Departmental Bulletin Paper フィリピン大都市近郊地域の貧困層の糖尿病予防に関する研究 : サンタローサ市、バランガイ・シナルハンの実地調査から
フィリピンダイトシキンコウチイキノヒンコンソウノトウニョウビョウヨボウニカンスルケンキュウ : サンタローサシ、バランガイ・シナルハンノジッチチョウサカラ
Research Related to Preventing Diabetes in the Poor Segment of the Population Living in Areas Near or Surrounding Big Cities in the Republic of the Philippines : From Field Study in Barangay Sinalhan, Santa Rosa City

椋野, 和子

13pp.61 - 89 , 2016-03-26 , 天理大学地域文化研究センター
Barangay Sinalhan, where many people in the poor segment live, was chosen as the area of investigation among areas within Santa Rosa City, which is achieving development as an industrial area in the metropolitan region of the Philippines. This research revealed the healthcare system in the investigated area and the tasks of preventing diabetes, researching the interrelationships between “earnings bracket,” “diabetes,” “obesity” and “diet” in individuals that have developed diabetes as well as individuals who are obese, who are said to be at risk of developing diabetes. The focal point of this research was limited to diabetes because diabetes is one of the life-style related diseases that, through personal health management, people can prevent getting the disease in the future or prevent it from developing into a serious condition. This paper also touched on the condition of diabetes around the world, and the mechanism of healthcare administration. Further mentioned are the present condition of public medical insurance and medical benefits for the poor, as well as the two-tiered structure of illnesses in the Philippines, and income disparities with wealth accumulated by a portion of the rich. The research was conducted by actually visiting the location three times between Fcbriary and August in 2014. There, with the cooperation of a Japanese missionary, I was accompanied by translators. One was a local who had experience teaching Japanese in Japan, and another was a local who had experience studying abroad in Japan. Using the Philippines Edition of the Simple Poverty Score Card (2014 Edition) in order to estimate the degree of poverty, scmi-structured interviews were conducted using a questionnaire centered around questions about if people had diabetes prevention in mind when making decisions about diet, obesity and exercise. In conducting the research, I set up the following hypothesis. In the Philippines, obesity is not only common in people living in the metropolitan region but in other regions as well, and is also common in people in the poor segment. Of these, it is thought that there are quite a few people who have developed diabetes or will develop diabetes over time if left untreated. It may be that people who are in the poor segment are inclined to experience delay in medical treatment because they have fewer opportunities to receive medical attention, or they do not receive the full medical treatment necessary due to financial reasons. It is possible that people in the poor segment of the population do not have sufficient knowledge about diabetes, so they do not take much preventative measures. If this are indeed true, prevention becomes that much more important. The results of the investigation showed that diabetes is widespread in the poor segment of the Philippines, which stands as a middle income country. Also, people who have developed diabetes exist in all tiers of the poor segment, and not all obese people eat fast food fequently. The healthcare system of the investigated area was regulated well beyond my initial assumptions. Although preventative measures are underway, people do not always practice these diabetes preventative practices. This presented the task of what is necessary to prevent the development of diabetes in people already afflicted, as well as people at risk of developing diabetes.

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