ニシザワ　ヨウコ   Nishizawa Youko   西沢　蓉子    所属   医学部 医学科（附属足立医療センター）    職種   非常勤講師
言語種別	英語
発表タイトル	Loneliness Is Associated with Low-Health Interest: A Nationwide Cross-Sectional Study
会議名	ACP Japan Chapter 2023
主催者	The American College of Physicians Japan Chapter
学会区分	全国規模の学会
発表形式	口頭
講演区分	一般
発表者・共同発表者	◎Yoko Nishizawa, Kumi Sugimoto, Yoshiharu Fukuda, Takahiro Tabuchi
発表年月日	2023/06/24
開催地 （都市, 国名）	Online
開催期間	2023/06/24～2023/06/25
概要	Introduction: Loneliness has become a social issue in Japan. Loneliness leads to physical and mental health problems, however, its mechanism is unknown. We aimed to investigate relationship between loneliness and health interest. Methods: This study used the Japan Society and New Tobacco Internet Survey (JASTIS) including 33000 participants aged 17–81 years in 2022. Loneliness was assessed by using the three-item University of California, Los Angeles (UCLA) Loneliness Scale. The UCLA score ≥ 6 was considered as loneliness. Health interest was assessed by using the Health Interest Scale (HIS) developed by Ozawa, et al. (score range, 12–48). We present a receiver operating characteristic curve for predicting preventive health behaviors to determine cut-off value for HIS. We divided participants into two groups by this cut-off value and performed multivariable logistic regression analysis to assess relationship between loneliness and health interest. Age, sex, socioeconomic status, history of depression, and social isolation were used as covariates. Results: The median age was 47 years (interquartile range, 31–63) and 49.1% were men. Overall mean HIS score was 33.0 ± 5.8, and was higher in women than in men (33.5 ± 5.7 vs 32.5 ± 5.8). High HIS score was associated with loneliness with crude odds ratio (OR) of 0.57 (95% confidence interval [CI] 0.55–0.60, P < 0.001), and with adjusted OR of 0.73 (95%CI 0.69–0.77, P < 0.001). Limitations: The study might contain sampling bias by feature of internet survey. Moreover, it was unable to detect the cause-effect relationship and the pathway from health interest to loneliness according to the cross-sectional study design. Conclusion: Loneliness was associated with low-health interest. Intervention to loneliness might bring higher interest to health and promote preventive health behaviors.