The CCD partnership set out to conduct an analysis to determine the
living environment and social and cultural factors unique to Koriyama
City and to investigate why many people with diabetes struggle to
adhere to the medical treatment plan they are advised to follow.
The results of the study
The work included an interview survey, questionnaire survey, and
database analysis to understand the characteristics of the 15
districts of the city, as well as to explore the factors that
influence the discontinuation of diabetes treatment.
According to the results of the interview survey, people who
discontinue diabetes treatment tend to think that diabetes treatment
causes financial burdens and restrictions in their lives. On the other
hand, those who were able to continue diabetes treatment were able to
envision a specific situation in which diabetes could be fatal,
understood the importance of health and improved their awareness of
health care as a result of diabetes, and were concerned about the
burden on caregivers, family members, and others.
In the questionnaire survey, a significant number of those who
discontinued treatment lacked a proper understanding of diabetes and
were unable to freely decide how to spend their time. Since many
people with diabetes who continue treatment have family members with
diabetes, it is possible that they are more likely to continue
treatment because they are more familiar with the need for treatment
and can see it more concretely. The percentage of people with diabetes
who were aware of their own diabetes was only about 60%, suggesting
the need for patient education.
In addition, the database analysis calculated the number of patients
in the 15 districts of the city and the percentage of those who
discontinued treatment, and these results will be used as a reference
for interventions by public health nurses in each district.
Future Efforts in Koriyama City
Koriyama City will disseminate the results of this joint research to
citizens and share the information with medical, health, and other
related organisations so that they can make use of it in their
Moving forward, the Cities Changing Diabetes partners will consider
action plans to increase awareness about diabetes and knowledge about
how to manage the disease.
"Koriyama City has been selected as an SDG Future City. We
believe this project is essential to that goal."
— Masato Shinagawa, the Mayor of
"There was some confusion among those involved at the
beginning of the project because of the industry-academia-government
collaboration, but we overcame this and were able to produce
results. We believe that we have created something that can be
presented as a model for collaboration between industry, government,
— Tetsuhito Fukushima, professor of the
Department of Hygiene and Preventive Medicine, School of Medicine of
Fukushima Medical University