Health attitudes and behaviors: Comparison of Japanese and Americans of Japanese and European Ancestry

Toho University, Edo, Tokyo, Japan
Health & Place (Impact Factor: 2.81). 07/2004; 10(2):153-61. DOI: 10.1016/S1353-8292(03)00055-8
Source: PubMed


Adults living in Japan (N = 357) and the US (N = 223) completed semi-structured interviews assessing health-related attitudes and practices. The US respondents were of Japanese (N = 106) and European (N = 117) ancestry. Results indicated considerable similarity between the two US groups and significant differences between the Japanese and American respondents. The Japanese respondents placed less priority on health, had less belief in the efficacy of health screening tests, lower levels of internal health locus of control (HLOC), and higher levels of chance and powerful-others HLOC. While Japanese and Americans had similar overall levels of healthy behaviors, the Japanese were less likely to have obtained health screening tests (especially gynecologic exams). The findings have implications for adapting health promotion programs in the context of Japanese and American cultures.

1 Follower
18 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: To investigate the perceived health values and its impact on health-related behaviors of the ethnic minority people in Guizhou province, with an aim to developing culturally appropriate health education and health promotion strategies. A self-designed questionnaire survey was undertaken in 722 Miao, Gelao, Dong and Buyi people aged 15 years or over. The questionnaire contained six items evaluating perceived health values. The health-related behaviors covered smoking, alcohol drinking, safe water drinking, blood pressure check, reading health information, and seeking medical attention for illness. Kruskal-Wallis Test and Spearman correlation analysis were used to test the relationship between health values and health-related behaviors. Smoking and alcohol drinking were more prevalent in the minority men than in the minority women (P<0. 001). The health-related behaviors including smoking, alcohol drinking and reading changed with age and education levels. Those who had less health risk behaviors (except for smoking) tended to put more values on health. Each of the six health value items was associated with at least three health-related behaviors. Blood pressure check and reading were positively correlated with all of the six health values items. There is a need to increase perceived values of health in the ethnic minority people through education so that health promotion can be effectively implemented.
    No preview · Article · Jun 2007 · Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition
  • [Show abstract] [Hide abstract]
    ABSTRACT: Due to recent advances in treatment, nearly 80% of childhood cancer patients become long-term survivors. Studies on the late effects of survivors are under way worldwide. However, data on Asian survivors remain limited. Data on 241 survivors at the Long-term Follow-up Clinic in Severance Hospital, South Korea, were collected and late effects were confirmed by oncologists. The median follow-up from diagnosis was 7.8 years. Late effects were identified in 59.8% of survivors and 23.2% had two or more late effects. Grade 3 or higher late effects were present in 10.8%. The most common late effects involved endocrine system (29.0%). Late effects were present in 95.7% of brain tumor survivors and 36.0% of Wilms' tumor survivors. Chemotherapy, hematopoietic stem-cell transplantation and radiotherapy were significant factors associated with the number and severity of late effects (P < 0.05). Brain tumor survivors had more severe late effects (P < 0.001), whereas Wilms' tumor survivors had fewer and milder late effects (P < 0.05). The observation that over 50% of cancer survivors suffered from late effects during the short follow-up period and that a high frequency of endocrine late effects was present indicates the need for early and well-timed intervention of the survivors.
    No preview · Article · Mar 2009 · Annals of Oncology
  • [Show abstract] [Hide abstract]
    ABSTRACT: Despite earlier diagnosis and advancements in treatment, cancer remains a leading cause of death in the world (13% of all deaths according to the World Health Organization) among men and women. Cancer accounts for approximately 20% of the deaths in the USA every year. Here, we report the findings from a cross-sectional survey of psychosocial factors in lung and gastrointestinal cancer patients. The aim of the study was to explore the associations among transitoriness, uncertainty, and locus of control (LOC) with quality of life. Transitoriness is defined as a person's confrontation with life's finitude due to a cancer diagnosis. A total of 126 patients with lung or gastrointestinal cancer completed eight self-reporting questionnaires addressing demographics, spiritual perspective, symptom burden, transitoriness, uncertainty, LOC, and quality of life. Transitoriness, uncertainty, and LOC were significantly associated with one another (r = 0.3267, p = 0.0002/r = 0.1994, p = 0.0252, respectively). LOC/belief in chance has a significant inverse relationship with patients' quality of life (r = -0.2505, p = 0.0047). Transitoriness, uncertainty, and LOC were found to have a significant inverse relationship with patients' quality of life (transitoriness state: r = -0.5363, p = 0.0000/trait: r = -0.4629, p = 0.0000/uncertainty: r = -0.4929, p = 0.0000/internal LOC: r = 0.1759, p = 0.0489/chance LOC: r = -0.2505, p = 0.0047). Transitoriness, uncertainty, and LOC are important concepts as they adversely influence patients' quality of life. Incorporating this finding into the care of cancer patients may provide them with the support they need to cope with treatment and maintenance of a positive quality of life.
    No preview · Article · Feb 2010 · Supportive Care in Cancer
Show more