, 1965, 1975, 1985, and 1995. The contribution of different ag...
journal_title:Journal of epidemiology
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abstract:BACKGROUND:Individuals with a self-reported history of sexually transmitted infection (STI) are at high risk for depression. However, little is known about how social support affects the association between STI and depression among young women in Canada. METHODS:Data were drawn from the Canadian Community Health Surve...
journal_title:Journal of epidemiology
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doi:10.2188/jea.je20090133
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pub_type: 杂志文章
doi:10.1016/j.je.2016.10.008
更新日期:2017-11-01 00:00:00
abstract::This paper primarily aimed to overview the rationale for initiating the Japan Collaborative Cohort Study for Evaluation of Cancer Risk Sponsored by Monbusho (Ministry of Education, Science, Sports and Culture of Japan) (JACC Study), by comparing socio-demographic and nutritional changes that were witnessed between 196...
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journal_title:Journal of epidemiology
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doi:10.2188/jea.8.297
更新日期:1998-12-01 00:00:00
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doi:10.2188/jea.je2007417
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Early childhood caries (ECC) is one of the most prevalent chronic diseases among children. The aim of this cross-sectional study was to investigate the association between nocturnal breastfeeding, snacking habits, or other risk factors and ECC in 18- to 23-month-old Japanese children. METHODS:Study subjects...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20140097
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abstract:BACKGROUND:The effect of the interaction between long-term mental stress and eating habits on weight gain has not been confirmed in humans. METHODS:A population of 1080 healthy Japanese male local government employees without lifestyle-related diseases at baseline were studied [corrected]. Height and weight were measu...
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doi:10.2188/jea.je20080066
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abstract:BACKGROUND:Despite the importance of obesity and its association with socioeconomic status, little is known about this condition in Korean adolescents. We examined the relationship between obesity in Korean adolescents and several socioeconomic variables and compared the association of obesity with conventional and sub...
journal_title:Journal of epidemiology
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doi:10.2188/jea.je20100099
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Several epidemiologic studies have reported an inverse association between serum levels of carotenoids and cardiovascular disease risk. However, no studies have reported an association between serum carotenoids and N-terminal pro-brain-type natriuretic peptide (NT-proBNP) in the general population. METHODS:...
journal_title:Journal of epidemiology
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doi:10.2188/jea.je20120087
更新日期:2013-01-01 00:00:00
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journal_title:Journal of epidemiology
pub_type: 临床试验,杂志文章
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更新日期:2000-05-01 00:00:00
abstract::The objective of this study is to compare the influence on delays in the tuberculosis case-finding process according to the types of medical facilities initially visited. The subjects include 107 patients 16 years and older who were diagnosed with bacteriologically confirmed pulmonary tuberculosis at nine tuberculosis...
journal_title:Journal of epidemiology
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doi:10.2188/jea.7.93
更新日期:1997-06-01 00:00:00
abstract::We examined the relationship among social support, self-esteem, and depression. The subjects were 1,116 Japanese community-dwelling adults aged between 40-79, who were the first wave participants of the National Institute for Longevity Sciences--Longitudinal Study of Aging (NILS-LSA). Exploratory and confirmatory fact...
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doi:10.2188/jea.10.1sup_63
更新日期:2000-04-01 00:00:00
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journal_title:Journal of epidemiology
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更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:It has been reported that fruit intake protects against cardiovascular disease (CVD). However, most of the relevant studies were conducted in Western countries, and only a few investigated Japanese populations. The present cohort study assessed the effect of citrus fruit intake on the incidence of CVD and it...
journal_title:Journal of epidemiology
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doi:10.2188/jea.je20100084
更新日期:2011-01-01 00:00:00
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journal_title:Journal of epidemiology
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doi:10.2188/jea.14.129
更新日期:2004-07-01 00:00:00
abstract::To investigate the psychological characteristics of smoking and tobacco dependence, a questionnaire survey was conducted of 2,051 consenting adults aged 21 to 65 years from the total population of a town in Akita Prefecture. Valid responses were received from 673 men and 818 women, for a total of 1,491 (72.7%). The qu...
journal_title:Journal of epidemiology
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doi:10.2188/jea.10.271
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:The Japan Multi-institutional Collaborative Cohort (J-MICC) study was launched in 2005 to examine gene-environment interactions in lifestyle-related diseases, including cancers, among the Japanese. This report describes the study design and baseline profile of the study participants. METHODS:The participant...
journal_title:Journal of epidemiology
pub_type: 杂志文章
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更新日期:2020-09-19 00:00:00
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journal_title:Journal of epidemiology
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更新日期:2005-11-01 00:00:00
abstract:BACKGROUND:Distributions of serum pepsinogen (PG) values were assessed in Helicobacter pylori-infected and non-infected junior high school students (aged 12-15 years) in Japan. METHODS:All junior high school students (1,225 in total) in Sasayama city, who were basically healthy, were asked to provide urine and serum s...
journal_title:Journal of epidemiology
pub_type: 杂志文章
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更新日期:2020-01-05 00:00:00
abstract:BACKGROUND:Longitudinal epidemiological studies require both the periodic update of intake information via repeated dietary survey and the minimization of subject burden in responding to questionnaires. We developed a 66-item Food Frequency Questionnaire (short-FFQ) for the Japan Public Health Center-based prospective ...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20150064
更新日期:2016-08-05 00:00:00
abstract::Iodine deficiency remains a considerable challenge worldwide, even after decades of efforts to address the problem. The aim of this review is to present the current situation in historically iodine-deficient Pakistan regarding iodine nutritional status and place it in a global perspective. We collected relevant articl...
journal_title:Journal of epidemiology
pub_type: 杂志文章,评审
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更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:There have been few prospective studies on diet and glucose abnormalities as determined by oral glucose tolerance test. METHODS:To investigate the impact of dietary factors on the development of glucose intolerance including diabetes and impaired glucose tolerance, we performed a follow-up survey of 1,075 s...
journal_title:Journal of epidemiology
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doi:10.2188/jea.13.251
更新日期:2003-09-01 00:00:00