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 specialized facilities in Ulaanbaatar, Mongolia from May 1995 to March 1996. Patients were interviewed about their demographic and socioeconomic factors and their medical records were reviewed for measuring delays. Fifty-five patients initially consulted general physicians and the remaining 52 patients initially visited other types of facilities including tuberculosis specialized facilities. Patients who initially consulted general physicians had shorter patient's delays and longer doctor's delays than those who had visited other facilities first. Since the reduction of patient's delay outweighs the extension of doctor's delay among patients who initially consulted general physicians, their total delay was shorter than that of patients who visited other facilities first. The beneficial influence of consulting general physicians first on the total delay was observed after adjusting for patient's age, sex, residence area, family income and family history of tuberculosis. This finding indicates that general physicians play an important role in improving the passive case-finding process in Mongolia.
journal_name
J Epidemioljournal_title
Journal of epidemiologyauthors
Enkhbat S,Toyota M,Yasuda N,Ohara Hdoi
10.2188/jea.7.93subject
Has Abstractpub_date
1997-06-01 00:00:00pages
93-8issue
2eissn
0917-5040issn
1349-9092journal_volume
7pub_type
杂志文章abstract:BACKGROUND:Glucose intolerance in patients with amyotrophic lateral sclerosis (ALS) has been inconsistently reported. Evidence for the association of ALS and diabetes mellitus is limited. We aimed to assess the overall and age- and sex-specific risks of ALS among patients with diabetes in Taiwan. METHODS:The study coh...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20140176
更新日期:2015-01-01 00:00:00
abstract::There are suggestions that women have higher relative risks of lung cancer than men given similar levels of tobacco exposure, implying that sex-related hormones may influence lung cancer risk. We evaluated the association between lung cancer risk and menstrual and reproductive factors on a subset of self-responding fe...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.13.22
更新日期:2003-01-01 00:00:00
abstract:BACKGROUND:Lung cancers are classified into small-cell lung cancer (SCLC) and non-small-cell lung cancer due to their different treatment and prognosis. Although many studies have reported the specific survival of SCLC patients treated at cancer hospitals, survival from population-based data has rarely been reported. ...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20180112
更新日期:2019-09-05 00:00:00
abstract:BACKGROUND:In research using accelerometers to measure physical activity, the number of accelerometers that can be utilized in a study and the study duration are both constrained. It means that increasing the number of accelerometer wearing days for all subjects leads to a decrease in the total number of participants t...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20180095
更新日期:2019-11-05 00:00:00
abstract:BACKGROUND:Despite a declining incidence, stomach cancer is still a dominant cancer in Japan. The association between dietary habits and stomach cancer risk was investigated in a large prospective study in Japan. METHODS:Data were obtained using a self-administered questionnaire from 1988 through 1990. Food frequency ...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.15.s98
更新日期:2005-06-01 00:00:00
abstract:PURPOSE:To assess the reproducibility and validity of a single-item, self-administered questionnaire on walking used in two population-based prospective cohort studies in northern Japan, using pedometer counts as the reference standard. METHODS:Fifty-one men and 55 women participating in the main cohort studies (mean ...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.12.305
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:Dietary habit is one of the important determinants of health. Investigation of the association between diet and blood lipids at the food product level is more advantageous than that at the nutrient level because the results can be applied more directly to improving dietary habits for disease prevention. MET...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.je20090227
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Few studies have investigated mortality in seafood workers worldwide, and no such study has been conducted in the United States. The objective of this study was to investigate mortality in American seafood workers. METHODS:The study population was derived from 4 states and consisted of 4116 subjects who wor...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.je20100147
更新日期:2011-01-01 00:00:00
abstract::To investigate the relationship of food intake habits and dietary patterns to blood pressure, a cross-sectional study was conducted for 473 middle-aged Japanese males. After adjustment for age, residence, occupation, body mass index and alcohol consumption, mean systolic and diastolic blood pressure (SBP and DBP) were...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.8.106
更新日期:1998-06-01 00:00:00
abstract:BACKGROUND:Antihypertensive and non-steroidal anti-inflammatory drugs (NSAIDs) are used to treat many common diseases. However, it has been suspected that interactions between these drugs exist. Here, we assessed the interactions between non-selective NSAIDs and several classes of antihypertensive drugs. METHODS:The s...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.je2007413
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:The association of proteinuria and reduced estimated glomerular filtration rate (eGFR) with cognition needs more clarification. We cross-sectionally examined whether proteinuria and reduced eGFR, even in moderate stages, were independently associated with lower cognition in a community-based sample of elderl...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20180258
更新日期:2020-06-05 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
pub_type: 杂志文章
doi:10.2188/jea.je20100084
更新日期:2011-01-01 00:00:00
abstract::BackgroundBreaches of ethics undermine the practice of medicine. In Japan, two major scandals involving clinical research and drug marketing occurred after the publication of clinical trials. To study the effects of those scandals, we evaluated changes in the use of first-generation angiotensin II receptor blockers (A...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20200181
更新日期:2020-07-04 00:00:00
abstract:BACKGROUND:The incidence of idiopathic nephrotic syndrome (INS) varies among countries, with Asia reporting a higher incidence in comparison with Western countries. We investigated the epidemiologic features of INS and attempted to identify factors that predispose individuals to develop end-stage renal disease (ESRD). ...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20120033
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:It is unclear whether either neighborhood collective efficacy or school collective efficacy is associated with adolescent alcohol use. This study aimed to examine the relative contributions of collective efficacy, both in school and in the neighborhood contexts, to alcohol use among Japanese adolescents. ME...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20180125
更新日期:2019-10-05 00:00:00
abstract:BACKGROUND:The present study aimed to examine the association between the presence/absence of help-seeking behavior (ie, behavior aimed at obtaining assistance from others to improve a situation or problem) and psychological distress among private and public employees by age group using a nationally representative samp...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20190042
更新日期:2020-06-05 00:00:00
abstract:BACKGROUND:We reutilized the existing Three-Prefecture Cohort to evaluate the relationship between lifestyle factors and the incidence or mortality from non-communicable diseases. METHODS:This study was a prospective population-based observation conducted from the 1980s to 2000 in three prefectures (Miyagi, Aichi, and...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.1016/j.je.2016.05.003
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVES:Eating alone is associated with an increased risk of depression symptoms. This association may be confounded by poor social networks. The present study aimed to determine the role of poor social networks in the association of eating alone with depression symptoms, focusing on cohabitation status. METHODS:Se...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20190217
更新日期:2020-04-18 00:00:00
abstract::Risk factors of coronary heart disease (CHD) in Dominicans were compared with those of Japanese and Americans for the presumption of prevalence of CHD in about 2000 persons. Dominican adults aged 20 through 76 years were medically examined in 1993. Data of nationally representative Japanese and Americans which include...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.7.238
更新日期:1997-12-01 00:00:00
abstract::This study aims to determine if cigarette smoking is associated with engaging in other health-risk behaviors among high school students in Japan. Self-administered anonymous questionnaires were conducted in 1999 using a sample of 1,466 students (male: 50.5%, female: 49.5%) in grades 10 through 12 at seven public senio...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.11.224
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND:Few studies have examined the association between seaweed intake and blood pressure in children. We conducted an intervention study to investigate whether seaweed intake affects blood pressure. METHODS:Subjects were children aged 4 to 5 years attending a preschool in Aichi Prefecture, Japan, in 2010. Among ...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20190176
更新日期:2021-01-05 00:00:00
abstract:BACKGROUND:We conducted a case-control study to examine the relationship between human leukocyte antigen-A (HLA-A) allele polymorphism and the pathogenesis of cervical neoplasia among Japanese women. METHODS:A total of 119 patients with invasive cervical squamous cell carcinoma were compared to 119 age- and menopausal...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.je20090155
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:The association between diabetes and paranasal sinus disease has not been thoroughly investigated. METHODS:We cross-sectionally investigated the association between diabetes and the presence of paranasal sinus disease, which was confirmed by a head MRI scan in 1350 adults who underwent a health screening pr...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20140163
更新日期:2015-01-01 00:00:00
abstract::The urban-rural difference in cardiovascular risk factors and stroke mortality throughout Japan was examined in a cohort by using hierarchical data structure. The subjects were 9,309 men and women aged > or = 30 years who were residents of 294 areas in 211 municipalities of Japan in 1980; they were followed up until 1...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.je2008034
更新日期:2008-01-01 00:00:00
abstract::In Japan, the spread of immunization and the development of antibiotics and antituberculosis drugs have dramatically decreased the mortality rate from infectious diseases since World War II. Alterations in health practices, such as decreasing the intake of salty foods and strict management of hypertension, have result...
journal_title:Journal of epidemiology
pub_type: 杂志文章,评审
doi:10.2188/jea.6.3sup_165
更新日期:1996-08-01 00:00:00
abstract:BACKGROUND:Some case-control association studies revealed the relationship between some endothelin-1 (ET-1) gene polymorphisms and blood pressure. Because no report was available about the relationship between any ET-1 gene polymorphism and incidence of hypertension, we examined the relationship between novel ET-1 gene...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.14.129
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:Although sleep is one of the most important health-related factors, the relationship between sleep duration and the incidence of cardiovascular events has not been fully described. METHODS:The present study comprised the 11,367 study subjects (4413 men and 6954 women) of the Jichi Medical School Cohort Stud...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.je20090053
更新日期:2010-01-01 00:00:00
abstract:INTRODUCTION:To clarify the incidences of metabolic syndrome (MS) and risks in young Japanese adults by gender. METHODS:A total of 58,901 adults who had undergone annual health check-ups in 2010 without a diagnosis of MS or missing data were divided into three age groups (20s through 40s) by gender. Participants were ...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20180246
更新日期:2020-05-05 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...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.10.1sup_63
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:To examine the association between socioeconomic status (SES), self-rated health (SRH), and mortality separately by race-ethnicity in a nationally representative sample of US adults. METHODS:We analyzed data from 16 716 adult women and men who were followed up for mortality for up to 12 years as part of the ...
journal_title:Journal of epidemiology
pub_type: 杂志文章
doi:10.2188/jea.JE20100142
更新日期:2011-01-01 00:00:00