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Tokuda, Yasuharu
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Burnout and Fear of COVID-19 among Medical Students in Japan : Impact of infection history, gender, and social support Tomono, Misa; Ando, Shinto; Kamau-Mitchell, Caroline; Ihara, Shiichi; Isobe, Ayana; Kido, Hatsune; Sanji, Shohei; Watanabe, Taisei; Tokuda, Haruka; Itokazu, David; Tokuda, Yasuharu
Journal of Public Health Sciences Vol. 3 No. 01 (2024): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/jphs.v3i01.466

Abstract

The COVID-19 pandemic caused significant changes in medical students' lives and study methods, with online learning replacing in-person classes and limited opportunities for clinical practice. However, there are few studies about burnout and fear of COVID-19 among medical students, especially in East Asia, and a need for research investigating the impact of gender, a history of COVID-19 infection, and social support. In March 2022, we conducted a cross-sectional web-based survey of 4th/5th year medical students who completed a clinical clerkship in Japan. Our survey included the Japan Burnout Scale (JBS, range 5-85, comprising of emotional exhaustion, depersonalization and reduced personal accomplishment), fear of COVID-19 scale (range, 1-4), gender, school year, COVID-19 history, household composition, online education use, and financial burden. There were 343 respondents and 42.4% were women. Multivariable adjusted linear regression analyses showed that students with a COVID-19 infection history had significantly higher overall burnout, depersonalization, reduced personal accomplishment, and lower fear of COVID-19. Students with low social support (living alone and greater financial burden) had higher overall burnout, emotional exhaustion, and depersonalization. Gender had no significant effect on burnout (mean JBS among women was 38.6 versus 39.3 among men). Gender significantly predicted fear of COVID-19, with women scoring higher (1.60 versus 1.50). The findings of the present study have implications that medical schools should provide pastoral care for their students according to students’ circumstances, especially those who live alone, have a high financial burden, and/or were infected with COVID-19.
Stroke and Ischemic Heart Disease among LGBT Sexual and Gender Minorities in Japan Katagiri, Aomi; Tokuda, Yasuharu; Taniguchi, Kiyosu; Shibuya, Kenji; Tabuchi, Takahiro
Journal of Public Health Sciences Vol. 3 No. 03 (2024): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/jphs.v3i03.728

Abstract

Leading causes of death in Japan include stroke and ischemic heart disease (IHD). It has been unclear regarding risk for these diseases among sexual and gender minorities (SGMs) in Japan. Using cross-sectional data from JACSIS (Japan COVID-19 and Society Internet Survey) 2022, participants were categorized in cisgender/heterosexual, lesbian, gay, bisexual and transgender based on sex at birth, gender identity and sexual orientation. Outcome was measured by past history of stroke or IHD. Multivariable logistic regression was constructed adjusting for risk factors. 24,298 participants were eligible for analysis. Overweight/obesity was prevalent among gay and bisexual participants, while lesbians and transgenders were implausible compared to cisgender/heterosexuals. After adjusting for potential covariates, all SGM groups experienced increased prevalence of stroke (transgender odds ratio [OR], 2.97; 95% CI, 1.74-5.06, gay OR, 2.69; 95%CI, 2.00-3.64, lesbian OR, 2.44; 95%CI, 1.0-3.40, bisexual OR, 1.86; 95% CI, 1.01-3.40) and IHD (transgender OR, 2.92; 95%CI, 1.75-4.86, gay OR, 2.18; 95%CI, 1.64-2.91, lesbian OR, 1.96; 95%CI, 1.32-2.93, bisexual OR, 1.23; 95% CI, 0.65-2.31) compared to cisgender/heterosexuals. SGMs in Japan have different prevalence of cardiovascular risk factors compared to Western countries. SGMs face higher prevalence of stroke or IHD, and transgenders were most vulnerable. There is much need in support for the health of SGMs in Japan.
Co-Authors Ando, Shinto Ihara, Shiichi Isobe, Ayana Itokazu, David Kamau-Mitchell, Caroline Katagiri, Aomi Kido, Hatsune Sanji, Shohei Shibuya, Kenji Tabuchi, Takahiro Taniguchi, Kiyosu Tokuda, Haruka Tomono, Misa Watanabe, Taisei