【Session 09】日中の交流 14:20 – 15:10　（司会：坪倉 正治)
●坪倉 正治 　　　福島県立医科大学医学部 放射線健康管理学講座 主任教授、南相馬市立総合病院 地域医療研究センター センター長」

福島での学術的な日中交流の再開

2024年4月3日、福島県立医科大学にて、中国復旦大学から公衆衛生の先生方を招聘し、災害・公衆衛生危機に関する日中合同シンポジウム「福島原発事故およびコロナ禍の経験から」を開催した。
このシンポジウムの目的は、中国と日本で災害医療・公衆衛生の課題を共有し議論することである。実際、シンポジウムでは、日中それぞれの感染症流行に対する戦略、公共事業が環境へもたらした変化、原発事故による住民への健康影響といった課題を提示し、議論を深めることができた。
処理水問題など外交上の課題はあるものの、日本と中国は共通点も多く、現場レベルでの情報共有や知見の交換は、両国の災害医療や公衆衛生の発展に必須である。これまでの私たちの復旦大学との交流を振り返りながら、今後の共同研究課題について紹介する。

●王 継偉 　　　上海復旦大学公共衛生学院予防医学・健康教育学科専門准教授、修士指導医

王継偉
（上海復旦大学公共衛生学院予防医学・健康教育学科専門准教授、修士指導医）

Health Self-Management Group Intervention Project for People with Hearing Impairment in Shanghai

Objective: This study aimed to evaluate the effect of a health self-management group intervention program based on psychological behavioral intervention for people with hearing impairment in Shanghai.
Methods: From April to June 2023, 280 hearing-impaired individuals aged 18-70 were recruited through the Shanghai Association of the Deaf from seven districts, with 40 participants from each district. In each district, participants were randomly assigned to an intervention group (20 people) and a control group (20 people), resulting in a total of 140 participants in each group citywide. The intervention group received an 8-week psychological and behavioral intervention, consisting of weekly 1-2 hour sessions.
The intervention content included mental health knowledge, cognitive symptom management, and behavioral training techniques. Trained and assessed deaf group leaders implemented the intervention, assisted by sign language volunteers and community healthcare workers. Standardized questionnaires and assessment tools were used to collect data before and after intervention. The primary outcome measures were anxiety and depression symptoms. Chi-square tests, t-tests, paired t-tests, and covariance analysis were employed to evaluate the intervention effects.
Results: Valid follow-up data were collected from 242 participants (122 in the intervention group, 120 in the control group). After the intervention, the anxiety scores in the intervention group decreased from 6.67±1.62 to 5.41±1.66 (F=12.84, P=0.001), and depression scores decreased from 6.42±1.82 to 4.59±1.61 (F=36.91, P<0.001), while the control group showed no significant changes. Additionally, the intervention group demonstrated significant improvements in cognitive self-management, health concerns, self-rated health, regular diet, and sleep quality.
Conclusion: The peer-supported structured psychological and behavioral intervention effectively improved mental health status, cognitive management abilities, and health behaviors among hearing impairment people, enhancing the acceptability of intervention measures as well as the development of community networks, and providing valuable insights for research and practice in related fields.

●陳 耀龍 　　蘭州大学基礎医学院エビデンス医療研究所教授［ガイドラインおよびエビデンス研究グループ部門長］、WHOガイドライン実施・知識移転協力センター長
(指定発言)　◆ビデオメッセージ

●姜 慶五　　　 中国コロナ予防管理国家専門家グループ委員、中国健康促進健康教育協会 スーパーバイザー

Introduction to the social and health service system for the elderly in Shanghai

By the end of 2022, there will be 6.1948 million people aged 60 and above in Shanghai, accounting for 25.0% of the total population, 5.2 percentage points higher than the national level; there will be 4.6213 million people aged 65 and above, accounting for 18.7% of the total population, 3.8 percentage points higher than the national level.
In the past five years, the Shanghai Municipal Government has successively promulgated a series of government documents such as the “Shanghai Healthy Aging Action Plan (2022-2025)” and the “Shanghai Elderly Care Service Facility Layout Special Plan (2022-2035) and others”, laying the foundation for the high-quality development of the elderly cause.
Relying on the construction of community chronic disease health management support centers, the application and promotion of health management standardization technology and the city’s chronic disease health management system, Shanghai has 2.532 million elderly chronic disease patients under management, including 2.308 million hypertension patients, with a standardized management and treatment rate of 79.5%; 771,000 diabetes and pre-diabetes patients, with a standardized management and treatment rate of 76.6%.
According to the “Guiding Opinions on Establishing and Improving the Elderly Health Service System” issued by the “National Health Commission” and other departments of center government, “to carry out elderly-friendly services, by 2022, more than 80% of comprehensive hospitals and primary medical and health units will become elderly-friendly medical and health services”, Shanghai has completed the goal ahead of schedule. More and more medical institutions in Shanghai have been selected as “Shanghai Elderly-Friendly Medical Institutions Excellent Service Brand”.