'Healthy Japan 21' : A New Perspective on Health Promotion Policy for Japan in the 21st Century

Hasegawa, Toshihiko Korean Society for Health Education and Promotion 2005 보건교육건강증진학회지 Vol.22 No.3

'Healthy Japan 21' is a new health policy that has been proposed for the 21st century: it embodies a totally new concept for its viewpoints and methods. To start with, for its goal, the focus is placed on the 'quality of life' or a life that is free of diseases, rather than mere prolongation of life. For its doctrine, the emphasis has shifted dramatically from improving the health of the entire population(the traditional approach for health improvement) to 'achieving an ideal health status for each individual. The ultimate aged society that arrives first in Japan is a society in its ultimate form for human being. Why did Japan become westernized, giving up her traditional culture? Why did she go through industrialization, sacrificing her nature? And why does she try so hard to industrialize the developing countries? These efforts are all preparation for the arrival of a ultimate aged society. During the 20th century, we believed in unlimited possibilities and expanded our social frontier. In the 21st century, on the other hand, a super-aged society(the ultimate society), a glimpse of which we have witnessed from time to time, will descend on us sooner or later. It is expected to arrive first in Japan. 'Healthy Japan 21' is intended to prepare for the arrival of the hitherto unheard of super-aged society by building the physiological basis of people. This policy is social experimentation on an immense social scale, in which questions are posed on the understanding of health, the relationship between individuals and society, the relationship between administration and citizens, the manner by which central and local governments operate, and the new relationship between prevention and therapy, 'Healthy Japan 21' may be summarized as an experiment on a huge scale directed to the ultimate form of human society, in which Japan and each of her citizens play a role and set an example for the rest of the world. Even just by considering various approaches newly suggested for this venture, one may be convinced that it is a policy with features suitable for a country that has already achieved the world's highest longevity.

Self-Rated Health and Social Factors in the Urban Japanese - A Study of Structural Equation Modeling (SEM)

Toshihiko Takahashi, Takashi Hasegawa, Tanji Hoshi 서울시립대학교 도시과학연구원 2005 International journal of urban sciences (IJUS) Vol. No.

Self-rated health is one of the most common measures of health status in the health sciences. However, little is known about its social and psychological background. In the present study, we evaluated a total of 13,034 subjects identified from a 2001 survey in Tama City, Japan. The study design was cross-sectional and targeted individuals aged 65 years or older. Data, including medication use, socio-economic factors, lifestyle and instrumental ADL were collected via self-administered questionnaires. A decrease in self-rated health with age was noted both in men and women. Factor analyses showed these factors clustered into 4 unrelated groups in men and 5 groups in women. A theoretical model with four latent and 14 manifest variables was formulated by AMOS 5.0 (SPSS, Japan). There were four latent variables. In the present study, relationships between these four latent variables were examined. The findings showed that decreases in yearly income, daily activity, and poor social support could disrupt the balance of health in elderly populations. The structural equation models (SEMs) could comprise schematically a new ordered nature of self-rated health and social circumstances.

"Healthy Japan 21" : A New Perspective on Health Promotion Policy for Japan in the 21st Century

Toshihiko Hasegawa 한국보건교육건강증진학회 2005 보건교육건강증진학회지 Vol.22 No.3

Climate Change Impact and Adaptation Assessment on Food Consumption Utilizing a New Scenario Framework

Hasegawa, Tomoko,Fujimori, Shinichiro,Shin, Yonghee,Takahashi, Kiyoshi,Masui, Toshihiko,Tanaka, Akemi American Chemical Society 2014 Environmental science & technology Vol.48 No.1

<P>We assessed the impacts of climate change and agricultural autonomous adaptation measures (changes in crop variety and planting dates) on food consumption and risk of hunger considering uncertainties in socioeconomic and climate conditions by using a new scenario framework. We combined a global computable general equilibrium model and a crop model (M-GAEZ), and estimated the impacts through 2050 based on future assumptions of socioeconomic and climate conditions. We used three Shared Socioeconomic Pathways as future population and gross domestic products, four Representative Concentration Pathways as a greenhouse gas emissions constraint, and eight General Circulation Models to estimate climate conditions. We found that (i) the adaptation measures are expected to significantly lower the risk of hunger resulting from climate change under various socioeconomic and climate conditions. (ii) population and economic development had a greater impact than climate conditions for risk of hunger at least throughout 2050, but climate change was projected to have notable impacts, even in the strong emission mitigation scenarios. (iii) The impact on hunger risk varied across regions because levels of calorie intake, climate change impacts and land scarcity varied by region.</P><P><B>Graphic Abstract</B> <IMG SRC='http://pubs.acs.org/appl/literatum/publisher/achs/journals/content/esthag/2014/esthag.2014.48.issue-1/es4034149/production/images/medium/es-2013-034149_0007.gif'></P><P><A href='http://pubs.acs.org/doi/suppl/10.1021/es4034149'>ACS Electronic Supporting Info</A></P>

Aerobic biodegradation of polycyclic aromatic hydrocarbons in Landfill

( Okenta Hasegawa ),( Yasumasa Tojo ),( Toshihiko Matsuto ),( Takayuki Matsuo ),( In Hee Hwang ) 한국폐기물자원순환학회(구 한국폐기물학회) 2012 한국폐기물자원순환학회 춘계학술발표논문집 Vol.2012 No.-

한국과 일본의 건강증진정책 비교

남은우,조은주,남정자,Toshihiko HASEGAWA,Yoshi FUJISAWA 고신대학교보건과학연구소 2003 보건과학연구소보 Vol.13 No.-

한국과 일본의 건강증진정책 비교

남은우(Eun Woo Nam),조은주(Eun Ju Jo),남정자(Jung Ja Nam),Hasegawa Toshihiko 한국보건교육건강증진학회 2004 보건교육건강증진학회지 Vol.21 No.3

The focus of this paper is to critically evaluate the contemporary health promotion policy of g Korea and Japan. The primary purpose of this comparative research project is to stimulate policy debate and to strengthen the design and implementation of evidence-based policies that improve population health and reduce health related disparities. For the purpose of the research object we adopted analysis of health promotion(HP) sources. The HP Source which is still under development in Europe, is a potentially valuable tool for global use. This European Commission funded project lead by the London School of Hygiene and Tropical Medicine has brought together organisations from all of the European Union Member States, plus Norway, Iceland, Latvia, Switzerland and the Czech Republic to contribute their data. The findings of this research will be conclude by making recommendations for further comparative studies and in particular how EUHPID and the HP Source tool and database can be expanded for use at global level through the IUHPE. The result as follows: 1. The Health Promotion Act enacted 1995 in Korea and 2000 in Japan. The government has a national document on HP titled Health Plan 2010 and Healthy Korea 2010 in Korea and Healthy Japan 21 in Japan. 2. The Health Plan 2010 of Korea contains 14 goals, i.e, life expectancy, smoking, nutrition, mental health, dental health, reproductive health, hypertension, cerebrovascular diseases, arthritis, diabetes mellitus, cardiovascular diseases, and cancer. It should be emphasized that the Korean HP national document adds 3 goals of health expectancy, reproductive health, and arthritis to its Japanese counterpart. Health Plan 2010 of Korea specifies 37 objectives in 14 goals, and Healthy Japan 21 proposes 48 objectives and 80 targets in 9 goals. 3. Health Plan 2010 and Healthy Japan 21 have not been evaluated yet, and no regular systematic monitoring reporting of HP policies is available in Korea and Japan yet. 4. National Health Promotion Fund is a financial source of HP programs at the national level in Korea. Its annual amount is 736 billion Won(equivalent to approximately 640 million US$), otherwise no specific Health Promotion Fund in Japan.