国民健康保険特定健康診査５年連続受診者の投薬開始者と標準的質問との関連性

Abstract

The associations between standard questions and the start of medication during those years were investigated in those subjects, 8,262 in total, who had received municipal national health insurance specific health checkups for five consecutive years starting from 2011. Among them, those who were not taking medication for hypertension, diabetes, dyslipidemia etc at the first checkup, were investigated for the following four years. Those who began taking medication during that time were categorized as ‘medicated patients’. A Cox proportional hazard model was applied for the analysis with initial standard question items as explanatory variables, in the case of either receiving or not receiving medication, either for hypertension, diabetes, or dyslipidemia. From the results of the present analysis, it was revealed that, among the people who had gained more than 10 kg in body weight since the age of 20, had a higher risk for starting medications as a result of the consecutive health checkups. It should be noted that people under a municipal national health insurance tend to do have less chances of getting health education. According to those assessment results of standard questions, doctors are obliged to provide health education, and give advice to those people to get specific health checkups, and about possible risks for starting medication in the future.