Local Residents Research Articles

Telepharmacy and remote medication management: An empirical study from patients' perspectives.

Background: Telepharmacy has emerged as a vital tool in healthcare, allowing remote medication management, especially for patients in rural areas. Despite its growing adoption, there is limited empirical evidence on its effectiveness and patient experiences in diverse healthcare settings. Aim: This study aims to investigate telepharmacy and remote medication management through the lens of patients, shedding light on their attitudes, challenges, and preferences. Methods: A cross-sectional survey design is adopted in this study. Survey participants included outpatients aged above 18 years, accessing telepharmacy services from public hospitals in Saudi Arabia. The survey questionnaire focuses on evaluating patients' experiences and perspectives regarding telepharmacy services for remote medication management. Excluding incomplete responses resulted in a final sample of 403. Results: Participants reported positive experiences with telepharmacy, rating it moderately to very effective (Mean = 3.12-3.21) across various factors. Significant age-related differences were observed, with younger participants perceiving telepharmacy more favorably (P < 0.0001). Education levels did not significantly affect perceptions. Residential location also showed no significant impact. Patients suggested technical support and improved communication methods to enhance telepharmacy services. Implementing these suggestions increased patients' likelihood of future telepharmacy use. Conclusion: Telepharmacy, by utilizing telecommunication technology, offers a transformative approach to remote medication management, significantly improving patient care across various healthcare environments.

Batik Marunda as Cultural Heritageand Role in Sustainable Development

Batik Marunda is a batik producer in Jakarta that has a role in supporting one of the Sustainable Development Goals (SDGs), such as empowering relocation communities in three flats in the North Jakarta area. The study analyzes how Batik Marunda's role in the cultural preservation program while still contributing to economic empowerment, waste management to batik and batik materials. Methods of research are field studies, interviews with batik producers, the concept of collaboration in three flats and their governance. The findings show that Batik Marunda empowers especially women in the three flats area, through various skills training that has an impact on increasing skills, insights and economic levels for local residents, to waste management to reduce textile waste and support one of the SDG goals, namely responsible production and consumption. The three flats collaboration in the North Jakarta area is expected to strengthen the creative, environmentally friendly economic network and improve the quality of empowerment in the surrounding community. In summary, this research sees the important role of governance integration between cultural preservation programs, community empowerment, innovation and governance to support the SDGs agenda in the aspects of decent work, economic growth, climate change in sustainable development efforts.

Codesigning a Digital Type 2 Diabetes Risk Communication Tool in Singapore: Qualitative Participatory Action Research Approach.

Diabetes is a serious public health concern worldwide. Despite public health efforts encouraging early screening and improving knowledge of effective interventions for those at increased risk of type 2 diabetes (T2D), the incorporation of preventative behaviors into an individual's daily life remains suboptimal. Successfully and accurately increasing risk perception has been demonstrated to increase behavioral intention. The study aims to codesign a T2D risk communication tool by engaging public participants to (1) identify key characteristics that contribute to an effective risk communication tool and (2) test and iterate to develop a culturally sensitive and meaningful risk communication tool that can motivate T2D preventative behaviors. We adopted a novel methodology, "Patient and Public Involvement (PPI) Hawkers," where we approached patrons at hawker centers and public eateries frequented by all local residents to evaluate and test 3 prototypes for the tool. The three prototypes were (1) "Diabetes Onset"-estimated age of diabetes onset of T2D based on one's risk factors, (2) "Relative Risk"-the relative risk of T2D is presented in a 1-10 scale indicating where one's risk score lie in relation to others, and (3) "Metabolic Age"-the median age of the risk category based on one's risk factors, presented to be compared against their chronological age. We gathered reactions and feedback through rapid testing and iteration to understand which risk result presentation would be received the best. All the collected data were revisited and analyzed using an inductive thematic analysis to identify the key characteristics contributing to an effective risk communication tool. We engaged with 112 participants (female: n=59, 56%) across 6 hawker centers. The key characteristics that were important to participants emerged in four main themes: (1) appeal and user experience, in terms of format and readability; (2) trust and validity of the institution providing the tool and the accuracy of the risk result; (3) threat appraisal: salience of risk information, which influenced their risk perception; and (4) coping appraisal: facilitators for behavior change, which impacted their intention for implementing T2D preventative behaviors. The predictive nature of the prototype entitled "Diabetes Onset" was poorly received and removed after the first iteration. The Relative Risk prototype was valued for being straightforward but feared to be boring. The Metabolic Age prototype was anticipated to be more motivating for behavior change, but there were some concerns that the terminology may not be understood by everyone. Participants were divided on which of the 2 prototypes, "Metabolic Age" or "Relative Risk," they would favor adopting. Further testing is now required to determine which prototype will be more effective in motivating behavior change. This study's insights on the design process and valued characteristics of a risk communication tool will inform future development of such interventions.

Smart Grid in the Arctic City

This article presents the evolution of a smart grid in an artic city, and we analyze its development using the Smart Grid Reference Architecture (SGAM) and from historical, technological, and social points of view in an Arctic context. We illustrate the emergence of smart grid application and its relation to energy consumption habits and sustainability. The study includes observations from empirical research conducted using a mixed methods approach. This included two months of organizational ethnographies consisting of interviews with specialists at an electricity utility, shadowing the workers, participant observation in the control center, and a questionnaire survey among local residents. Three stages of transformation in the electricity network were observed: 1) the conversion from analog to digital in network operations, with residents as passive receivers of electricity; 2) introducing digital communications and a digital local area network that allowed residents to report consumption; 3) the electrical network as an evolving smart grid with a digital platform enabling two-ways communication among network actors. People became more active when smart grid applications were introduced in the electricity network and middle-aged men can now better manage their energy consumption, even though their motivation is financial, rather than environmental. At the same time, unplugging from the smart grid becomes increasingly difficult.

Implementation of the ASEAN Political-Security Community (APSC) Blueprint by Indonesia in Handling Rohi Ngya Refugees in Aceh (Community Security Perspective)

The ongoing humanitarian crisis faced by Rohingya refugees has drawn significant attention across Southeast Asia, particularly regarding Indonesia’s response under the ASEAN Political-Security Community (APSC) Blueprint. This study aims to analyze Indonesia's implementation of APSC policies in handling Rohingya refugees in Aceh, focusing on the balance between community security and humanitarian obligations. Using a qualitative approach, this research employs a case study method, analyzing data from policy reports, official documents, and community feedback. The findings indicate that while Indonesia has made efforts to assist refugees, challenges persist due to limited legal frameworks and mixed local reception. The study reveals that community security concerns, alongside the lack of comprehensive refugee policies, have led to social tensions in Aceh, impacting both the refugee population and the host community. The research concludes that to enhance the effectiveness of APSC policies, Indonesia must foster greater community engagement and optimize resource allocation, thus promoting a more stable environment for both refugees and local residents.

Toward high-integrity forest carbon market of ethnic minority groups in Dak Lak province, Vietnam

Forest carbon markets have demonstrated numerous benefits across economic, social, and environmental dimensions, while also advancing sustainable development goals. This study examines the primary policy mechanisms and conditions related to the development of high-integrity forest carbon markets in Dak Lak province, Vietnam. Utilizing a combination of SWOT analysis and the DPSIR framework, the study provides a comprehensive evaluation of the opportunities, challenges, driving forces, pressures, potential impacts, and responses associated with developing these markets. The Gold Standard method was also employed to estimate the potential contribution to carbon emission reductions through the new forest planting programs in the province. Data analysis from 202 households and in-depth interviews with fifteen experts revealed that local residents have limited information about the forest carbon market. While forest management officials at various levels are aware of the market, there is a lack of specific guidance, limited participation in training sessions and workshops, and insufficient instructional materials. Dak Lak holds significant potential for carbon emission reductions, with an estimated average forest carbon storage capacity of 7.5 tCO2/ha/year for an afforestation/reforestation (A/R) carbon project. This initiative is projected to contribute approximately $753,972 annually to the province’s GRDP and generate 280 jobs for local communities. However, the technical and financial resources are challenging in the province. The study identifies critical issues and proposes appropriate solutions to support Dak Lak in developing high-integrity forest carbon markets in alignment with the national roadmap, ultimately contributing to the achievement of sustainable development goals.

Single cell profiling of tubular epithelial cells under adaptive state in urine sediment from early and advanced diabetic kidney disease patients

IntroductionTubular epithelial cells under adaptive state (aTEC) have been frequently reported in the injured kidney closely associated with disease progression. However, whether aTEC is present in the urine of Diabetic Kidney Disease (DKD) patients and its clinical implication have not been assessed. MethodsUrine samples from early and advanced DKD patients were collected and subjected to single cell RNA sequencing (scRNA-seq). Kidney single nucleus RNA-seq, spatial scRNA-seq and bulk RNA-seq datasets were employed to reconstruct their local environment and to delineate differences between shed cells and local residence. ResultsMost urinary TEC in DKD patients are under adaptive states. While the composition of urinary TEC is consistent in early and advanced DKD, higher ratio of aTEC under progenitor and fibrosis state is defined in early DKD. Trajectory inference reveals some aTEC are early derivatives of injured PT. Spatial mapping reveals proliferative and fibrosis aTEC reside close to glomerulus region. Systemic evaluation of different states of urinary aTEC in patients of diverse-cause kidney injury suggests that the ratio of progenitor/proliferative aTEC and fibrosis aTEC is of diagnostic value. ConclusionUrine is an underestimated source of aTEC providing us non-invasive manner to interrogate the injured state of tubule. The ratio of fibrosis aTEC and progenitor/proliferative aTEC in urine features tubular injury state and may help improve DKD diagnosis.

Exploring the Transformative Effect of Community Managed Nature Tourism on Community Empowerment in Odisha: Perspective from Local Residents

Exploring the Transformative Effect of Community Managed Nature Tourism on Community Empowerment in Odisha: Perspective from Local Residents

Intelligent IoT-Based Flood Monitoring and Alerting System using Raspberry Pi

Abstract: Floods are one of the most destructive natural disasters, causing significant loss of life and property. Early detection and timely intervention are crucial in mitigating the impacts of floods. The "Intelligent IoT-Based Flood Monitoring and Alerting System" is an innovative solution that leverages the power of the Internet of Things (IoT) to monitor water levels and predict potential flooding events. This system uses low-cost and easily accessible hardware such as a Raspberry Pi, sensors, LCD, buzzer and a cloud-based platform to provide real-time flood monitoring. The system continuously collects data on water levels, environmental conditions, and other relevant metrics, and processes this data to issue early warnings and alerts to local authorities and residents. Through an intuitive web interface, users can monitor flood-prone areas and receive notifications when water levels reach dangerous thresholds. The system aims to enhance disaster preparedness, reduce human and material losses, and improve the efficiency of flood management

Interactive Effects of Built Environment and Parking Policy on Car Use: Examining Differences Between Work and Non-Work Trips

Considerable interest has been shown in decreasing car use through planning and policy-making efforts. However, little is known about the interactive effects of built environment (BE) and parking policy on car use, and it is unclear whether and how these effects differ across trip purposes. We conducted a web-based survey in Beijing and collected data from 1036 respondents, including 517 male and 519 female respondents. This study estimates the interactive effects of BE and parking policy on car use for home-based work and non-work trips by employing multilevel logit models. The results show that BE variables at trip origins and destinations are important for shaping car use for both home-based work and non-work trips. Specifically, land use mixture (Coeff. = −0.121), bus stop density (Coeff. = −0.006), and population density (Coeff. = −0.009) at residential locations are negative factors affecting car use for work trips, whereas distance to local center (Coeff. = 0.012) and distance to the city center (Coeff. = 0.019) at residential locations are positive factors. Land use mixture (Coeff. = −0.323), bus stop density (Coeff. = −0.008), road density (Coeff. = −0.002), and population density (Coeff. = −0.007) at residential locations are negative factors of car use for non-work trips. Among BE factors at destinations, land use mixture (Coeff. = −0.319), bus stop density (Coeff. = −0.015), road density (Coeff. = −0.008), distance to the local center (Coeff. = −0.018), and population density (Coeff. = −0.012) are negative factors for car use for work trips, whereas the negative factors for non-work trips are land use mix (Coeff. = −0. 218), bus stop density (Coeff. = −0.038), road density (Coeff. = −0.003), distance to the city center (Coeff. = −0.121), and population density (Coeff. = −0.009). The effects of BE variables can be strengthened or weakened by free parking and parking convenience. Moreover, the results identify significant differences in the effects between work and non-work trips. These findings inform planners and policymakers of how to coordinate the BE and parking policies to decrease car dependence.

Factors affecting the polychlorinated biphenyl signatures in serum of adults living in a highly polluted area in eastern Slovakia

IntroductionOver the years eastern Slovakia has been subject to consistent monitoring of high levels of polychlorinated biphenyls (PCBs) in both the environment and human populations attributed to the former production of PCBs at the Chemko Strážske plant. We aimed to investigate the extent to which dietary habits and residential location could affect the concentrations of PCBs in the blood serum samples of subjects.MethodsWe enrolled 602 adult subjects from eastern Slovakia with an average age of 45.14 (±8.49) years. To determine the concentrations of 21 PCB congeners, we used solid phase extraction along with gas chromatography coupled with high-resolution mass spectrometry. Based on questionnaire data, the assessment of dietary habits and residential location was performed using score calculations and creating a map.Results and discussionThrough principal component analysis, the 20 PCB congeners were classified into three groups: PC1, comprising highly chlorinated PCBs, and PC2 and PC3, consisting primarily of low chlorinated PCBs. Stepwise multivariate regression revealed positive and negative associations between PCB congeners represented by PC1-3 and scores related to the residential location and scores related to food consumption, respectively. We confirmed that levels of PCBs represented by PC1-3 increased with age. The geographical proximity to pollution sources proved to be a key contributing factor to the observed PCB levels in individuals residing in eastern Slovakia.

Intercultural practices in experiential rural tourism, case of an Andean community on the shores of Lake Titicaca in Puno, Perú

The practice of experiential rural tourism involves the active participation of the local population, promoting cultural exchange between visitors and residents generating intercultural relationships. The objective of the research was to analyze the intercultural relationships that are established between local inhabitants and tourists in the practice of experiential rural tourism. The factors that were analyzed are communication, mutual respect, socioeconomic development, cultural authenticity, shared cultural practices, reciprocity, valuation of cultural identity and the environment in the perceptions and experiences of tourists and local residents. The qualitative approach and method was used, the techniques applied were the in-depth interview with the local population and tourists, direct observation of the practice of this activity and content analysis. The results revealed that there are intercultural relations due to the direct and meaningful interaction between tourists and the local population, facilitating the exchange of knowledge, mutual understanding, representation, authenticity and cultural integration, promoting intercultural dialogue as a basis for a more inclusive and responsible tourism, as well as the importance of cultural authenticity in attracting tourists and preserving local identity..

The Influence of Sustainable Tourism Certification, Local Community Awareness, and Product Innovation on the Reputation of Destinations in Yogyakarta

This study examines the influence of sustainable tourism certification, local community awareness, and product innovation on the destination reputation of Yogyakarta, Indonesia. Using a quantitative approach, data were collected from 270 respondents representing tourists, local residents, and tourism service providers, and analyzed using Structural Equation Modeling-Partial Least Squares (SEM-PLS 3). The results reveal that all three factors significantly and positively impact Yogyakarta’s destination reputation. Sustainable tourism certification enhances the image of the destination, while local community awareness fosters support for sustainable practices. Additionally, product innovation contributes to the competitiveness and attractiveness of Yogyakarta by offering unique and sustainable tourism experiences. These findings highlight the importance of integrating sustainability, community engagement, and innovation to build and maintain a strong destination reputation. Practical implications for tourism stakeholders and policymakers in Yogyakarta are discussed.

Bamboo Forests: Unleashing the Potential for Carbon Abatement and Local Income Improvements

Bamboo forests exhibit a unique efficient growth pattern that makes them invaluable in reducing atmospheric CO2 levels. Additionally, bamboo forests offer a diverse range of products, thus holding the potential to bolster local income. Despite these benefits, the comprehensive assessment of bamboo forests’ potential in both carbon abatement and improving local income enhancement has been hindered by the absence of a detailed bamboo biomass map. In this study, we address this gap by amalgamating a bamboo aboveground biomass (AGB) map covering three prominent producing provinces in southern China, utilizing multi-source remote sensing datasets. The results not only demonstrate a satisfactory consistency with China’s Ninth National Forest Inventory but also provide a more detailed spatial distribution. Based on this AGB estimation, we project an approximately threefold potential increase in annual bamboo culm harvest from existing bamboo forests. This represents a significant opportunity for expanding carbon abatement efforts, elevating local income levels, and facilitating the production of bamboo-derived biofuels. Furthermore, the adoption of an optimized management strategy has the potential to further enhance bamboo production. This study generates the first high-resolution bamboo AGB map and underscores the substantial potential of China’s bamboo forests in contributing to carbon sequestration and improving local income. The favorable income generated for local residents can serve as a compelling incentive for the implementation of sustainable forest management practices, offering a promising pathway toward achieving carbon-related objectives within the forestry sector and providing necessary support for forestry designation projects.

Assessment of the Potential of Agrotourism in Samarkand to Attract Foreign Tourists

This study evaluates the potential of agrotourism in Samarkand as a means to diversify the tourism sector and improve the economic conditions of rural areas. Despite the rich agricultural heritage and cultural significance of the region, agrotourism remains underdeveloped. The research aims to assess the current landscape and growth potential for attracting international tourists. Employing a mixed-methods approach, the study analyzes statistical data, conducts surveys of foreign tourists and local residents, and interviews experts in the tourism sector. The findings reveal key tourist preferences and highlight challenges facing agrotourism development. Strategic recommendations are proposed to enhance agrotourism offerings, ultimately fostering sustainable economic growth in the region.

Establishment of Healthy Tolam Community (KOTOS): Community Empowerment Strategy in Improving Environmental Health Quality in Kuala Tolam Village

The establishment of Komunitas Tolam Sehat (KOTOS) in Kuala Tolam Village is a community empowerment initiative that aims to improve health and environmental quality through a participatory approach. This article explores the process of community formation, the strategies used in community empowerment, as well as its impact on the health and environment of the village. Through a participatory approach, the community successfully engaged various elements of the community, including the village government, community leaders, and local residents, in designing and implementing health and environmental programs. The results show that this approach not only increases community awareness about the importance of health and environmental hygiene, but also strengthens social solidarity and community capacity to manage health issues independently and sustainably. This article highlights the importance of community empowerment in creating sustainable positive change at the local level.

Geographic variation in kidney failure and transplantation in Aotearoa New Zealand: A population-based data linkage study.

This study aimed to describe the epidemiology of kidney replacement therapy (KRT) in Aotearoa New Zealand and assess the impact of residential location on access to kidney transplantation. AcceSS and Equity in Transplantation (ASSET), a health-linked data platform, was used to identify people commencing KRT in New Zealand from 2006 to 2019 and analyse regional epidemiology. Health services were classified as 'transplanting', 'intermediate' or 'remote' depending on their degree of separation from a transplant centre. Multiple logistic regression modelling was used to assess the predictors of deceased donor waitlisting or living donor transplantation within 6 months after starting KRT. Web-based mapping software was used to develop interactive geospatial maps. The cohort was 7704 people newly starting KRT. Living in an intermediate [odds ratio (OR): 0.73 (95% confidence interval (CI): 0.61-0.88)] or remote [OR: 0.38 (95% CI: 0.27-0.54)) region and Māori (OR: 0.35 (95% CI: 0.28-0.44)], Pacific [OR: 0.32 (95% CI: 0.24-0.42)) and Asian (OR: 0.66 (95% CI: 0.50-0.87)] ethnicity were associated with a decreased likelihood of timely waitlisting or transplantation. Regional maps can be explored here. There is marked geospatial and ethnic variation in the epidemiology of kidney failure and access to kidney transplantation across New Zealand. Geospatial mapping of kidney failure epidemiology and transplantation outcomes can provide opportunities to direct resources towards populations at greatest need.

Partisan Politics in Finland

Abstract Traditionally, the Finnish party system has involved a high level of fragmentation yet remarkable stability, consensual decision-making, ideologically broad government coalitions, and mostly modest levels of polarization between parties or voters. These features suggest a limited effect of the party composition of government on economic policy. However, based on studies on close local elections, parliamentary speech, and party manifestos, we argue that the link between party politics and policy outcomes likely plays a role in Finland. Most analyses have examined the extent to which the characteristics of local politicians within the parties affect policy outcomes. These studies show that occupation, education, experience, competence, and residential location of local politicians strongly affect local policies, indicating that, in general, politics matters for policy. We also discuss how consensual national politics may have contributed to the recent success of the populist challenger Finns Party. As a new major player, the party has emphasized the role of sociocultural issues and especially affective polarization, which represents a considerable paradigm shift from the catch-all party policies typical of Finland for many decades. It is thus possible that the link between politics and policy will become more pronounced in the future, motivating further research.

7.F. Scientific session: Living lab Cartesius: multidisciplinary cooperation for health monitoring of an ‘urban blue zone’

Abstract This workshop will be based on health monitoring in living lab Cartesius; a neighbourhood that is currently developed in the city of Utrecht, the Netherlands (Home - Cartesius Utrecht (cartesius-utrecht.nl). The design of this neighbourhood is inspired by the concept of the “blue zones” of Pes and Poulain, places in the world, that they argue are inhibited by the healthiest, longest-living populations because they integrate sustainability, climate adaptation and healthy living. In Cartesius citizens will for example be encouraged to move by inviting outer spaces, meet each other in the community areas and eat healthily nudged by the food options in the food court. An important element of these blue zones is the incorporation of green spaces in the neighbourhood. Examples are (community) parks/gardens, a green walking route around the neighbourhood, trees in the bike parking lots, green facades etc. The neighbourhood is designed to become a home to local species such as plants and animals as well as people. In addition, climate change adaptation is incorporated, the appartements are well insulated and contain solar panels and green and white roofs. Preventing heat stress is considered in the green design of the outdoor spaces and special drainage and water storage equipment throughout the neighbourhood. The municipality has been closely involved in this project from the start, they created the call for developers to create a healthy urban neighbourhood and after selecting the Cartesius project they have remained involved in its development. Of special interest to the municipality is community building (in new neighbourhoods) in order to strengthen social cohesion and prevent loneliness. We will conduct a research on this topic of which the results could permanently impact how new neighbourhoods in Utrecht will be approached. Designers, developers, research institutes, governments and the current inhabitants are now collectively working on a holistic monitoring programme in this neighbourhood to collect evidence for the effects of the “blue zone” interventions and design choices on behaviour, health and well-being of residents. This workshop will focus on various aspects of the Blue Zone Concept, the importance of green in urban living, the participatory role of local residents, the role of stakeholders and the relevance for local governance. First of all the participants will be informed about a unique healthy/green urban living concept based on the blue zones currently in development. The participants will get insights in the process of developing a new healthy neighbourhood where different challenges (e.g. climate adaptation, community building, healthy living environment) are experimented with stakeholders from the quadruple helix (private, government, science and societal stakeholders). Simultaneously, we want to allow room for ample time for audience interaction to share their experiences on similar multi transdisciplinary cooperations and monitoring strategies. Key messages • This session will provide room for knowledge exchange in the area of healthy urban living and transdisciplinary collaboration. • Specific focus on holistic monitoring of the effectiveness of health interventions in urban living areas and (international) policy implications. The concept of Cartesius The workshop will start with a presentation about the concept of the Cartesius neighbourhood. The incorporation of the elements of the Blue Zones will be discussed and images of both the current state of the development and artist impressions of the future finished neighbourhood will be presented. Room for (among other topics) discussion about the ‘translation’ of the blue zone concept to this urban area. This presetntation will be done by Marije Lammers (University Utrecht, postdoc and coordinator monitoring programme healthy urban living in Cartesius) Incorporating citizens in monitoring 300 appartements in Cartesius are already realized, in which +/- 600 citizens are currently living. In a time span of about 8 years the number of apartments will have increased to 3000, with about 6000 inhabitants. The current citizens are involved in designing the monitoring strategy and community building approach. In order to measure effectively whether the health interventions in Cartesius will impact the citizens’ health their involvement and cooperation is crucial. Room for (among other topics) discussion about involving citizens in monitoring and community building effectively. WHO Europe Healthy Cities This presentation will discuss how developments in the Cartesius neighbourhood are in line with WHO Europe Healthy Cities ambitions for bringing about change and achieving improved health, well-being and equitable and sustainable development in cities across the European Region and globally. Room for (among other topics) discussion about possibilities for international knowledge exchange and applications. This presentation will be by: Kira Fortune, Regional Advisor, Healthy Cities, Health Promotion and Well- being, World Health Organization

Approaches to Dementia Control in a Community in Japan

Abstract Background In order to consider future dementia countermeasures in the community, we conducted a survey to understand the characteristics of the elderly living in the community. Methods A self-administered questionnaire survey was conducted in collaboration with Hanno-city, Saitama Prefecture, targeting all persons aged 65 years or older (excluding institutionalized residents) living in Hanno-city (aging rate: 32.0%). The questionnaire items included basic attributes, lifestyle, daily living conditions, and willingness to participate in activities. The survey was sent to 7,133 people, and 3,623 valid responses were received (valid response rate: 50.8%). Results Respondents were 1,135 males (51.2%) and 1,080 females (48.8%); 1,979 (54.6%) were aged 65-74 and 1,644 (45.4%) were aged 75 and over. The proportion of single-person households was 12.1%. 56.1% of the respondents had been living in the community for 30 years or more, and the overall membership rate of the residents’ association was high at 91.0%. A total of 691 (19.1%) of the respondents had seen someone suspected of having dementia. 1,178 (32.5%) answered ‘yes,’ 1,452 (40.1%) answered ‘no,’ and 881 (24.3%) answered ‘don’t know. There were 472 (8.1%) dementia supporters. Conclusions The membership rate of local residents’ associations was high at 91.0%, indicating that the community maintains relatively close relationships with its residents. Based on the National Dementia plan, further consideration will be given to long-term goals such as human resource development for each region and policies to support these goals. Main messages: In a mountainous district with an aging population similar to that of Japan as a whole, only about one-third of the respondents knew of a contact point for dementia-related issues. Based on the National Dementia Plan, the government will consider dementia policies, including long-term goals and policies to support these goals in the community. Key messages • In a mountainous district with an aging population similar to that of Japan as a whole, only about one-third of the respondents knew of a contact point for dementia-related issues. • Based on the National Dementia Plan, the government will consider dementia policies, including long-term goals and policies to support these goals in the community.