Publications by authors named "Kawachi I"

Despite the rise in chronic, untreated opioid use among pregnant women, their rate of receiving medications for opioid use disorder (MOUD) has remained stagnant since the mid-1990s. Using retrospective cross-sectional substance use treatment admissions data from 2015 to 2019, we examined access to treatment for opioid use by pregnant adults across 48 U.S.

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Importance: Little is known about the spatial accessibility to dental clinics across the US.

Objective: To map the spatial accessibility of dental clinics nationally and to examine the characteristics of counties and US Census block groups with dental care shortage areas.

Design, Setting, And Participants: Cross-sectional study of US dental clinics in 2023 using data from the IQVIA national practitioners' database, which includes 205 762 active dentists.

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Background: Taiso is a Japanese term encompassing meanings akin to calisthenics. Taiso is a widely used exercise program in Japan but whether it prevents functional disability and dementia remains unclear. This study aimed to elucidate the association between practicing Taiso, especially focusing on the well-known Radio-Taiso, and functional disability and dementia in older adults in Japan.

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Background: Relative deprivation is a critical mechanism for understanding how income inequality affects mental health. However, few studies have compared the effects of objective and subjective relative deprivation on health outcomes. This study compared how objective and subjective relative deprivation and their interaction relate to human flourishing measures, including health, happiness, life satisfaction, social relationships, and financial stability.

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Article Synopsis
  • - The study analyzed the relationship between social relationships and self-rated health (SRH) over 10 years, using data from the National Social Life, Health, and Aging Project with 1,592 participants.
  • - It found that lower levels of negative social support were linked to better SRH, particularly noting that negative support from family had a significant impact, especially among women.
  • - The results also indicate that mental health may play a role in the correlation between social support and SRH, suggesting that feelings of depression could influence a person's self-rated health.
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We sought to understand the impact of multimorbidity (MM) on the trajectories of functional decline in the last three years of life among older people in Japan. We used nationwide longitudinal cohort data with 6-year follow-up and analyzed 3731 functionally independent residents aged 65 years and older. The primary outcome was the five trajectory groups of functional disability in the last three years of life, defined by group-based trajectory modeling (GBTM).

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Importance: Older adults are at high risk for cognitive impairments following natural disasters, but the persistence of such effects is not well understood.

Objective: To track older adults' postdisaster cognitive disability trajectories over a decade and examine associations of cognitive disability with disaster damage exposure.

Design, Setting, And Participants: This prospective cohort study used predisaster baseline surveys conducted in August 2010 and 4 follow-ups approximately every 3 years until November 10, 2022.

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We started a registry for cases of immunoglobulin (Ig)G4-related disease (IgG4-RD) in December 2019 to clarify the clinical profile of IgG4-RD. In this study, clinical information from 854 cases registered by February 16, 2024 was analyzed from multiple perspectives. Diagnosis of IgG4-RD was made in 808 cases, comprising 638 definite, 38 probable, and 132 possible.

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Importance: Millions of adults with low incomes lose Medicaid eligibility when transitioning to Medicare at age 65 years. However, it remains unclear how this transition is associated with dental care.

Objective: To examine the consequences of transitions from Medicaid to Medicare on coverage and use of dental services.

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Racial inequities in cognitive function persist with mixed evidence regarding the impacts of racial discrimination on cognitive outcomes. We examined the association between experiences of racial discrimination within institutional settings, such as getting a job or housing, and multiple measures of cognitive function among middle-aged adults using analytic methods to strengthen the existing evidence base and provide potential points for intervention. We used cross-sectional data from 2895 participants in Wave 8 (M = 50.

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We prospectively examined whether community-level social capital plays a significant role in developing Posttraumatic Growth (PTG) among older survivors of the 2011 Japan Earthquake and Tsunami. The baseline survey was conducted 7 months before the disaster among residents of a city located 80km west of the earthquake epicenter. The survey inquired about participants' health status and social capital (informal socializing and social participation, and social cohesion).

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Objectives: We examined long-term trajectories of depressive symptoms among older adults following exposure to the 2011 Great East Japan Earthquake and Tsunami. We further characterized the pre- and post-disaster social relationship factors that predicted membership in each trajectory group.

Method: Data from four time points (including pre-disaster data) were used to analyze the depression trajectories of 2,033 survivors through a group-based trajectory model.

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Article Synopsis
  • The study aimed to differentiate and analyze the epidemiological characteristics of multiple sclerosis (MS) and neuromyelitis optica spectrum disorder (NMOSD) in Japan, as previous surveys had not distinctly categorized these two conditions.
  • A nationwide survey in 2017 gathered data from 3,799 medical departments, revealing that the estimated total of MS and NMOSD patients had increased significantly to 24,800, with notable improvements in patient care and treatment since the last survey in 2003.
  • Results showed that patients with MS reported milder disability and better treatment adherence, while NMOSD patients had less severe symptoms and shorter disease duration compared to earlier classifications, indicating positive trends in management and outcomes.
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We examined the associations between the use of different types of media and COVID-19 vaccine hesitancy, as well as risk behaviors of COVID-19 infection, in Japan in late 2021. Cross-sectional surveys were conducted using rapid online surveys of residents in Iwate Prefecture from February 5 to 7, 2021, and from October 1 to 3, 2021. Each individual's risk of acquiring SARS-CoV-2 infection was calculated using a quantitative assessment tool (the microCOVID).

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  • This study investigates the relationship between loneliness and the risk of incident stroke, focusing on how changes in loneliness over time may affect stroke risk.
  • It uses data from the Health and Retirement Study, analyzing over a decade's worth of information from adults aged 50 and older, categorizing loneliness using a revised UCLA Loneliness Scale.
  • Findings indicate that higher loneliness scores are linked to an increased risk of stroke, particularly for individuals who consistently experienced high levels of loneliness over the study period.
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  • This study looks at how the trust that different racial and ethnic groups have can affect their happiness and overall wellbeing.
  • It suggests that racial and ethnic minorities have lower trust levels, which can make them less happy.
  • The researchers found that when these minorities have more trust, it really helps improve their wellbeing, and living in a community where people trust each other also makes a big difference for them.
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  • This study investigated how income inequality in communities affects mental health after disasters, specifically looking at older adults following the 2011 Great East Japan Earthquake.
  • The researchers used a cohort of individuals over 65, assessing their mental health through surveys and measuring community income inequality with the Gini index before and after the disaster.
  • Results revealed that higher pre-disaster income inequality correlated with increased post-traumatic stress symptoms, suggesting potential links between inequality, mental health, and changes in social capital post-disaster that need further exploration for effective policy recommendations.
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This study aimed to determine whether punitive state alcohol policies targeting pregnant women who drink alcohol are associated with decreased alcohol consumption among pregnant women over time. This study used data from the Pregnancy Risk Assessment Monitoring System (15 states) between 1990 and 2015. A difference-in-difference (DiD) approach was employed to determine whether passage of state laws changed alcohol consumption rates among pregnant women, while controlling for state and time fixed effects.

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Background: Previous studies have shown that job strain is associated with low birthweight (LBW), preterm birth (PTB), and small for gestational age (SGA). We conducted a scoping review and meta-analysis to assess the association between job strain and adverse pregnancy outcomes.

Methods: A literature search was performed on PubMed.

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Background: The previous Japanese clinical practice guidelines for multiple sclerosis (MS) and neuromyelitis optica spectrum disorder (NMOSD) were published in 2017. Recently, for the first time in 6 years, the MS and NMOSD guideline development committee revised the Japanese guidelines for MS, NMOSD, and myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD).

Methods: The committee utilized the Grading of Recommendations Assessment, Development, and Evaluation system based on the "Minds Handbook for Clinical Practice Guideline Development 2020 Ver.

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Importance: Understanding how attachment to pets can alleviate depression and anxiety offers valuable insights for developing preventive and therapeutic strategies, particularly for those with insecure attachment styles from childhood trauma.

Objective: To determine if a close bond with a pet is associated with reduced depression and anxiety, especially among women who experienced childhood abuse.

Design, Setting, And Participants: This cross-sectional study involved women who voluntarily enrolled in the Mind Body Study (MBS), a substudy of the Nurses' Health Study II (NHS2) focusing on psychosocial factors.

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Since 2009, China has made large investments in strengthening the primary healthcare system. This study aimed to examine the trends in the number and distribution of health resources in rural China following the health system reform and to decompose the sources of inequalities. Data were collected from standardized reports compiled by each county in rural China and compiled by the National Health Commission and Bureau of Statistics.

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