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タイトル: | Health and well-being in small island communities: a cross-sectional study in the Solomon Islands |
著者: | Furusawa, Takuro https://orcid.org/0000-0001-7772-3053 (unconfirmed) Pitakaka, Freda Gabriel, Spencer Sai, Akira Tsukahara, Takahiro Ishida, Takafumi |
著者名の別形: | 古澤, 拓郎 石田, 貴文 |
発行日: | Nov-2021 |
出版者: | BMJ |
誌名: | BMJ Open |
巻: | 11 |
号: | 11 |
論文番号: | e055106 |
抄録: | [Objectives] This study explored the health problems of inhabitants of small South Pacific Islands under the influence of climate change, focusing on three communities in the Solomon Islands. [Design] Cross-sectional study of the Solomon Islands’ populations. [Setting] A field survey was conducted in Taro Island, a small, urbanised island with a whole-community relocation plan; Manuopo community of Reef Islands, a small remote island on an atoll environment and Sasamungga, an intermediately urbanised community on a larger island. The Sasamungga community was used for comparison. [Participants] Each community’s participants were recruited through local health authorities, and 113, 155 and 116 adults (aged 18+ years) from Taro, Manuopo and Sasamungga, respectively, participated voluntarily. [Methods] Each participant’s body height, weight and body mass index were measured. A drop of blood was sampled for malaria testing; glycated haemoglobin and C reactive protein levels, measured from another drop of blood, were markers for diabetes and inflammation, respectively. The Primary Care Screening Questionnaire for Depression measured depressive mental states. [Primary and secondary outcome measures] Regarding health status, the dependent variables --communicable diseases, non-communicable diseases and mental state --and independent variables-- differences in communities and socioeconomic status—were measured through health check-ups and interviews of individual participants. [Results] Taro Island inhabitants had a higher risk of obesity (OR 1.13, 95% CI 1.02 to 1.27, p=0.0189), and Manuopo inhabitants had a higher risk of depression (1.25, 95% CI 1.08 to 1.44, p=0.0026) than Sasamungga inhabitants. Manuopo inhabitants recognised more serious problems of food security, livelihood, place to live and other aspects of daily living than other communities’ inhabitants. [Conclusions] The three small island communities’ observation identified different health problems: the urbanised community and remote community had a high risk of non-communicable diseases and mental disorders, respectively. These health problems should be monitored continuously during future climate-related changes. |
著作権等: | © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. |
URI: | http://hdl.handle.net/2433/276392 |
DOI(出版社版): | 10.1136/bmjopen-2021-055106 |
PubMed ID: | 34772756 |
出現コレクション: | 学術雑誌掲載論文等 |
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