Table 1. Distribution of Participants by Age, Gender, and Study Area.

From: Association between Medical Avoidance Behavior and Lifestyle Changes during the Early Phase of Coronavirus Disease 2019 Emergency in Tokyo: A Cross-Sectional Study in a Gastric Cancer Screening Cohort

Participant Characteristics Overall Men Women p*
n = 1,554 n = 629 n = 925
Age, mean (SD) 60.4 (11.5) 63.1 (11.3) 58.6 (11.2) <0.001(a)
Age category, n (%)
 30-39 11 (0.7) 2 (0.3) 9 (1.0)
 40-49 328 (21.1) 95 (15.1) 233 (25.2)
 50-59 360 (23.2) 128 (20.4) 232 (25.1)
 60-69 461 (29.7) 185 (29.4) 276 (29.8)
 70-79 346 (22.3) 189 (30.1) 157 (17.0)
 80+ 48 (3.1) 30 (4.8) 18 (2.0)
Study area, n (%) 0.06(b)
 Nishitokyo City 668 (43.0) 66 (45.5) 382 (41.3)
 Mitaka City 316 (20.3) 138 (21.9) 178 (19.2)
 Kita City 245 (15.8) 82 (13.0) 163 (17.6)
 Adachi City 158 (10.2) 61 (9.7) 97 (10.5)
 Minato City 82 (5.3) 36 (5.7) 46 (5.0)
 Machida City 66 (4.2) 21 (3.3) 45 (4.9)
 Katsushika City 19 (1.2) 5 (0.8) 14 (1.5)
Employment status
Currently working 1,241 (79.9) 497 (79.0) 744 (80.4) 0.49(a)
Table 2. Patient Behaviors for Follow-Up Visits or Treatment at Hospital and Medical Checkup or Screening for the Prevention of Disease During the SOE.

From: Association between Medical Avoidance Behavior and Lifestyle Changes during the Early Phase of Coronavirus Disease 2019 Emergency in Tokyo: A Cross-Sectional Study in a Gastric Cancer Screening Cohort

Questions Overall Men Women p*
n = 1,554 n = 629 n = 925
Discontinued or postponed follow-up visits or treatment during the SOE, n (%) p(a)
 Yes 269 (17.3) 80 (12.7) 189 (20.4) <0.01
 No (no scheduled follow-up visits or treatment) 1,254 (80.7) 540 (85.9) 714 (77.2) 0.01
 No answer 31 (2.0) 9 (1.4) 22 (2.4)
Disease group for follow-up visits or treatment that was discontinued or postponed during the SOE, n (%)
(Question only for those who postponed or canceled visits) n = 269 n = 80 n = 189 p(a)
 Dental care and regular checkups 82 (30.5) 14 (17.5) 68 (36.0) <0.01
 Eye disease 43 (16.0) 13 (16.3) 30 (15.9) 0.19
 Hypertension 35 (13.0) 15 (18.8) 20 (10.6) 0.84
 Cancer 32 (11.9) 11 (13.8) 21 (11.1) 0.4
 Diabetes 15 (5.6) 11 (13.8) 4 (2.1) <0.01
 Disease of the brain or heart 13 (4.8) 4 (5.0) 9 (4.8) 0.36
 Ear disease 8 (3.0) 3 (3.8) 5 (2.6) 0.86
 Others 88 (32.7) 31 (38.8) 57 (30.2) <0.01
 No answer 11 (4.1) 4 (5.0) 7 (3.7)
Reason for discontinued or postponed follow-up visits or treatment during the SOE, n (%)
(Question only for those who postponed or canceled visits) n = 269 n = 80 n = 189 p(a)
 Wanted to avoid contact with other people 144 (53.5) 46 (57.5) 98 (51.9) 0.01
 Unwilling to go to the hospital. 87 (32.3) 20 (25.0) 67 (35.4) <0.01
 Cancelled or postponed at the request of the hospital. 33 (12.3) 13 (16.3) 20 (10.6) 0.79
Medical checkup or screening during the SOE, n (%) n = 1,554 n = 629 n = 925 <0.01(b)
 Cancelled or postponed at the request of the hospital 55 (3.5) 20 (3.2) 35 (3.8)
 Decided not to take the checkup 172 (11.1) 41 (6.5) 131 (14.2)
 Did not plan to take the checkup 983 (63.3) 408 (64.9) 575 (62.2)
 Received a scheduled medical checkup 314 (20.2) 143 (22.7) 171 (18.5)
 No answer 30 (1.9) 17 (2.7) 13 (1.4)
Medical checkup or screening after the SOE, n (%) n = 1,554 n = 629 n = 925 0.83(b)
 Yes: Received medical checkup 1,040 (66.9) 412 (65.5) 628 (67.9)
 No: Did not receive a medical checkup 360 (23.2) 152 (24.2) 208 (22.5)
 Scheduled to receive a medical checkup but have not yet 115 (7.4) 43 (6.8) 72 (7.8)
 No answer 39(2.5) 22(3.5) 17(1.8)
Medical checkup or screening after the SOE
(Question only for those who canceled a medical checkup or screening) n = 55 n = 20 n = 35 0.04(b)
 Yes: Received medical checkup 45 (81.8) 14 (70.0) 31 (88.6)
 No: Did not receive a medical checkup 3 (5.5) 1 (5.0) 2 (5.7)
 Scheduled to receive a medical checkup but have not yet 5 (9.1) 3 (15.0) 2 (5.7)
 No answer 2 (3.6) 2 (10.0) 0 (0.0)
Medical checkup or screening after the SOE
(Question only for those who decided not to receive a medical checkup or screening. ) n = 172 n = 41 n = 131 0.12(b)
 Yes: Received medical checkup 58 (33.7) 10 (24.4) 48 (36.6)
 No: Did not receive a medical checkup 82 (47.7) 19 (46.3) 63 (48.1)
 Scheduled to receive a medical checkup but have not yet 28 (16.3) 9 (22.0) 19 (14.5)
 No answer 4 (2.3) 3 (7.3) 1 (0.8)
Table 3. Associations of Patient Behavior with Discontinued or Postponed Follow-Up Visits or Treatment for Changes in Work, Income, and Lifestyle During the SOE.

From: Association between Medical Avoidance Behavior and Lifestyle Changes during the Early Phase of Coronavirus Disease 2019 Emergency in Tokyo: A Cross-Sectional Study in a Gastric Cancer Screening Cohort

Questions Men (n = 629) Women (n = 925)
Model 1 Model 2 Model 1 Model 2
n (%) OR 95% CI OR 95% CI n (%) OR 95% CI OR 95% CI
Some major changes in work
(i.e., working hours, environment, and payment)
Yes 250 (49.0) 1.31 (0.77-2.23) 1.78 (0.87-3.66) 297 (42.4) 1.37 (0.94-2.00) 1.30 (0.84-2.03)
No 1.00 1.00 1.00 1.00
Decreased household income Yes 143 (22.7) 1.01 (0.57-1.78) 1.02 (0.57-1.83) 228 (24.6) 0.99 (0.69-1.45) 0.99 (0.68-1.46)
No 1.00 1.00 1.00 1.00
Increased household time and/or family care Yes 138 (21.9) 1.19 (0.60-2.38) 1.18 (0.59-2.39) 349 (37.7) 1.39 (0.98-1.97) 1.55 (1.08-2.23)
No 1.00 1.00 1.00 1.00
Increased stress, arguments, and irritability with household members Yes 193 (31.7) 1.37 (0.80-2.35) 1.33 (0.78-2.29) 431 (48.9) 1.51 (1.05-2.17) 1.53 (1.06-2.21)
No 1.00 1.00 1.00 1.00
Change in lifestyle
Increased smoking Yes 12 (1.9) 2.31 (0.60-8.86) 2.23 (0.57-8.64) 11 (1.2) 1.35 (0.35-5.16) 1.13 (0.29-4.38)
No 1.00 1.00 1.00 1.00
Increased alcohol consumption Yes 72 (11.4) 1.95 (0.99-3.86) 2.05 (1.03-4.10) 72 (7.8) 1.42 (0.81-2.51) 1.52 (0.85-2.71)
No 1.00 1.00 1.00 1.00
Body weight gain Yes 188 (29.9) 1.36 (0.82-2.25) 1.40 (0.84-2.34) 380 (41.1) 1.04 (0.74-1.46) 1.06 (0.75-1.50)
No 1.00 1.00 1.00 1.00
Increased food intake Yes 64 (10.2) 1.85 (0.95-3.60) 1.87 (0.96-3.65) 212 (22.9) 1.43 (0.98-2.07) 1.46 (1.00-2.13)
No 1.00 1.00 1.00 1.00
Increased physical activity Yes 78 (12.4) 1.47 (0.71-3.07) 1.43 (0.68-2.98) 118 (12.8) 0.73 (0.42-2.07) 0.71 (0.41-1.23)
No 1.00 1.00 1.00 1.00
Table 4. Associations of Patient Behavior with Discontinued or Postponed Follow-Up Visits or Treatment for Scores on Mental Health Questionnaires During the SOE.

From: Association between Medical Avoidance Behavior and Lifestyle Changes during the Early Phase of Coronavirus Disease 2019 Emergency in Tokyo: A Cross-Sectional Study in a Gastric Cancer Screening Cohort

Mental Health Questionnaires Overall Men Women Model 1 Model 2
n = 1,523 n = 618 n = 905 OR 95% CI OR 95% CI
UCLA Loneliness Scale, n (%)
score 3-5 1,192 (78.3) 494 (79.9) 698 (77.1) 1.00
6-9 331 (21.7) 124 (20.1) 207 (22.9) 1.17 (0.86-1.61) 1.22 (0.88-1.68)
K6, n (%)
Score 0-4 1,079 (72.1) 484 (78.3) 595 (65.8) 1.00
5-12 380 (30.0) 115 (18.6) 265 (29.3) 1.41 (1.05-1.89) 1.32 (0.98-1.78)
13-24 64 (4.2) 19 (3.1) 45 (5.0) 1.22 (0.67-2.24) 1.18 (0.64-2.17)
FCV-19S, n (%)
score 7-10 352 (23.1) 181 (29.3) 171 (18.9) 1.00
11-20 976 (64.1) 365 (59.1) 611 (67.5) 1.44 (1.02-2.02) 1.31 (0.93-1.86)
21-35 195 (12.8) 72 (11.7) 123 (13.6) 1.41 (0.88-2.24) 1.24 (0.77-1.99)
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