Skip to main content

Table 1 Perspective on health issues, community strengths, and proposed solutions

From: The “Healthy Akame!” community – government – university collaboration for health: a community-based participatory mixed-method approach to address health issue in rural Japan

Theme Sub-theme Categories Quotes
Goal Staying independent until death Our deepest wish is pin-pin-korori (to die suddenly and painlessly after living a long and healthy life)
Health Issues Diseases − Cancer
− Cerebrovascular diseases
− Life-style related diseases (metabolic syndrome, hypertension, diabetes mellitus, obesity)
− Cardiovascular disease
− Musculoskeletal diseases/ illness
− Mental health problems
There are many cancer survivors. What I fear is the fact that some people died from cancer. They died suddenly immediately after their retirement...
Our issues were lifestyle disease, lack of place for exercise and lack of venue for community’s communication.
Building up stress is most damaging to your health
Unhealthy behaviors − Smoking
− Alcohol drinking
− Unhealthy diet
− Sedentary lifestyle
− Low participation in medical checkup and screening
You keep smoking although it is not good for health.
Now, lifestyle is westernized prefers meats a lot, it is fatty with accumulated cholesterol.
… You don’t see people walking outside, like someone who mentioned lack of exercise earlier.
Unsupportive environment − Lack of places to exercise
− Costly vegetables
− Lack of medical facility that offer comprehensive checkup
− Difficulty to access medical facilities
− Lack in information dissemination
We have neither playground nor community for people that help us exercise
Vegetable prices sharply rose and leafy vegetables do not last long. We do not eat much vegetables
Transportation to the hospital is not convenient although there are more and more older people
Community’s strength Nature − Mountain area, waterfall, etc.
− Fertile land
Akame is rich in nature, we should make better use of it to improve our mental and physical health
Network − Community health office
− Sports and social clubs
I think our advantage is that we have Machi no hoken-shitsu
Communication platform − Meet up events
− Local newsletter
We should make better use of facilities such as Fureai Café.
Proposed solution Improve health care services and access − Services, facilities, and access for medical checkup
− Community bus
It is very troublesome to take older people to different hospitals for different check-ups. We need a program that offer comprehensive medical check-ups at one place for reduced cost.
Utilize local strength − Public facility for exercise
− Local farmers market and agriculture class
I hope Yume Hiroba will be open to public regularly.
Cooking practice using locally grown vegetables.
Strengthen community capacity − Inter-generation communication
− Role model and health leader
Their horizons will be broadened if there is a place to frankly exchange information irrespective of age, generation and region, like we had today.
Facilitate behavior change − Exercise/sports class and event
− Information dissemination
− Nutritional education and cooking class
− Smoking cessation program
We should ask each other to go for a walk.
I want guidance on nutritional balance.
If we can be connected with the information on daily basis, it would change our mind.