Departments of Health and Social Behavior
|Professor||Hideki HASHIMOTO, MD, Dr.PH|
|Associate Professor||Naoki KONDO, MD, Ph.D|
The legend was extended by Prof. Chieko Kawada who raised academic and practical attention on the concept of empowerment and adult pedagogy in health education. Since 1997, the department was further evolved by Prof. Ichiro Kai who integrated diverse health and social science disciplines into social gerontology program, and by Associate Prof. Yoshihiko Yamazaki who led sociological research projects on salutogenesis, social stigma, power, and agency in health settings. The departments were reorganized under the newly established School of Public Health since 2007.
In 2012, the Department of Social Gerontology has been renamed the Department of Health and Social Behavior to apply a life-course perspective to a wider range of social conditions and human wellbeing.The new department intends to further integrate health science (medicine and public health) and social science (economics, sociology, and psychology) to reveal a causal mechanism linking social structure and individual health for realizing health equity as a fundamental goal to human security.
1. Graduate Courses, School of Public Health
1) Health and Society I & II:The course highlights the significance of social determinants of health (SDH) as a key exposure causing social gradient of health. A series of omnibus lectures, each of which focusing a specific topic of SDH (e.g. income distribution, gender, job stress, and discrimination), are provided by invited lecturers specialized in the field.The course is followed by course II which offers application of concepts into practice through in-class discussion and group works.
2) Health Education:The course provides basic knowledge on relevant behavioral theories for health promotion and behavioral modification, followed by case method learning on health educational intervention in community, school, and work places. The case discussion was facilitated by invited lecturers to reach practical lessons for effective communication.
3) Health Sociology:Sociology in medicine and sociology applied to health issues are treated in the systemic course of lectures, covering social model of health, medical gaze and socialization of health professionals,phenomenology of chronic ills, and culture and health.
2. Undergraduate Courses, School of Integrated Health Sciences
1) Introduction to social survey and practice:The course emphasizes that needs for specific knowledge and subsequent research question define the modes of survey. The course gives the students a virtual situation where a social survey is required to obtain data to support some decision making, e.g. market research situation. The students are asked to define an inquired concept, refine a research question, design the mode of survey, and conduct a small pilot survey within the class. The survey results were reported with some practical implication, and were opened to in-class discussion.
2) Health sociology:The course was offered as a part of “Health and Society” in the academic year of 2012.
3) Health education:The course was offered as a part of “Health Education” in the academic year of 2012.
4) Social security and welfare program:Lecture series on the history and the current systems of health care security and welfare policies in this country.
5) Occupational health management:Lecture series on risk/needs assessment, strategic management of health resource, and health promotion intervention in work place.
FY2016 was the beginning of new curriculum that provides three majors in the School. For Public Health Science track, a new lecture course “integrated lectures of public health science” was offered for the sophomore students expected to join the School. The department was also responsible to offer a new lecture/practicum course on scientific writing, logic, and rhetoric.” As such the department contributed to extend educational environment in the new frame of School curriculum policy, and management of educational duties with limited resources became a challenge.
Since 2010, the Department has launched another panel study of younger generation, the Japanese study of Stratification, Health, Income, and Neighborhood (J-SHINE) in collaboration with researcher groups on neuroscience, economics, sociology, and social psychology.
The aim of this comprehensive panel study is to identify a mechanism how socio-economic environments get to “under-skin” to cause social gradient of health across socio-economic positions. In the year of 2011, the JSHINE conducted a supplemental survey to respondent’s spouse and children. Main and supplement surveys were followed in 2012 and 2013, respectively. Obtained panel data are made open to a broader range of researchers under the data-control committee, to share analytic scheme and to enhance inter-disciplinary studies so as to better identify common factors as well as unique factors affecting health inequality in Japanese context.
In 2015-2016, third follow-up for children was conducted to specifically evaluate child’s dietary habit change after a policy intervention in one of participating municipalities, which found a significant improvement in vegetable intake among children in an intervention municipality compared to their counterpart in other cities. Dr. Kondo also is an active and leading core researcher in another large cohort for social epidemiology in gerontology, called Japan Gerontological Evaluation Study (JAGES) that covers more than 30 municipalities and approximately 200,000 participating old people in the community. The project purports to reveal social relationship and its impact on health in later life.
The team has been developing community diagnosis tool using JAGES data to support participating municipalities to effectively find leverage population for policy intervention, with support from AMED and other funding sources. The developed tools are expected to be disseminated and standardized for wider use in municipalities.
- Kato A, Fujimaki Y, Fujimori S, Isogawa A, Onishi Y, Suzuki R, Yamauchi T, Ueki K, Kadowaki T, Hashimoto H. Association between self-stigma and self-care behaviors in patients with type 2 diabetes: a cross-sectional study. BMJ Open Diab Res Care 2016;4:e000156 doi:10.1136/bmjdrc-2015-000156.
- Shibuya K, Nomura S, Okayasu H, et al. (61th out of 63 coauthors). Protecting human security: proposals for the G7 Ise-Shima Summit in Japan. The Lancet 387(10033) ・ January 2016
- Murakami K, Kondo N, Ohkubo T, Hashimoto H. The effect of fathers’ and mothers’ educational level on adult oral health in Japan. Community Dent Oral Epidemiol. 2016 Feb 12. doi: 10.1111/cdoe.12216.
- Murakami K, Hashimoto H. Wealth-related versus income-related inequalities in dental care use under universal public coverage: a panel data analysis of the Japanese Study of Aging and Retirement. BMC Public Health. 2016 Jan 12;16(1):24. doi: 10.1186/s12889-015-2646-9.
- Takagi D, Kondo N, Takada M, Hashimoto H. Educational attainment, time preference, and health-related behaviors: A mediation analysis from the J-SHINE survey. Soc Sci Med. 2016 Feb 17;153:116-122. doi:10.1016/j.socscimed.2016.01.054.
- Aoki A, Inoue M, Nguyen E, Obata R, Kadonosono K, Shinkai S, Hashimoto H, Sasaki S, Yanagi Y. Dietary n-3 Fatty Acid, α-Tocopherol, Zinc, vitamin D, vitamin C, and β-carotene are Associated with Age-Related Macular Degeneration in Japan. Sci Rep. 2016 Feb 5;6:20723. doi: 10.1038/srep20723.
- Kato A, Fujimaki Y, Fujimori S, Izumida Y, Suzuki R, Ueki K, Kadowaki T, Hashimoto H. A qualitative study on the impact of internalized stigma on type 2 diabetes self-management. Patient Educ Counselling 99(7):1233-39, 2016. doi:10.1016/j.pec2016.02.002.
- Hashimoto N, Hashimoto H. The Association Between Maternal Employment and Prevalence of Asthma in Children. Pediatric Allergy, Immunology, and Pulmonology. 2016, doi:10.1089/ped.2016.0641.
- Sakakibara E, Homae F, Kawasaki S, et al. (25th out of 27 coauthors). Detection of resting state functional connectivity using partial correlation analysis: A study using multi-distance and whole-head probe near-infrared spectroscopy. NeuroImage 142 ・ August 2016 DOI: 10.1016/j.neuroimage.2016.08.011
- Chen B, Jalal H, Hashimoto H, Suen S, Eggleston K, Hurley M, Schoemaker L, Bhattacharya J. Forecasting Trends in Disability in a Super-Aging Society: Adapting the Future Elderly Model to Japan. J Econ Ageing 8 ・ June 2016 DOI: 10.1016/j.jeoa.2016.06.001
- Anezaki H, Hashimoto H. Process value of care safety: women’s willingness to pay for perinatal services. Int J Qual Health Care. 2017 Aug 1;29(4):484-489.doi: 10.1093/intqhc/mzx049.
- Kato A, Fujimaki Y, Fujimori S, Isogawa A, Onishi Y, Suzuki R, Yamauchi T,Ueki K, Kadowaki T, Hashimoto H. Psychological and behavioural patterns of stigma among patients with type 2 diabetes: a cross-sectional study. BMJ Open. 2017 Mar 29;7(3):e013425. doi: 10.1136/bmjopen-2016-013425.
- Tokunaga M, Hashimoto H. The socioeconomic within-gender gap in informal caregiving among middle-aged women: Evidence from a Japanese nationwide survey. Soc Sci Med. 2017 Jan;173:48-53. doi: 10.1016/j.socscimed.2016.11.037.
- Ikari Y, Awata M, Mitsudo K, Akasaka T, Saito S, Ishihara T, Fujii T,Hashimoto H, Terashima M, Ikemoto T, Hibi K, Tazaki J, Nakamura A, Nishikawa H, Sato T, Nakagawa Y. Efficient distal tip size of primary guidewire for antegrade percutaneous coronary intervention in chronic total occlusion: The G-FORCE study.Int J Cardiol. 2017 Jan 15;227:94-99. doi: 10.1016/j.ijcard.2016.11.076.
- Murakami K, Ohkubo T, Hashimoto H. Distinct association between educational attainment and overweight/obesity in unmarried and married women: evidence from a population-based study in Japan. BMC Public Health. 2017 Nov 25;17(1):903. doi:10.1186/s12889-017-4912-5.
- Hashimoto H, Kawakami N. Health Equity IN; Oxford Textbook of Public Mental Health, forthcoming
- Miyata H, Mori M, Kokudo N, Gotoh M, Konno H, Wakabayashi G, Matsubara H,
Watanabe T, Ono M, Hashimoto H, Yamamoto H, Kumamaru H, Kohsaka S, Iwanaka T. Association between institutional procedural preference and in-hospital outcomes in laparoscopic surgeries; Insights from a retrospective cohort analysis of a nationwide surgical database in Japan. PLoS One. 2018 Mar 5;13(3):e0193186. doi:10.1371/journal.pone.0193186.
- Takahashi A, Kumamaru H, Tomotaki A, Matsumura G, Fukuchi E, Hirata Y, Murakami A, Hashimoto H, Ono M, Miyata H. Verification of Data Accuracy in Japan. Congenital Cardiovascular Surgery Database Including Its Postprocedural Complication Reports. World J Pediatr Congenit Heart Surg. 2018 Mar;9(2):150-156.doi: 10.1177/2150135117745871.
- Anezaki H, Hashimoto H. Time cost of child rearing and its effect on women’s uptake of free health checkups in Japan. Soc Sci Med. 2018 Mar 17;205:1-7. doi:10.1016/j.socscimed.2018.03.025.
- Yamaguchi M, Kondo N, Hashimoto H. Universal school lunch programme closes a socioeconomic gap in fruit and vegetable intakes among school children in Japan. Eur J Public Health. 2018 Mar 26. doi: 10.1093/eurpub/cky041.
- Murakami K, Ohkubo T, Hashimoto H. Socioeconomic Inequalities in Oral Health Among Unmarried and Married Women: Evidence From a Population-Based Study in Japan. J Epidemiol. 2018 Mar 24. doi: 10.2188/jea.JE20170088.
- Sakamoto S, Rahman MM, Nomura S, et al. Japan Health System Review. February 2018?ISBN 978-92-9022-626-3. World Health Organization, Regional Office for South-East Asia (Chapter contribution by H Hashimoto N Kondo, Chapter 6 and 7)
- Suga H, Hashimoto H. Age threshold for recommending higher protein intake to prevent age-related muscle weakness: A crosssectional study in Japan. PLoS ONE 2018;13(12):e0208169.