[Association between life events, subjective health status and health practices in a rural population].

A survey has been conducted on subjective health status, experience of life events in recent 1 year, and health practices in the rural of Kagawa prefecture. The survey was performed from March 1995 to May 1995 with 4,013 participants, aged 40 to less than 80. The proportion of respondents who recognized their physical conditions as good decreased with age. However, the proportion of respondents who recognized their life satisfaction as good increased with age. 'Health-related' life events were the most common experienced life events for both male and female. The proportion of respondents who had life events of type 'family', 'financial', 'at workplace or job', 'in the community', and 'others' decreased with age. Men had higher proportion of 'at workplace or job' life events. The higher proportion of respondents who experienced life events recognized their subjective health status poor. For male, it observed that poor physical health status had significant association with experience of type 'in the community' and 'environmental' life events. Poor mental health status significantly associated with experience of type 'at workplace and job' life events for male, and with 'health-related' and 'family' life events for female. Poor life satisfaction significantly associated with 'at workplace or job' and 'in the community' life events for male, and with 'health related' and 'family' life events. Higher proportion of the respondents who experienced life events and recognized their subjective health status poor had low health practice scores. Logistic regression analysis showed that experience of life events and poor subjective health status had significant association with the poor health practices, especially with 'body weight changed' for both male and female.

[Factors associated with participation in chest X-ray screening by young and middle aged residents].

We investigated the factors that affect participation rates in chest X-ray mass screenings among 20-59 year-old residents in A city, Kagawa prefecture. 1) Participation rates in employees and non-employees were 78.3% and 33.9% respectively. In the employees whose firms do not provide health check-ups, participation rate was 15.9%. 2) Among participants, about 90% of the employees whose firms do not provide health check-ups and about 60% of non-employees utilized mass screenings provided by the local government. 3) Among non-participants, 53.7% of the employees whose firms do not provide health check-ups and 70% of the others (employees whose firms provide health check-ups and non-employees) were aware of the screening system. Most of the young did not know of the system. 4) Principal reasons for nonparticipation were "inconvenient" and "unnecessary because healthy" in job holders and "unnecessary because healthy" in non-job holders. 5) Participants had better health practices than non-participants. Participation rates of chest X-ray mass screenings were high in employees and low in non-employees. Local governments are expected to supplement the existing mass screening system at work-sites by providing accessibility screening. In tuberculosis prevention, nonparticipation in mass screenings is one of the main issues. The association between participation and health practice suggests that methods for linking with primary prevention activities are necessary for stimulating interest and promoting participation in mass screenings.