秋 田 県 公 衆 衛 生 学 雑 誌

秋田県公衆衛生学雑誌
令和４年６月次目

第十七巻・第一号

第１７巻・第１号

令和四年六月

1

6

10
19

29

秋 田 県 公 衆 衛 生 学 会⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

㔝༠఍ࡅࢇࡱ⛅⏣ᨭ㒊࡟࠾ࡅࡿࠕയ⑓ྡࠖ➼࡟╔┠ࡋࡓ᫬㛫እཷデᢚไࡢࡓࡵࡢ᳨ウ⃝ཱྀ㥴 1) 㧗ᶫ⪔ᖹ 2) ᒾ⏣㇏ே 3) 㔝ᮧᜤᏊ 3)1)඲ᅜ೺ᗣಖ㝤༠఍㸦༠఍ࡅࢇࡱ㸧⛅⏣ᨭ㒊ࠊ඲ᅜ೺ᗣಖ㝤༠఍㸦༠఍ࡅࢇࡱ㸧⛅⏣ᨭ㒊㸦⌧࣭඲ᅜ೺ᗣಖ㝤༠఍㸦༠఍ࡅࢇࡱ㸧ᐑᇛᨭ㒊㸧ࠊ
3)⛅⏣኱Ꮫ་Ꮫ㒊⾨⏕Ꮫ࣭බ⾗⾨⏕Ꮫㅮᗙ2)せ ᪨デ⒪᫬㛫እ࡟ᝈ⪅㒔ྜ࡛⥭ᛴᛶࡢ࡞࠸ཷデࢆ⾜࠺ࡇ࡜ࢆࠕࢥࣥࣅࢽཷデࠖ࡜࿧ࡧࠊ♫఍ၥ㢟࡜࡞ࡗ࡚࠸ࡿࠋࠕࢥࣥࣅࢽཷデࠖࢆᢚไࡍࡿࡇ࡜ࡣࠊ⥭ᛴᛶࡢ㧗࠸ᝈ⪅ࡢ་⒪࡬ࡢ࢔ࢡࢭ
ࢫࢆᏲࡾࠊ་⒪㈝ࢆ๐ῶࠊࡉࡽ࡟ࡣ་ᖌ࣭་⒪ᚑ஦⪅ࡢ㈇ᢸ㍍ῶࡢ 3 ࡘࡢほⅬ࠿ࡽ㔜せ࡛࠶ࡿࠋ༠఍ࡅࢇࡱ⛅⏣ᨭ㒊ࡢ 2018 ᖺᗘࡢ෌デ࡟࠾ࡅࡿデ⒪᫬㛫እཷデ࡟㛵ࡍࡿデ⒪⾜Ⅽᶆ‽໬ࣞࢭࣉࢺฟ⌧ẚ (SCR) ࡣ඲ᅜ࡛ 3 ␒┠࡟㧗࠸ᩘ್࡜࡞ࡗ࡚࠸ࡿࠋࡇࢀࡽࡢ⫼ᬒ࠿ࡽࠊ༠
఍ࡅࢇࡱ⛅⏣ᨭ㒊ࡢ෌デ࡟࠾ࡅࡿデ⒪᫬㛫እࣞࢭࣉࢺ௳ᩘࢆ㐺ṇ໬ࡍࡿࡇ࡜ࢆ┠ⓗ࡟᳨ウࢆ⾜࠺ࠋ༠఍ࡅࢇࡱ⛅⏣ᨭ㒊ࡢ 2019 ᖺᗘࡢ་⛉ࣞࢭࣉࢺࢹ࣮ࢱࢆ⏝࠸ࠊデ⒪᫬㛫እཷデ࡟㛵ࡍࡿ
デ⒪⾜Ⅽ࡟ࡘ࠸࡚ࠊ18 ṓ௨ୖࡢ⛅⏣┴ෆᒃఫ⪅࡟㝈ᐃࡋ࡚ࠊࠕയ⑓ྡࠖ➼࡟╔┠ࡋࡓ᳨ウࢆ⾜ࡗࡓ࡜ࡇࢁࠊึデ࡟ẚ࡭࡚෌デࡢࠕኪ㛫࣭᪩ᮅࠖ๭ྜ㸦[⏨ᛶ]ึデ 24.6%࣭෌デ 70.6%ࠊ
[ዪᛶ]ึデ 35.2%࣭෌デ 68.4%㸧ࡀ㧗࠸ࡇ࡜࡟ຍ࠼࡚ࠊ⿕ᢇ㣴⪅࡟ẚ࡭࡚⿕ಖ㝤⪅ࡢࠕኪ㛫࣭᪩ᮅࠖ๭ྜ㸦⏨ᛶ⿕ಖ㝤⪅ 48.3%࣭⿕ᢇ㣴⪅ 39.1%ࠊዪᛶ⿕ಖ㝤⪅ 56.9%࣭⿕ᢇ㣴⪅㸸41.7%㸧
ࡀ㧗࠸ഴྥࡀࡳࡽࢀࡓࠋࡲࡓࠊ㔜⑕ᗘ࣭⥭ᛴᗘࡀ㧗ࡃ࡞࠸࡜᥎

࡛ࡁࡿയ⑓࡜ࡑࢀ௨እࡢയ

⑓ࢆẚ࡭ࡿ࡜ࠊ๓⪅ࡢ෌デ๭ྜࡀ㧗࠸ഴྥࡀࡳࡽࢀࡓࠋ
㔜⑕ᗘ࣭⥭ᛴᗘࡀ㧗ࡃ࡞࠸࡜᥎

࡛ࡁࡿയ⑓࡟࠾ࡅࡿ⿕ಖ㝤⪅ࡢࠕኪ㛫࣭᪩ᮅࠖࡢ෌デࣞࢭࣉࢺ௳ᩘࡀከ࠸ࡇ࡜ࡀ༠఍ࡅࢇࡱ⛅⏣ᨭ㒊ࡢᖹᆒ್ࢆᢲࡋୖࡆ࡚࠸ࡿཎᅉࡢ 1 ࡘ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࡓࡵࠊᙜヱᑐ㇟⪅࡬ࡢၨⓎ➼ࡢ㔜せᛶࡀ♧၀ࡉࢀࡓࠋ

ᡃࡀᅜࡢ་⒪㈝ࡣ⌧ᅾ 40 ඙෇ࢆ 2) ㉸࠼ࡣࡌࡵ࡟ デ⒪᫬㛫እ࡟ᝈ⪅㒔ྜ࡛⥭ᛴᛶࡢ࡞࠸ཷ

࡚࠾ࡾࡇࡢ≧ែࡀ⥆ࡃ࡜ᅜẸⓙಖ㝤ไᗘࡀデࢆ⾜࠺ࡇ࡜ࢆࠕࢥࣥࣅࢽཷデࠖ࡜࿧ࡧࠊ୍

◚⥢ࡍࡿ࡜࠸ࢃࢀ࡚࠸ࡿ 3)ࠋࡲࡓࠊ་ᖌࡢ㛗ḟᩆᛴ⪅ࡢ 2 ே࡟ 1 ேࡀࠕࢥࣥࣅࢽཷデࠖ᫬㛫ປാࡣ῝้࡛ࠊࢥࣥࣅࢽཷデࢆチࡍࡇ࡜ࡍࡿሗ࿌ࡀ࠶ࡿ 1)ࠋデ⒪᫬㛫እཷデ࡜ࡣ࡜ࡣࠊ་ᖌࡢ೺ᗣࢆᦆ࡞࠺ࡔࡅ࡛࡞ࡃࠊ་⒪ᩆᛴእ᮶ࡢࡇ࡜࡛ࠊ✺Ⓨⓗ࡞೺ᗣୖࡢ⌮⏤ࡢ㉁ࡸᏳ඲ࡀ☜ಖ࡛ࡁ࡞࠸ࠋᚑࡗ࡚ࠊ
ࠕࢥࣥࡢࡓࡵ࡟⥭ᛴ࡛デᐹࢆồࡵࡿᝈ⪅ࡢࡓࡵ࡟ࣅࢽཷデࠖࢆᢚไࡍࡿࡇ࡜ࡣࠊ་⒪㈝๐ῶࡢ

☜ಖࡋ࡞ࡅࢀࡤ࡞ࡽࡎࠊࡑࡢࡓࡵཷデᩱࡶ

ほⅬ࠿ࡽࡶ་ᖌࡢ㈇ᢸ㍍ῶࡢほⅬ࠿ࡽࡶ㔜㧗ࡃタᐃࡉࢀ࡚࠸ࡿࠋ

せ࡛࠶ࡿࠋ་⒪ᶵ㛵ࡢྲྀ⤌ࡸᨻ⟇ᨭ᥼࡟ຍཷ௜ ཷ⌮
ࠛ ⛅⏣ᕷ᪫໭㘊⏫ 
ࢩࢸ࢕ࣅࣝ⛅⏣㸰㝵࠼ࠊ་⒪㛵ಀ⪅ࡔࡅ࡛࡞ࡃࠊୖᡭ࡞་⒪ࡢ࠿
࠿ࡾ᪉ࢆ་⒪ࢧ࣮ࣅࢫཷ⤥⪅ࡶྵࡵ࡚⪃࠼ࡿᚲせࡀ࠶ࡿ 4)ࠋ

−1−

⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

8 ๭௨ୖࡀᚑᴗဨ 9 ே௨ୗࡢ୰ᑠ௻ᴗࡀ

᫬㛫እຍ⟬㸦࠾࠾ࡴࡡ 6 ᫬㹼8 ᫬࣭18 ᫬ຍධࡍࡿ඲ᅜ೺ᗣಖ㝤༠㸦㏻⛠ ༠఍ࡅࢇࡱ㸧5)

㹼22 ᫬㸧ࠊ῝ኪຍ⟬㸦22 ᫬㹼6 ᫬㸧ࠊఇ᪥ຍࡀ 2018 ᖺᗘ࡟⟬ฟࡋࡓデ⒪᫬㛫እཷデ࡟⟬ࡣࠊಖ㝤་⒪ᶵ㛵ࡀ⾲♧ࡍࡿデ⒪᫬㛫እ㛵ࡍࡿデ⒪⾜Ⅽᶆ‽໬ࣞࢭࣉࢺฟ⌧ẚ࡟デ⒪ࢆ⾜ࡗࡓሙྜ࡟⟬ᐃྍ⬟࡜ࡋࡓࡇ࡜

(Standardized Claim Ratio㸸SCR) ࡛ࡣࠊ

࡟ࡼࡾࠊ18 ᫬௨㝆ࢆデ⒪᫬㛫࡜ࡍࡿಖ㝤་⛅⏣ᨭ㒊ࡢ෌デࡢデ⒪᫬㛫እཷデࡀ඲ᅜ࡛⒪ᶵ㛵➼ࠊࡇࡢᶆ‽࡟ࡼࡿࡇ࡜ࡀᅔ㞴࡞ಖ

3 ␒┠࡟㧗࠸ᩘ್࡛࠶ࡗࡓ 6)ࠋࡇࡢ್ࡣࠊึ

㝤་⒪ᶵ㛵࡟ࡘ࠸࡚ࡣࠊ⾲♧ࡍࡿデ⒪᫬㛫デ࡜෌デ࡟ศࡅ࡚ィ⟬ࡋ࡚ࡶྠᵝ࡟㧗ࡃࠊእࢆ᫬㛫እຍ⟬ࠊ῝ኪຍ⟬ࠊఇ᪥ຍ⟬࡜ࡋ࡚඲ᅜ࡛⛅⏣┴ࡢデ⒪᫬㛫እཷデࡀከ࠸ࡇ࡜

ྲྀࡾᢅࡗࡓ 6)ࠋศᯒࡣ࢝࢖஧஌᳨ᐃ࡟ࡼࡿ

ࢆ♧၀ࡋ࡚࠸ࡿࠋࡉࡽ࡟ࠊ༠఍ࡅࢇࡱࡢຍධ

⤫ィฎ⌮ࢆ⏝࠸ࠊ᭷ពỈ‽ 5%࡛୧ഃ᳨ᐃ࡜

⋡ࡣ⛅⏣┴Ẹࡢ࠾ࡼࡑ 3 ศࡢ 1 ࡛࠶ࡿࡇ࡜

ࡋࡓࠋࢆ⪃៖ࡍࡿ࡜ࠊ༠఍ࡅࢇࡱ⛅⏣ᨭ㒊ࡢຍධ⪅ࡢ෌デ࡟࠾ࡅࡿデ⒪᫬㛫እࣞࢭࣉࢺ࡟ࡘ⤖ ᯝ࠸࡚ศᯒࢆ⾜࠺ࡇ࡜ࡣຍධ⪅ࡢཷ⒪⾜ືࡢ

デ⒪᫬㛫እࡢ᫬㛫ᖏู௳ᩘ (%) ࡟ࡘ࠸ᅾࡾ᪉ࢆ⪃࠼ࡿୖ࡛኱ኚ᭷ព⩏࡛࠶ࡿࠋࡑ

࡚ࡣࠊࠕኪ㛫࣭᪩ᮅࠖ๭ྜࡀࠊึデ࡟ẚ࡭࡚ࡇ࡛ᮏ◊✲࡛ࡣࠊ᫬㛫እཷデ௳ᩘࢆᢚไࡍ

෌デ࡛ࠊ⏨ዪ࡜ࡶ࡟㧗ࡃ㸦⏨ᛶ 70.6%ࠊዪ

ࡿࡇ࡜ࢆ┠ⓗ࡟ࠕയ⑓ྡࠖ➼࡟╔┠ࡋࡓ᳨ウ

ᛶ 68.4%㸹⾲ 3㸧ࠊ⏨ዪ࡜ࡶ࡟⿕ᢇ㣴⪅࡟ẚࢆ⾜ࡗࡓࠋ࡭࡚⿕ಖ㝤⪅ࡀ㧗࠸ഴྥࡀࡳࡽࢀࡓ㸦⏨ᛶࠊ⿕ಖ㝤⪅ 48.3%vs.⿕ᢇ㣴⪅ 39.1%ࠊዪᛶࠊ⿕ಖ㝤⪅ 56.9%vs.⿕ᢇ㣴⪅ 41.7%㸹⾲ 4㸧ࠋ᪉ ἲ༠ ఍ ࡅ ࢇ ࡱ ⛅ ⏣ ᨭ 㒊 ࡢ 2019 ᖺ ᗘയ⑓ྡࢆ ICD10 ࢥ࣮ࢻ࡟ኚ᥮ࡋ࡚ᨭᡶ௳

(2018.4.1㹼2019.3.31) ࡟デ⒪᫬㛫እཷデ

ᩘୖ఩ 50 ఩ࡲ࡛⾲♧ࡋࡓ࡜ࡇࢁࠊึデࡢሙ

ࡋࡓࠊ18 ṓ௨ୖࡢ⛅⏣┴ෆᒃఫ⪅࡟㝈ᐃࡋྜࠊ㔜⑕ᗘ࣭⥭ᛴᗘࡀ㧗ࡃ࡞࠸࡜᥎

࡚ࠊ
ࠕയ⑓ྡࠖ
ࠊ
ࠕึデ࣭෌デࠖࠊຍ⟬ࡢ✀ู㸦᫬

8 യ⑓ࡢ๭ྜࡀ 13.4%࡟ᑐࡋ㸦⾲ 1㸧ࠊ෌デ㛫እ࣭ኪ㛫࣭᪩ᮅ࣭῝ኪ࣭ఇ᪥㸧ࠊ⿕ಖ㝤⪅࣭

ࡢ 14 യ⑓࡛ࡣࠊ33.0%࡛࠶ࡗࡓ㸦⾲ 2㸧ࠋࡉ⿕ᢇ㣴⪅ࡢ✀ู࡟ࡘ࠸࡚་⛉እ᮶ࣞࢭࣉࢺ

ࡽ࡟ࠊ㔜⑕ᗘ࣭⥭ᛴᗘࡀ㧗ࡃ࡞࠸࡜᥎

ࢹ࣮ࢱࢆᢳฟࡋࡓࠋ

ࡿയ⑓࡜ࡑࢀ௨እࡢയ⑓ࢆẚ࡭ࡿ࡜ࠊ๓⪅ࠕയ⑓ྡࠖࡣࠊࣞࢭࣉࢺࡢയ⑓ྡ㸦ᩥᏐิ㸧

࡛ࡁࡿ

࡛ࡁ

ࡢ෌デ๭ྜࡀ㧗࠸ഴྥࡀࡳࡽࢀࡓ㸦⾲ 5㸧ࠋࢆ ICD10 ࢥ࣮ࢻ࡟ኚ᥮ࡋ㞟ィࢆ⾜ࡗࡓࠋࡇࡢ࠺ࡕࠊ㔜⑕ᗘ࣭⥭ᛴᗘࡀ㧗࠸デ᩿ྡࡣࠊእ⪃ ᐹയ࣭⇕യ࣭୰ẘ࣭ព㆑㞀ᐖ࣭⬚③࣭࿧྾ᅔ㞴࣭ࠕኪ㛫࣭᪩ᮅࠖ࡜タᐃࡋ࡚࠸ࡿ᫬㛫ᖏࡣࠊᾘ໬⟶ฟ⾑࣭⭡③࣭࿘⏘ᮇ࣭ஙᗂඣࡢ 10 ✀࠾࠾ࡴࡡ 18 ᫬㹼20 ᫬ࠊ6 ᫬㹼8 ᫬㸦ᖹ᪥㸧㢮࡜ᐃ⩏ࡋࡓ 7)ࠋയ⑓ྡࡣᨭᡶ௳ᩘୖ఩ 50

࡜タᐃࡉࢀ࡚࠸ࡿࠋࡑࡢࡓࡵࠊ௙஦ࢆࡋ࡚࠸

఩ࡲ࡛⾲♧ࡋࠊ50 ఩௨ෆ࡟ධࡿࡶࡢࡢ㔜⑕ࡿ⿕ಖ㝤⪅ࡢ෌デ࡟࠾ࡅࡿࠕኪ㛫࣭᪩ᮅࠖ๭

ᗘ࣭⥭ᛴᗘࡀ㧗ࡃ࡞࠸࡜᥎

࡛ࡁࡿയ⑓ࢆ

ྜࡀ㧗࠸࡜࠸࠺ࡇ࡜ࡣࠊ໅ົ᫬㛫⤊஢ᚋࡢึデ࡛ࡣ 8 ⑌ᝈ㸦࢔ࣞࣝࢠ࣮ᛶ㰯⅖ࠊ‵⑈ࠊ་⒪ᶵ㛵ཷデࢆ⾜࠺ഴྥࡀ࠶ࡿࡢ࡛ࡣ࡞࠸஘どࠊⶼ㯞⑈ࠊ⭜③⑕ࠊ࢔ࣞࣝࢠ࣮ᛶ⤖⭷⅖ࠊ࠿࡜⪃࠼ࡓࠋࡲࡓࠊ㔜⑕ᗘ࣭⥭ᛴᗘࡀ㧗ࡃ࡞࢔ࢺࣆ࣮ᛶ⓶⭵⅖ࠊ࡟ࡁࡧ㸧㸦⾲ 1㸧ࠊ෌デ࡛࠸࡜᥎

ࡣึデ 8 ⑌ᝈ࡟ຍ࠼ 6 ⑌ᝈ㸦㧗⬡⾑⑕ࠊ኱ࢀ௨እࡢയ⑓ࡼࡾࡶ㧗ࡃࠊࡲࡓࡇࡢ㔜⑕ᗘ࣭⭠࣏࣮ࣜࣉࠊ㏆どࠊ㧗ࢥࣞࢫࢸ࣮ࣟࣝ⾑⑕ࠊ⥭ᛴᗘࡀ㧗ࡃ࡞࠸๭ྜࡣࠊึデࡼࡾࡶ෌デ⓶⬡Ḟஈᛶ‵⑈ࠊኚᛶ㏆ど㸧ࡢィ 14 ⑌ᝈ㸦⾲ࡢ᪉ࡀ 2 ಸ௨ୖ㧗࠸⤖ᯝ࡛࠶ࡗࡓࠋࡇࡢࡇ

2㸧࡜ᐃ⩏ࡋࡓࠋ

࡜࠿ࡽࠊ་Ꮫⓗ࡟ᩆᛴእ᮶ࢆཷデࡋ࡞ࡃ࡜−2−࡛ࡁࡿയ⑓࡟࠾ࡅࡿ෌デ๭ྜࡀࡑ⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶⾲ ึデ᫬㛫እデ⒪ࣞࢭࣉࢺࠕയ⑓ྡࠖࡢෆᐜ
㸦ึデ᫬㛫እࣞࢭࣉࢺ௳ᩘ㸸ࠊᨭᡶ௳ᩘୖ఩  ఩㸸㸧㸦ࠕയ⑓ྡࠖࡣ ,&' ࢥ࣮ࢻ࡟ኚ᥮ࡋ࡚ࠊᨭᡶ௳ᩘୖ఩  ఩ࡲ࡛⾲♧㸧,&' ࢥ࣮ࢻ
-
-
$
-
-
-
-
/
+
-
5
-
$
7
/
(
5
.
5
-
0
7
-
7
'
,
,
/

യ⑓ྡ
ᛴᛶୖẼ㐨⅖࢖ࣥࣇ࢚ࣝࣥࢨ
ᛴᛶ⫶⭠⅖
ᛴᛶẼ⟶ᨭ⅖࢖ࣥࣇ࢚ࣝࣥࢨ $ ᆺဗ㢌⅖࢔ࣞࣝࢠ࣮ᛶ㰯⅖‵⑈
஘どᛴᛶဗ㢌ႃ㢌⅖
㢌③
ᛴᛶᡥ᱈⅖
ឤᰁᛶ⫶⭠⅖
⹸่⑕
ࡌࢇࡲ⑈
⬺Ỉ⑕
Ⓨ⇕
ᛴᛶ⫶⅖
ᝏᚰཬࡧ჎ྤ
ᛴᛶ㰯ဗ㢌⅖
⭜③⑕㒊఩୙᫂ࡢ㛤ᨺ๰Ẽ⟶ᨭႍᜥ
㒊఩୙᫂ࡢ⾲ᅾᦆയ᧛✀ᛶ⾑⟶ෆจᅛ
⬻ฟ⾑
㧗⾑ᅽ⑕
⓶⭵ឤᰁ⑕

௳ᩘ




























,&' ࢥ࣮ࢻ
5
(
6
.
%
-
1
1
+
.
/
+
1
-
/
/
)
5
1
$
,
.

㔜⑕ᗘ࣭⥭ᛴᗘࡀ㧗 ࡃ ࡞ ࠸ ࡜᥎ ࡛ ࡁ ࡿ യ ⑓

യ⑓ྡ
ࡵࡲ࠸⑕
⢾ᒀ⑓
ᣦ㛤ᨺ๰
⫶₽⒆
ᖏ≧⑁⑈
⫵⅖
ᒀ⟶⤖▼
⭤⬔⅖
࢔ࣞࣝࢠ࣮ᛶ⤖⭷⅖
࢖ࣞ࢘ࢫ࢔ࢺࣆ࣮ᛶ⓶⭵⅖⤖⭷⅖ங⭢⑕ᛴᛶ๪㰯⭍⅖ᑜᖖᛶࡊ⒔࢔ࢡࢿ!
᥋ゐ⓶⭵⅖
୙Ᏻ⚄⤒⑕
⭡③⑕
ᛴᛶ⭤⬔⅖
⁐㐃⳦ឤᰁ⑕
୙ᩚ⬦
㏫ὶᛶ㣗㐨⅖

௳ᩘ























Ƃࠕ യ⑓ࠖྜィ㸸 ௳࠙ࠚ⾲ ෌デ᫬㛫እデ⒪ࣞࢭࣉࢺࠕയ⑓ྡࠖࡢෆᐜ
㸦෌デ᫬㛫እࣞࢭࣉࢺ௳ᩘ㸸ࠊᨭᡶ௳ᩘୖ఩  ఩㸸㸧㸦ࠕയ⑓ྡࠖࡣ ,&' ࢥ࣮ࢻ࡟ኚ᥮ࡋ࡚ࠊᨭᡶ௳ᩘୖ఩  ఩ࡲ࡛⾲♧㸧,&' ࢥ࣮ࢻ
,
+
-
-
*
(
)
(
)
-
/
.
/
-
-
.
+
(
$
)
1
*
2
1
.
)
(
(

യ⑓ྡ
㧗⾑ᅽ⑕
஘ど
࢔ࣞࣝࢠ࣮ᛶ㰯⅖
Ẽ⟶ᨭႍᜥ
╧╀᫬↓࿧྾⑕ೃ⩌
㧗⬡⾑⑕
࠺ࡘ⑓
⢾ᒀ⑓
⚄⤒⑕
ᛴᛶୖẼ㐨⅖‵⑈៏ᛶ⫶⅖࢔ࢺࣆ࣮ᛶ⓶⭵⅖ᛴᛶẼ⟶ᨭ⅖࢖ࣥࣇ࢚ࣝࣥࢨ
኱⭠࣏࣮ࣜࣉ㏆ど㧗ࢥࣞࢫࢸ࣮ࣟࣝ⾑⑕ᛴᛶ⫶⭠⅖
⤫ྜኻㄪ⑕
๓❧⭢⫧኱⑕
୙╀⑕ษ㏕ὶ⏘ཎⓎᛶ୙᫂୙ዷ⑕
౽⛎㌄࠺ࡘ⑓༸ᕢᶵ⬟୙඲⑕
⏥≧⭢⭘௳ᩘ




























,&' ࢥ࣮ࢻ0
/
1
'
.
.
'
+
/
(
5
5
/
+
'
1
-
0
1
.
)
&

 㔜⑕ᗘ࣭⥭ᛴᗘࡀ 㧗 ࡃ ࡞ ࠸ ࡜ ᥎ ࡛ ࡁ ࡿ യ ⑓

−3−

യ⑓ྡ
⭜③⑕
ᑜᖖᛶࡊ⒔࢔ࢡࢿ!
᭶⤒ᅔ㞴⑕
㕲Ḟஈᛶ㈋⾑⫶₽⒆
㏫ὶᛶ㣗㐨⅖
༸ᕢ⭘⒆
ኚᛶ㏆ど
ࡌࢇࡲ⑈
 ᆺ⢾ᒀ⑓
㢌③ࡵࡲ࠸⑕⓶⬡Ḟஈᛶ‵⑈࢔ࣞࣝࢠ࣮ᛶ⤖⭷⅖Ꮚᐑ➽⭘᭦ᖺᮇ⑕ೃ⩌ဗ㢌⅖ኚᙧᛶ⭸㛵⠇⑕Ꮚᐑ⭼㒊ࡧࡽࢇ
⑝᰾
㐺ᛂ㞀ᐖ
ஙࡀࢇ

௳ᩘ























Ƃࠕ യ⑓ࠖྜィ㸸 ௳࠙ࠚ

⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶⾲ ᫬㛫እ⤥௜ࡢ᫬㛫ᖏู௳ᩘ  㹼ึデ࣭෌デ㹼ึデ෌デ๭ྜᕪ S ࡚ࡣࣃࣥࣇࣞࢵࢺ㓄ᕸࡸ TV ࢸࣟࢵࣉ࡞࡝ࠊ
㝔እࡣ⑓㝔࣮࣒࣮࣍࣌ࢪࡢᥖ♧ࡸ⾜ᨻ࡜ࡢ༠ാ࡟ࡼࡿᗈሗࡸฟ๓ㅮᗙ࡞࡝ࢆ⾜࠸ࠊ᫬

࠙⏨ᛶࠚ
᫬㛫እ



 



 



ኪ㛫࣭᪩ᮅ



 



 

῝ኪ

 

 

࠸ࡿࠋ་⒪ேᮦࡢ୙㊊࠿ࡽࠊ㛗᫬㛫ປാ࡟ࡼఇ᪥

 



 



ࡿ⑂ᘢ࡞࡝ࡶၥ㢟࡜࡞ࡗ࡚࠾ࡾ 8)ࠊ୙せ୙ྜィ

 㛫እཷデࡢၨⓎάືࢆᝈ⪅࡟ᑐࡋ࡚⾜ࡗ࡚ᛴࡢᩆᛴእ᮶ཷデࢆ᥍࠼ࡿാࡁ࠿ࡅࡣ௒ᚋ

࠙ዪᛶࠚ
᫬㛫እ



 



 

㔜せ࡛࠶ࡿࠋࡲࡓࠊ᪥୰ࡢ་⒪ᶵ㛵ཷデࢆᡃኪ㛫࣭᪩ᮅ



  

 

῝ኪ  

៏ࡉࡏ࡞࠸⫋ሙ⎔ቃ࡙ࡃࡾࢆ᥎㐍ࡍࡿࡓࡵఇ᪥

 



 



ྜィ

 ࡶᚲせ୙ྍḞ࡛࠶ࡿࠋຍ࠼࡚ࠊ༠఍ࡅࢇࡱ⛅⾲ ᫬㛫እ⤥௜ࡢ᫬㛫ᖏู௳ᩘ  㹼⿕ಖ㝤⪅࣭⿕ᢇ㣴⪅㹼⿕ಖ㝤⪅

 

⏣ᨭ㒊ࡢ෌デࡀ඲ᅜ࡛㧗࠸ᩘ್࡜࡞ࡗ࡚࠸
ࡿࡇ࡜࡟ࡘ࠸࡚ࡣࠊᆅᇦ་⒪࡟࠾ࡅࡿせᅉ⿕ᢇ㣴⪅๭ྜᕪ S  



ᇦ᯶ࠊ་⒪ᶵ㛵ࡀᑡ࡞࠸ࡇ࡜ࡸࠊ་⒪ᶵ㛵ࡲ

࠙⏨ᛶࠚ
᫬㛫እ

࡟ࡣࠊປാ⪅ࢆ㞠⏝ࡋ࡚࠸ࡿ஦ᴗ୺ࡢ⌮ゎࡶ⪃࠼ࡽࢀࡿࠋලయⓗ࡟ࡣࠊ⛅⏣┴࡜࠸࠺ᆅኪ㛫࣭᪩ᮅ



 

 



࡛ࡢ࢔ࢡࢭࢫ࡞࡝ᆅᇦ≉ᛶࡶ⪃៖ࡋ࡞ࡀࡽࠊ῝ኪ

 



 



ఇ᪥

 

 



ࡉࡽ࡞ࡿ᳨ウࡀᚲせ࡜⪃࠼ࡿࠋ





 

᫬㛫እ



 



 



ኪ㛫࣭᪩ᮅ



 



 



య࣭་⒪ᥦ౪⪅࣭Ẹ㛫௻ᴗ࣭ᕷẸᅋయ࡞࡝ࢆ῝ኪ

 



 



ࡣࡌࡵࠊ་⒪ࡢᜠᜨࢆ⿕ࡿࠕࡍ࡭࡚ࡢேࠖࡀ

ఇ᪥

 



 





 ⪃࠼ࠊཧຍࡋࠊ⾜ືࡍ࡭ࡁྲྀ⤌ࡳ࡛࠶ࡿࠋ༠

ྜィࠕࢥࣥࣅࢽཷデࠖࡢᢚไࢆࡣࡌࡵ࡜ࡋࡓ

࠙ዪᛶࠚ

ྜィ

ṇࡋ࠸་⒪ࡢ࠿࠿ࡾ᪉࡟ࡘ࠸࡚ࡣࠊᅜࠊ⮬἞఍ࡅࢇࡱ⛅⏣ᨭ㒊࡜ࡋ࡚ࡶ᪥ᮏ᭱኱ࡢ་⒪⾲ 㔜せᗘ࣭⥭ᛴᗘࡀ㧗ࡃ࡞࠸࡜᥎ ࡛ࡁࡿയ⑓࡜ࡑࢀ௨እࡢ
യ⑓ࡢ෌デ๭ྜ
㔜⑕ᗘ࣭
⥭ᛴᗘࡀ
㧗ࡃ࡞࠸
യ⑓௳ᩘ

ࡑࢀ௨እࡢ
യ⑓௳ᩘ㸦࠺ࡕ෌デ๭ྜ㸧㸦࠺ࡕ෌デ๭ྜ㸧



  ྜィ

3 ್࢝࢖஧஌᳨ᐃ



⏨ᛶ⿕ಖ㝤⪅㸺




  

ዪᛶ⿕ಖ㝤⪅㸺


  



  

⏨ᛶ⿕ᢇ㣴⪅㸺

ዪᛶ⿕ᢇ㣴⪅
㸺

ࡶ᪥୰ࡢཷデ࡛኱஦࡟⮳ࡽ࡞࠸ࢣ࣮ࢫࡶከ
ࡃྵࡲࢀ࡚࠸ࡿࡢ࡛ࡣ࡞࠸࠿࡜⪃࠼ࡽࢀࡓࠋ ௨ୖࡼࡾࠊ㔜⑕ᗘ࣭⥭ᛴᗘࡀ㧗ࡃ࡞࠸࡜᥎
࡛ࡁࡿയ⑓࡛⧞ࡾ㏉ࡋ᫬㛫እཷデࡋ࡚࠸ࡿᝈ⪅࡬ࡢࠕୖᡭ࡞་⒪ࡢ࠿࠿ࡾ᪉ࠖࡢၨⓎಖ㝤⪅࡜ࡋ࡚ࠊࢹ࣮ࢱࢆά⏝ࡋ㛵ಀᅋయ࡜㐃ᦠࡋ࡞ࡀࡽࡇࡢྲྀ⤌ࢆ⾜ࡗ࡚࠸ࡁࡓ࠸ࠋᩥ ⊩(1) ➨ 12 ᅇᒣཱྀᩆᛴึ⒪◊✲఍୍⯡₇㢟┳ㆤᖌ㒊㛛ࠕࢥࣥࣅࢽཷデ⪅ࡢᐇែㄪᰝࠖ
(2) https://www.mhlw.go.jp/toukei/saikin/kiryouhi/18/index.html(3) Shibuya K, Hashimoto H, Ikegami N,
Nishi A, Tanimoto T, Miyata H, et al.
Future of Japan’s system of good healthat low cost with equity : beyond
universal coverage. Lancet.2011 Oct1;378(9798):1265-1273,
doi:10.1016/S0140-6736(11)61098-2.
Equb2011Aug30.
(4) ᖹᡂ 30 ᖺ 10 ᭶ 5 ᪥ࠕୖᡭ࡞་⒪ࡢ࠿࠿
ࡾ᪉ࢆᗈࡵࡿࡓࡵࡢ᠓ぶ఍㈨ᩱࠖ
(5) https://www.kyoukaikenpo.or.jp(6)ࡣᚲ⮳࡛࠶ࡿࠋ౛࠼ࡤࠊᆅᇦ୰᰾⑓㝔࡟࠾࠸

−4−

௧࿴ 2 ᖺ 7 ᭶ 27 ᪥ࠕ඲ᅜ೺ᗣಖ㝤༠఍➨ 104
ᅇ㐠Ⴀጤဨ఍㈨ᩱࠖ

⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

(7)

(8)

ᖹᡂ 16 ᖺ 3 ᭶㈈ᅋἲேᩆᛴ᣺⯆㈈ᅋࠕᩆᛴᦙ

ࠕ᫬㛫እ࡛ࡢࢥࣥࣅࢽཷデࢆῶᑡࡉࡏࡿࡓࡵ

㏦࡟࠾ࡅࡿ㔜⑕ᗘ࣭⥭ᛴᗘุᐃᇶ‽సᡂጤဨ࡟ࠖ㸸඲⮬⑓༠㞧ㄅ➨ 48 ᕳ➨ 3 ྕ㸸13 (251) -఍ࠖሗ࿌᭩

14 (252)☬⏣ᕷ❧⥲ྜ⑓㝔 ་஦ㄢ㛗 㧗ᑿ ⣧⏨−5−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶఍ሗ➨  ᅇᮾ໭බ⾗⾨⏕Ꮫ఍㸦⛅⏣㸧ሗ࿌㸦௧࿴  ᖺᗘ⛅⏣┴බ⾗⾨⏕Ꮫ఍Ꮫ⾡኱఍㸧௧࿴ ᖺᗘࡢ⛅⏣┴බ⾗⾨⏕Ꮫ఍Ꮫ⾡኱఍ࡣࠊ⛅⏣ᕷ㸦࢜ࣥࣛ࢖ࣥ㸧࡟࡚௧࿴ ᖺ ᭶ ᪥࡟㛤ദࡋࡲࡋࡓ➨ ᅇᮾ໭බ⾗⾨⏕Ꮫ఍ࡢඹദ࡜ࡋ࡚ᐇ᪋࠸ࡓࡋࡲࡋࡓࠋྠᏛ఍ࡢᴫ
せ࠾ࡼࡧ₇㢟୍ぴ࡜ࠊ≉ูㅮ₇ࡢᴫせࢆᥖ㍕ࡋࠊሗ࿌࡜ࡉࡏ࡚࠸ࡓࡔࡁࡲࡍࠋ୍⯡₇㢟ࡢᢒ㘓ࡣᮾ໭බ⾗⾨⏕Ꮫ఍ㅮ₇㞟ࢆࡈཧ↷ࡃࡔࡉ࠸ࠋ

ƝƋƍƞƭ ʻ࠰Ŵᇹ  ‫ׅ‬ǛᡇƑǔி҅πᘌᘓဃ‫˟ܖ‬ƸŴૼ‫׹‬ǳȭȊǦǤȫǹज़௨ၐƷਤዓႎज़௨
ਘ‫ٻ‬ƷƨǊŴǪȳȩǤȳư᧏͵ƞƤƯƍƨƩƘᢃƼƱƳǓǇƠƨŵᲫ࠰ЭǇưƸŴᢒᨠ˟ᜭǷǹȆȠǛМဇƠƯƷ‫͵᧏˟ܖ‬ƕưƖǔƷƔμƘƷசჷૠưƠƨƕŴ᧙̞ᎍƷႏಮƴƓщชƑǛƍƨƩƖŴ˴ƱƔ᧏͵ƴ๬ƗƭƚƨƜƱǛ‫٭ٻ‬۹ƠƘ࣬ƬƯƍǇƢŵ ƜƷᲫ࠰˷Ǔưૼ‫׹‬ǳȭȊǦǤȫǹज़௨ၐƸᅈ˟ኺฎ᩿ǁ‫ٻٶ‬Ƴࢨ᪪ǛӏǅƠŴπᘌᘓဃ‫ܖ‬ƷૼƨƳᛢ᫆ƱƳǓǇƠƨŵ୎ൢࢸᡚƴǑǔኺฎǁƷࢨ᪪Ƹ᫩᫢ȷܿජಅƳƲཎ‫ܭ‬ƷಅᆔƷ᧙̞ᎍƷǈƳǒƣŴɭမμ˳ƴ‫٭ٻ‬ขЦƳࢨǛᓳƱƠǇƠƨŵƞǒƴŴ঻ŷƷဃ෇ǋʴƱƷ੗ᚑǍᆆѣǛஇ‫ݱ‬ᨂƴƢǔဃ෇Ǜ˷ΒƳƘƞǕŴǳȟȥȋȆǣƔǒƷᨠዌሁŷƕŴƲǕ
Ʃƚችᅕ᩿ƴ᝟Ʒࢨ᪪ǛӏǅƠƨưƠǐƏƔŵ ʻ‫ׅ‬Ʒؕᛦᜒ๫ưƸžૼ‫׹‬ǳȭȊǦǤȫǹज़௨ၐƴˤƏȡȳǿȫȘȫǹƷᛢ᫆ſƱ᫆ƠŴᅸဋ‫ܖٻ‬Ҕ‫ܖ‬ᢿችᅕᅹ‫ࡈᜒܖ‬ɼ˓૙੉ưƍǒƬƠǌǔɤ޽ԧ‫پ‬έဃƴƝᜒ๫ƍƨƩƖǇƢŵ
ɤ޽૙੉Ƹზ჈ƕƝ‫ᧉݦ‬ưŴზ჈ᙾᣧᨦܹŴӼችᅕᕤƷϼ૾ܱ७ƳƲŴ‫ٶ‬ૠƷҽဃі΁ႾሁƷ၃‫ܖ‬ᄂᆮƴઃǘƬƯƓǒǕǇƢŵɤ޽૙੉ƴƸŴᅸဋ‫ܖٻ‬Ʒ‫ܖ‬ဃƷƜƜǖƱƔǒƩƷᛦ௹Ǜ˖ဒƠƨ࢘ИǑǓƝਦ‫ݰ‬ǛˏƗŴ‫ܖٻ‬ဃƷችᅕᘓဃƷӼɥƴӼƚƝяᚕǛƍƨƩƍƯ
ǇƍǓǇƠƨŵ ዓƘཎКᜒ๫ƴƓƍƯƸŴᛗƴΌឭưƸƝƟƍǇƢƕŴᅶŴ᣼஭ƕžǳȭȊᅤƷᐯቭƕӏǅƢ‫ܖٻ‬ဃƷ᭵ၐཞȷᐯൈ᧙ᡲࣞॾǁƷࢨ᪪ſƴƭƍƯƓᛅƠƞƤƯƍƨƩƖǇƢŵ  ૼ‫׹‬ǳȭȊǦǤȫǹज़௨ၐƕƍƭኳऒƴӼƔƏƷƔᙸᡫƠƕᇌƨƣਤʁ৆ǛࢍƍǒǕǔɶưŴʴŷƷችᅕᘓဃǛᑣ‫ڤ‬ƴ̬ƭƨǊƷ߻‫پ‬ƕǑǓɟ‫࣏ޖ‬ᙲƱƳƬƯƍǇƢŵʻ‫ׅ‬Ʒᜒ๫ưŴ঻ƕ‫׎‬Ʒ‫ٻ‬ƖƳᅈ˟բ᫆ƱƳƬƯƍǔᒉƍʴƷȡȳǿȫȘȫǹƴƭƍƯŴႏಮƱբ᫆ǛσஊưƖǔƜƱǛ‫٭ٻ‬ஊॖ፯ƴ࣬ƍǇƢŵǇƨᚕǘƣǋƕƳưƢƕŴૼ‫׹‬ǳȭȊǦǤȫǹज़௨ၐƷǈƳǒƣŴி҅ƴƓƚǔπᘌᘓဃ‫ܖ‬᪸؏ƷಮŷƳᛢ᫆ᚐൿƴӼƚŴᆢಊႎƳ᚛ᜭƷ‫ئ‬ƱƠƯႏಮƴƝӋьƍƨƩƚǇƢǑƏƓᫍƍǛဎƠɥƛŴƝਮਠƱƞƤƯƍƨƩƖǇƢŵˋԧ  ࠰  உ  ଐᅸဋჄπᘌᘓဃ‫ᧈ˟ܖ‬ᅸဋ‫ܖٻܖٻ‬ᨈ ૙੉−6−᣼ ஭ ऑ ‫܇‬⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

➨  ᅇᮾ໭බ⾗⾨⏕Ꮫ఍௧࿴  ᖺ  ᭶  ᪥㸦㔠㸧࢜ࣥࣛ࢖ࣥ㛤ദ㹼㛤఍ࡢᣵᣜ

㹼

୍⯡ཱྀ₇,㹼 $ ࠊ㹼 % ୍⯡ཱྀ₇,,
㹼
㹼ఇ   ᠁≉ูㅮ₇, ୕ᓥ࿴ኵ
㸦⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉⢭⚄⛉Ꮫㅮᗙᩍᤵ㸧㹼

≉ูㅮ₇,, 㔝ᮧᜤᏊ
㸦⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉⾨⏕Ꮫ࣭බ⾗⾨⏕Ꮫㅮᗙᩍᤵ㸧㹼

㛢఍ࡢᣵᣜ

㹼࢜ࣥࣛ࢖ࣥ᠓ぶ఍ཧຍ㈝

୍  ⯡͐๓ᮇⓏ㘓㸦 ࡲ࡛㸧 ෇ࠊᚋᮇⓏ㘓㸦㹼ᙜ᪥㸧 ෇኱Ꮫ㝔⏕͐๓ᮇⓏ㘓㸦 ࡲ࡛㸧 ෇ࠊᚋᮇⓏ㘓㸦㹼ᙜ᪥㸧 ෇Ꮫ  ⏕㸦኱Ꮫ㝔⏕ࡣ㝖ࡃ㸧↓ᩱ㈶ຓ࣭ᐤ௜
⛅⏣┴ࠊ⛅⏣ᕷ⛅⏣┴ṑ⛉་ᖌ఍ࠊ⛅⏣┴⸆๣ᖌ఍ࠊ⛅⏣┴┳ㆤ༠఍ࠊ⛅⏣ᕷ་ᖌ఍
⸨ཎグᛕ⑓㝔⸨ཎ៞ṇඛ⏕ඹദ⛅⏣┴බ⾗⾨⏕Ꮫ఍−7−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶୍⯡₇㢟$, ᗙ㛗 ┠᫬ᘯோ㸦ᮾ໭་⛉⸆⛉኱Ꮫ་Ꮫ㒊⾨⏕Ꮫ࣭බ⾗⾨⏕Ꮫᩍᐊᩍᤵ㸧ͤ $, ࡜ $, ࡢⓎ⾲᫬㛫ࢆධࢀ᭰࠼࡚࠾ࡾࡲࡍࠋ
$, 㹼 ኴ⏣཭㸦⛅⏣኱Ꮫ་Ꮫ㒊་Ꮫ⛉㸧኱Ꮫ⑓㝔࡟໅ົࡍࡿዪᛶ┳ㆤᖌ࡟࠾ࡅࡿᛶ࿘ᮇ࡟క࠺㌟య୙ᐃឋッࡢ㞳⫋ពྥ࡟ཬࡰࡍᙳ㡪$, 㹼 బ⸨࿴ዌ㸦⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉ᚠ⎔ჾෆ⛉Ꮫㅮᗙ㸧ዷፎ࣭ศፔᅇᩘ࡜⬻⾑⟶ື⬦◳໬ᛶኚ໬㸸኱㏕◊✲$, 㹼 㕥ᮌᬛஓ㸦⛅⏣኱Ꮫ་Ꮫ㒊་Ꮫ⛉㸧Ꮚᐑ㢕ࡀࢇ࣡ࢡࢳࣥ᥋✀⾜ື࡟ᙳ㡪ࡍࡿᅉᏊࡢᛶู࡟ࡼࡿ᳨ウ$, 㹼 ᳃ᒣಙᙲ㸦⚟ᓥ┴❧་⛉኱Ꮫ་Ꮫ㒊බ⾗⾨⏕Ꮫㅮᗙ㸧ᗂඣࢆࡶࡘಖㆤ⪅ࡢᨺᑕ⥺೺ᗣ୙Ᏻ࡟ᑐᛂࡍࡿᗂ⛶ᅬᩍㅍࡢ⮬ಙࢆ㧗ࡵࡿࡓࡵࡢ௓
ධࣉࣟࢢ࣒ࣛࡢᐇ⾜ྍ⬟ᛶ$, 㹼 ㇏ᓥඃே
㸦⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉⾨⏕Ꮫ࣭බ⾗⾨⏕Ꮫㅮᗙ㸧⏕ᚋ ࣭ ࠿᭶࡟࠾ࡅࡿஙඣࡢẕஙᰤ㣴๭ྜ࡜ឤᰁ⑕⨯ᝈࡢ㛵㐃$, 㹼 ຊ▼ᅧ⏨㸦⛅⏣┳ㆤ⚟♴኱Ꮫ㸧ฟ⏕᫬ࡢᐮ෭⎔ቃࡀᑑ࿨࡟୚࠼ࡿᙳ㡪$, 㹼 Ᏻ㔛せ㸦ᮾ໭኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉Ⓨ㐩⎔ቃ་Ꮫศ㔝㸧ẕங୰Ỉ㖟⃰ᗘࡢᤵங๓ᚋ࠾ࡼࡧ᪥ෆ࣭᪥㛫ኚື࡟㛵ࡍࡿᇶ♏ⓗ࡞᳨ウ$,, ᗙ㛗 ஭ཎ୍ᡂ㸦ᘯ๓኱Ꮫ኱Ꮫ㝔་Ꮫ◊✲⛉♫఍་Ꮫㅮᗙᩍᤵ㸧$,, 㹼 ⠛ᮧᙬᏊ㸦⛅⏣┴໭⛅⏣ಖ೺ᡤ㸧໭⛅⏣ಖ೺ᡤ࡟࠾ࡅࡿ⢭⚄㞀ᐖ⪅㏥㝔ᚋᨭ᥼ࢆ㏻ࡋ࡚ࡢ୍⪃ᐹ$,, 㹼 㧗᲍ಙஅ㸦ᒾᡭ་⛉኱Ꮫ་Ꮫ㒊⾨⏕Ꮫබ⾗⾨⏕Ꮫㅮᗙ㸧ᆅᇦᅾఫ㧗㱋⪅ࡢ♫఍஺ὶࢆࡣ࠿ࡿ࢜ࣥࣛ࢖ࣥ㏻࠸ࡢሙάືሗ࿌
$,, 㹼 ⇃㇂⨾ె㸦௝໭ᆅᇦ᣺⯆ᒁ⚟♴⎔ቃ㒊㸧࢔ࣝࢥ࣮ࣝ౫Ꮡ⑕ࡢᝈ⪅࣭ᐙ᪘ᨭ᥼ࢆ㏻ࡋ࡚ࡢ୍⪃ᐹ$,, 㹼 ᰗཎᘯᏊ㸦᭷㝈఍♫ຍ㈡ᒇ⸆ᒁ࠿ࡀࡸ⸆ᒁ㸧೺ᗣࢧ࣏࣮ࢺ⸆ᒁ࡟࠾ࡅࡿᆅᇦఫẸ࡟ᑐࡍࡿ೺ᗣࡢ⥔ᣢ࣭ቑ㐍࡬ࡢྲྀࡾ⤌ࡳ$,, 㹼 ኱ሯᓫஅ㸦ᒣᙧ኱Ꮫ་Ꮫ㒊་Ꮫ⛉㸧೺デཷデ⪅࡟࠾ࡅࡿ೺ᗣពᛮ࡜೺ᗣ⾜ື࡬ࡢ㛵㐃ᅉᏊ$,, 㹼 ὸ⏣㇏㸦㟷᳃┴❧ಖ೺኱Ꮫ㸧࣊ࣝࢫࣉ࣮ࣟࣔࢩࣙࣥࡢ᥎㐍࡟㈨ࡍࡿᩍ⫱᪉ἲࡢᐇ⿦ⓗほⅬ࡟㛵ࡍࡿ୍⪃ᐹ㹼೺ᗣᩍ⫱㹒㹗㸿᪉ᘧࡢ෌タィࡢどⅬ࠿ࡽ㹼$,, 㹼 㓇஭୍ᶞ㸦⛅⏣኱Ꮫ་Ꮫ㒊་Ꮫ⛉㸧⫋ᇦ೺ᗣデ᩿࡛ࡢ⢭ᐦ᳨ᰝཷデ່ዡ࡟ᑐࡍࡿ࢔ࢻࣄ࢔ࣛࣥࢫ୙Ⰻ⾜ື࡟ᙳ㡪ࢆ୚࠼ࡿᅉᏊࡢ◊✲−8−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

%, ᗙ㛗 ኱ᖹဴஓ㸦⚟ᓥ┴❧་⛉኱Ꮫ་Ꮫ㒊␿Ꮫㅮᗙᩍᤵ㸧%, 㹼 ᾏ⪁ཎ┿ඃ㸦⛅⏣኱Ꮫ་Ꮫ㒊་Ꮫ⛉㸧ᖹᡂ  ᖺᗘࡢ⛅⏣┴༠఍ࡅࢇࡱ⏨ዪ⿕ಖ㝤⪅  ே࡟࠾ࡅࡿ͆㞳⫋͇࡜͆࠺ࡘ͇࡟㛵㐃ࡋࡓᅉᏊࡢ᳨ウ%, 㹼 ᳃ᕝᲈ㸦⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉⾨⏕Ꮫ࣭බ⾗⾨⏕Ꮫㅮᗙࠊᖇிᖹᡂ኱Ꮫ೺ᗣ་⒪ࢫ࣏࣮ࢶᏛ㒊ᰂ㐨ᩚ᚟Ꮫ⛉㸧⛅⏣┴㝈⏺㞟ⴠఫẸ࡟࠾ࡅࡿ㐣ཤ  ࠿᭶㛫ࡢᕼṚ࣭⮬ẅᛕ៖࡟୚࠼ࡿࣜࢫࢡᅉᏊࡢ
᳨ウ%, 㹼 ࣚࣥ ࣟࢨࣜࣥ
㸦⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉⾨⏕Ꮫ࣭බ⾗⾨⏕Ꮫㅮᗙ㸧ᙜ஦⪅ࡢ࢚ࣥࣃ࣮࣓࣡ࣥࢺࣉࣟࢭࢫ࡟ࡼࡿࡦࡁࡇࡶࡾ≧ἣࡢኚᐜ
%, 㹼 ఀ⸨⤖⏕㸦⛅⏣኱Ꮫ་Ꮫ㒊་Ꮫ⣔◊✲⛉⢭⚄⛉Ꮫㅮᗙ㸧 ᖺᮾ᪥ᮏ኱㟈⅏࡜ὠἼࡀ᪥ᮏேࡢ╧╀ࠊ⏕άࡢ㉁ࠊ⢭⚄≧ែ࡟୚࠼ࡓᙳ㡪࡟ࡘ࠸࡚%, 㹼 㝣ᬛ⨾㸦⚟ᓥ┴❧་⛉኱Ꮫ་Ꮫ㒊බ⾗⾨⏕Ꮫㅮᗙ㸧ᮾ᪥ᮏ኱㟈⅏ᚋ࡟࠾ࡅࡿ⚟ᓥ┴Ẹࡢ୺ほⓗ೺ᗣឤ࡟㛵㐃ࡍࡿせᅉࡢ᳨ウ%, 㹼 Ⳣཎ⏤⨾㸦ᮾ໭኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉බ⾗⾨⏕Ꮫศ㔝㸧ᮾ᪥ᮏ኱㟈⅏ᚋࡢ♫఍ⓗᏙ❧࡜せ௓ㆤⓎ⏕ࣜࢫࢡ࡜ࡢ㛵㐃%, 㹼 ྜྷ⏣▱ඞ㸦⚟ᓥ┴❧་⛉኱Ꮫ་Ꮫ㒊␿Ꮫㅮᗙ㸧
Ⓨ㐩㞀ࡀ࠸ࢆᣢࡘປാ⪅ࢆ㛗ᮇࡢ⫋ሙᐃ╔࡟ࡘ࡞ࡆࡿ⎔ቃせᅉ%,, ᗙ㛗 ௒⏣ᜏኵ㸦ᒣᙧ኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉බ⾗⾨⏕Ꮫ࣭⾨⏕Ꮫㅮᗙᩍᤵ㸧%,, 㹼 ᰘ⏣ࡕࡦࢁ
㸦⛅⏣┴೺ᗣ⎔ቃࢭࣥࢱ࣮ಖ೺⾨⏕㒊࢘࢖ࣝࢫ⌜㸧
6$56&R9 ୙᳨ฟ౛࠿ࡽࡢ࿧྾ჾឤᰁ⑕࢘࢖ࣝࢫ᳨ฟ≧ἣ%,, 㹼 ୕᫓ᦶᘺ
㸦ᒣᙧ኱Ꮫ་Ꮫ㒊㝃ᒓ⑓㝔⮫ᗋᕤᏛ㒊ࠊᒣᙧ኱Ꮫ་Ꮫ㒊බ⾗⾨⏕࣭⾨⏕Ꮫㅮᗙ㸧ᒣᙧ┴Ẹ࡟࠾ࡅࡿࢧࣉ࣓ࣜࣥࢺ࣭೺ᗣ㣗ရࡢᦤྲྀ≧ἣ࡜⫼ᬒᅉᏊࠊ⏕࿨ணᚋ࡜ࡢ㛵㐃㸸ᒣᙧ┴ࢥ࣮࣍ࢺ◊✲%,, 㹼 㛗⃝ᚭ㸦ᖇி኱Ꮫ་Ꮫ㒊་Ꮫ⛉㸧ᖹᡂ  ᖺᗘ⛅⏣┴༠఍ࡅࢇࡱ೺デࢹ࣮ࢱࢆ⏝࠸ࡓ %0, ࡜ᖺ㛫་⒪㈝ࡢ㛵ಀᛶ࣭
ᖺ㱋ูࡢ᳨ウ%,, 㹼 㧗ᶫ⪔ᖹ㸦඲ᅜ೺ᗣಖ㝤༠఍⛅⏣ᨭ㒊㸧༠఍ࡅࢇࡱ⛅⏣ᨭ㒊࡟࠾ࡅࡿࠕയ⑓ྡࠖ➼࡟╔┠ࡋࡓ᫬㛫እཷデᢚไࡢࡓࡵࡢ᳨ウ%,, 㹼 ➉ᓥṇᾈ㸦⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉⢭⚄⛉Ꮫㅮᗙ㸧኱つᶍデ⒪ሗ㓘ࢹ࣮ࢱࢆ⏝࠸ࡓྥ⢭⚄⸆ࡢฎ᪉ᐇែㄪᰝ
%,, 㹼 ๓⏣ᜨ⌮㸦⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉⾨⏕Ꮫ࣭බ⾗⾨⏕Ꮫㅮᗙ㸧ࢥࣥࢪࣙ࢖ࣥࢺศᯒ࡟ࡼࡿ⏕Ṫ⿵ຓ་⒪ࡢ㈝⏝࡜ཷ⒪ពᛮࡢ㛵㐃ࡢ᳨ウ−9−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

≉ูㅮ₇㹇
ࠕ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕࡟క࠺࣓ࣥࢱࣝ࣊ࣝࢫࡢㄢ㢟ࠖᗙ㛗㸸㔝ᮧᜤᏊ ⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉⾨⏕Ꮫ࣭බ⾗⾨⏕Ꮫㅮᗙᩍᤵ
ㅮᖌ㸸୕ᓥ࿴ኵ ⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉⢭⚄⛉Ꮫㅮᗙᩍᤵ

ㅮᖌ␎Ṕ ᖺ ⛅⏣኱Ꮫ་Ꮫ㒊་Ꮫ⛉༞ᴗࠋྠ་Ꮫ㒊⢭⚄⛉Ꮫㅮᗙ࣭ຓᩍᤵࢆ⤒࡚ࠊ ᖺ ⡿ᅜࣂ࣮ࢪࢽ࢔኱Ꮫ᫬㛫⏕≀Ꮫ◊✲ࢭࣥࢱ࣮◊✲ဨ ᖺ ⡿ᅜࢫࢱࣥࣇ࢛࣮ࢻ኱Ꮫ་Ꮫ㒊╧╀◊✲ࢭࣥࢱ࣮ᐈဨ෸ᩍᤵ
 ᖺ ᅜ❧⢭⚄࣭⚄⤒་⒪◊✲ࢭࣥࢱ࣮╧╀㺃ぬ㓰㞀ᐖ◊✲㒊㒊㛗 ᖺ ⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉⢭⚄⛉Ꮫㅮᗙᩍᤵ
ྠ㝃ᒓ⑓㝔࣭๪㝔㛗ྠ⮫ᗋ◊✲ᨭ᥼ࢭࣥࢱ࣮㛗㸦ే௵㸧⟃Ἴ኱Ꮫᅜ㝿⤫ྜ╧╀་⛉Ꮫ◊✲ᶵᵓ࣭୺௵◊✲⪅㸦ే௵㸧⌮஦㸸᪥ᮏ╧╀Ꮫ఍⌮஦ࠊ᪥ᮏ᫬㛫⏕≀Ꮫ఍⌮஦ホ㆟ဨ㸸᪥ᮏ⏕≀Ꮫⓗ⢭⚄་Ꮫ఍ࠊ᪥ᮏ୙Ᏻ⑕Ꮫ఍ࠊ࡞࡝
௦㆟ဨ㸸᪥ᮏ⢭⚄⚄⤒Ꮫ఍᪥ᮏᏛ⾡఍㆟㐃ᦠ఍ဨ㸦⮫ᗋ་Ꮫ㸧%RDUGPHPEHU㸸:RUOG3V\FKLDWULF$VVRFLDWLRQࠊ:RUOG6OHHS6RFLHW\ ࡞࡝ཌ⏕ປാ⛉Ꮫ◊✲⌜ࡢ୺௵◊✲⪅࡜ࡋ࡚࡜ࡋ࡚ୗグࡢ࢞࢖ࢻࣛ࢖ࣥࡸデ⒪࣐ࢽࣗ࢔ࣝ
ࢆసᡂࡋࡓࠋ
ࠗ╧╀⸆ࡢ㐺ṇ౑⏝࡜ఇ⸆ࡢࡓࡵࡢデ⒪࢞࢖ࢻࣛ࢖ࣥ࠘
ࠗ╧╀㞀ᐖ἞⒪⸆ࡢ⮫ᗋヨ㦂㸦἞㦂㸧࢞࢖ࢻࣛ࢖ࣥ࠘
ࠗ⢭⚄⛉⸆≀⒪ἲࡢฟཱྀᡓ␎࢞࢖ࢻࣛ࢖ࣥ࠘
ࠗ⢭⚄⛉⸆≀⒪ἲࡢฟཱྀᡓ␎࢞࢖ࢻࣛ࢖ࣥᐇ㊶࣐ࢽࣗ࢔ࣝ࠘

−10−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕࡟క࠺࣓ࣥࢱࣝ࣊ࣝࢫࡢㄢ㢟୕ᓥ࿴ኵ⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉⢭⚄⛉Ꮫㅮᗙ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕㸦COVID-19㸧ࡣୡ⏺ⓗ࡞⊛ጾࢆ᣺ࡿ࠸⥆ࡅ࡚࠾ࡾࠊㅖእᅜ࡟ẚ㍑
ࡋ࡚ឤᰁ≧ἣࡀẚ㍑ⓗ㍍ᗘ࡜ࡉࢀࡿ猺ᮏᅜෆ࡛ࡍࡽࠊ2021 ᖺ 6猼25猺᫬Ⅼ࡛ࠊ79 ୓ 2690 ேࡢឤᰁ⪅ࠊ1 ୓ 4636 ேࡢṚ⪅ࢆฟࡍ࡟獴ࡗ࡚࠸ࡿࠋCOVID-19 ࣃࣥࢹ࣑ࢵࢡࡣ CBRNE㸦chemical,
biological, radiological, nuclear, high-yield explosives; ໬Ꮫ࣭獔≀࣭ᨺᑕ⥺≀㉁࣭᰾࣭玪ᛶ⬟⇿Ⓨ≀㸧࡟㉳ᅉࡍࡿ≉Ṧ⅏ᐖ࡟ศ㢮ࡉࢀࡿࠋCBRNE ࡣ୍⯡ⓗ࡞獳↛⅏ᐖ࡟琑ࡋ࡚ࠊ⿕⅏≧ἣࡢ┤ឤⓗ⌮ゎࡀ㞴ࡋࡃࠊᒎ㛤ࡢண୙⬟ᛶࡀ㧗࠸ࡓࡵࠊ୙Ᏻࡸᜍᛧࡀᙉࡲࡾࡸࡍ࠸ࠋࡑࡢࡓࡵࠊࡇࡢ

㏆௦᪥ᮏྐ࡛㢮ࢆぢ࡞࠸つᶍࡢබ⾗⾨獔ୖࡢ༴ᶵࡣࠊ᝿ᐃࢆ㉸࠼ࡿ㛗ᮇ࡟ࢃࡓࡾᡃࠎࡢ⏕άࢫࢱ࢖ࣝࡸ࣓ࣥࢱࣝ࣊ࣝࢫ࡟ࠊࡼࡾ⏒猕࠿ࡘᗈ⠊࡞ᙳ㡪ࢆཬࡰࡋ࡚࠸ࡿࠋ
COVID-19 ࣃࣥࢹ࣑ࢵࢡࡢᚰ⌮ⓗᙳ㡪ࡣከᒱ࡟ࢃࡓࡿࠋឤᰁ࡟ᑐࡍࡿ୙Ᏻࡸᜍᛧ࠿ࡽ㐣ᗘ࡟༴㝤ᅇ㑊ⓗ࡞⾜ືࠊ࠶ࡿ࠸ࡣᙉ㏕ⓗ࡞ᑐฎ獻ື࡟㥑ࡾ❧࡚ࡽࢀࠊᝏᚠ⎔ⓗ࡟࢚ࢫ࣮࢝ࣞࢺࡍࡿ஦
౛ࡀᑡ࡞ࡃ࡞࠸ࠋ୕ᐦᅇ㑊࡞࡝≀⌮ⓗ㊥㞳㸦ࣇ࢕ࢪ࣭࢝ࣝࢹ࢕ࢫࢱࣥࢫ㸧ࠊ♫఍ⓗ㊥㞳㸦ࢯ࣮ࢩ࣭ࣕࣝࢹ࢕ࢫࢱࣥࢫ㸧ࢆ☜ಖࡋࡼ࠺࡜ࡍࡿ࠶ࡲࡾࠊ┦஫ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡀᕼⷧ࡟࡞ࡾࠊ♫఍ⓗᙅ⪅ࡢᏙ❧ࢆᣍ࠸࡚࠸ࡿࠋᏛ⏕ࡶ౛እ࡛ࡣ࡞ࡃࠊ㔝ᮧᜤᏊ኱఍㛗ࡀᐇ᪋ࡋࡓ⛅⏣኱ᏛࡢᏛ⏕ࢆᑐ㇟࡟ࡋࡓㄪᰝ࡛ࡶࡑࢀࡀዴᐇ࡟⾲ࢀ࡚࠸ࡿࠋ࣮ࣜࣔࢺ࣮࣡ࢡࠊ࣮ࣜࣔࢺᤵᴗ࡞࡝IT/IoTᢏ⾡ࡢᛂ⏝ࡣCOVID-19ࣃࣥࢹ࣑ࢵࢡࡢᩘᑡ࡞࠸ࣉࣛࢫせ⣲ࡢ๪⏘≀࡜ࡉࢀࡿࡀࠊ╧╀࣭⏕άࣜࢬ࣒ࡢ୙つ๎ࡉࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥᶵ఍ࡢῶᑡࠊ♫఍୙Ᏻ㞀ᐖࡢᝏ໬࡞࡝ࢆᣍ࠸ࡓ࡜ࡉࢀࡿࠋ
ࡑࡢ࡯࠿ࠊయㄪࡢኚ໬࡟ᑐࡍࡿ㐣ᩄࡉࡸ೺ᗣ୙Ᏻ㸦ᚰẼഴྥ㸧ࠊ㣧㓇㢖ᗘࡢቑຍ࡞࡝ࡢ≀㉁౫Ꮡ
ၥ㢟ࡢቑຍ࡞࡝ࡶᣦ᦬ࡉࢀ࡚࠸ࡿࠋ
COVID-19 ࣃࣥࢹ࣑ࢵࢡࡣ⢭⚄⑌ᝈࡢⓎ⑕ࡸቑᝏ࡞࡝⢭⚄་⒪⌧ሙ࡛ࡢΰ஘ࡶᘬࡁ㉳ࡇࡋ࡚࠸ࡿࠋᚰ⌮཯ᛂ࡜ࡋ࡚ࡢ୙Ᏻࡸᜍᛧ࡟␃ࡲࡽࡎࠊᢚ࠺ࡘࠊࢫࢺࣞࢫ㛵㐃⑕≧ࠊ୙╀ࠊ獳ẅ௻ᅗ➼ࡢ࣓ࣥࢱࣝ࣊ࣝࢫၥ㢟ࡀከᩘሗ࿌ࡉࢀ࡚࠸ࡿࠋ᪥ᮏࡢ⮬ẅ⪅ᩘࡣ㏆ᖺῶᑡഴྥࡀ⥆࠸࡚࠸ࡓࡀࠊ
᫖ᖺᗘࠊዪᛶࡢ⮬ẅ⪅ᩘࡀቑຍ࡟㌿ࡌࡓࠋ௒ᚋࠊ୰㛗ᮇⓗ࡟ࡣ⢭⚄⑌ᝈࡢⓎ⑕㢖ᗘࡀቑຍࡍࡿࡇ
࡜ࡀᠱᛕࡉࢀ࡚࠸ࡿࠋᐇ㝿ࠊ⡿ᅜෆࡢ8,100୓ே௨ୖࡢᝈ⪅ࡀཧຍࡋࡓ኱つᶍ࡞ࣞࢺࣟࢫ࣌ࢡࢸ
࢕ࣈࢥ࣮࣍ࢺ◊✲࡟ࡼࢀࡤࠊCOVID-19࡟⨯ᝈᚋࡢ6࠿᭶㛫࡟Ẽศ㞀ᐖࠊ୙Ᏻ㞀ᐖࠊ⢭⚄⑓ᛶ㞀ᐖࠊㄆ▱⑕ࠊ୙╀⑕ࠊ≀㉁౑⏝㞀ᐖ࡞࡝ࡢ⢭⚄⑌ᝈࡢ⨯ᝈ⋡ࡀ࢖ࣥࣇ࢚ࣝࣥࢨ➼ࡢ࿧྾ჾ⑌ᝈ
⨯ᝈ᫬࡜ẚ㍑ࡋ࡚㢧ⴭ࡟㧗࠸ࡇ࡜ࡀ♧ࡉࢀࡓࠋ௒ᚋࡣࡑࡢᚰ⌮ⓗ࠾ࡼࡧ⚄⤒⑓⌮Ꮫⓗ࣓࢝ࢽࢬ
࣒ࡢゎ᫂ࡀ⾜ࢃࢀࡿࡔࢁ࠺ࠋ
ᮏㅮ₇࡛ࡣࠊCOVID-19 ࡀᡃࠎࡢ࣓ࣥࢱࣝ࣊ࣝࢫ࡟ཬࡰࡍᙳ㡪ࡢᐇែ࡜௒ᚋࡢㄢ㢟࡟ࡘ࠸࡚
ࣞࣅ࣮ࣗࡍࡿࠋ

−11−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

㻯㻻㼂㻵㻰㻙㻝㻥म৸਼ੀૠெदँॉ‫ؚ‬ऊणణ૾৓प੅ਢख‫ؚ‬㻝ফ॑৽ૌखथु
ગ૦भூखऋৄइऩः

㻞㻜㻞㻝㻚㻣㻚㻞㻟ਸ਼㻣㻜৚ূਨਁಃୋে৾ভ
ஶ௟਋‫ॿঁ؞‬঒‫ش‬থ਋‫ق‬੮੥‫ك‬

஋ா৓
৅๐৓

ગ૦਋

ႂຑ਋

಼૩

௘িপ৾প৾੹ୢ৾௺ଢ଼஢ఐ ಖઋఐ৾൥ౠ
ਕਣ ਮ୏

଎ா৓
೪ᨘ৓

‫ڭ‬ఢফખૢ
ॺজफ़‫ش‬ॖঋথॺ঩
DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicineౙฎ‫؞‬๩ၰ॑ଭॉ௭इथ
୮௪षभ਄ॉੌा‫ق‬ਭઍ‫ك‬

૾யཔ඼

ౝ

া

ফ

বয়ಖઋ‫؞‬ઋ৽ୢ௜ଢ଼஢७থॱ‫ ش‬५ॺঞ५‫಼؞‬૩ৎऒऒौभੲਾ੍ର७থॱ‫ش‬ŪƕƄƓƋ ƉƕƒƐ ŶƄƐƖƋƄőƊƒƙő
ƄƇƄƓƗƈƇ ƉƕƒƐŃŽƘƑƌƑ ƄƑƇ ŰƜƈƕƖ
DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicineųƋƄƖƈƖŃƒƉŃŧƌƖƄƖƗƈƕŃƋƗƗƓƖŝŒŒƚƚƚőƖƄƐƋƖƄőƊƒƙŒƇƗƄƆŒƕƈƆƒƙƈƕƌƑƊŐƇƌƖƄƖƗƈƕƖŒƓƋƄƖƈƖŐƇƌƖƄƖƗƈƕ

 &29,'भ૎ഉఁপपൣः‫ؚ‬ਘःതཋधधुप‫਼ؚ‬ੀরऋ৽ୡभऩ
ःটॵॡॲक़থ‫঺ؚ‬ভ৓෱௞॑৳णেણ॑ਘःैोथःॊ

 &29,'ঃথॹ঑ॵॡधम ঃথॹ঑ॵॡभੱ৶৓୶஭ ওথॱঝঊঝ५पৌघॊরশ਋৓ऩ୶஭म૑ඹ ঃথॹ঑ॵॡ৏भওথॱঝঊঝ५भப৲भৰଙअण୰ ઋ৽ҩಖઋඪ૾ध/RQJ&29,'ਖ਻ ऩछ&29,'दमઋ৽ҩಖઋඪ૾ऋ੗ःभऊ‫ء‬

㻼㼀㻿㻰

ਂ਍௽૩

ᄨ༒௽૩

੟ସઞ৷௽૩

ੇ൦৔ਖ਻॔ঝ॥‫ش‬ঝ‫ؚ‬ಁጅද‫ؚ๊‬ఇಉ㻰㼂‫ؚ‬ుญྦୄ

 &29,'૴ষৎभऒऒौभॣ॔
 &29,'भेअऩઁୠ૎ഉඪऋওথॱঝঊঝ५प఺ऻघরশ਋৓
୶஭पणःथमऺध॒नীऊढथःऩः ୢ௜঻ुপऌऩ५ॺঞ५पᑨऔोञ
DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicineŪƄƏƈƄŃŶő ŷƋƈ ŰƈƑƗƄƏŃūƈƄƏƗƋ
ŦƒƑƖƈƔƘƈƑƆƈƖ ƒƉ ŦŲŹŬŧŐŔŜŃƄƑƇŃųƋƜƖƌƆƄƏŃŧƌƖƗƄƑƆƌƑƊŝŃŷƋƈŃűƈƈƇŃƉƒƕŃųƕƈƙƈƑƗƌƒƑŃƄƑƇŃŨƄƕƏƜŃŬƑƗƈƕƙƈƑƗƌƒƑőŃŭŤŰŤŃ
DepartmentofNeuropsychiatryŬƑƗƈƕƑŃŰƈƇŏŃŕœŕœőŃAkitaUniversityGraduateSchoolofMedicine

 ৗ஑॥টॼक़ॖঝ५૎ഉඪ‫&ق‬29,'‫ك‬म਼ੀ৓ऩ༫๏॑ஷॊः‫ؚ‬঩মব৔दु‫ؚ‬ਐযभ૎ഉ঻‫ؚ‬ਐ
যभଈ঻॑লघपඹढथःॊ‫ق؛‬ফা঩ৎਡ‫ك‬

 &29,'ঃথॹ঑ॵॡधम

 &%51(पକ౤घॊ્໰಼૩पীథ ઋ৽ҩಖઋඪ૾ध/RQJ&29,'ਖ਻ ঃথॹ঑ॵॡभੱ৶৓୶஭ ঃথॹ঑ॵॡ৏भওথॱঝঊঝ५भப৲भৰଙ

╒ &KHPLFDO%LRORJLFDO5DGLRORJLFDO1XFOHDUKLJK\LHOG([SORVLYHV৲৾‫؞‬ে੟‫؞‬ଣೝ଍੟ସ‫؞‬ற‫؞‬ৈਙચೌ৅੟
&%51(पेॊ಼૩म঳ಹ৓ऩঽே಼૩पૻखथ‫૾಼଺ؚ‬ய॑ઉ૎৓प৶ੰघॊभऋ୔खऎ‫ؚ‬जभ৏भன৫॑੒೾दऌऩःञी‫ਂؚ‬਍ृതཋऋਘऽॉृघः‫؛‬ ऩछ&29,'दमઋ৽ҩಖઋඪ૾ऋ੗ःभऊ‫ء‬
 &29,'૴ষৎभऒऒौभॣ॔

 &%51(भ୻‫؟‬ফभ৉ৣள१জথহ੯‫ؚ‬ফभૣਣਸ਼঳ਉ৕ৡ৅ਗ਼ਚभ
হ௛ऩन ୢ௜঻ुপऌऩ५ॺঞ५पᑨऔोञ

DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicine

DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicine−12−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

㻝㻚ਂ਍‫؞‬തཋ‫؞‬ਘ಴৓ষ৿
ॖছॖছ‫૳؞‬ठାऊऩऔ
ᄨ༒षभ୶஭
৬৹૗৲पৌघॊૌสऔ‫ؚ‬௏೨ਂ਍ ঩মಖઋઋ৽৾ভ‫ؚ‬঩মుญஒফ
ಖઋୢ৾ভ‫ؚ‬঩ম಼૩ୢ৾ভ‫ؚ‬঩ম੕়୰੹ಖઋୢ৾ভ‫ؚ‬঩মॺছक़ঐॸॕॵॡ‫؞‬५ॺঞ५৾ভऋ়
৊द੿ਛखञِৗ஑॥টॼक़ॖঝ
५૎ഉඪ冮ŦŲŹŬŧŐŔŜ冮૴ষৣपउ
ऐॊওথॱঝঊঝ५ৌੁ੐ଉ
‫ق‬ŕœŕœফřাŕŘ঩‫ّك‬ऊै

 &29,'ঃথॹ঑ॵॡधम ঃথॹ঑ॵॡभੱ৶৓୶஭ ঃথॹ঑ॵॡ৏भওথॱঝঊঝ५भப৲भৰଙ ઋ৽ҩಖઋඪ૾ध/RQJ&29,'ਖ਻ ऩछ&29,'दमઋ৽ҩಖઋඪ૾ऋ੗ःभऊ‫ء‬੟ସൂோ

 &29,'૴ষৎभऒऒौभॣ॔

௏೨‫੼؞‬க௴भ૗৲ ୢ௜঻ुপऌऩ५ॺঞ५पᑨऔोञ

ಖઋႈ೩भ৅ඪ‫؞‬ੜபৗ஑॥টॼक़ॖঝ५૎ഉඪ冮ŦŲŹŬŧŐŔŜ冮૴ষৣपउऐॊওথॱঝঊঝ५ৌੁ੐ଉ
‫ق‬ŕœŕœফřাŕŘ঩‫ك‬DepartmentofNeuropsychiatry঩মಖઋઋ৽৾ভ‫ؚ‬঩মుญஒফಖઋୢ৾ভ‫ؚ‬঩ম಼૩ୢ৾ভ‫ؚ‬঩ম੕়୰੹ಖઋୢ৾ভ‫ؚ‬঩মॺছक़ঐॸॕॵॡ‫؞‬५ॺঞ५৾ভAkitaUniversityGraduateSchoolofMedicine㻝㻚ਂ਍‫؞‬തཋ‫؞‬ਘ಴৓ষ৿
ॖছॖছ‫૳؞‬ठାऊऩऔ

DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicine 2(&' ৽ੋੈৡ৫৅ਃଡ
ऋ&29,'৐৏दभওথ
ॱঝঊঝ५भ૗৲॑ਁ਀
‫ق‬ফা‫ك‬ૌ২पਘ಴৓‫ؚ‬৚ೂ৓ऩৌ૪ষ৿ेॉਂ਍‫؞‬തཋऋग़५ढ़ঞ‫ॺش‬ੇ൦৔दभ้఍‫ؚ‬㻰㼂ृుญྦୄ

ᄨ༒षभ୶஭

ᄨ༒জ६঒भೊो‫ఽؚ‬஑ൊ਱৬৹૗৲पৌघॊૌสऔ‫ؚ‬௏೨ਂ਍ੱਞൊ਱‫ؚ‬ওॹॕ॔भ୶஭

੟ସൂோইছ५ॺঞ‫ش‬३ঙথ‫ؚ‬৯ఏृঢ়ੱभါଷ‫ؚ‬॔ঝ॥‫ش‬ঝृཹ໛‫ؚ‬੟ସಉषभൂோ ॥টॼምपेॉ੗ऎभ੔ਤ
বदਂ਍ඪ‫ؚ‬अण୰भ᡺೩
૨ऋ೅ੜ௏೨‫੼؞‬க௴भ૗৲

௏೨೐੅षभঢ়ੱभ଩ৣ‫੼ؚ‬க௴भ૗৲ृ
ঔছঝ଩ৣ㻼㻴㻽㻙㻥㻌 㻔㼏㼡㼠㼛㼒㼒㻌䍹㻝㻜㻌㼑㼤㼏㼑㼜㼠㻌㼒㼛㼞㻌㻿㼣㼑㼐㼑㼚㻕㼚㼛㼞㼙㼍㼘㻌㻔㻜㻙㻠㻕㻘㻌㼙㼕㼘㼐㻌㻔㻡㻙㻥㻕㻘㻌㼙㼛㼐㼑㼞㼍㼠㼑㻌㻔㻝㻜㻙㻝㻠㻕㻘㻌㼍㼚㼐㻌㼟㼑㼢㼑㼞㼑㻌㻔㻝㻡㻙㻞㻝㻕ಖઋႈ೩भ৅ඪ‫؞‬ੜப૎ഉതཋ‫ؚ‬ষ৿਑଒‫ੋ৽ؚ‬ౙ‫ؚ‬५ॸॕॢঐ
ऩनपेॊಖઋႈ೩भ৅ඪृગ৅

㻳㻭㻰㻙㻣 㻔㼏㼡㼠㼛㼒㼒㻌䍹㻝㻜㻌㼑㼤㼏㼑㼜㼠㻌㼒㼛㼞㻌㻿㼣㼑㼐㼑㼚㻕㼚㼛㼞㼙㼍㼘㻌㻔㻜㻙㻠㻕㻘㻌㼙㼕㼘㼐㻌㻔㻡㻙㻥㻕㻘㻌㼙㼛㼐㼑㼞㼍㼠㼑㻌㻔㻝㻜㻙㻝㻠㻕㻘㻌㼍㼚㼐㻌㼟㼑㼢㼑㼞㼑㻌㻔㻝㻡㻙㻞㻝㻕ৗ஑॥টॼक़ॖঝ५૎ഉඪ冮ŦŲŹŬŧŐŔŜ冮૴ষৣपउऐॊওথॱঝঊঝ५ৌੁ੐ଉ
‫ق‬ŕœŕœফřাŕŘ঩‫ك‬DepartmentofNeuropsychiatry঩মಖઋઋ৽৾ভ‫ؚ‬঩মుญஒফಖઋୢ৾ভ‫ؚ‬঩ম಼૩ୢ৾ভ‫ؚ‬঩ম੕়୰੹ಖઋୢ৾ভ‫ؚ‬঩মॺছक़ঐॸॕॵॡ‫؞‬५ॺঞ५৾ভAkitaUniversityGraduateSchoolofMedicine

ਂ਍

೪अण

2(&' 3ROLF\ 5HVSRQVHV
WR&RURQDYLUXV &29,'
DepartmentofNeuropsychiatry
7DFNOLQJWKHPHQWDOKHDOWKLPSDFWRIWKH&29,'FULVLV$QLQWHJUDWHGZKROHRIVRFLHW\UHVSRQVH0D\AkitaUniversityGraduateSchoolofMedicine㻝㻚᡺೩঻‫؞‬ਫ਼Ⴕৌ଴঻‫ؚ‬जभੇఔृঢ়બ঻
ਂ਍೪अणୢ௜‫ஂ؞‬૧జহ঻‫ؚ‬૎ഉඪৌੁజহ঻
ଷ঵঻৕नु‫ؚ৾‬ে‫ؚ‬जभ৳૧঻
శਫૠ౻৷ৈೡ঻‫ؚ‬੓ਙ‫્ؚ‬प཯ਓഎ㻝㻚ಖઋႈ೩ृମ৬ႈ೩॑થघॊয
㻝㻚ઽো੖ऋ෩खःয‫ؚ‬଩ਚ੭㻝㻚ਗবয‫્ؚ‬৒भૐ੮ৗ஑॥টॼक़ॖঝ५૎ഉඪ冮ŦŲŹŬŧŐŔŜ冮૴ষৣपउऐॊওথॱঝঊঝ५ৌੁ੐ଉ
‫ق‬ŕœŕœফřাŕŘ঩‫ك‬DepartmentofNeuropsychiatry঩মಖઋઋ৽৾ভ‫ؚ‬঩মుญஒফಖઋୢ৾ভ‫ؚ‬঩ম಼૩ୢ৾ভ‫ؚ‬঩ম੕়୰੹ಖઋୢ৾ভ‫ؚ‬঩মॺছक़ঐॸॕॵॡ‫؞‬५ॺঞ५৾ভAkitaUniversityGraduateSchoolofMedicine

2(&' 3ROLF\ 5HVSRQVHV
WR&RURQDYLUXV &29,'
DepartmentofNeuropsychiatry
7DFNOLQJWKHPHQWDOKHDOWKLPSDFWRIWKH&29,'FULVLV$QLQWHJUDWHGZKROHRIVRFLHW\UHVSRQVH0D\AkitaUniversityGraduateSchoolofMedicine−13−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶ ঃথॹ঑ॵॡ॑༛ૃघॊञी
भ৆ੁभడखऔ‫ٮ‬धওথॱঝ
ঊঝ५धभ৑पमৼঢ়ঢ়બऋ
ৄैोञ

 &29,'दमళลஓඪ૾ਰ
ਗपु੗ཪऩඪ૾ऋলਠघॊड़ছথॲ ્प‫୍ؚ‬൱‫ؚ‬⌾ဵ૎‫ؚ‬ཿਙਂ༒ඪ‫୍ؚ‬भঔখঔখृੳੴਃ
ચ௽૩‫ق‬%UDLQIRJ‫ك‬ऩनभরᆏઋ৽ඪ૾ऋ੗ः ৆ੁपेढथଈಝ঻ਯ‫ق‬தૌଈಝਯ‫ك‬ऋ଩ৣखथुওথॱ
ঝঊঝ५भ੝ఒपఞଖखथःऩः ऽञ‫ؚ‬जभ঳৖म૶ਙ਋भ૎
ഉඪ૾ऋ଎Ἕखञ৏पुশ਋
৑पॎञॉଋ఩घॊऒधऋ૘
ऩऎऩः

ஶব

‫ٮ‬ड़ॵॡ५ইज़‫ॻش‬প৾‫ط‬ঈছদ॓ॺॽॡ‫؞‬५ॺজথ४ख़থ३‫॔؞ش‬থॻ‫؞‬এজ३‫؞ش‬ॖথॹॵॡ५प੦त
ःथ೾৒औोञ
‫ق‬㻝‫ૅ৾ك‬൷ำ‫ق‬㻞‫ك‬૙ৃ൷ำ‫ق‬㻟‫ુਁك‬ॖঋথॺभরૃ ‫ق‬㻠‫ك‬ૐভपৌघॊૠ਑
‫ق‬㻡‫ુਁك‬ઐৢभ൷ำ
‫ق‬㻢‫ك‬ਗলभঽဠਏட
‫ق‬㻣‫ك‬ব৔भ୎৿਑଒
‫ق‬㻤‫ك‬ਲਗषभநఫ਑଒
‫ق‬㻥‫ك‬বড়षभཟ᎝ણ৿

2(&' 3ROLF\ 5HVSRQVHV
WR&RURQDYLUXV &29,'
DepartmentofNeuropsychiatry
7DFNOLQJWKHPHQWDOKHDOWKLPSDFWRIWKH&29,'FULVLV$QLQWHJUDWHGZKROHRIVRFLHW\UHVSRQVH0D\AkitaUniversityGraduateSchoolofMedicine㻟া ঽ௨঻ਯम੖૘ൊ਱प
ँढञऋ‫ؚ‬ফभঽ௨঻ਯमফभ
਷૆ऽदರढञ㻞㻠㻜㻜 ્प੓ਙभঽ௨঻ਯऋ
૶ੜखञ

㻝㻢㻜㻜

 ০ফ‫ق‬াऽद‫ك‬भঽ௨঻ਯमઆফेॉु੖
૘खञऋ০৏भ௓୎प
ିਔऋ૑ਏ

๢৖൱
Ꭼ

ਂ༒ඪ

ঢ়ත൱

৅ᔄ
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ीऽः

ৈഷಓ

ਂତဿ

අજो

ũƕƒƐŃƤťƕƄƌƑŃũƒƊƢŃƗƒŃūƈƄƕƗŃŧƄƐƄƊƈŏŃŦƒƙƌƇŐŔŜƢƖŃůƌƑƊƈƕƌƑƊŃųƕƒƅƏƈƐƖŃŤƏƄƕƐŃŶƆƌƈƑƗƌƖƗƖőŃŶŦŬŨűŦŨŃŤŸŪŸŶŷŃŖŏŃŕœŕœ
DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicineũƌƊƘƕƈŝŃŹőŃŤƏƗƒƘƑƌƄƑŒŶƆƌƈƑƆƈőŃŕœŕœő

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૎ഉ঻㻤㻠㻝੡౼ઋ৽ҩ൙ඪ૾‫؟‬㻡㻣㻚㻠٫

५ঌॖথ
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রব
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৔దਿঽ௨ৌੁ௓ਤ஼DepartmentofNeuropsychiatry૤௄ૂেણ਍৸ଂেણ਍৸੫઺ୖৱમऊै൥౰঻ऋ੿ਛAkitaUniversityGraduateSchoolofMedicineŰƄƒŃůőŃűƈƘƕƒƏƒƊƌƆŃŰƄƑƌƉƈƖƗƄƗƌƒƑƖŃƒƉŃūƒƖƓƌƗƄƏƌƝƈƇŃųƄƗƌƈƑƗƖŃźƌƗƋŃŦƒƕƒƑƄƙƌƕƘƖŃŧƌƖƈƄƖƈŃŕœŔŜŃƌƑŃźƘƋƄƑŏŃŦƋƌƑƄőŃŭŤŰŤŃűƈƘƕƒƏŏŃŕœŕœ
ŵƒƐƈƕƒŐŶȄƑƆƋƈƝŃŦŰőŃűƈƘƕƒƏƒƊƌƆŃƐƄƑƌƉƈƖƗƄƗƌƒƑƖŃƌƑŃƋƒƖƓƌƗƄƏƌƝƈƇŃƓƄƗƌƈƑƗƖŃƚƌƗƋŃŦŲŹŬŧŐŔŜŝŃŷƋƈŃŤůťŤŦŲŹŬŧŃƕƈƊƌƖƗƕƜőŃűƈƘƕƒƏƒƊƜŏŃŕœŕœ
DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicineŰƒƕƒŃŨőŃŷƋƈŃƌƑƗƈƕƑƄƗƌƒƑƄƏŃŨƘƕƒƓƈƄƑŃŤƆƄƇƈƐƜŃƒƉŃűƈƘƕƒƏƒƊƜŃƖƘƕƙƈƜŃƒƑŃƑƈƘƕƒƏƒƊƌƆƄƏŃƖƜƐƓƗƒƐƖŃƌƑŃƓƄƗƌƈƑƗƖŃƚƌƗƋŃŦŲŹŬŧŐŔŜŃƌƑƉƈƆƗƌƒƑőŃŨƘƕ
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 &29,'૴ষৎभऒऒौभॣ॔ ୢ௜঻ुপऌऩ५ॺঞ५पᑨऔोञ

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 ঃথॹ঑ॵॡ৏भওথॱঝঊঝ५भப৲भৰଙ

DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicine

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ŵƒƐƈƕƒŐŶȄƑƆƋƈƝŃŦŰőŃűƈƘƕƒƏƒƊƌƆŃƐƄƑƌƉƈƖƗƄƗƌƒƑƖŃƌƑŃƋƒƖƓƌƗƄƏƌƝƈƇŃƓƄƗƌƈƑƗƖŃƚƌƗƋŃŦŲŹŬŧŐŔŜŝŃŷƋƈŃŤůťŤŦŲŹŬŧŃƕƈƊƌƖƗƕƜőŃűƈƘƕƒƏƒƊƜŏŃŕœŕœ
DepartmentofNeuropsychiatryŰƒƕƒŃŨőŃŷƋƈŃƌƑƗƈƕƑƄƗƌƒƑƄƏŃŨƘƕƒƓƈƄƑŃŤƆƄƇƈƐƜŃƒƉŃűƈƘƕƒƏƒƊƜŃƖƘƕƙƈƜŃƒƑŃƑƈƘƕƒƏƒƊƌƆƄƏŃƖƜƐƓƗƒƐƖŃƌƑŃƓƄƗƌƈƑƗƖŃƚƌƗƋŃŦŲŹŬŧŐŔŜŃƌƑƉƈƆƗƌƒƑőŃŨƘƕ
ŭŃűƈƘƕƒƏŏŃŕœŕœAkitaUniversityGraduateSchoolofMedicine

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 ਐযਰ঱भ೩঻ऋఃஈघॊਗ਼৕ढ़ঝॸ३५ॸ঒ऊै੭ैोञ৺ਐযभ
&29,'૎ഉ೩঻ॹ‫॑ॱش‬ઞ৷खञঞॺট५ঌॡॸॕঈ॥঍‫ॺش‬ଢ଼஢૎ഉ঻㻞㻝㻠੡౼ઋ৽ҩ൙ඪ૾‫؟‬㻟㻢㻚㻠٫

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 &29,'೩঻ YVॖথইঝ೩঻‫ॅैँؚ‬ॊళลஓ૎ഉඪ೩঻

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ઋ৽ҩ൙ඪ૾
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ŰƄƒŃůőŃűƈƘƕƒƏƒƊƌƆŃŰƄƑƌƉƈƖƗƄƗƌƒƑƖŃƒƉŃūƒƖƓƌƗƄƏƌƝƈƇŃųƄƗƌƈƑƗƖŃźƌƗƋŃŦƒƕƒƑƄƙƌƕƘƖŃŧƌƖƈƄƖƈŃŕœŔŜŃƌƑŃźƘƋƄƑŏŃŦƋƌƑƄőŃŭŤŰŤŃűƈƘƕƒƏŏŃŕœŕœ
ŵƒƐƈƕƒŐŶȄƑƆƋƈƝŃŦŰőŃűƈƘƕƒƏƒƊƌƆŃƐƄƑƌƉƈƖƗƄƗƌƒƑƖŃƌƑŃƋƒƖƓƌƗƄƏƌƝƈƇŃƓƄƗƌƈƑƗƖŃƚƌƗƋŃŦŲŹŬŧŐŔŜŝŃŷƋƈŃŤůťŤŦŲŹŬŧŃƕƈƊƌƖƗƕƜőŃűƈƘƕƒƏƒƊƜŏŃŕœŕœ
DepartmentofNeuropsychiatryŰƒƕƒŃŨőŃŷƋƈŃƌƑƗƈƕƑƄƗƌƒƑƄƏŃŨƘƕƒƓƈƄƑŃŤƆƄƇƈƐƜŃƒƉŃűƈƘƕƒƏƒƊƜŃƖƘƕƙƈƜŃƒƑŃƑƈƘƕƒƏƒƊƌƆƄƏŃƖƜƐƓƗƒƐƖŃƌƑŃƓƄƗƌƈƑƗƖŃƚƌƗƋŃŦŲŹŬŧŐŔŜŃƌƑƉƈƆƗƌƒƑőŃŨƘƕ
ŭŃűƈƘƕƒƏŏŃŕœŕœAkitaUniversityGraduateSchoolofMedicine૶ਙ਋‫ڰق‬ౝ৑‫ك‬ŷƄƔƘƈƗ ŰőŃřŐƐƒƑƗƋŃƑƈƘƕƒƏƒƊƌƆƄƏŃƄƑƇŃƓƖƜƆƋƌƄƗƕƌƆŃƒƘƗƆƒƐƈƖŃƌƑŃŕŖřŃŖŚŜŃƖƘƕƙƌƙƒƕƖŃƒƉŃŦŲŹŬŧŐŔŜŝŃƄŃƕƈƗƕƒƖƓƈƆƗƌƙƈŃƆƒƋƒƕƗŃƖƗƘƇƜŃƘƖƌƑƊŃƈƏƈƆƗƕƒƑƌƆŃƋƈƄƏƗƋŃƕƈƆƒƕƇƖőŃ
DepartmentofNeuropsychiatryůƄƑƆƈƗŃųƖƜƆƋƌƄƗƕƜőŃŕœŕŔAkitaUniversityGraduateSchoolofMedicine૶ਙ਋৏भ㻯㻻㼂㻵㻰㻙㻝㻥३থॻট‫ش‬঒‫ڲعگق‬ধাਰ঱‫ك‬

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൙෗ம়৖उेल൙෿भႈ೩ धॉॎऐૐর੘௜஼पো
੹खञ೩঻म৏఩ඪ‫়؞‬ಡজ५ॡऋৈऊढञ‫؛‬৿ᠶ๢൱༘ഷਙ౼ዄኋ

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൓หűƄƏƅƄƑƇƌƄƑŃŤőŃųƒƖƗŐƄƆƘƗƈŃŦŲŹŬŧŐŔŜŃƖƜƑƇƕƒƐƈőŃűƄƗƘƕƈŃŰƈƇƌƆƌƑƈŏŃŕœŕŔ
DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicineŷƄƔƘƈƗ ŰőŃřŐƐƒƑƗƋŃƑƈƘƕƒƏƒƊƌƆƄƏŃƄƑƇŃƓƖƜƆƋƌƄƗƕƌƆŃƒƘƗƆƒƐƈƖŃƌƑŃŕŖřŃŖŚŜŃƖƘƕƙƌƙƒƕƖŃƒƉŃŦŲŹŬŧŐŔŜŝŃƄŃƕƈƗƕƒƖƓƈƆƗƌƙƈŃƆƒƋƒƕƗŃƖƗƘƇƜŃƘƖƌƑƊŃƈƏƈƆƗƕƒƑƌƆŃƋƈƄƏƗƋŃƕƈƆƒƕƇƖőŃ
DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicineůƄƑƆƈƗŃųƖƜƆƋƌƄƗƕƜőŃŕœŕŔ

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ਞীҩਂ਍ҩಖઋ୰ਙ௽૩

 &29,'ન৒൧૵৏ढ़া৑पउऐॊभઋ৽৾৓‫؞‬ಖઋୢ৾৓ૡష

ŷƄƔƘƈƗ ŰőŃřŐƐƒƑƗƋŃƑƈƘƕƒƏƒƊƌƆƄƏŃƄƑƇŃƓƖƜƆƋƌƄƗƕƌƆŃƒƘƗƆƒƐƈƖŃƌƑŃŕŖřŃŖŚŜŃƖƘƕƙƌƙƒƕƖŃƒƉŃŦŲŹŬŧŐŔŜŝŃƄŃƕƈƗƕƒƖƓƈƆƗƌƙƈŃƆƒƋƒƕƗŃƖƗƘƇƜŃƘƖƌƑƊŃƈƏƈƆƗƕƒƑƌƆŃƋƈƄƏƗƋŃƕƈƆƒƕƇƖőŃ
DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicineůƄƑƆƈƗŃųƖƜƆƋƌƄƗƕƜőŃŕœŕŔ

ŷƄƔƘƈƗ ŰőŃřŐƐƒƑƗƋŃƑƈƘƕƒƏƒƊƌƆƄƏŃƄƑƇŃƓƖƜƆƋƌƄƗƕƌƆŃƒƘƗƆƒƐƈƖŃƌƑŃŕŖřŃŖŚŜŃƖƘƕƙƌƙƒƕƖŃƒƉŃŦŲŹŬŧŐŔŜŝŃƄŃƕƈƗƕƒƖƓƈƆƗƌƙƈŃƆƒƋƒƕƗŃƖƗƘƇƜŃƘƖƌƑƊŃƈƏƈƆƗƕƒƑƌƆŃƋƈƄƏƗƋŃƕƈƆƒƕƇƖőŃ
DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicineůƄƑƆƈƗŃųƖƜƆƋƌƄƗƕƜőŃŕœŕŔ

−15−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

 &29,'ঃথॹ঑ॵॡधम

 &29,'ঃথॹ঑ॵॡधम ঃথॹ঑ॵॡभੱ৶৓୶஭ ঃথॹ঑ॵॡभੱ৶৓୶஭ ঃথॹ঑ॵॡ৏भওথॱঝঊঝ५भப৲भৰଙ ঃথॹ঑ॵॡ৏भওথॱঝঊঝ५भப৲भৰଙ ઋ৽ҩಖઋඪ૾ध/RQJ&29,'ਖ਻ ઋ৽ҩಖઋඪ૾ध/RQJ&29,'ਖ਻ ऩछ&29,'दमઋ৽ҩಖઋඪ૾ऋ੗ःभऊ‫ء‬ ऩछ&29,'दमઋ৽ҩಖઋඪ૾ऋ੗ःभऊ‫ء‬

 &29,'૴ষৎभऒऒौभॣ॔

 &29,'૴ষৎभऒऒौभॣ॔ ୢ௜঻ुপऌऩ५ॺঞ५पᑨऔोञ ୢ௜঻ुপऌऩ५ॺঞ५पᑨऔोञ

DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicine

DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicine

 ফাप‫ؚ‬,$6&ऋ&29,'पৌघॊਂ
਍पৌखిજऩৌૢ॑ষअञीभঈজ‫ش‬ইॕথॢ‫قॺشঀ؞‬ಁછ‫਀ਁ॑ك‬ &29,'क़ॕঝ५भ਱ઋ৽ਙ QHXURWURSLVP ഷั౼ঢ়୅॑఍୊खथ౼प࿠ဋ

 ,$6&‫ق‬,QWHU$JHQF\6WDQGLQJ&RPPLWWHH‫ ك‬ਃঢ়৑ଞਝ੻৩ভ ഷዟ஄ਛपेॊ౼ഷଵ௽૩

9 ಼૩ृ෺ଥऩनಸ૶হଙৎपয੊੍ରृಖઋ৳௏‫ੱؚ‬৶঺ভ৓੍ରऩनपঢ়ଖघॊളਯभব৴ਃঢ়भ৑द৴
௚ध৹ତ॑ষअଞਝ੻৩ভ‫ق‬ব৴হਜଂ৔‫ك‬ १ॖॺढ़ॖথ५ॺ‫ش‬঒ ওথॱঝঊঝ५ध঺ভ৓੍ରभਉಋ‫ؚ‬ব੠৓प௓တऔोॊણ৿ऩन॑໪௴ख‫ؚ‬ৈೡ঻‫ؚ‬௽ऋः॑੅ण্‫ؚر‬৕नु‫ؚ‬૎ഉৌૢभञीप
௮ऎ্‫ر‬ऩनৌ଴શप੍ରभ૔ॉ্पणःथ
ੰହ ঽഞಿ৬पेॊ౼༇‫ؚ‬౼ඪ

,$6& 5HIHUHQFH*URXS
RQ 0+366 LQ (PHUJHQF\ 6HWWLQJV
DepartmentofNeuropsychiatry৐িਫ੘‫ق‬૰๨‫ك‬
AkitaUniversityGraduateSchoolofMedicine

DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicineऒऒऽदभ৵ฐ ੟৶৓෱௞‫ق‬ইॕ४ढ़ঝॹॕ५

&29,'ঃথॹ঑ॵॡम&%51(पକ౤घॊ્໰಼૩दँॊ

ॱথ५‫ؚ‬ਕഡ৚ೂ‫঺ؚك‬ভ৽ੋણ৿भঽဠऋ੷ीैोथःॊ

૎ഉਂ਍भाऩैङ‫ੇؚ‬൦৔⌨ઢ‫ੋ৽ؚ‬৓൑୔‫঺ؚ‬ভણ৿भ਑৺
ऩनള়ਏ౤पेॉ੎Ⴟऩੱ৶ҩ঺ভ৓५ॺঞ५॑఺ऻखथःॊ

&29,'दम੗ཪऩরᆏઋ৽ඪ૾ऋলਠघॊ

9 যधযधभणऩऋॉऋബञ

૶ਙ਋॑൓खञ৏पुরᆏઋ৽ඪ૾ऋଋ఩ख‫ؚ‬೩঻भੳੴҩ঺ভਃચ‫ؚ‬ওথॱঝঊঝ५प୶॑૳धखथःॊ

9 ঺ভ৓෱௞म೫कऐऩःे

ो‫ؚ‬॥঑গॽॸॕऋณैः
दःॊअ஘‫ر‬ऩੵ୏ऋ૑ਏ

,$6& 5HIHUHQFH*URXS
RQ 0+366 LQ (PHUJHQF\ 6HWWLQJV
DepartmentofNeuropsychiatry৐িਫ੘‫ق‬૰๨‫ك‬
AkitaUniversityGraduateSchoolofMedicine−16−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶ ௏೨৓ऩেણ॑೐੅घॊ

 &29,'ঃথॹ঑ॵॡधम

9 ᄨ༒ृ୫হभজ६঒॑೐੅ख‫ؚ‬ૠಋਫखःেણ॑৳ण‫؛‬ঽ୧ददऌॊઈ৿‫॔؛‬ঝ॥‫ش‬ঝၭ਄୤ ঃথॹ঑ॵॡभੱ৶৓୶஭

ऋੜਸघॊभदିਔ ঃথॹ঑ॵॡ৏भওথॱঝঊঝ५भப৲भৰଙ ਦ౅दऌॊੲਾ॑੭थੲਾૌ੗॑ೂऐॊ ઋ৽ҩಖઋඪ૾ध/RQJ&29,'ਖ਻

9 ਦ౅दऌॊੲਾ౺ऊैੲਾ॑োু‫ॽ؛‬গ‫ش‬५ृ616ಉपமघॊৎ৑॑਑଒

 ऩछ&29,'दमઋ৽ҩಖઋඪ૾ऋ੗ःभऊ‫ء‬
 &29,'૴ষৎभऒऒौभॣ॔ ౎঻धभणऩऋॉ॑৳ण
9 ਗ਼ਵृ616‫ؚ‬ड़থছॖথॶ‫ش‬ঝಉ॑ણ৷खथणऩऋॉ॑৳ण‫੍؛‬इपऩॊযधभृॉधॉ॑ਢ ୢ௜঻ुপऌऩ५ॺঞ५पᑨऔोञ

ऐॊ‫؛‬᡺೩঻ृঽ୧ୄਃ঻पणःथुੇఔृ஡खःযधभ॥঑গॽॣ‫ش‬३ঙথ॑೐੅घॊ

ৗ஑॥টॼक़ॖঝ५૎ഉඪ冮ŦŲŹŬŧŐŔŜ冮૴ষৣपउऐॊওথॱঝঊঝ५ৌੁ੐ଉ冮‫ق‬ŕœŕœফřাŕŘ঩‫ك‬DepartmentofNeuropsychiatry঩মಖઋઋ৽৾ভ‫ؚ‬঩মుญஒফಖઋୢ৾ভ‫ؚ‬঩ম಼૩ୢ৾ভ‫ؚ‬঩ম੕়୰੹ಖઋୢ৾ভ‫ؚ‬঩মॺছक़ঐॸॕॵॡ‫؞‬५ॺঞ५৾ভAkitaUniversityGraduateSchoolofMedicine

DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicine

 ५ॺঞ५ৌ૪১॑ମपणऐॊ

 &29,'೩঻भञीभ৅೸ॡজॽॵॡऽञम୰༠॑૟इञরবব৔
भ୰੹पඐਜघॊযभୢ௜జহ঻॑ৌ଴पखञ૯૵৹ਪ‫ق‬ୢప٫‫ؚ่‬૧ప٫ ‫ك‬

9 തཋृਂ਍‫ؚ‬५ॺঞ५॑૎गॊऒधमঽேऩખૢ‫؛‬௫खीॊણ৿॑ৄणऐॊ‫ؚ‬জছॵॡ५दऌ

ॊৎ৑॑੿ॊ‫؛‬ళล১ृሰਤਙ൙፩೹১ಉभজছॡ८‫ش‬३ঙথૼ১‫؛‬ ৼ୥घॊ

╒ अण୰‫ਂؚ‬਍‫ؚ‬376'‫ਂؚ‬༒ඪपีढञୢ௜జহ঻ऋ੗ऊढञ
‫ਂق‬༒ඪ٫‫ؚ‬अण୰ ٫‫ਂؚ‬਍௽૩ ٫ऩन‫ك‬

9 ঩ଞেણप੍௽ऋলथःॊৃ়पम௧୅ੇषৼ୥‫؛‬
9 ৼ୥॑ਭऐॊડम3V\FKRORJLFDO)LUVW$LGऩनपेॊ५य़ঝ॔ॵউ‫؛‬╒ জ५ॡਏ౤ ௮ऎযभওথॱঝঊঝ५੍ର‫௶ੌق‬ऋষअसऌহ‫ك‬9੓ਙदँॊऒध

9 জঔ‫ॺش‬ড‫ش‬ॡಉपेॊ॥঑গॽ ॣ‫ش‬३ঙথभ਄ॉपऎऔृ༧ஆ૎ऩनषभৌૢ‫؛‬9่૧పदँॊऒध

9 ૎ഉपঢ়ॎॊऒधऋ५ॸॕॢঐधऩॊभमँढथमऩैऩःऒध‫؛‬

9&29,'೩঻भ൧૵‫ؚ‬੘௜‫ؚ่‬૧ॣ॔पઉமజহखञऒध

9 ५ॺঞ५ॳख़ॵॡಉपेॊওথॱঝঊঝ५ਂ৹भଫ਋৅ৄ‫؛‬
9 ड़থছॖথ॑ઞढथभৼ୥ृ੍ରभ৬਑‫؛‬ৗ஑॥টॼक़ॖঝ५૎ഉඪ冮ŦŲŹŬŧŐŔŜ冮૴ষৣपउऐॊওথॱঝঊঝ५ৌੁ੐冮‫ق‬ŕœŕœফřাŕŘ঩‫ك‬DepartmentofNeuropsychiatry঩মಖઋઋ৽৾ভ‫ؚ‬঩মుญஒফಖઋୢ৾ভ‫ؚ‬঩ম಼૩ୢ৾ভ‫ؚ‬঩ম੕়୰੹ಖઋୢ৾ভ‫ؚ‬঩মॺছक़ঐॸॕॵॡ‫؞‬५ॺঞ५৾ভAkitaUniversityGraduateSchoolofMedicineůƄƌŃŭőŃũƄƆƗƒƕƖŃŤƖƖƒƆƌƄƗƈƇŃźƌƗƋŃŰƈƑƗƄƏŃūƈƄƏƗƋŃŲƘƗƆƒƐƈƖŃŤƐƒƑƊŃūƈƄƏƗƋŃŦƄƕƈŃźƒƕƎƈƕƖŃŨƛƓƒƖƈƇŃƗƒŃŦƒƕƒƑƄƙƌƕƘƖŃŧƌƖƈƄƖƈŃŕœŔŜőŃŭŤŰŤŃűƈƗƚ
DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicineŲƓƈƑŏŃŕœŕœ ଺಼঻ृಬ౗଺૩঻भेअऩ஠ਃ৓ऩ
লਟহपৄ೺ॎोथ‫ؚ‬ౙख॒दःॊয
भੱ৶৓৚୮੍॑इॊञीभ‫ؚ‬য੊৓‫੅੍ؚ‬৓‫ؚ‬ऊणৰ੠भ૽पয়ण஘‫ر‬ऩ੍ର্১॑ऽधीञঐॽগ॔ঝ ಼૩ৎभૢ૶ৌૢद3)$॑৷ःॊऒध
म‫ؚ‬,$6&ऩनभব੠৓फ़ॖॻছॖথ‫ؚ‬ੌ௶पउःथ௓တऔोथःॊ

বয়ಖઋ‫؞‬ઋ৽ୢ௜ଢ଼஢७থॱ‫ ش‬ಖઋ৳௏ଢ଼஢ਚ
५ॺঞ५‫಼؞‬૩ৎऒऒौभੲਾ੍ର७থॱ‫ش‬DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicineৗ஑॥টॼक़ॖঝ५૎ഉඪ‫ق‬ŦŲŹŬŧŐŔŜ‫ك‬पৌૢघॊ૙৩भञीभ१এ‫ॺش‬फ़ॖॻ
DepartmentofNeuropsychiatry঩ম஧ેஊ঺ ŕœŕœফŖাŕŘ঩ੂග
AkitaUniversityGraduateSchoolofMedicine−17−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

ऽधी

DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicine

DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicine

DepartmentofNeuropsychiatry
AkitaUniversityGraduateSchoolofMedicine

−18−



&29,'૎ഉ঻मुठौ॒भऒध‫ؚ‬঳ಹেણ঻৸৬भওথॱঝ
ঊঝ५भப৲ऋ৥ैऊपऩढथःऽघ

ੱ৶ҩ঺ভ৓५ॺঞ५್॑इञ্‫ر‬षभ੍ର৬਑भౄৰऋ੷ीैो
थःऽघ

&29,'ਖ਻मಢ਋৑दઽ൶घॊऒधम਋ୄदऌऽच॒‫؛‬/RQJ&29,'ਖ਻‫ؚ‬ঽ௨भੜਸ‫ঁؚ‬ॖজ५ॡ঻भ৿਱पणः
थ০৏ुିਔ஥ऎৄஹॊ૑ਏऋँॉऽघ

⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

≉ูㅮ₇ ,,
ࠕࢥࣟࢼ⚝ࡢ⮬⢔ࡀཬࡰࡍ኱Ꮫ⏕ࡢ㨚⑕≧࣭⮬ẅ㛵㐃ᛕ៖࡬ࡢᙳ㡪ࠖᗙ㛗㸸Ọ஭ఙᙪ ⛅⏣┴ᒣᮏᆅᇦ᣺⯆ᒁ⚟♴⎔ቃ㒊㛗㸦⬟௦ಖ೺ᡤ㛗㸧ㅮᖌ㸸㔝ᮧᜤᏊ ⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉⾨⏕Ꮫ࣭බ⾗⾨⏕Ꮫㅮᗙᩍᤵ

ㅮᖌ␎Ṕᖺ ᖇி኱Ꮫ་Ꮫ㒊་Ꮫ⛉༞ᴗ៞᠕⩏ሿ኱Ꮫෆ⛉Ꮫᩍᐊึᮇ◊ಟ་㹼ᖇி኱Ꮫ༓ⴥᕷཎ⑓㝔ෆ⛉ຓᡭᖺ ᪥ᮏෆ⛉Ꮫ఍ㄆᐃᑓ㛛་ᖺ ࣁ࣮ࣂ࣮ࢻ኱Ꮫබ⾗⾨⏕኱Ꮫ㝔ಟኈㄢ⛬ಟ஢බ⾗⾨⏕Ꮫಟኈྕ㸦03+㸧ྲྀᚓᖺ ᖇி኱Ꮫ་Ꮫ㒊༤ኈㄢ⛬ಟ஢㸦་Ꮫ༤ኈྲྀᚓ㸧ᖇி኱Ꮫ་Ꮫ㒊⾨⏕Ꮫබ⾗⾨⏕Ꮫᩍᐊຓᡭ㹼ㅮᖌ
᪥ᮏᚰ㌟་Ꮫࠕෆ⛉ࠖᑓ㛛་ᖺ ᖇி኱Ꮫබ⾗⾨⏕኱Ꮫ㝔෸ᩍᤵᖺ ᖇி኱Ꮫዪᛶ་ᖌ࣭◊✲⪅ᨭ᥼ࢭࣥࢱ࣮࣭ᐊ㛗ᖺ ᖇி኱Ꮫ་Ꮫ㒊⾨⏕Ꮫබ⾗⾨⏕Ꮫㅮᗙ෸ᩍᤵ
ᖺ ࣁ࣮ࣂ࣮ࢻ෨Ọᐈဨᩍᤵᖺ ᭶⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉බ⾗⾨⏕Ꮫㅮᗙᩍᤵ

−19−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

ࢥࣟࢼ⚝ࡢ⮬⢔ࡀཬࡰࡍ኱Ꮫ⏕ࡢ㨚⑕≧࣭⮬ẅ㛵㐃ᛕ៖࡬ࡢᙳ㡪㔝ᮧᜤᏊ
⛅⏣኱Ꮫ་Ꮫ㒊⾨⏕Ꮫ࣭බ⾗⾨⏕Ꮫㅮᗙ┠ⓗ㸸᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕࡟ᑐࡍࡿ⮬⢔୰ࡢ኱Ꮫ⏕ࡢᢚ࠺ࡘ⑕≧ࡢホ౯࡜ࡋ࡚ࠊ➨୍Ἴ᫬
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Questionnaire)-9᪥ᮏㄒ∧ࢆ⏝࠸ࠊ⮬ẅ㛵㐃ࡢᛕ៖࠶ࡾࡣ PHQ-9ࡢ୍㡯┠ࠕṚࢇࡔ᪉ࡀࡲࡋࡔࠊ
࠶ࡿ࠸ࡣ⮬ศࢆఱࡽ࠿ࡢ᪉ἲ࡛യࡘࡅࡼ࠺࡜ᛮࡗࡓࡇ࡜ࡀ࠶ࡿࠖࡢⅬᩘࡀ1௨ୖ㸦1㐌㛫࡟ᩘ᪥௨ୖ㸧࡜ࡋࡓࠋ
⤖ᯝ㸸PHQ-9 ࡀ10 Ⅼ௨ୖࡢ୰➼ᗘࡢᢚ࠺ࡘ⑕≧࡜⮬ẅ㛵㐃ᛕ៖ࡀㄆࡵࡽࢀࡓ๭ྜࡣࠊ୍ᅇ┠࡛ࡑࢀࡒࢀ11.5㸣࡜5.8㸣ࠊ஧ᅇ┠࡛16.7㸣࡜11.8㸣࡜஧ᅇ┠࡛኱ࡁࡃᝏ໬ࡋ࡚࠸ࡓࠋ୰➼ᗘࡢᢚ࠺ࡘ⑕≧ࢆ࢔࢘ࢺ࣒࢝࡟ࡋࡓከኚ㔞ࣟࢪࢫࢸ࢕ࢵࢡᅇᖐศᯒ࡛ࡣࠊ୍ᅇ┠᫬Ⅼ࡛ᙳ㡪ࡢ࠶ࡗࡓࣜࢫࢡᅉᏊࡣࠊႚ↮ࠊẖ᪥ࡢ㡢ኌࡲࡓࡣࣅࢹ࢜㏻ಙࡢ฼⏝ࠊ┦ㄯ࡛ࡁࡿேࡢᏑᅾࠊ⦆࿴ᅉᏊ
ࡣ㐠ື,┦ㄯ࡛ࡁࡿேࡢᏑᅾ࡛࠶ࡗࡓࠋ஧ᅇ┠᫬Ⅼ࡛ࡣࠊࣜࢫࢡᅉᏊࡣዪᛶࡢࡳࠊ⦆࿴ᅉᏊ࡟ࡣ
ẖ᪥ࡢ㡢ኌࡲࡓࡣࣅࢹ࢜㏻ಙࡢ฼⏝ࡀぢࡽࢀࡓࠋPHQ-9ࢫࢥ࢔ࡀ 1ᅇ┠ࡼࡾࡶ஧ᅇ┠࡛ᝏ໬㸦1
Ⅼ࡛ࡶቑຍࡋࡓሙྜ㸧ࡋࡓ๭ྜࡣ඲యࡢ⣙45㸣㸦440ྡ㸧࡛ࠊᝏ໬࡟ᙳ㡪ࡋࡓᅉᏊࡣࠊ➨୍ᅇ┠᫬Ⅼ࡛ዪᛶ࡛࠶ࡿࡇ࡜, ⤒῭ⓗ࡟ᅔ❓ࠊ➨஧ᅇ┠᫬Ⅼ࡛ዪᛶ࡛࠶ࡿࡇ࡜ࠊ⦆࿴ᅉᏊ࡜ࡋ࡚➨୍ᅇ┠᫬Ⅼ࡛ẖ᪥ࡢ㡢ኌࡲࡓࡣࣅࢹ࢜㏻ಙࡢ฼⏝ࠊ➨஧ᅇ┠᫬Ⅼ࡛┦ㄯ࡛ࡁࡿேࡢᏑᅾ,ࣞࢪ࣮ࣕ
㠃࡛ᅔࡗ࡚࠸ࡿ࡜ᅇ⟅ࡋࡓࡶࡢࡀ᭷ព࡛࠶ࡗࡓࠋ⮬ẅ㛵㐃ᛕ៖ࢆ࢔࢘ࢺ࣒࢝࡟ࡋࡓከኚ㔞ࣟࢪࢫࢸ࢕ࢵࢡᅇᖐศᯒ࡛ࡣࠊ୍ᅇ࣭஧ᅇ࡜ࡶ࡟ඹ㏻஦㡯࡜ࡋ࡚ࠊࣜࢫࢡᅉᏊ࡟ࡣ㣧㓇ࠊSNS ࡢ฼⏝ࠊண㜵ᅉᏊ࡟ࡣ┦ㄯ࡛ࡁࡿேࠊࡑࡢ௚ࠊ➨୍ᅇ┠ࡢBMI ࡸࡏࠊᏛᴗ㠃࡛ᅔࡗ࡚࠸ࡿࡇ࡜ࡀࠊ
➨஧ᅇ┠ࡢዪᛶ࡛࠶ࡿࡇ࡜ࡀ᭷ព࡞ࣜࢫࢡᅉᏊ࡛࠶ࡗࡓࠋ
⪃ᐹ㸸᫬㛫㍈ࢆ⪃៖ࡋࡓྛศᯒ࡟࠾࠸࡚ࠊ࠺ࡘࡢࣜࢫࢡᅉᏊ࡟ࡣࠊዪᛶ࡜࠸࠺⏕≀Ꮫⓗ࡞⬤ᙅᅉᏊ࡜ࠊே࡜ࡢࡘ࡞ࡀࡾ࡜࠸࠺ண㜵ᅉᏊࡀ୍㈏ࡋ࡚ㄆࡵࡽࢀࡓࠋ⮬Ṛᛕ៖࡟ࡘ࠸࡚ࡣࠊ㝈ࡽࢀࡓࢧ
ࣥࣉࣝࡢ୰࡛ࡢゎᯒ࡜࡞ࡾࠊ⤖ᯝࡢゎ㔘࡟ࡣὀពࡀᚲせ࡛࠶ࡿࠋ−20−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

ূਨਁಃୋে৾ভ 
્શ൥౰

2020.1~2᭶䛂䝎䜲䝲䝰䞁䝗䝥䝸䞁䝉䝇䛃ྕ

2020.1.16ึឤᰁ౛崛嵕崲ም峘ঽဠ岶఺峦峃প৾ে峘ᨘඪ૾嵣ঽଈ୛ൟ峢峘୶஭᪥ᮏ

2020.7.21
ᅜෆṚ⪅1,000ே㉸

2021.1.23
ᅜෆṚ⪅5,000ே㉸

2020.2.13
ึṚஸ౛

2021.2.17
䝽䜽䝏䞁᥋✀㛤ጞ

2020.4.8⥭ᛴ஦ែᐉゝ
➨1Ἴ

‣․᭶

․᭶

2020.1.11୰ᅜ䛷ึṚஸ౛

➨2Ἴ

➨3Ἴ

ୡ
⏺

➨4Ἴ
2021ᖺ

…᭶

᭶

‪᭶

2020.3.12
WHO䝟䞁䝕䝭䝑䜽ᐉゝ

2020.1.14
SARS-CoV-2Ⓨぢ⛅⏣኱Ꮫ་Ꮫ㒊⾨⏕Ꮫබ⾗⾨⏕Ꮫㅮᗙ㔝ᮧᜤᏊknomura@med.akita-u.ac.jp

7.22
ᮾி஬㍯

2021.1.7
2021.4.232021.7.12⥭ᛴ஦ែᐉゝ⥭ᛴ஦ែᐉゝ⥭ᛴ஦ែᐉゝ

2019ᖺ 2020ᖺ➨୍Ἴ᫬Ⅼ䠄⁄†․†‧‟ ᭶‛ 䛸➨䠐Ἴ᫬Ⅼ‚⁄‥†‥‟‧᭶‛ 䛻䛚䛡䜛䛖䛴䝇䝁䜰䛾ẚ㍑䛸⢭⚄⾨⏕௓ධ᪉ἲ䛾᳨ウ

2021.4.26
ᅜෆṚ⪅10,000ே㉸

2020.4.10
ୡ⏺Ṛ⪅10୓ே㉸

‣•᭶

‣․᭶

․᭶

…᭶

᭶

2020.12⡿ⱥ䝽䜽䝏䞁᥋✀㛤ጞ

2020.6.28
ୡ⏺Ṛ⪅50୓ே㉸

2020.12䠊3ୡ⏺Ṛ⪅150୓ே㉸

2019.12.30
୰ᅜ䛷ཎᅉ୙᫂䛾ឤᰁ⑕Ⓨ⏕
2020.4.20⡿ᅜ䝻䝑䜽䝎䜴䞁

․•‣‫‫‬ᖺ‣․᭶Ṋ₎䛷Ⓨぢ䛥䜜䛯
䜴䜲䝹䝇‚⁅″⁄⁅‟‵⁡⁈‟․‛

䛺䛬䛖䛴䛜ၥ㢟䛻䛺䜛䛾䛛䠛ĺ䛂䛖䛴⑓䛃䛻䛺䜛䛸䛂⮬ẅ䛃䜢⪃䛘䜛⮬ẅ䜢䝝䜲䞁䝸䝑䝠䛾ἲ๎䛻ᙜ䛶䛿䜑䜛䛸䠛⮬ẅ䠖䠍⮬ẅᮍ㐙䠖䠎䠕
䛖䛴⑓䞉䛖䛴≧ែ䠖䠏䠌䠌䝝䜲䞁䝸䝑䝠䛾ἲ๎䛿䚸ປാ⅏ᐖ䛻䛚䛡䜛⤒㦂๎䛾୍䛴䛷䛒䜛䚹➨୍ᅇ┠䛷䛿⣙䠍๭䛾Ꮫ⏕䛻୰➼ᗘ௨ୖ䛾䛖䛴⑕≧䛜☜ㄆ䛥䜜䛯

−21−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

䝝䜲䝸䝇䜽‥ᅇ┠䛾᝟ሗ௓ධ䠄‪᭶ୗ᪪䠅• ኱Ꮫ䠤䠬䝎䜲䝆䜵䝇䝖∧䛾ᥖ㍕• 䝝䜲䝸䝇䜽㞟ᅋ䜈䝎䜲䝆䜵䝇䝖∧䛸䚸Ꮫᰯ䛜ᐃᮇห⾜䛧䛶䛔䜛ᚰ⌮ኈ䛜⤂௓䛩䜛ㄆ▱⾜ື⒪ἲ䛾⤂௓(Vol1䡚17)• ෌ᗘ䚸┦ㄯ❆ཱྀ䛾᱌ෆ

Vol.9 䝸䝷䜽䝉䞊䝅䝵䞁䛾⤂௓(6.12);
Vol.10 ࿧྾ἲ䛾⤂௓(6.22);• Vol.11 ⮬ືᛮ⪃䛾⤂௓(6.29) ;• Vol.12 ㄆ▱䛾ṍ䜏䛻䛴䛔䛶(7.6);• Vol.13 ㄆ▱⾜ື⒪ἲ䛾⤂௓(7.10) ;ᐃᮇ䝺䝍䞊
7.20(Vol.14)
https://www.nikkei.com/article/DGXLASDG16H2Q_W6A310C1SHA000/䝝䜲䝸䝇䜽崷崌嵒崡崗৾ে峢峘ৌૢ‫ق‬াৣഽ‫ك‬䜻䝱䞁䝟䝇⢭⚄⾨⏕䛾ྥୖ

3+4 岶ਡਰ঱岬峵岮峙 ૎ੲ໸ௌਡਰ঱ ੬ਙ੡੓ਙ੡ 峕ৌ峁嵒嵤崽嵔崫崰ଦഘ⮬ẅ䝀䞊䝖䜻䞊䝟䞊ㅮᗙཷㅮඹឤ䞉ഴ⫈䝇䜻䝹䛾ྥୖ䜻䝱䞁䝟䝇⢭⚄⾨⏕䛾ྥୖ

3+4ਡਰ঱岬峵岮峙૎ੲ໸ௌ
ਡਰ঱峘৾ে峙হ৏ೈ઼ҫָ෨͹ָਫ਼Ͷଲ͢ᶅ ҫָ෨ʀʀ೧ਫ਼સҽͶɼଲ໚Ͷͱָਫ਼ϟϱνϩ௒ࠬ͹݃Վͳଲࡨߪ࿫
ʤࣙࡶ͹ΰʖφΫʖϏʖ͹Ҍ಼ࡃʥᶆ ҫָ෨೧ਫ਼સҽͶवీ‫ࡶࣙݟ‬ଲࡨ‫ݟ‬຿ӣಊ͹Ҳ‫ࡶࣙͱ͢ͳ؂‬͹ΰʖφΫʖϏʖ཈੔ߪ࠴णߪ

䝝䜲䝸䝇䜽

৾ে੍ରୖ
হ৏ೈ઼峒峙岝崡崗嵒嵤崳嵛崘৏峘崷崌嵒崡崗ૐ੮峕峎岮峐ిજ峔ৌૢ岶峔岿島峉岵નੳ峃峵岽峒ৼ୥岶岿島峉岵નੳ‫ق‬াੂഽ‫ك‬஦ᚋฎ⨨☜ㄆ䛾䛯䜑䛾㻼㻴㻽䠕㔜ᗘ⩌㻔㻝㻡Ⅼ௨ୖ䠅䛿 ⏨ᛶ㻠㻥ྡ䚸ዪᛶ㻠㻞ྡ䝁䝨䞁䝝䞊䝀䞁ឤ᝟⑂ປ㻝㻤Ⅼ௨ୖ䛿 ⏨ᛶ㻟㻞ྡ䚸ዪᛶ㻟㻝ྡ−22−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

⁄․†‫‫‬᭶ୗ᪪䡚⁄‥†‣†‥‣
඲Ꮫ⏕ᑐ㇟䛻䠍᫬㛫䛾䛖䛴䛸ᕼṚᛕ៖䜻䝱䞁䝟䝇⢭⚄⾨⏕ㅮ⩏ഴ⫈䛸䛿䠛

:HEFODVVͶͱɼवీ୉ָસָ෨ͳ୉ָӅਫ਼Ͷଲ͢ɼָਫ਼ϟϱνϩ௒ࠬ͹݃Վͳଲࡨ͹Խ੢෉Ϗϭϛ෾Νࢻ௎Ն೵ͳͪ͢ɽʤ‫ࡑݳ‬ਕणߪࡃʥ䐟 ཷᐜ䠖┦ᡭ䜢ཷ䛡ධ䜜䜛䐠 ඹឤ䠖ヰ䜢⪺䛔䛶䛭䛾㏻䜚䛰䛸ᛮ䛖䐡 ⮬ᕫ୍⮴䠖ヰ䜢⫈䛔䛶ศ䛛䜙䛺䛔䛣䛸䜢䛭䛾䜎䜎䛻䛫䛪⫈䛝┤䛩➼䚸ᖖ䛻┿ᦸ䛺ែᗘ䛷┿ព䜢ᢕᥱ䛩䜛䜻䝱䞁䝟䝇ෆ䛻䛚䛡䜛᭱ᚋ䛾◓཭ே䛾䛂䛔䛴䜒䛸㐪䛖䛃ᵝᏊ䜢䛸䜙䛘䜛䝫䜲䞁䝖• ➗䜟䛺䛟䛺䛳䛯䚹• 䛴䛝䛒䛔䛜ᝏ䛟䛺䛳䛯/఍ヰ䛜䛺䛟䛺䛳䛯䚹• Ꮫᰯ䛻䛣䛺䛔䠄㐜้䞉᪩㏥䠅䛜ቑ䛘䜛• 䝔䝇䝖䛾Ⅼᩘ䛜ᝏ䛟䛺䜛/ຮᙉ䛻㌟䛜ධ䜙䛺䛔• 㓇㔞䛜ቑ䛘䜛• 䜂䛝䛣䜒䜚䛜䛱䛻䛺䜛• ᪥ෆኚື䛜䛒䜛䠄༗๓୰䛿䜎䛳䛯䛟ᴗົ䛜䛷䛝䛺䛔䛜䚸༗ᚋ䛻䛛䛡䛶ᚎ䚻䛻䜎䛸䜒䛻䛺䜛䠅• 㞟୰ຊ䞉ᛮ⪃ຊ䛾పୗ䛜䜏䜙䜜䜛䜰䜴䝖䜹䝮• Primary outcomeཷㅮᚋ䛻䜻䝱䞁䝟䝇඲య䛾䛖䛴䝇䝁䜰䛿ᨵၿ䛧䛯䛾䛛䠛• Secondary outcome⮬ẅ䝀䞊䝖䜻䞊䝟䞊ㅮ⩏䜢ཷㅮ䛧䛶ඹឤ䝇䝁䜰䛿ୖ᪼䛧䛯䛾䛛䠛
R.2. 5.20䡚6.19

R.3. 3.1䡚5.31

➨୍ᅇ┠

➨஧ᅇ┠

⮬ẅ䝀䞊䝖䜻䞊䝟䞊ㅮ⩏Ver.2.0−23−

⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

ゎᯒᑐ㇟

ඹឤᑻᗘ
䠄⁆⁚⁗‒⁆⁡⁤⁡⁠⁦⁡‒‷ ⁢⁓⁦⁚⁫‒⁃⁧⁗⁥⁦⁛⁡⁠⁠⁓⁛⁤⁗‒⁀⁓⁦⁚⁓⁠‒⁅⁢⁤⁗⁠⁙„‒⁗⁦‒⁓⁞†‒․••‫‒†‫‬䠅᥇⏝ᇶ‽➨୍䚸஧ᅇ┠ㄪᰝ୧᪉䛻ᅇ⟅䛧䛯1,148ྡ䛭䜜䛮䜜䛾ᩥ❶䜢䜘䛟ㄞ䜣䛷䚸䛹䜜䛟䜙䛔䛾㢖ᗘ䛷ឤ䛨䛯䜚䜅䜛䜎䛳䛶䛔䜛䛛䚸ᅇ⟅ḍ䛻䝬䝹䜢௜䛡䛶䛟䛰䛥䛔䚹ṇゎ䜔ㄗ䜚䛿䛒䜚䜎䛫䜣䚹䜂䛳䛛䛡ၥ㢟䜒䛒䜚䜎䛫䜣䚹䛷䛝䜛䛰䛡ṇ┤䛻䛭䜜䛮䜜䛾㉁ၥ䛻⟅䛘䛶䛟䛰䛥䛔䚹䠍䠊䜋䛛䛾ே䛜┒䜚ୖ䛜䛳䛶䛔䜛䛸䛝䛿䚸⮬ศ䜒Ẽศ䛜ୖ䛜䜛䚹䠎䠊௚ே䛻ᝏ䛔䛣䛸䛜㉳䛝䛶䜒⮬ศ䛻䛿㛵ಀ䛺䛔䚹䠏䠊ㄡ䛛䛜ኻ♩䛺ᢅ䛔䜢ཷ䛡䛶䛔䜛䛾䜢ぢ䜛䛾䛿Ẽศ䛜䜟䜛䛔䚹䠐䠊ぶ䛧䛔ே䛜ᖾ䛫䛷䜒⮬ศ䛿㛵ಀ䛺䛔䠑䠊௚䛾ே䜢ඖẼ䛻䛩䜛䛾䛿ᴦ䛧䛔䚹䠒䠊⮬ศ䜘䜚ᜨ䜎䜜䛺䛔ே䛻ᑐ䛧䛶ඃ䛧䛟Ẽ㐵䛖Ẽᣢ䛱䛜䛒䜛䚹䠓䠊཭㐩䛜⮬ศ䛾ᅔ䜚䛤䛸䜢ヰ䛧ጞ䜑䜛䛸ヰ㢟䜢䛭䜙䛭䛖䛸䛩䜛䚹䠔䠊䜋䛛䛾ே䛜ᝒ䛧䛔ᛮ䛔䜢䛧䛶䛔䜛䛸䛝䚸䛭䛾ே䛜ఱ䜒ゝ䜟䛺䛟䛶䜒䜟䛛䜛䚹䠕䠊௚䛾ே䛸ྠ䛨Ẽศ䛻䛺䛳䛶䛔䜛䛣䛸䛜 䛒䜛䠍䠌䠊⮬ศ⮬㌟䛜ཎᅉ䛷῝้䛺⑓Ẽ䛻䛺䛳䛯ே䛻䛿ྠ᝟䛧䛺䛔䚹䠍䠍䠊ㄡ䛛䛜Ἵ䛔䛶䛔䜛䛾䜢䜏䜛䛸䜲䝷䜲䝷 䛩䜛䚹䠍䠎䠊௚䛾ே䛜䛹䛖ឤ䛨䜛䛛䛻䛿㛵ᚰ䛜䛺䛔䚹䠍䠏䠊ືᦂ䛧䛶䛔䜛ே䜢ぢ䜛䛸䛩䛠ຓ䛡䛺䛡 䜜䜀䛸ᛮ䛖䚹䠍䠐䠊୙ᙜ䛺ᢅ䛔䜢ཷ䛡䛶䛔䜛ே䜢ぢ䛶䜒䛒䜎䜚䛛䜟䛔䛭䛖䛰䛸䛿ᛮ䜟䛺䛔䚹䠍䠑䠊ᖾ䛫䛾䛒䜎䜚ᾦ䛩䜛ே䛿㤿㮵䛢䛶䛔䜛䛸ᛮ䛖䚹䠍䠒䠊ㄡ䛛䛜฼⏝䛥䜜䛶䛔䜛䛾䜢䜏䜛䛸䚸䛛 䜀䛔䛯䛟䛺䜛䚹㝖እ䛖䛴䝇䝁䜰ᮍᅇ⟅
80ྡ

Ꮫᖺ

ேᩘ(ே)

⏨ᛶ๭ྜ(%)

඲య

985

49

1ᖺ⏕

359

36

2ᖺ⏕

218

22

3ᖺ⏕

208

21

4ᖺ⏕

200

20

৹ਪ໪ਏ
岧৹ਪ੡岨&29,'૎ഉඪ૴ষৣ峕岴岻峵ঽဠ岶఺峦峃প৾ে峘岽岽峷峒岵峳峊峢峘୶஭岧ৰ઱岨 ௘িপ৾‫ق‬৹ਪহਜଂ‫؟‬ୢ৾৖ୋে৾ਁಃୋে৾൥ౠ‫ك‬岧৯৓岨 ଫ਋峕岰峎峮ਂ਍ඪ૾峘ਘ岮崷崌嵒崡崗଻য峼৊৒峁岝৳௏ଵ৶崣嵛崧嵤峮௧୅ੇ峕峎峔岼峵岽峒岧ඨ৯岨 ⋇岰峎嵣ಖઋ໸ௌ嵣ਂ༒ ⋈েણ৸ಹ ⋉൑峍峐岮峵岽峒岧ৰ઱্১岨 প৾ુৢ崿嵑崫崰崽崑嵤嵈峼৷岮峉崌嵛崰嵑崵崫崰৹ਪ岧ৌ଴岨 ௘িপ৾ ৸৾৖嵣প৾੹ে‫ق‬য‫ك‬

୍ᅇ┠

஧ᅇ┠

䛆ㄪᰝᮇ㛫䛇

R2.5.20~6.19

R3.3.20~5.31

䛆᭷ຠᅇ⟅ᩘ䛇2,712௳

1,982௳

䛆ᅇ཰⋡䛇

53%

39%

௘িপ৾৾েभ્ඉ‫ق‬ਸ਼঳৚৯ेॉ‫ك‬੬ਙभ৺‫ڲ‬સ‫ؚ‬੓ਙभ઄ਯऋ਩ਗলମ঻‫ؚ‬঳যථैख੬ਙ‫ق‬য‫ ك‬੓ਙ‫ق‬য‫ك‬
Q





Q





਩ਗ









਩৔









ফೡ਴಑ఏ૆ု୷
লମ৉ථ峳峁峐岮峵য
঳যථ峳峁









峇島ਰਗ









24

−24−

⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

3+4‫ق‬ਡ‫ك‬➨୍ᅇ┠ຠᯝ᳨ド䛾⪃ᐹ➨஧ᅇ┠୰➼ᗘ௨ୖ䛾䛖䛴
n=113 (11.5%)୰➼ᗘ௨ୖ䛾䛖䛴
n=164 (16.7%)

⏨

⏨

ዪ

• 䠍᫬㛫䛾จ⦰䛧䛯ෆᐜ䛷䛿ពᅗ䛧䛯ෆᐜ䛜ఏ䜟䛳䛶䛔䛺䛔ྍ⬟ᛶ• ⮬ẅ⤫ィ䚸⮬ẅᛕ៖䚸䛖䛴䛾デ᩿ᇶ‽䛸䛔䛳䛯ᇶ♏Ꮫ⩦䝁䞁䝔䞁䝒䛾ᩚ⌮䜢⾜䛔䚸䝯䞁䝍䝹୙඲䛾Ẽ䛵䛝䛾䝫䜲䞁䝖䚸ඹឤ䞉ഴ⫈䞉ᑐே㛵ಀ䞉䝁䝭䝳䝙䜿䞊䝅䝵䞁䝇䜻䝹䛾㑅ᐃ䛺䛹ᩍ⫱䝁䞁䝔䞁䝒䛾ෆᐜ䛾ྫྷ࿡ᚲせዪ੸৚৯द3+4५॥॔கऋப৲
PHQ-9

N(%)

ṇᖖ (0-4)㍍ᗘ (5-9)

୊Ҳյ໪

୊್յ໪

P

659 (66.9)

587 (59.6)<0.001213 (21.6)

234 (23.8)<0.001୰➼ᗘ (10-14)

77 (7.8)102 (10.4)<0.001䜔䜔㔜ᗘ (15-19)

20 (2.0)36 (3.7)<0.001㔜ᗘ (20)

16 (1.6)

26 (2.6)<0.001

PHQ9 10

113 (11.5)

164 (16.7)<0.001⮬ẅᛕ៖

57 (5.8)

116 (11.8)<0.001㔜ᗘ⮬ẅᛕ៖

17 (1.7)

49 (5.0)<0.001䛖䛴䛾䝸䝇䜽ᅉᏊ䛸ண㜵ᅉᏊ➨୍ᅇ䛸➨஧ᅇ䛾PHQ䛖䛴䝇䝁䜰䠍䠌Ⅼ௨ୖ䛻ᑐ䛧䝸䝇䜽ᅉᏊ䛸ண㜵ᅉᏊ䜢᳨ウ➨୍ᅇ┠䛻ẚ䜉➨஧ᅇ䛷䛖䛴䛾䝇䝁䜰䛜ቑຍ䛧䛶䛔䜛䠄ᝏ໬䛧䛶䛔䜛䠅䜒䛾䛻ᑐ䛧䚸䝸䝇䜽ᅉᏊ䛸ண㜵ᅉᏊ䜢᳨ウ⏕ά⩦័䛸䝁䝭䝳䝙䜿䞊䝅䝵䞁䛾ኚ໬ඹឤ䝇䝁䜰䛿ཷㅮ䛾᭷↓䛷᭷ពᕪ䛺䛧ᛶู䚸ᖺ㱋䚸ႚ↮Ṕ䚸㣧㓇Ṕ䚸㐠ື⩦័䚸SNS䛾౑⏝䚸ᅔ䛳䛶䛔䜛≧ἣ䚸1ᅇ┠䛾䛖䛴䝇䝁䜰䛷䝥䝻䝨䞁䝅䝔䜱䝇䝁䜰䜢⟬ฟ䛧䛯䚹䠍ᅇ┠(n=985)n (%)

䠎ᅇ┠(n=985)n (%)

䜻䝱䝸䝟䞊䜢タᐃ䛧䛯᭱㏆ഐ䝬䝑䝏䞁䜾䛻䛶䚸322ྡ䛪䛴䛛䜙ᡂ䜛஧⩌䛜ᢳฟ䛥䜜䛯䚹<18.5
18.5-24.9
25-130 (13.2)
718 (72.9)
137 (13.9)

112 (11.4)
537 (54.5)
336 (34.1)

㐌䠏᪥௨ୖ

33 (3.4)

72 (7.3)㐌䠍䠉䠎᪥䛛䜋䛸䜣䛹㣧䜎䛺䛔950 (96.5)

906 (92.0)

21 (2.1)

29 (2.9)<0.001㣧㓇ཷㅮᚋ䚸➨஧ᅇ┠᫬Ⅼ䛾ඹឤ䝇䝁䜰䜢䜰䜴䝖䜹䝮䛸䛧䚸ഴྥ䝇䝁䜰䞉䝬䝑䝏䞁䜾䛻䜘䜛ཷㅮ䛸ᮍཷㅮ⩌䛻䛶୰ኸ್䛾ẚ㍑䜢⾜䛳䛯䚹PS䝬䝑䝏๓
ᮍཷㅮ
䠄N=596䠅ཷㅮ䠄N=355䠅

ඹឤ䝇䜿䞊䝹
46 (39-52)(୰ኸ್, IQR)

45 (39-51)

P-valueཷㅮ䠄N=322䠅

P-value

0.156

45 (39-51)

45 (39-51)

0.690<0.001ႚ↮⌧ᅾႚ↮㐠ື䠄METs*min/week䠅᭱㧗5ศ䛾୍
➨஧5ศ䛾୍
➨୕5ศ䛾୍
➨ᅄ5ศ䛾୍
᭱ప5ศ䛾୍
ẖ᪥䛾SNS㡢ኌ䜎䛯䛿䝡䝕䜸㏻ಙ
┦ㄯ䛷䛝䜛ே䛜䛔䜛PS䝬䝑䝏ᚋ
ᮍཷㅮ
䠄N=322䠅−25−

p<0.001BMI<0.001299 (30.4)
209 (21.2)
245 (24.9)
101 (10.3)
131 (13.3)
165 (16.8)
787 (80.1)

347 (35.2)
169 (17.2)
240 (24.4)
79 (8.0)150 (15.2)
170 (17.3)
824 (83.8)<0.001<0.001<0.001⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

ৗ஑॥টॼक़ॖঝ५૎ഉඪभ୶஭द
नोऎैः൑ढथःऽघऊ‫ق‬ະ௡‫؞‬ঞ४ক‫ش‬એ‫ك‬䠍㐌㛫䛾㐠ື᫬㛫
➨୍ᅇ┠

➨஧ᅇ┠

➨୍ᅇ┠

඲䛟ᅔ䛳䛶
䛔䛺䛔

ৗ஑॥টॼक़ॖঝ५૎ഉඪभ୶஭द
नोऎैः൑ढथःऽघऊ‫ੋ৽ق‬৓ऩડએ‫ك‬

➨୍ᅇ┠

඲䛟ᅔ䛳䛶
䛔䛺䛔

718੡

⏨

430੡

ዪ

㠀ᖖ䛻ᅔ䛳䛶
䛔䜛

➨஧ᅇ┠

඲䛟ᅔ䛳䛶
䛔䛺䛔

⏨

➨୍ᅇ┠

⏨

ዪ

㠀ᖖ䛻ᅔ䛳䛶
䛔䜛

඲䛟ᅔ䛳䛶
䛔䛺䛔

⏨

⏨

ዪ

඲䛟ᅔ䛳䛶
䛔䛺䛔

⏨

ዪ

㠀ᖖ䛻ᅔ䛳䛶䛔䜛ዪ㠀ᖖ䛻ᅔ䛳䛶
䛔䜛

➨஧ᅇ┠

඲䛟ᅔ䛳䛶
䛔䛺䛔

⏨

ዪ

㠀ᖖ䛻ᅔ䛳䛶
䛔䜛ৗ஑॥টॼक़ॖঝ५૎ഉඪभ୶஭द
नोऎैः൑ढथःऽघऊ‫ق‬ઈ৿‫؞‬௏೨એ‫ك‬

➨஧ᅇ┠

඲䛟ᅔ䛳䛶
䛔䛺䛔

㠀ᖖ䛻ᅔ䛳䛶䛔䜛➨୍ᅇ┠㠀ᖖ䛻ᅔ䛳䛶
䛔䜛ዪዪৗ஑॥টॼक़ॖঝ५૎ഉඪभ୶஭द
नोऎैः൑ढथःऽघऊ‫ق‬९‫ش‬३কঝ१এ‫ॺش‬એ‫ك‬ৗ஑॥টॼक़ॖঝ५૎ഉඪभ୶஭द
नोऎैः൑ढथःऽघऊ‫৾ق‬঵৓ऩડએ‫ك‬

඲䛟ᅔ䛳䛶
䛔䛺䛔

⏨

➨஧ᅇ┠

➨୍ᅇ┠

㠀ᖖ䛻ᅔ䛳䛶
䛔䜛

඲䛟ᅔ䛳䛶
䛔䛺䛔

−26−

⏨

ዪ

➨஧ᅇ┠

㠀ᖖ䛻ᅔ䛳䛶
䛔䜛

඲䛟ᅔ䛳䛶
䛔䛺䛔

⏨

ዪ

㠀ᖖ䛻ᅔ䛳䛶
䛔䜛⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

ᝏ໬

岰峎
•
•
•
•
•
•
•
•

䐟

•
•

䐡

➨஧ᅇ┠

➨୍ᅇ┠

岰峎

ਙશ
ফೡ
঳যථ峳峁
਩ਗলମ
ཹ໛
ධඣ
ઈ৿
ఠଢ岬峵岮峙崻崯崒ৢਦ峘ਹ৷616峘ਹ৷
ৼ୥峑岷峵য峘ோ૔

䐡

•
•
•
•
•
•
•
•

䐢

•
•

R.2. 5.20䡚6.19

䛖䛴䝇䝁䜰ᝏ໬

ਙશ
ফೡ
঳যථ峳峁
਩ਗলମ
ཹ໛
ධඣ
ઈ৿
ఠଢ岬峵岮峙崻崯崒ৢਦ峘ਹ৷616峘ਹ৷
ৼ୥峑岷峵য峘ோ૔䐠ᛶู
ዪᛶ vs. ⏨ᛶ
20ṓ௨ୖ vs. 19ṓ௨ୗᖺ㱋ฟ㌟ᆅ┴እ vs. ┴ෆྠᒃ䛾᭷↓୍ேᬽ䜙䛧 vs. ྠᒃ䝧䞊䝇䝷䜲䞁᫬Ⅼ
BMI<18.5
18.5-24.9
25㣧㓇㐌䠏᪥௨ୖ vs. 䛭䜜௨እႚ↮⌧ᅾႚ↮ vs. 㐣ཤ䚸ႚ↮Ṕ↓䛧㐠ື䠄METs*min/week䠅

R.3. 3.1䡚5.31⤒῭ⓗ䛺ഃ㠃
Ꮫᴗⓗ䛺ഃ㠃
㊃࿡䞉䝺䝆䝱䞊㠃
䝋䞊䝅䝱䝹䝃䝫䞊䝖㐠ື䞉೺ᗣ㠃

䛖䛴䛾䝸䝇䜽ᅉᏊ䛸ண㜵ᅉᏊ

1.39 (1.09-1.80)
0.84 (0.65-1.08)
0.82 (0.63-1.05)
0.74 (0.58-0.96)

63 (14.3)
311 (70.7)
66 (15.0)
12 (2.7)
7 (1.6)67 (12.3)
407 (74.7)
71 (13.0)
21 (3.9)
14 (2.6)

1.23 (0.85-1.79)
ref1.22 (0.84-1.75)
0.70 (0.34-1.43)
0.61 (0.25-1.53)

1.15 (0.78-1.70)
ref1.34 (0.92-1.96)
0.74 (0.34-1.61)
0.67 (0.25-1.75)

132 (30.0)
94 (21.4)
106 (24.1)
48 (10.9)60 (13.6)
61 (13.9)354 (80.6)

672 (30.6)
0.94 (0.62-1.41)
115 (21.1)
0.96 (0.62-1.50)
139 (25.5)
0.90 (0.59-1.38)
53 (9.7)
1.07 (0.64-1.80)
71 (13.0) ref
104 (19.1)
0.68 (0.48-0.97)
433 (79.7)
1.06 (0.77-1.45)

1.02 (0.66-1.56)
0.96 (0.61-1.50)
0.88 (0.57-1.36)
1.09 (0.63-1.88)
ref0.66 (0.46-0.95)
1.08 (0.78-1.51)

0.68 (0.48-0.97)-

98 (22.3)
107 (24.3)
115 (26.3)
70 (16.0)
48 (11.0)

89 (16.3)
130 (23.9)
157 (28.9)
99 (18.2)
69 (12.7)

1.67 (1.03-2.72)
1.24 (0.78-1.97)
0.96 (0.61-1.51)
1.06 (0.64-1.75)
ref1.64 (1.02-2.65)
1.22 (0.77-1.93)
0.98 (0.63-1.53)
1.04 (0.63-1.70)
ref

༢ኚ㔞
OR

䝻䝆䝇䝔䝑䜽ᅇᖐศᯒከኚ㔞Model 1Model 2Adjusted OR
Adjusted OR
1.35 (1.03-1.76)
1.38 (1.06-1.80)
0.84 (0.65-1.10)
0.82 (0.63-1.06)
1.02 (0.72-1.44)
0.77 (0.55-1.09)
0.78 (0.60-1.02)

1.58 (0.99-2.52)
1.18 (0.76-1.85)
1.05 (0.68-1.63)
1.02 (0.63-1.64)ref-*䝇䝔䝑䝥䝽䜲䝈䝰䝕䝹䐢䐟➨୍ᅇ䛾䛖䛴

ዪᛶ vs. ⏨ᛶ
20ṓ௨ୖ vs. 19ṓ௨ୗ┴እ vs. ┴ෆ୍ேᬽ䜙䛧 vs. ྠᒃ<18.5
18.5-24.9
25㣧㓇㐌䠏᪥௨ୖ vs. 䛭䜜௨እႚ↮⌧ᅾႚ↮ vs. 㐣ཤ䚸ႚ↮Ṕ↓䛧㐠ື䠄METs*min/week䠅᭱㧗5ศ䛾୍
➨஧5ศ䛾୍
➨୕5ศ䛾୍
➨ᅄ5ศ䛾୍
᭱ప5ศ䛾୍
SNS㡢ኌ䜎䛯䛿䝡䝕䜸 vs. 䛧䛺䛔┦ㄯ䛷䛝䜛ே䛜䛔䜛 vs. 䛔䛺䛔≉䛻ᅔ䛳䛶䛔䜛䛣䛸⤒῭ⓗ䛺ഃ㠃
Ꮫᴗⓗ䛺ഃ㠃
㊃࿡䞉䝺䝆䝱䞊㠃
䝋䞊䝅䝱䝹䝃䝫䞊䝖㐠ື䞉೺ᗣ㠃

䛖䛴䝇䝁䜰ᝏ໬

୍ᅇ┠᫬Ⅼ䛷ᙳ㡪䛾䛒䛳䛯ᅉᏊ䜢㉥Ꮠ୰➼ᗘ௨ୖ䛾䛖䛴
䛒䜚䛺䛧
n = 113n= 866➨஧ᅇ䛾䛖䛴

஧ᅇ┠᫬Ⅼ䛷ᙳ㡪䛾䛒䛳䛯ᅉᏊ䜢㉥Ꮠ䝻䝆䝇䝔䝑䜽ᅇᖐศᯒ
༢ኚ㔞

ከኚ㔞

OR

Model 1Model 2Adjusted OR
1.47 (0.96-2.25)
-

N (䠂)

N (%)

62 (54.9)
64 (56.6)
68 (60.2)
74 (65.5)436 (50.0)427 (49.0)
469 (53.9)
496 (56.9)

1.20 (0.81-1.78)
1.36 (0.91-2.01)
1.29 (0.87-1.93)
1.44 (0.95-2.17)

Adjusted OR
1.49 (0.96-2.31)
1.14 (0.74-1.77)
0.88 (0.51-1.53)
1.40 (0.80-2.45)

15 (13.3)
76 (67.2)
22 (19.5)
7 (6.2)6 (5.3)115 (13.2)
642 (73.6)
115 (13.2)
26 (3.0)
15 (1.7)

1.10 (0.61-1.98)
ref1.62 (0.97-2.70)
2.14 (0.91-5.06)
3.20 (1.21-8.41)

1.05 (0.55-1.99)
ref1.36 (0.78-2.36)
1.96 (0.74-5.24)
2.78 (0.90-8.55)

29 (25.7)
22 (19.5)
27 (23.9)
13(11.5)
22 (19.5)
29 (25.7)
66 (58.4)

270 (31.0)
187 (21.4)
218 (25.0)
88 (10.1)
109 (12.5)
136 (15.6)
721 (83.0)

0.73 (0.35-1.54)
0.61 (0.33-1.13)
0.58 (0.31-1.10)
0.53 (0.29-0.96)
1.87 (1.18-2.96)
0.29 (0.19-0.44)

0.54 (0.29-1.02)
0.58 (0.30-1.15)
0.51 (0.27-0.98)
0.53 (0.24-1.21)
ref2.10 (1.27-3.46)
0.24 (0.15-0.38)

18 (16.1)
40 (35.7)
20 (17.9)
24 (21.4)
10 (8.9)169 (19.4)
197 (22.6)
252 (29.0)
145 (16.7)
107 (12.3)

1.14 (0.51-2.56)
2.17 (1.05-4.52)
0.85 (0.38-1.88)
1.77 (0.81-3.86)
ref0.94 (0.40-2.22)
2.06 (0.95-4.49)
0.91 (0.39-2.10)
1.56 (0.68-3.60)
ref

ref

ᛶู
ᖺ㱋
ฟ㌟ᆅ
ྠᒃ䛾᭷↓
BMI

ዪᛶ vs. ⏨ᛶ
20ṓ௨ୖ vs. 19ṓ௨ୗ┴እ vs. ┴ෆ୍ேᬽ䜙䛧 vs. ྠᒃ<18.5
18.5-24.9
25㣧㓇㐌䠏᪥௨ୖ vs. 䛭䜜௨እႚ↮⌧ᅾႚ↮ vs. 㐣ཤ䚸ႚ↮Ṕ↓䛧㐠ື䠄METs*min/week䠅᭱㧗5ศ䛾୍
➨஧5ศ䛾୍
➨୕5ศ䛾୍
➨ᅄ5ศ䛾୍
᭱ప5ศ䛾୍
SNS㡢ኌ䜎䛯䛿䝡䝕䜸 vs. 䛧䛺䛔┦ㄯ䛷䛝䜛ே䛜䛔䜛 vs. 䛔䛺䛔≉䛻ᅔ䛳䛶䛔䜛䛣䛸⤒῭ⓗ䛺ഃ㠃
Ꮫᴗⓗ䛺ഃ㠃
㊃࿡䞉䝺䝆䝱䞊㠃
䝋䞊䝅䝱䝹䝃䝫䞊䝖㐠ື䞉೺ᗣ㠃

1.87 (0.73-4.77)
3.11 (1.05-9.21)-

2.20 (1.35-3.61)
0.24 (0.15-0.38)
0.98 (0.42-2.27)
2.07 (0.97-4.43)
0.89 (0.39-2.00)
1.54 (0.68-3.46)

䛖䛴䝇䝁䜰
ᝏ໬
䛺䛧
n = 440n = 545N (䠂)N (%)
242 (55.5) 256 (47.2)
208 (47.5) 283 (51.9)
227 (51.8) 310 (56.9)
237 (53.9) 333 (61.1)

1.39 (1.09-1.80)
0.84 (0.65-1.08)
0.82 (0.63-1.05)
0.74 (0.58-0.96)

55 (17.1)
231 (72.0)
35 (10.9)
34 (7.8)
12 (2.8)

57 (14.4)306 (77.5)
32 (8.1)
38 (7.0)
17 (3.1)

1.28 (0.85-1.92)
ref1.45 (0.87-2.41)
1.11 (0.69-1.81)
1.14 (0.54-2.42)

140 (31.8)
79 (18.0)
115 (26.1)
35 (7.8)
71 (16.1)
68 (15.5)352 (80.2)

207 (38.0)
0.75 (0.51-1.10)
90 (16.5)
0.98 (0.63-1.52)
125 (22.9)
1.02 (0.68-1.54)
44(8.0)0.89 (0.51-1.53)
79 (14.5) ref
102 (18.8)
0.79 (0.56-1.10)472 (86.8)
0.62 (0.43-0.86)

64 (14.6)
84 (19.1)
170 (38.7)
73 (16.6)
48 (10.9)78 (14.4)
84 (15.5)271 (50.0)
65 (12.0)
44 (8.1)

஧ᅇ┠᫬Ⅼ䛷ᙳ㡪䛾䛒䛳䛯ᅉᏊ䜢㉥Ꮠ

0.75 (0.44-1.27)
0.92 (0.55-1.52)
0.57 (0.36-0.90)
1.02 (0.61-1.75)
ref䝻䝆䝇䝔䝑䜽ᅇᖐศᯒከኚ㔞Model 1Model 2Adjusted OR
Adjusted OR
1.60 (1.15-2.23)
1.44 (1.10-1.88)
0.82 (0.60-1.12)
0.86 (0.66-1.12)
0.94 (0.62-1.42)
0.96 (0.67-1.35)
0.73 (0.48-1.10)
0.77 (0.55-1.09)
1.12 (0.72-1.74)
1.18 (0.80-1.75)
refref1.48 (0.85-2.56)
1.23 (0.84-1.80)
0.96 (0.53-1.73)
0.93 (0.38-2.27)
0.74 (0.37-1.47)
1.05 (0.64-1.76)
1.03 (0.60-1.79)
0.74 (0.37-1.47)
ref0.67 (0.44-1.03)
0.79 (0.56-1.13)
0.55 (0.35-0.85)
0.65 (0.46-0.93)
0.67 (0.35-1.29)
0.99 (0.53-1.84)
0.54 (0.31-0.94)
1.15 (0.59-2.24)
ref0.73 (0.43-1.26)
0.89 (0.53-1.49)
0.54 (0.34-0.86)
1.00 (0.58-1.73)
ref

➨஧ᅇ┠
ᝏ໬

岰峎

<18.5
18.5-24.9
25㣧㓇㐌䠏᪥௨ୖ vs. 䛭䜜௨እႚ↮⌧ᅾႚ↮ vs. 㐣ཤ䚸ႚ↮Ṕ↓䛧㐠ື䠄METs*min/week䠅᭱㧗5ศ䛾୍
➨஧5ศ䛾୍
➨୕5ศ䛾୍
➨ᅄ5ศ䛾୍
᭱ప5ศ䛾୍
SNS㡢ኌ䜎䛯䛿䝡䝕䜸 vs. 䛧䛺䛔┦ㄯ䛷䛝䜛ே䛜䛔䜛 vs. 䛔䛺䛔≉䛻ᅔ䛳䛶䛔䜛䛣䛸⤒῭ⓗ䛺ഃ㠃
Ꮫᴗⓗ䛺ഃ㠃
㊃࿡䞉䝺䝆䝱䞊㠃
䝋䞊䝅䝱䝹䝃䝫䞊䝖㐠ື䞉೺ᗣ㠃OR➨୍ᅇ┠䐠ዪᛶ vs. ⏨ᛶ
20ṓ௨ୖ vs. 19ṓ௨ୗ┴እ vs. ┴ෆ୍ேᬽ䜙䛧 vs. ྠᒃ༢ኚ㔞*䝇䝔䝑䝥䝽䜲䝈䝰䝕䝹*䝇䝔䝑䝥䝽䜲䝈䝰䝕䝹

ᛶู
ᖺ㱋
ฟ㌟ᆅ
ྠᒃ䛾᭷↓
BMI

䛖䛴䝇䝁䜰
ᝏ໬
䛺䛧
n = 440n = 545N (䠂)N (%)
242 (55.5)
256 (47.2)
208 (47.5)
283 (51.9)
227 (51.8)
310 (56.9)
237 (53.9)
333 (61.1)-

᭱㧗5ศ䛾୍
➨஧5ศ䛾୍
➨୕5ศ䛾୍
➨ᅄ5ศ䛾୍
᭱ప5ศ䛾୍
SNS㡢ኌ䜎䛯䛿䝡䝕䜸 vs. 䛧䛺䛔┦ㄯ䛷䛝䜛ே䛜䛔䜛 vs. 䛔䛺䛔≉䛻ᅔ䛳䛶䛔䜛䛣䛸

প৾ে

ᛶู
ᖺ㱋
ฟ㌟ᆅ
ྠᒃ䛾᭷↓
BMI

୍ᅇ┠᫬Ⅼ䛷ᙳ㡪䛾䛒䛳䛯ᅉᏊ䜢㉥Ꮠ୰➼ᗘ௨ୖ䛾䛖䛴
䛒䜚䛺䛧
n = 163n= 816N (䠂)N (%)
93 (57.1)
405 (49.6)
84 (51.5)407 (49.6)
96 (58.9)
441 (53.8)
100 (61.0)
470 (57.3)
16 (14.6)
81 (73.6)
13 (11.8)
15 (9.2)
7 (4.3)

96 (15.8)456 (75.3)
54 (8.9)
57 (6.7)
22 (2.7)

58 (35.4)
31 (18.9)
31 (18.9)
10 (6.1)
34 (20.7)
31 (18.9)
108 (65.9)

289 (35.2)
138 (16.8)
209 (25.5)
69 (8.4)
116 (14.1)
139 (17.0)
716 (87.4)

25 (15.3)
45 (27.6)
46 (28.2)
29 (17.8)
18 (11.0)

117 (14.3)
123 (15.0)395 (48.3)
109 (13.3)
74 (9.1)

䝻䝆䝇䝔䝑䜽ᅇᖐศᯒከኚ㔞Model 1Model 2Adjusted OR
Adjusted OR
1.35 (0.96-1.89)
1.97 (1.23-3.15) 1.73 (1.19-2.53)
1.08 (0.77-1.51)
1.05 (0.68-1.63)
1.23 (0.88-1.73)
1.01 (0.57-1.78)
1.01 (0.58-1.77)
1.17 (0.83-1.64)
0.94 (0.53-1.68)
0.90 (0.48-1.67)
refref1.36 (0.71-2.60)
1.27 (0.61-2.64)
1.35 (0.74-2.44)
1.52 (0.71-3.27) 1.28 (0.66-2.49)
0.62 (0.26-1.48)
0.63 (0.21-1.92) 0.55 (0.21-1.42)
0.68 (0.43-1.10)
0.96 (0.51-1.79) 0.80 (0.48-1.33)
0.77 (0.44-1.32)
1.03 (0.50-2.11) 0.91 (0.51-1.62)
0.51 (0.30-0.87)
0.63 (0.31-1.27) 0.55 (0.31-0.97)
0.49 (0.23-1.06)
0.42 (0.14-1.24) 0.52 (0.23-1.16)
ref
ref
ref
1.14 (0.74-1.76)
0.94 (0.52-1.67) 1.23 (0.78-1.94)
0.28 (0.39-0.75)
0.34 (0.49-2.64) 0.28 (0.19-0.42)༢ኚ㔞⏕≀Ꮫⓗ䛺⬤ᙅᛶOR

0.87 (0.45-1.72)
1.50 (0.81-2.79)
0.48 (0.26-0.87)
1.09 (0.57-2.11)
ref

岰峎

• ཹ໛
• 616峘ਹ৷• ੓ਙ• ৽ੋ৓峕൑჉

• ੓ਙ

• ੓ਙ

岰峎峘嵒崡崗౤৕
R.2. 5.20䡚6.19• ઈ৿• ৼ୥峑岷峵
য峘ோ૔

0.70 (0.29-1.67) 0.74 (0.36-1.52)
1.32 (0.60-2.89) 1.33 (0.69-2.56)
0.41 (0.19-0.88) 0.43 (0.23-0.80)
1.13 (0.49-2.64) 0.96 (0.47-1.93)refrefR.3. 3.1䡚5.31
ே䛸䛾䛴䛺䛜䜚
• 616峘ਹ৷• ৼ୥峑岷峵য峘ோ૔• 嵔崠嵋嵤એ峑൑峍峐岮峵岰峎峘੒ଆ౤৕

*䝇䝔䝑䝥䝽䜲䝈䝰䝕䝹−27−• 616峘ਹ৷⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

➨୍ᅇ┠

➨஧ᅇ┠

ঽ௨୛ൟ

ঽ௨୛ൟ

•
•
•
•

ධඣ
%0,峮峅
616峘ਹ৷
৾঵৓峔એ峑൑峍峐岮峵

嵒崡崗౤৕

R.2. 5.20䡚6.19• ৼ୥峑岷峵
য峘ோ૔

• ධඣ
• ੓ਙ
• 616峘ਹ৷

R.3. 3.1䡚5.31

੒ଆ౤৕• ৼ୥峑岷峵য峘ோ૔䜎䛸䜑• 䝁䝻䝘᫬௦䛾⮬⢔⏕ά䛿኱Ꮫ⏕䛾䛖䛴䝇䝁䜰䜢ᝏ໬䛥䛫䛶䛔䛯䚹• 䜻䝱䞁䝟䝇⢭⚄⾨⏕䛾ྥୖ䛻ྥ䛡䛶䚸䝝䜲䝸䝇䜽䜰䝥䝻䞊䝏䚸䝫䝢䝳䝺䞊䝅䝵䞁䜰䝥䝻䞊䝏䛻ྲྀ䜚⤌䜣䛰䚹
• 䛧䛛䛧䛺䛜䜙䚸ᩍ⫱௓ධ䛾ຠᯝ᳨ド䛻䛚䛔䛶䛿ㄢ㢟䛜ṧ䛳䛯䚹• ୍᪉䚸᫬㛫㍈䜢⪃៖䛧䛯䝸䝇䜽ᅉᏊ䛻䛿ዪᛶ䛸䛔䛖ᛶูᏛⓗ䛺ᅉᏊ䛜☜ㄆ䛷䛝䛯௚䚸ண㜵ᅉᏊ䛻䛿┦ㄯ䛷䛝䜛ே䛾Ꮡᅾ䜔SNS䛾฼⏝䛺䛹ே䛸䛾䛴䛺䛜䜚䛜୍㈏䛧䛶☜ㄆ䛷䛝䛯䚹

−28−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶௧࿴  ᖺᗘ ⛅⏣┴බ⾗⾨⏕Ꮫ఍ ୡヰேྡ⡙㸦௧࿴ 4 ᖺ
Ặ
┘ ஦

Ꮫ఍㛗

⦅㞟
ጤဨ㛗

ྡ

ᡤ

4᭶

20 ᪥⌧ᅾ㸧ᒓᙺ ⫋▼ᕝ 㝯ᚿ

⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉ಖ೺Ꮫᑓᨷᩍ ᤵఀ⸨ 㤶ⴥ

⛅⏣┴೺ᗣ⚟♴㒊㒊 㛗ఀ⸨ ၿಙ

⛅⏣ᕷಖ೺ᡤᡤ 㛗ᑠᰃ ┿࿃

⏤฼ᆅᇦ᣺⯆ᒁ⚟♴⎔ቃ㒊㒊 㛗బࠎᮌ ಟ

⛅⏣┴⸆๣ᖌ఍๪఍㛗బ⸨ ࿴ᙪ

⛅⏣┴೺ᗣ⎔ቃࢭࣥࢱ࣮ᡤ 㛗బ⸨ ᾈ

⛅⏣┴ṑ⛉་ᖌ఍⌮ ஦㕥ᮌ ᫂ᩥ

⛅⏣┴་ᖌ఍๪఍㛗㕥ᮌ ᆂᏊ

⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉ಖ೺Ꮫᑓᨷᩍ ᤵ㎷⏣ ༤ྐ

⛅⏣┴೺ᗣ⚟♴㒊 ೺ᗣ࡙ࡃࡾ᥎㐍ㄢㄢ 㛗㔝ᮧ ᜤᏊ

⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉་Ꮫᑓᨷᩍ ᤵ᳃ྜ ┿⏤⨾⛅⏣┴┳ㆤ༠఍๪఍㛗Ώ㑔 ṇᶞ

᪥ᮏ㉥༑Ꮠ⛅⏣┳ㆤ኱Ꮫຓ ᩍ

㸦50 㡢㡰ࠊᩗ⛠␎㸧⛅⏣┴බ⾗⾨⏕Ꮫ఍఍㈝࡟ࡘ࠸࡚
⛅⏣┴බ⾗⾨⏕Ꮫ఍ࡢ఍㈝ࡣࠊ4 ᭶ 1 ᪥ࡼࡾ⩣ᖺ 3 ᭶ 31 ᪥ࡲ࡛ࠊ௨ୗࡢ࡜࠾ࡾ࡛ࡍࠋ
A ఍ဨ㸦ᅋయ఍ဨ㸧1 ཱྀ 10,000 ෇
B ఍ဨ㸦ಶே఍ဨ㸧1000 ෇(᣺㎸ඛ)  㒑౽᣺᭰ࡢሙྜ
㖟⾜᣺㎸ࡢሙྜ

グྕ 18670 ␒ྕ 16557901
㖟⾜ྡ㸸ࡺ࠺ࡕࡻ㖟⾜ᗑྡ㸸868㸦ࣁࢳࣟࢡࣁࢳ㸧ᗑ␒㸸868ཱྀᗙ␒ྕ㸸ᬑ㏻ 1655790
ཱྀᗙྡ⩏㸸࢔࢟ࢱࢣࣥࢥ࢘ࢩ࢚ࣗ࢘࢖ࢭ࢖࢞ࢵ࢝࢖

−29−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

⛅⏣┴බ⾗⾨⏕Ꮫ఍㐠Ⴀせ㡯➨୍᮲ᮏ఍ࡣ⛅⏣┴බ⾗⾨⏕Ꮫ఍㸦Akita Society for Public Health㸧࡜⛠ࡍࡿࠋ➨஧᮲ᮏ఍ࡣ⛅⏣┴ࡢබ⾗⾨⏕ࡢྥୖ࡟ᐤ୚ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡍࡿࠋ➨୕᮲ᮏ఍ࡣ๓᮲ࡢ┠ⓗ㐩ᡂࡢࡓࡵ࡟ḟࡢ஦ᴗࢆ⾜࠺ࠋ

1. Ꮫ⾡኱఍ࠊࢭ࣑ࢼ࣮➼ࡢ㛤ദ
2. ఍ဨ㛫ࡢ┦஫஺ὶ
3. ࡑࡢ௚ᮏ఍ࡢ┠ⓗ㐩ᡂ࡟ᚲせ࡞஦ᴗ➨ᅄ᮲ᮏ఍ࡢ┠ⓗ࡟㈶ྠࡍࡿಶேࡣㄡ࡛ࡶ఍ဨ࡟࡞ࡿࡇ࡜ࡀ࡛ࡁࠊᏛ⾡኱఍࡟Ⓨ⾲ࡋウ㆟࡟ཧຍࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋ
➨஬᮲ᮏ఍ࡢ㐠Ⴀ࡟㛵ࡋ࡚ᚲせ࡞஦㡯ࢆウ㆟ࡍࡿࡓࡵᏛ఍ୡヰேࢆ⨨ࡃࠋ➨භ᮲ Ꮫ఍ୡヰே఍ࡣ⛅⏣┴ෆࡢබ⾗⾨⏕࣭་⒪ศ㔝ࡢ㛵ಀ⪅ࠊ⛅⏣┴ࡢ⾨⏕⾜ᨻᢸᙜ⪅ࠊᅜࡢཌ⏕ປാ⾜ᨻ⤒㦂⪅ࠊᏛ㆑⤒㦂⪅➼࠿ࡽᡂࡿⱝᖸྡࡢ⪅࡛ᵓᡂࡍࡿࠋ
➨୐᮲Ꮫ఍ୡヰேࡢ௵ົࢆḟࡢࡼ࠺࡟ᐃࡵࡿࠋ

1. Ꮫ఍ୡヰேࡣୡヰே఍࡟ฟᖍࡋࠊᮏ఍ࡢ㐠Ⴀ࡟ᚲせ࡞஦㡯ࢆウ㆟ࡍࡿࠋ
2. Ꮫ఍ୡヰேࡢ௵ᮇࡣ㸰ᖺ࡜ࡋࠊ෌௵ࢆጉࡆ࡞࠸ࠋ
3. Ꮫ఍ୡヰே఍ࡣཎ๎࡜ࡋ࡚ᖺ㸯ᅇࠊᏛ⾡኱఍㛤ദ࡟㝿ࡋ࡚ᣍ㞟ࡉࢀࡿࠋ
4. Ꮫ఍㛗ࡣᏛ఍ୡヰே఍࡟࠾࠸࡚Ỵᐃࡍࡿࠋ➨ඵ᮲Ꮫ఍㛗ࡣࡑࡢᖺࡢᏛ⾡኱఍ࡢ㐠Ⴀཬࡧㅖ⯡ࡢ஦㡯ࢆᢸᙜࡍࡿࠋᏛ఍ୡヰே఍㆟㛗ࡣᏛ఍㛗ࡀᢸᙜࡍࡿࠋ
➨஑᮲Ꮫ⾡኱఍ࡣཎ๎࡜ࡋ࡚ᖺ㸯ᅇ㛤ദࡉࢀࡿࠋᏛ⾡኱఍࡛ࡣ఍ဨࡢ◊✲Ⓨ⾲࡜ウ㆟ࢆ

⾜࠺ࠋ
➨༑᮲

ᚲせ࡟ᛂࡌ࡚ࠊࢭ࣑ࢼ࣮➼ࢆ⾜࠺ࡇ࡜ࡀ࡛ࡁࡿࡀࠊᮏ఍ࡢྡ࡟࠾࠸࡚⾜ࢃࢀࡿࢭ࣑

ࢼ࣮➼ࡣᏛ఍ୡヰே఍ࡢᢎㄆࢆཷࡅ࡞ࡅࢀࡤ࡞ࡽ࡞࠸ࠋ
➨༑୍᮲ ᮏ఍ࡣᏛ⾡኱఍ࡸࢭ࣑ࢼ࣮➼ࡢ㛤ദ࡟࠶ࡓࡗ࡚ࠊᚲせ࡞⤒㈝ࢆཧຍ㈝࡜ࡋ࡚ᚩ
཰ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋ
➨༑஧᮲ ᮏ఍ࡢ஦ົᒁࡢᡤᅾࡣࠊ⛅⏣኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉⾨⏕Ꮫ㺃බ⾗⾨⏕Ꮫㅮᗙ࡟⨨ࡃࠋ㝃๎ ᮏ㐠Ⴀせ㡯ࡣᖹᡂ 15 ᖺ 10 ᭶ 9 ᪥ࡼࡾⓎຠࡍࡿࠋᖹᡂ 20 ᖺ 6 ᭶ 9 ᪥ᨵṇᖹᡂ 22 ᖺ 6 ᭶ 4 ᪥ᨵṇᖹᡂ 28 ᖺ 7 ᭶ 25 ᪥ᨵṇᖹᡂ 31 ᖺ 4 ᭶ 1 ᪥ᨵṇ

−30−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

⛅⏣┴බ⾗⾨⏕Ꮫ఍㐠Ⴀせ㡯⣽๎㸦఍ဨ㸧➨୍᮲ ఍ဨࡢ✀ูࡣḟࡢ࡜࠾ࡾ࡜ࡍࡿࠋ
㸯㸬A ఍ဨࡣࠊࡇࡢᏛ఍ࡢ㊃᪨࡟㈶ྠࡍࡿᅋయࢆᑐ㇟࡜ࡋࡓ఍ဨ࡛࠶ࡿࠋ
㸰㸬B ఍ဨࡣࠊࡇࡢᏛ఍ࡢ㊃᪨࡟㈶ྠࡍࡿಶேࢆᑐ㇟࡜ࡋࡓ఍ဨ࡛࠶ࡿࠋ
㸦ᖺ఍㈝㸧
➨஧᮲ ఍ဨࡢᖺ఍㈝ࡣḟࡢࡼ࠺࡟ᐃࡵࡿࠋ
㸯㸬A ఍ဨࡢᖺ఍㈝ࡣ୍ཱྀ 10,000 ෇୍ཱྀ࡛௨ୖ࡜ࡍࡿࠋ୍ཱྀ࡟ࡘࡁࠊ㸯ྡࡀᏛ⾡኱఍࡟ཧຍࡋࠊᏛ఍ㄅ㸱㒊ࡢ㓄ᕸࢆཷࡅࡿࡇ࡜ࡀ࡛ࡁࡿࠋ
㸰㸬B ఍ဨࡢᖺ఍㈝ࡣ 1,000 ෇࡜ࡍࡿࠋB ఍ဨࡣᏛ⾡኱఍࡟ཧຍࡋࠊᏛ఍ㄅ㸯㒊ࡢ㓄ᕸࢆཷࡅࡿࡇ࡜ࡀ࡛ࡁࡿࠋ
㸱㸬఍㈝ࢆ⁫⣡ࡋࡓ⪅࡟ᑐࡋ࡚ࡣ㸰ᖺ㛫㸪᱌ෆ࡞࡝ࡢ㏦௜ࢆ⥅⥆ࡍࡿࡀ㸪Ꮫ఍ㄅࡣ㏦௜ࡋ࡞࠸ࠋ㸦Ꮫ⾡Ꮫ఍ࡢཧຍ㈝㸧
➨୕᮲ Ꮫ⾡኱఍ࡢཧຍ㈝ࡣ 500 ෇࡜ࡍࡿࠋ
㸦఍ィᖺᗘ㸧
➨ᅄ᮲ Ꮫ఍ࡢ఍ィᖺᗘࡣ 4 ᭶ 1 ᪥࠿ࡽ⩣ᖺࡢ 3 ᭶ 31 ᪥ࡲ࡛࡜ࡍࡿࠋ
㸦┘஦ࡢ㑅௵㸧➨஬᮲ Ꮫ఍ୡヰே఍ࡢ୰࡟┘஦㸯ྡࢆ⨨ࡃࠋ┘஦ࡢ⫋ົࡣࠊᏛ఍ࡢ㈈⏘ࡢ≧ἣࢆ┘ᰝࡍࡿࡇ࡜ࠊᏛ఍ୡヰேࡢᴗົᇳ⾜ࡢ≧ἣࢆ┘ᰝࡍࡿࡇ࡜࡛࠶ࡿࠋ
㸦⦅㞟ጤဨ఍㸧➨භ᮲ ᮏᏛ఍࡟⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࢆ⦅㞟ࡍࡿࡓࡵ࡟⦅㞟ጤဨ఍ࢆ⨨ࡃࠋ➨୐᮲ ⦅㞟ጤဨ఍ࡢ௵ົࡣḟࡢ஦㡯࡜ࡍࡿࠋ㸯㸬ᢞ✏ཎ✏ࡢᰝㄞ⤖ᯝࡢ᳨ウ࠾ࡼࡧ᥇ྰࡢỴᐃ㸰㸬ᢞ✏ཎ✏ࡢ౫㢗㸱㸬ᢞ✏つᐃࡢసᡂ
㸲㸬ࡑࡢ௚⦅㞟࡟㛵ࡍࡿࡇ࡜➨ඵ᮲⦅㞟ጤဨ఍ࡢ⤌⧊࣭ᵓᡂࡣ⦅㞟ጤဨ㛗㸯ྡ࡞ࡽࡧ࡟⦅㞟ጤဨ㸯㸮ྡ௨ෆ࡜ࡍࡿࠋ⦅
㞟ጤဨ㛗ࡣᏛ఍ୡヰே఍ࡢ㆟ࢆ⤒࡚ࠊᏛ఍ୡヰே఍ࡀጤკࡍࡿࠋ⦅㞟ጤဨ㛗࠾ࡼࡧ⦅㞟ጤဨࡢ௵ᮇࡣ㸰ᖺ࡜ࡋࠊ෌௵ࢆጉࡆ࡞࠸ࠋ
➨஑᮲⦅㞟ጤဨ఍ࡣᖺ㸯ᅇ௨ୖ㛤ദࡍࡿࠋ㸦௜๎㸧ᮏ⣽๎ࡣࠊᖹᡂ16ᖺ7᭶10᪥ࡼࡾ᪋⾜ࡍࡿࠋᖹᡂ18ᖺ6᭶9᪥ᨵṇ
ᖹᡂ20ᖺ6᭶9᪥ᨵṇᖹᡂ30ᖺ7᭶20᪥ᨵṇ−31−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅᢞ✏つ⛬
1. वీ‫़ޮݟ‬Ӷਫ਼ָࡸࢿͺवీ‫़ޮݟ‬Ӷਫ਼ָճ͹‫͍Ͳࢿؖؽ‬Εɾޮ़Ӷਫ਼સൢͶΚͪΖ૱ઈɾ‫ݬ‬ஸ࿨ชɾ୻ๅɾๅࠄɾͨ͹ଠ͹౦ߚΝण͜෉͜Ζɽ1) ૱ ઈʁޮ़Ӷਫ਼Ͷ‫ͤؖ‬Ζঀ໲ୌΝ‫؏ٮ‬ద͵ࣁྋʀߡࡱͶ‫఼͖ࢻ͏߁ͱ͏Ͱخ‬Δ࿨ͣͪ΍͹ɽ2) ‫ ݬ‬ஸʁಢ૓੓͹͍Ζཀྵ࿨దΉͪͺࣰৄద͵‫Ͳڂݜ‬ɾ‫׮‬੔ౕ͹߶͏΍͹ɽ3) ୻ ๅʁಢ૓੓ɾ‫ٺە‬੓͹͍Ζ๘լద‫Ͳڂݜ‬ɾ൅ఴ੓͹‫غ‬ଶͲ͘Ζ‫ڂݜ‬Νघ୻ͶΉͳΌͪ΍͹ɽ4) ๅ ࠄʁޮ़Ӷਫ਼‫׈‬ಊͶༀࣰཱིͯભๅࠄΏࣆྭๅࠄ͵ʹɽ5) ͨ͹ଠʁ࿨அɾ਷૟ɾқ‫ʹ͵ݡ‬ฦॄҗҽճͲචགྷ੓Ν೟Όͪ΍͹ɽ
2. ‫ߚݬ‬ͺ๞ชͲ΍ӵช͹͏ͥΗ΍ण͜෉͜Ζɽ
3. ౦ߚ࿨ชͺາ൅නʀາ‫ࡎܟ‬͹΍͹ͳͤΖɽ
4. ౦ߚ‫ߚݬ‬͹ࠬಣɾࡀ൳͕Γ;‫ॳࡎܟ‬঄͵ʹͺฦॄҗҽճͶ͕͏ͱ݀ఈ͢ɾฦॄҗҽௗ͹໌ͲஸंͶ࿊ཙͤΖɽ
5. ౦ߚ‫ߚݬ‬ͺɾवీ‫़ޮݟ‬Ӷਫ਼ָࡸࢿฦॄҗҽճѾʤˡ010-8543 वీࢤຌಕ 1-1-1 वీ୉ָ୉ָӅҫָ‫ڂݜܧ‬ՌӶਫ਼ָōޮ़Ӷਫ਼ָߪ࠴಼ वీ‫़ޮݟ‬Ӷਫ਼ָࡸࢿฦॄҗҽճࣆແ‫ ۃ‬E-mail: hygiene@med.akita-u.ac.jpʥͶૻ෉ͤΖɽΉͪɾॽ໚Ͷ૱ઈɾ‫ݬ‬ஸɾ୻ๅɾๅࠄɾ
ͨ͹ଠ͹͏ͥΗ͹ΩτβϨʖͳ͢ͱ౦ߚͤΖ͹͖Ν໎‫ͤى‬Ζɽ
6. ‫͠ࡎܟ‬Ηͪ‫ߚݬ‬͹ஸࡠ‫ݘ‬ͺवీ‫़ޮݟ‬Ӷਫ਼ָճͶ‫ؾ‬଒ͤΖɽͪͫ͢ɾࣧජं͗࢘༽ͤΖ৖߻ɾຌճ͹টଡ଼Νචགྷͳ͢͵͏ɽ࡯ࢢର‫ޛߨק‬ɾుࢢԿ͕Γ;ޮ֋Νߨ͑ɽ‫ߚݬ‬஦Ͷଠ͹ஸࡠ‫ंݘ‬ͶΓΖਦ൝ɾࣺਇɾ‫ࣆى‬౵͍͗Ζ৖߻ͺͨ͹ஸࡠ‫ंݘ‬ͶుࢢԿޮ֋͹‫ڒ‬ՆΝಚΖ͞ͳɽ
7. ‫ࡠߚݬ‬੔৏͹஭қࣆߴ1) ࿪ช‫ߚݬ‬ͺ‫ݳ‬େ͖͵Ͱ͖͏Ͳɿԥॽ͘ͳ͢ɾA4 ൓͹༽ࢶΝ༽͏Ζɽ1 Ϙʖζ͹਼࣊ͺಣΊΏͤ͜Ηͻɾ22 ࣊×25 ߨͳ͏͑͞ͳͶͫ͞ΚΔ͵͏ɽӵช࿨ช͹৖߻ͺ A4 ൓ν΢ϕ༽ࢶͶξϕϩηϘʖηͲһ࣊ͤΖɽஊૌ͵ʹಝพ͵ॽࣞͺ༽͏͵͏͞ͳɽ2) ֐ࠅ‫ޢ‬͹ਕ໌ɾஏ໌ɾָ໌ͺΩνΩψͲ΍Γ͏ɽ3) ࿪ชʀӵช͹͏ͥΗ͹‫Ͳߚݬ‬΍ɾࢱ໌ɾॶ଒ɾ࿊ཙ઎ΝӵชͲ΍‫ͤࡎى‬Ζɽ‫ݬ‬ஸ࿨ช͹৖߻Ͷͺॻ‫( ݶ‬Introduction)ɾ๏๑ (Methods)ɾ݃Վ (Results)ɾߡࡱ (Discussion) ͳ͢ͱ‫ݡ‬ड़͢Νͯ͜ͱ‫ͤࡎى‬Ζ͞ͳɽ4) ‫ߚݬ‬͹̏น໪Ͷͺɾනୌɾஸं໌ɾॶ଒‫໌ؖؽ‬ɾพࡰ੧‫ٽ‬઎ɾ࿊ཙ઎ेॶɾන͕Γ;ਦ͹਼͵ʹΝ‫ͤࡎى‬Ζ͞ͳɽ5) ਦɾන͕Γ;ࣺਇͶͺਦ 1ɾන 1 ͕Γ;ࣺਇ 1 ͵ʹ͹൬ߺΝͯ͜Ζɽනͺ 1 นͶ 1
ͯͳͤΖʤਦɾࣺਇͶͯ͏ͱ΍ಋͣʥɽਦɾන͕Γ;ࣺਇͺപࠉͲ‫͠ࡎܟ‬ΗΖ͹ͲɾപࠉͲॉ෾ཀྵմͲ͘Ζ΍͹Νࡠ੔ͤΖ͞ͳɽਦͺ‫ݬ‬ଉͳ͢ͱͨ͹ΉΉ‫͘Ͳࡎܟ‬Ζ໎ྐ͵΍͹ͳͤΖɽ
6) ౕྖߩ͵ʹ͹ୱҒͺࠅࡏୱҒΝ༽͏ɾྲྀߺ͹‫ޛ‬͹ϒϨΨχͺͯ͜͵͏ɽྭʥௗ͠ʁkm, m, cm, mm, ȝm, nm; ॑͠ʁkg, g, mg, g, ng, pg
༲ྖʁl, ml, l; ࣎ؔʁh, min, s−32−⛅⏣┴බ⾗⾨⏕Ꮫ㞧ㄅࠉ➨㸯㸵ᕳࠉ➨㸯ྕࠉᖺ᭶

7) Ӏ༽ช‫ݛ‬ͺຌช͹Ӏ༽՗ॶ͹ӊ‫ݠ‬ͶฤΩραΝͯ͜ͱɾӀ༽ॳͶ൬ߺΝ෉͢ɾ຦ඎͶͺ࣏͹‫ྭࡎى‬Ͷॊͮͱ൬ߺॳͶΉͳΌΖɽࡸࢿ͹৖߻ɼસஸं໌ʤ7 ໌Ґ৏͹৖߻ͺ 6 ໌ΉͲ‫͢ى‬ɾҐԾͺӵช͹৖߻ et al.ɾೖຌ‫ޢ‬͹৖߻ ଠ. ͳͤΖʥ. නୌ. ࡸࢿ໌ ೧ߺ; ‫਼ת‬: น-น. ͹ॳͶ‫ͤى‬ɽӀ༽ࡸࢿ͹ྲྀসͺҫָ஦ԟࡸࢿफࡎࢿ໪࿧͕Γ; Index Medicus Ͷ६‫ͤڎ‬Ζɽ(1) ీౣ੫, એʓ࿪ঋ‫ހ‬. ॵՈͶ๯ঘָߏͲ൅ਫ਼ͪ͢ঘ‫ܙځܗ‬Τ΢ϩηʤSRSVʥͶΓ
Ζॄ஄ৱ஦ಡࣆྭ. ೖຌޮ़Ӷਫ਼ࡸࢿ 2003; 50: 225-233.
(2) Adamson J, Hunt K, Ebrahim S. Socioeconomic position, occupational exposures, andgender: the relation with locomotor disability in early old age. J Epidemiol Community
Health 2003; 57: 453-455.
ୱߨຌ͹৖߻ɾฦʀஸं໌ɿॽ੸໌ɿॶࡑஏ: ൅ߨॶ, ൅ߨ೧: นɿ͹ॳͶ‫ͤى‬ɽӀ༽นͺસൢద͵Ӏ༽͹৖߻Ͷͺ঴ྲྀͤΖ͞ͳ͗Ͳ͘Ζɽ(3) ઔ৏߸, ౽ຌྐҲ, ໾໼༓ࢀ࿢. ISO ࿓ಉ҈સʀӶਫ਼Ϝϋζϟϱφ‫֪و‬. ౨‫ښ‬: ೖ‫ק‬޽‫৿ۂ‬ซऀ, 1998.
(4) Detels R, McEwen J, Beaglehole R, Tanaka H. Oxford Textbook of Public Health. The Scopeof Public Health. Fourth Edition. Oxford: Oxford University Press, 2002.
(5) ઔଞ࣑ࢢ. ϨηέϜϋζϟϱφ. ߶໼݊ਕଠฦ, ऀճҫָࣆఱ. ౨‫ښ‬: ௉૖ॽవ.
2002; 98-99.
(6) Detels R, Breslow. Current scope and concerns in public health. In: Detels R, McEwen J,
Beaglehole R, Tanaka H. Oxford Textbook of Public Health. The Scope of Public Health.
Fourth Edition. Oxford: Oxford University Press, 2002; 3-20.
8) ਦɾනɾࣺਇͳͨ͹ઈ໎ชͺຌชͳͺพͶΉͳΌɾຌช‫ߚݬ‬Ͷૢ೘՗ॶΝ໎ࣖͤΖɽ9) ౦ߚ‫ߚݬ‬͹಼༲͗ྛཀྵదഓྂΝචགྷͳͤΖ৖߻ͺɾචͥʰ๏๑ʱ͹ߴͶྛཀྵదഓྂΏ‫ݜ‬‫ڂ‬ଲেं΃͹ഓྂΝʹ͹Γ͑Ͷߨ͖ͮͪΝ‫ͤࡎى‬Ζ͞ͳɽ͵͕ɾϐφΝଲেͶͪ͢‫ڂݜ‬ͲͺɾϖϩεϱΫઑ‫͵ݶ‬Δ;Ͷช෨Ռָ঴ʀ޲ਫ਼࿓ಉ঴ʀ‫ۂࢊࡃܨ‬঴ʰਕΝଲেͳͤΖਫ਼ໍՌָʀҫָ‫ڂݜܧ‬Ͷ‫ͤؖ‬Ζྛཀྵࢨਓʱ͍Ζ͏ͺଠ͹న઀͵ࢨਓͶॊ͑͞ͳɽಊ෼ΝଲেͶͪ͢‫Ͳڂݜ‬ͺɾࣰ‫͠ࢬࣰ͗ݩ‬Ηͪૌ৭Ͷ͕͜Ζࣰ‫ݩ‬ಊ෼Ͷ‫ܐ‬ΚΖΪ΢χϧ΢ϱ
Ͷଉͪ͢‫͍Ͳڂݜ‬Ζ͞ͳ͗‫ٽ‬ΌΔΗΖɽྛཀྵ৻ࠬҗҽճ͹ট೟Νಚͱࣰࢬͪ͢‫ڂݜ‬ͺɾট೟ͪ͢ྛཀྵ৻ࠬҗҽճ͹໌স͕Γ;ট೟೧݆ೖΝຌช஦ʤ๏๑ʥͶ‫ͤࡎى‬Ζɽ10) ౲֚‫ڂݜ‬ਲ਼ߨΏ࿨ชࡠ੔Ͷࡏ͢ͱɾ‫ۂة‬ʀ஄ର౵͖Δ‫ڂݜ‬ඇঁ੔ɾࢾྋ఑‫ڛ‬ɾสٕ‫ڛ‬༫͵ʹ͹‫ࡃܨ‬దࢩԋΝणͪ͜৖߻ͺɾःࣛ౵Ͷͨ͹ࢭΝ‫͜͵͢ࡎى‬Ηͻ͵Δ͵͏ɽ11) ࿨ชͶ‫ܐ‬ΚΖཤӻ૮ൕΝ࿨ช஦Ͷ‫ͤࡎى‬Ζ͞ͳɽཤӻ૮ൕ͗͵͏ͳ‫ͤࡎى‬Ζ৖߻ͶͺԾ‫ى‬͹௪ΕͳͤΖɽ࿪ช͹৖߻ཤӻ૮ൕʁஸंͶͺ֋ࣖͤ΄͘ཤӻ૮ൕͺ͵͏ɽӵช͹৖߻
Conflict of interest : The authors have no conflicts of interest to declare.
12) ߏਜ਼ͺ‫ݬ‬ଉͳ͢ͱॵߏ͹Ίஸं͗ߨ͑ɽชহ͹ࡡঈɾૢ೘౵ͺಝพ͵ཀྵ༟͗͵͏‫ݸ‬Εɾ೟ΌΔΗ͵͏ɽ

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