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Volume 7, Issue 5 (Suppl)

Epidemiology (Sunnyvale), an open access journal

ISSN: 2161-1165

Epidemiology 2017

October 23-25, 2017

Page 25

Notes:

conference

series

.com

EPIDEMIOLOGY & PUBLIC HEALTH

October 23-25, 2017 | Paris, France

6

th

International Conference on

Toshiko Sawaguchi, Epidemiology (Sunnyvale) 2017, 7:5(Suppl)

DOI: 10.4172/2161-1165-C1-017

PHYSICAL&MENTALALTERATIONWITHEXTERNALCAUSESOFDEATHS:APPROACH

VIANESTED LAYERED LOGISTIC REGRESSIONANALYSIS FORTRAFFICACCIDENTAL

DEATHS IN 2011

Aim

: To re-considerate the possibility to understand the physical and mental alteration via support project by the Japanese

Cabinet Office.

Materials & Methods

: The subject of this study is the results of WEB questionnaire for the support of the children with the

death of families after traffic accidents in 2011 carried out by the Japanese Cabinet Office The 4 items on the physical difficulty

after traffic accidents, the 13th items on the change of behaviors after traffic accidents, the 10

th

items on mental alteration after

traffic accidents were extracted and scaled each by 6 semi-ordered scale. Nested logistic regression analysis was performed

using SAS EG7.1. Cumulative logit model with Newton-Raphson with Ridging and Stepwise selection was performed. Nested

structures were constituted by upper level structure including 3 items such as physical difficulties+behavioral changes+mental

alteration), by middle level structure including plural items those made each 3 items in the upper level and by lower level

structure including 6 scales of each item in the middle level. The percent value by 6 scales was used as quantitative variables and

superior 3 items were used as group variables. Nested treatments were carried out plural items in the middle level structure to

the quantitative variables those are the percent value by 6 scales.

Results & Conclusion

: Judged as the criterion of model convergence, score test, statistic of goodness, arranged R2 etc., the

model of physical difficulty was best for goodness and insomnia(13.2644:95%CI 0402-0.2094), energy loss(9.3626:95%CI

0.0373-0.2125), and under the weather(6.5611:95%CI 0.0311-0.2063) were most contributable factors for physical and mental

alteration after traffic accident families. This result could give the different impression from the results by the Japanese Cabinet

Office.

Biography

Toshiko Sawaguchi has been acting as an originally pediatric forensic pathologist and moved to the epidemiology and public health field since 1

st

April 2015 as the research

managing director.

sawaguchitoshiko@niph.go.jp

Toshiko Sawaguchi

National Institute of Public Health, Japan