加齢男性・性腺機能低下症（Late-onset hypogonadism：LOH）症候群に対する受診行動に影響を与える要因（J-MARS Study）

Factors Influencing Healthcare-Seeking Behavior for Late-Onset Hypogonadism (LOH) Syndrome in Aging Men (The J-MARS Study)

要旨

　目的：LOHに対する受診行動に影響を与える要因を年代，認知度，AMSスコアに着目して明らかにする．

　方法：日本全国の20〜69歳の男性1,500名を対象にWebアンケートを実施し，LOH症状に対する受診促進の要因について自由記述で回答を収集．1,168名の回答をKH Coderでテキストマイニングを用い分析した．

　結果：2,091語の抽出語を基に，4つのカテゴリー，【受診を促す条件と支援】，【受診を妨げる経済的・社会的な障壁】，【受診を妨げる心理的・知識的な障壁】，【受診を妨げる医療体制・制度の限界】が導かれた．

　結論：職場・家庭からの支援，経済的支援の強化，専門医療体制の整備が受診行動の促進に重要である．

　Objective: This study aims to identify factors influencing healthcare-seeking behavior for late onset hypogonadism (LOH), focusing on age, awareness, and AMS score.

　Methods: A web-based survey was conducted with 1,500 men aged 20 to 69 across Japan, gathering open-ended responses on factors that encourage health-seeking behaviors for LOH symptoms. A total of 1,168 responses were analyzed using text mining with KH Coder.

　Results: Based on 2,091 extracted words, four categories emerged: (1) conditions and support that promote health-seeking behaviors, (2) economic and social barriers to seeking care, (3) psychological and knowledge-related barriers, and (4) limitations in the healthcare system and institutional structure.

　Conclusion: Support from the workplace and family, enhancement of financial assistance, and the development of specialized healthcare systems are essential for promoting healthcare-seeking behavior.