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This study investigates the discursive manifestation of normativities and participants' orientation to them for identity work in coming-out-to-family discourses in Japanese YouTube videoclips posted by self-identified gay men. The study focuses on how the participants – the YouTubers and their family members – use discourses of normativity as a resource to illegitimize and legitimize sexual identities. It also touches on the conceptualization of homonormativity in the Japanese context. The analysis suggests that in societies like that of Japan, where heteronormative ideals are deeply entrenched in the culture, homonormativity may not be fully conceptualized at the level of local gay male communities, while the dominant heterosexual community, conversely, may have a clear vision of homonormativity for these individuals. It thus further considers the viewpoints that shape normativities for marginalized social groups. [ABSTRACT FROM AUTHOR]

Problem The measures for long-term care prevention that the Japanese government had introduced in 2006 were unsuccessful because of the failures to identify high-risk individuals and to enrol enough participants in the community prevention programme. Approach The Japanese government shifted its primary strategy from a high-risk strategy to a community-based population strategy in 2015, by reforming the Long-term Care Insurance Act. This act is focusing on community-based care and social determinants of health. The Act and the government's plans for long-term care prevention are inspired by a social participation intervention called ikoino saron, that is gathering salons for people older than 65 years. These salons, managed by local volunteers, are held once or twice a month in communal spaces within walking distance of community members' homes and have a low participation fee. At the gatherings, older people can meet and interact with others through enjoyable, relaxing and sometimes educational programmes. Local setting Japan has the world's largest ageing population, with 27.7% (35.2 million/126.7 million) of people older than 65 years. Relevant changes Studies have shown that participation in the salons was associated with a halved incidence in long- term care needs and about one-third reduction in the risk of dementia onset. Evidence also suggests that financially vulnerable older adults were more likely to participate in such interventions. In 2017, 86.5% (1506/1741) of the Japanese municipalities had implemented the salons. Lessons learnt Integrated care for long-term care prevention should consider interventions targeting the whole community in addition to high-risk individuals. Probleme Les mesures pour la prevention des soins de longue duree qui avaient ete mises en place par le gouvernement japonais en 2006 ont ete inefficaces, en raison de l'impossibilite d'identifier les personnes a haut risque et de faire participer suffisamment de personnes au programme de prevention communautaire. Approche Le gouvernement japonais a change sa strategie premiere, d'abord axee sur les personnes a haut risque, pour l'orienter en 2015 vers une prise en charge dans la communaute, en reformant la loi relative a l'assurance pour soins de longue duree. Cette loi se concentre sur la prise en charge dans la communaute et sur les determinants sociaux de la sante. Elle s'inspire, comme les plans du gouvernement pour la prevention des soins de longue duree, d'une intervention pour la participation sociale appelee ikoino saron, qui consiste en des salons de reunion pour les personnes de plus de 65 ans. Ces salons sont organises une ou deux fois par mois par des benevoles locaux dans des espaces collectifs situes a une courte distance de marche, a un cout modique. ils permettent aux personnes asgees de se reunir et d'interagir avec d'autres personnes autour de programmes de loisirs, de detente et parfois d'etudes. Environnement local Le Japon est le pays du monde qui compte la population la plus asgee, avec 27,7% (35,2 millions/126,7 millions) de personnes de plus de 65 ans. Changements significatifs Des etudes ont montre que la participation a ces salons etait associee a une reduction de moitie de l'incidence des besoins en soins de longue duree et d'environ un tiers du risque de survenue de demence. Les donnees suggerent egalement que les adultes asges vulnerables sur le plan financier sont plus susceptibles de participer a ces interventions. En 2017, 86,5% (1506/1741) des municipalites japonaises avaient mis en place ce type de salons. Lecons tirees La prise en charge globale pour la prevention des soins de longue duree devrait envisager des interventions axees sur l'ensemble de la communaute en plus des personnes a haut risque. Situacion Las medidas de prevencion de cuidados a largo plazo que el gobierno japones habia introducido en 2006 no tuvieron exito debido a que no se identificaron a las personas de alto riesgo ni se inscribio a un numero suficiente de participantes en el programa de prevencion comunitaria. Enfoque El gobierno japones cambio su estrategia primaria de una estrategia de alto riesgo a una estrategia de poblacion basada en la comunidad en 2015, mediante la reforma de la Ley del Seguro de cuidado a largo plazo (Long-term Care Insurance Act). Esta ley se centra en la atencion basada en la comunidad y en los determinantes sociales de la salud. La ley y los planes del gobierno para la prevencion de los cuidados a largo plazo se inspiran en una intervencion de participacion social llamada ikoino saron, que reune salones para personas mayores de 65 anos. Estos salones, gestionados por voluntarios locales, se celebran una o dos veces al mes en espacios comunes a poca distancia y tienen una baja cuota de participacion. En las reuniones, las personas mayores pueden conocer e interactuar con otros a traves de programas divertidos, relajantes y a veces educativos. Marco regional Japon tiene la mayor poblacion de personas mayores del mundo, con un 27,7 % (35,2 millones/126,7 millones) de personas mayores de 65 anos. Cambios importantes Los estudios han demostrado que la participacion en los salones se asocio con una incidencia reducida a la mitad en las necesidades de cuidados a largo plazo y una reduccion de aproximadamente un tercio en el riesgo de aparicion de la demencia. La evidencia tambien sugiere que los adultos mayores vulnerables economicamente tenian mas probabilidades de participar en tales intervenciones. En 2017, el 86,5 % (1.506/1.741) de los municipios japoneses habian implementado los salones. Lecciones aprendidas La atencion integrada de prevencion de cuidados a largo plazo deberia considerar intervenciones dirigidas a toda la comunidad, ademas de a las personas de alto riesgo. [phrase omitted], Introduction Japan has the world's largest ageing population. In 2017, 27.7% (35.2 million/126.7 million) of people living in Japan were older than 65 years. Over the years, the Japanese government [...]

Trust is a major factor in effective public dissemination and use of relevant health information to guide important health decisions. To examine mass media as a communication channel for delivering cancer information among Japanese adults, we identified the level of trust in various types of mass media as sources of cancer information, and examined factors associated with trust, including exposure to mass media, sociodemographic factors, and cancer history. Data were analyzed for 3,109 Japanese adults who responded to a nationally representative cross-sectional mail survey. Data included trust in cancer information sources, sociodemographic variables, cancer history, and exposure to mass media. Logistic regression analysis was used. The prevalence of high trust in cancer information sources was highest for physicians (94.7%). Among mass media, Internet (47.2%) was the most trusted source of cancer-related information, followed by television (44.3%), newspapers/magazines (42.7%), and radio (32.7%). The high-exposure group for newspapers (AOR = 1.28, 95%CI = 1.07–1.54) was more likely to trust newspapers. Similarly, high-exposure groups for radio (1.22, 1.02–1.45), Internet (1.21, 1.01–1.45), and television (1.30, 1.10–1.53) were positively associated with trust in each media type. Although trust in mass media was lower than trust in physicians, the study found that a large group of respondents had high levels of trust in mass media sources. Trust in cancer information from each mass media type was mainly related to the level of exposure to each mass media type. Developing health communication strategies using mass media may be effective for disseminating relevant cancer information in Japan. [ABSTRACT FROM AUTHOR]

Background : Tobacco control should be a higher public health priority in Japan. Some workplaces provide smoking cessation support and connect employees to effective smoking cessation treatments such as outpatient clinics. However, tobacco control measures have not been sufficiently implemented in Japan, especially in small- and medium-sized enterprises (SMEs), where resources are limited. Organizational commitment and consistent leadership are crucial to facilitate implementation, but research on whether supporting organizational leaders leads to health behavior changes among employees is limited. Methods: This hybrid type II cluster randomized effectiveness implementation trial (eSMART-TC) aims to examine the effects of interactive assistance for SME management on health and implementation outcomes. We will provide interactive assistance to employers and health managers for 6 months, aiming to promote the utilization of reimbursed smoking cessation treatments by public health insurance and to implement smoke-free workplaces. The intervention will consist of three strategies: supporting employees through campaigns, tailored ongoing facilitation, and ensuring executive engagement and support. The primary health and implementation outcomes will be salivary cotinine-validated 7-day point-prevalence abstinence rate, and the adoption of two recommended measures (promoting utilization of smoking cessation treatment and implementing smoke-free workplaces) 6 months after the initial session, respectively. Other outcomes for implementation (e.g., penetration of smoking cessation clinic visits), health (e.g., salivary cotinine-validated 7-day point-prevalence abstinence rate at 12 months), and process (e.g., adherence and potential moderating factors) will be collected via questionnaires, interviews, logbooks, and interventionists' notes at 6 and 12 months. An economic analysis will be undertaken to assess the cost-effectiveness of the implementation interventions at 12 months. Discussion: This will be the first cluster randomized controlled trial to evaluate the effectiveness of an implementation intervention with interactive assistance for employers and health managers in SMEs on smoking cessation and implementation of evidence-based tobacco control measures in SMEs. The findings of this trial targeting management in SMEs have the potential to accelerate the implementation of evidence-based smoking cessation methods as well as abstinence rates among employees in SMEs across Japan. Trial registration: The study protocol has been registered in the UMIN Clinical Trials Registry (UMIN-CTR; ID: UMIN000044526). Registered on 06/14/2021. [ABSTRACT FROM AUTHOR]