@article{oai:ir.kagoshima-u.ac.jp:00014216, author = {下髙原, 理恵 and SHIMOTAKAHARA, Rie and 李, 慧瑛 and LEE, Hyeyong and 峰, 和治 and MINE, Kazuharu and 西本, 大策 and NISHIMOTO, Daisaku and 緒方, 重光 and OGATA, Shigemitsu and 上野, 栄一 and UENO, Eiichi}, issue = {1}, journal = {鹿児島大学医学部保健学科紀要, Bulletin of the School of Health Sciences, Faculty of Medicine, Kagoshima University}, month = {Mar}, note = {目的:日本の公衆衛生に関する原著論文について,施策等時事的事項との関連を分析し,1970年から2017年までの研究動向を明らかにすることである。方法:医学中央雑誌(Web版)に掲載されている原著論文のうち,“公衆衛生”をキーワードとして検索された論文を対象とし,表題に使用された語句の傾向,年代別の推移と特徴語について,テキストマイニングの手法を用いて分析した。結果:英文を除く298,898件の論文が検索された。公衆衛生関連の論文数は経年的に増えており,特に2000年前後を境として急増していた。表題に使用される頻出語上位は,「検討」「1例」であった。係り受け頻度解析で上位の「有用性-検討」は,診断や治療に関する研究であり,「現状-課題」では,保健,看護,リハビリテ―ションに関する研究が多く見られた。年代別の特徴語では,1970年代以前は「カドミニウム」「大気汚染」「公害」,1980年~1990年代は「二重盲検比較試験」「臨床評価」「予防接種」「集団検診」,2000年代は「患者」「家族」「QOL」「高齢者」,2010年代は「東日本大震災」と「1例」「課題」が出現していた。結論:研究動向は社会的背景や施策の影響を受けており,2000年頃の治療からQOLへと舵が切られた時期が,公衆衛生研究の転換期と考えられる。病院完結型医療から地域包括ケアへと移行する過程が,研究内容にも反映されている。, PURPOSE: Original articles on public health in Japan were analyzed in relation to topical events at the respective times to reveal trends in public health studies between 1970 and 2017. METHODS: Igaku Chuo Zasshi (ICHUSHI, Web version) was searched using the keyword “k?sh? eisei” (“public health”), and retrieved articles written in Japanese were analyzed using a text mining approach to identify trends in words used in titles, as well as changes and characteristic words by decade. RESULTS: After excluding articles not written in Japanese, a total of 298,898 articles were retrieved. The number of public health-related articles increased over time. A particularly sharp increase was observed around the year 2000. The most frequently used title words were “study” and “case.” Dependency parsing revealed that the “usefulness-study” pair was frequently used in articles related to diagnosis and therapy, and the “current situation- issues” pair was frequently used in those related to health care, nursing, and rehabilitation. “Cadmium,” “air pollution,” and “pollution” were characteristic words in the 1970s; “double-blind comparative study,” “clinical evaluation,” “vaccination,” and “mass health examination” in the 1980s and 1990s; “patient,” “family,” “quality of life (QOL),” and “elderly” in the 2000s; and “Great East Japan Earthquake,” “case,” and “issues” in the 2010s. CONCLUSION: Research trends have been influenced by the social background and measures/policies being implemented at the time. Japanese public health research apparently had a turning point around the 2000s, when focus shifted from treatment to QOL. This also reflects the transition from medical care that is solely dependent on healthcare institutions to a community-based integrated care system.}, pages = {9--19}, title = {日本の公衆衛生研究の歴史的概観}, volume = {28}, year = {2018} }