Kudo Yasushi, Satoh Toshihiko, Kido Shigeri, Ishibashi Mio, Miyajima Eriko, Watanabe Mitsuyasu, Miki Takeo, Tsunoda Masashi, Aizawa Yoshiharu
Department of Preventive Medicine and Public Health, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa 228-8555, Japan.
Ind Health. 2008 Jul;46(3):223-32. doi: 10.2486/indhealth.46.223.
In Japan, the Industrial Safety and Health Law obliges all workers to undergo annual health checkups in their workplaces. At the plant for this study, workers who have one or more abnormal findings pointed out in their annual health checkups are summoned by occupational health staff and subsequently attend health consultations conducted by occupational health nurses each year. We investigated what kinds of health consultations have improved the workers' use of the results of their annual health checkups by an anonymous self-administered questionnaire survey. In addition, we discussed the associations with the multidimensional health locus of control (MHLC) and the degree of the workers' use of these results. A total of 837 questionnaires were analyzed. The average age of the respondents was 47.9 yr (range: 19-68 yr). The main results suggest that it is necessary for occupational health staff to give workers practical advice to improve their lifestyle habits and convey to them the effectiveness of preventive health behaviors. Workers with high scores in the belief in the "internal health locus of control (IHLC)" and low scores in the "chance health locus of control (CHLC)" use the results of their health checkups to help them manage their own health.
在日本，《工业安全与健康法》规定所有工人必须在工作场所接受年度健康检查。在本研究的工厂中，年度健康检查中被指出有一项或多项异常结果的工人会被职业健康人员传唤，随后每年参加由职业健康护士进行的健康咨询。我们通过匿名自填式问卷调查，调查了哪些类型的健康咨询提高了工人对年度健康检查结果的利用。此外，我们还讨论了与多维健康控制点（MHLC）的关联以及工人对这些结果的利用程度。总共分析了837份问卷。受访者的平均年龄为47.9岁（范围：19 - 68岁）。主要结果表明，职业健康人员有必要向工人提供切实可行的建议，以改善他们的生活习惯，并向他们传达预防性健康行为的有效性。在“内控健康控制点（IHLC）”信念得分高且在“机遇健康控制点（CHLC）”得分低的工人会利用健康检查结果来帮助管理自己的健康。
