࢔ࣝࢥ࣮࣭ࣝ⸆≀౑⏝ࡢ࠸ࡎࢀࡶ࡞࠸᩿㓇࣭᩿⸆⋡ࡣࠊ6M㸦79.1%㸧ࠊ12M㸦64.4%㸧ࠊ18M 㸦58.4%㸧ࠊ24M㸦52.1%㸧࡛࠶ࡗࡓࠋ 4

(1)

ཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠㸦㞀ᐖ⪅ᨻ⟇⥲ྜ◊✲஦ᴗ㸧

ࠕฮࡢ୍㒊ᇳ⾜⊰ணไᗘୗ࡟࠾ࡅࡿ⸆≀౫Ꮡ⪅ࡢᆅᇦᨭ᥼࡟㛵ࡍࡿᨻ⟇◊✲ࠖ

ศᢸ◊✲ሗ࿌᭩

Ẹ㛫ᨭ᥼ᅋయ฼⏝⪅ࡢࢥ࣮࣍ࢺㄪᰝ࡜ᨭ᥼ࡢㄢ㢟࡟㛵ࡍࡿ◊✲

◊✲ศᢸ⪅ ᔱ᰿ ༟ஓ

ᅜ❧⢭⚄࣭⚄⤒་⒪◊✲ࢭࣥࢱ࣮ ⢭⚄ಖ೺◊✲ᡤ ⸆≀౫Ꮡ◊✲㒊 ᚰ⌮♫఍◊✲ᐊ㛗

◊✲せ᪨㸸

࠙┠ⓗࠚẸ㛫ᨭ᥼ᅋయ࡛࠶ࡿࢲࣝࢡ㸦DARC: Drug Addiction Rehabilitation Center㸧ࢆ฼⏝ࡍࡿ

⸆≀౫Ꮡ⪅ࡢணᚋࢆࢥ࣮࣍ࢺ◊✲ࢹࢨ࢖࡛ࣥ᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࡀ┠ⓗ࡛࠶ࡿࠋࡇࡢሗ࿌᭩࡛ࡣࠊ࣋

࣮ࢫࣛ࢖ࣥ࠿ࡽ2ᖺணᚋࡲ࡛ࡢ㏣㊧⤖ᯝࢆሗ࿌ࡍࡿࠋ

࠙᪉ἲࠚᑐ㇟⪅ࡣㄪᰝ༠ຊࡀᚓࡽࢀࡓ46ᅋయࡢ฼⏝⪅695ྡ࡛࠶ࡿࠋ2016ᖺ10㹼12᭶࡟ྛ᪋

タ࡛⮬グᘧ㉁ၥ⣬࡟ࡼࡿ࣮࣋ࢫࣛ࢖ࣥㄪᰝ㸦௨ୗࠊBL࡜⾲グ㸧ࢆᐇ᪋ࡋࠊࡑࡢᚋ6ࣨ᭶ࡈ࡜ࣇ࢛

࣮ࣟ࢔ࢵࣉㄪᰝ㸦⫋ဨ࡟ࡼࡿ⪺ࡁྲྀࡾㄪᰝ㸧ࢆᐇ᪋ࡋࡓࠋ᩿⸆⋡࣭᩿㓇⋡ࠊ⸆≀࣭࢔ࣝࢥ࣮ࣝࡢ෌

౑⏝ࢆ࣓࢖ࣥ࢔࢘ࢺ࣒࢝࡜ࡋࠊᑵປ⋡࣭⏕άಖㆤཷ⤥⋡ࢆࢧࣈ࢔࢘ࢺ࣒࢝࡜ࡋࡓࠋᮏሗ࿌࡛ࡣࠊBL

࠿ࡽ6ࣨ᭶᫬Ⅼ࡛ࡢࣇ࢛࣮ࣟ࢔ࢵࣉ1㸦2017ᖺ4᭶㹼6᭶㸧ࢆ6Mࠊ1ᖺ᫬Ⅼ࡛ࡢࣇ࢛࣮ࣟ࢔ࢵࣉ

2㸦2017ᖺ10᭶㹼12᭶㸧ࢆ12Mࠊ1ᖺ6ࣨ᭶᫬Ⅼ࡛ࡢࣇ࢛࣮ࣟ࢔ࢵࣉ3㸦2018ᖺ4᭶㹼6᭶㸧

ࢆ18Mࠊ2ᖺ᫬Ⅼ࡛ࡢࣇ࢛࣮ࣟ࢔ࢵࣉ4㸦2018ᖺ10᭶㹼12᭶㸧ࢆ24M࡜⾲グࡋࡓࠋ

࠙⤖ᯝࠚ

1. BL࠿ࡽ2ᖺࡀ⤒㐣ࡋࠊ༙ᩘ㏆ࡃࡀࢲࣝࢡࢆ㏥ᡤࡋ࡚࠸ࡓࡀࠊ౫↛࡜ࡋ࡚ᑐ㇟⪅ࡢ75%࡜㐃

⤡ࡀ࡜ࢀࡿ≧ែ࡛࠶ࡾࠊ⬺ⴠ⪅ࡢᑡ࡞࠸ࢥ࣮࣍ࢺࡀ⥔ᣢࡉࢀ࡚࠸ࡓࠋ

2. ᑐ㇟⪅඲యࡢ᩿⸆⋡ࡣࠊ6M㸦88.3%㸧ࠊ12M㸦76.5%㸧ࠊ18M㸦69.6%㸧ࠊ24M㸦62.9%㸧࡛࠶

ࡗࡓࠋ

3. ࢔ࣝࢥ࣮࣭ࣝ⸆≀౑⏝ࡢ࠸ࡎࢀࡶ࡞࠸᩿㓇࣭᩿⸆⋡ࡣࠊ6M㸦79.1%㸧ࠊ12M㸦64.4%㸧ࠊ18M 㸦58.4%㸧ࠊ24M㸦52.1%㸧࡛࠶ࡗࡓࠋ

4. ⸆≀෌౑⏝⋡ࡣࠊ6M㸦5.3%㸧ࠊ12M㸦5.8%㸧ࠊ18M㸦4.0%㸧ࠊ24M㸦4.5%㸧࡜ᶓࡤ࠸࡛࠶ࡗ ࡓࡀࠊ⸆≀౑⏝≧ἣࡀ୙᫂ࡢ๭ྜࡣࠊ6M㸦4.7%㸧ࠊ12M㸦12.1%㸧ࠊ18M㸦15.3%㸧ࠊ24M㸦19.3%㸧

࡛࠶ࡾࠊ᫬㛫ࡢ⤒㐣࡜ࡶ࡟ቑຍࡋ࡚࠸ࡓࠋ

5. ᩿⸆ࢆ⥔ᣢࡍࡿୖ࡛ࡢ༴㝤ᅉᏊࡣࠊධᡤᮇ㛫ࡀ1ᖺᮍ‶࡛࠶ࡿࡇ࡜ࠊᮍᑵປ≧ែ࡛࠶ࡿࡇ࡜ࠊ

ేᏑ㞀ᐖࡀ࠶ࡿࡇ࡜࡛࠶ࡗࡓࠋ

6. ᩿⸆ࢆ⥔ᣢࡍࡿୖ࡛ࡢಖㆤᅉᏊࡣࠊࢫࢱࢵࣇ◊ಟ୰࡛࠶ࡿࡇ࡜ࠊ⏕άಖㆤࢆཷ⤥ࡋ࡚࠸ࡿࡇ

࡜ࠊ࣓ࣥࣂ࣮ྠኈࡢ㛵ಀᛶࡀⰋዲ࡛࠶ࡿࡇ࡜ࠊᅇ᚟ࡢࣔࢹࣝ࡜࡞ࡿ௰㛫ࡀ࠸ࡿࡇ࡜ࠊ⮬ຓࢢࣝ

࣮ࣉ࡟ᐃᮇཧຍࡋ࡚࠸ࡿࡇ࡜࡛࠶ࡗࡓࠋ

7. ᫬㛫ࡢ⤒㐣࡜࡜ࡶ࡟ࠊᮍᑵປ⋡࠾ࡼࡧ⏕άಖㆤཷ⤥⋡ࡣ࠸ࡎࢀࡶῶᑡࡍࡿ୍᪉ࠊᑵປ⋡ࡣቑຍ ࡋ࡚࠸ࡓ㸦≉࡟ࠊ୍⯡ᑵປࡸࢲࣝࢡ⫋ဨ࡜ࡋ࡚㸧ࠋ

࠙⤖ㄽࠚඛ⾜◊✲࡜ẚ㍑ࡍࡿ࡜ࠊࢲࣝࢡ࡟࠾ࡅࡿ᩿㓇࣭᩿⸆⋡ࡣ࠿࡞ࡾ㧗Ỉ‽࡜࠸࠼ࡿࠋࡑࡢ⫼ᬒ

࡟ࡣࠊ᩿⸆ࡢಖㆤᅉᏊ࡜ࡋ࡚≉ᐃࡉࢀࡓࠊ࣓ࣥࣂ࣮ྠኈࡢ㛵ಀᛶࡸࠊᅇ᚟ࡢࣔࢹࣝࡢᏑᅾ࡜࠸ࡗࡓࠊ

(2)

࠸ࢃࡺࡿࣇ࢙࣮ࣟࢩࢵࣉ㸦௰㛫ࡢຊ㸧ࡀᙳ㡪ࡋ࡚࠸ࡿ࡜⪃࠼ࡽࢀࡿࠋࡲࡓࠊ⮬ຓࢢ࣮ࣝࣉ࡟ᐃᮇⓗ

࡟ཧຍࡍࡿࡇ࡜ࡶࠊ᩿⸆ࢆ⥔ᣢࡍࡿୖ࡛ಖㆤⓗ࡟ാ࠸࡚࠸ࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓࠋ⸆≀౫Ꮡࡢ⫼

ᬒࢆᣢࡘ⸆≀஦≢⪅ࡢᨭ᥼ࢆᆅᇦ࡛⾜࠺㝿࡟ࡣࠊࡇ࠺ࡋࡓಖㆤᅉᏊࢆ㋃ࡲ࠼ࡓୖ࡛ࠊ᩿⸆ࢆࢧ࣏࣮

ࢺࡋ࡚࠸ࡃࡇ࡜ࡀồࡵࡽࢀࡿࠋ

◊✲༠ຊ⪅

㏆⸨࠶ࡺࡳ ᅜ❧⢭⚄࣭⚄⤒་⒪◊✲ࢭࣥࢱ࣮

⸆≀౫Ꮡ◊✲㒊

⡿⃝㞞Ꮚ ᅜ❧⢭⚄࣭⚄⤒་⒪◊✲ࢭࣥࢱ࣮

⸆≀౫Ꮡ◊✲㒊

㏆⸨ᜏኵ ᪥ᮏࢲࣝࢡ࣭NPOἲே࢔ࣃࣜ

㸿㸬◊✲┠ⓗ

ぬࡏ࠸๣ྲྀ⥾ἲ㐪཯࡟ࡼࡿ᳨ᣲ⪅ᩘࡣᖺ㛫1

୓ேࢆ㉸࠼ࠊྠ୍⨥ྡࡢ෌≢⪅⋡ࡣ60%ࢆ㉸࠼

ࡿ㧗࠸≧ែࡀ⥆࠸࡚࠸ࡿࠋ2016ᖺ6᭶࡟ࡣ⸆

≀౑⏝➼ࡢ⨥ࢆ≢ࡋࡓ⪅ࢆ୺ࡓࡿᑐ㇟⪅࡜ࡍ

ࡿࠕฮࡢ୍㒊ᇳ⾜⊰ணไᗘࠖࡀ᪋⾜ࡉࢀࠊฮᮇ ࡢ㏵୰࠿ࡽ♫఍࡟ฟ࡚෌≢ࢆ㜵ࡄᨭ᥼ࡸ἞⒪

ࢆཷࡅ࡞ࡀࡽ❧ࡕ┤ࡾࢆᨭ᥼ࡋ࡚࠸ࡃไᗘࡀ ࢫࢱ࣮ࢺࡋࡓࠋࡑࡋ࡚ࠊ⥆ࡃ12᭶࡟ࡣࠊࠕ෌≢

㜵Ṇ᥎㐍ἲࠖࡀ᪋⾜ࡉࢀࠊ▹ṇ᪋タࡢ཰ᐜᮇ㛫 ࡢࡳ࡞ࡽࡎࠊ♫఍᚟ᖐᚋࡶ㏵ษࢀࡿࡇ࡜࡞ࡃᚲ せ࡞ᣦᑟࡸᨭ᥼ࢆཷࡅࡽࢀࡿࡼ࠺࡟ࡍࡿ➼ࡢ ᇶᮏ⌮ᛕࡀ᫂グࡉࢀࡓࠋ

ࡲࡓࠊἲົ┬ಖㆤᒁ࣭▹ṇᒁ࠾ࡼࡧཌ⏕ປാ

┬♫఍࣭᥼ㆤᒁࡀඹྠ࡛Ⓨฟࡋࡓࠕ⸆≀౫Ꮡࡢ

࠶ࡿฮົᡤฟᡤ⪅➼ࡢᨭ᥼࡟㛵ࡍࡿᆅᇦ㐃ᦠ

࢞࢖ࢻࣛ࢖ࣥ㸦2015ᖺ11᭶㸧࡛ࠖࡣࠊ⸆≀౫ Ꮡࡢ࠶ࡿฮົᡤฟᡤ⪅➼࡟ᑐࡍࡿᨭ᥼࡟㛵ࡋ

࡚ࠊ㛵ಀᶵ㛵ࡀඹ᭷ࡍ࡭ࡁᇶᮏ஦㡯ࡀᐃࡵࡽࢀ

࡚࠸ࡿࠋྠ࢞࢖ࢻࣛ࢖࡛ࣥࡣࠊࠕ㛵ಀᶵ㛵ࡣࠊ⸆

≀౫Ꮡ⪅࡟ᑐࡍࡿᨭ᥼࡟࠾࠸࡚ࠊẸ㛫ᨭ᥼ᅋయ

࡜ࡢ㐃ᦠࡀᴟࡵ࡚㔜せࠖ࡜᫂グࡉࢀ࡚࠸ࡿࠋ

୍᪉ࠊ⸆≀౫Ꮡᛶ⪅ࢆᑐ㇟࡜ࡍࡿẸ㛫ᨭ᥼ᅋ య࡜ࡋ࡚ࢲࣝࢡࡢάືࡀ▱ࡽࢀ࡚࠸ࡿࠋࢲࣝࢡ

࡜ࡣࠊDrug Addiction Rehabilitation Center ࡢ㢌ᩥᏐࢆ࡜ࡗࡓDARCࡢࡇ࡜࡛࠶ࡿࠋᙜ஦

⪅ࡀ୺య࡜࡞ࡗࡓᅇ᚟ᨭ᥼άືࢆ1985ᖺ࠿ࡽ

㛤ጞࡋࠊࡑࡢάືࡣ඲ᅜ࡟ᗈࡀࡾࠊ⌧ᅾ࡛ࡣ⣙

60ᅋయࡀྛᆅᇦ࡛άືࢆ⥆ࡅ࡚࠸ࡿࠋ ࡋ࠿ࡋࠊࢲࣝࢡ฼⏝⪅ࡢ᩿⸆≧ἣࡸࠊ෌౑⏝

⋡࡞࡝ࡢணᚋ࡟㛵ࡍࡿᇶ♏᝟ሗࡣ౫↛࡜ࡋ࡚

୙㊊ࡋ࡚࠸ࡿࠋ⸆≀౫Ꮡ⑕⪅࡟ᑐࡍࡿᨭ᥼࡟㛵 ࡍࡿᆅᇦ㐃ᦠࢆ㐍ࡵࡿ࡟࠶ࡓࡗ࡚ࡣࠊࢲࣝࢡ࡞

࡝ࡢẸ㛫ᨭ᥼ᅋయࡢ᝟ሗࢆ㛵ಀᶵ㛵࡟࿘▱ࡋࠊ ඹ᭷ࡋ࡚࠸ࡃࡇ࡜ࡀᚲせ࡜⪃࠼ࡓࠋ

ࡑࡇ࡛ศᢸ◊✲⪅ࡽࡣࠊ⸆≀౫Ꮡ⑕ࡢẸ㛫ᨭ

᥼ᅋయ࡛࠶ࡿࢲࣝࢡࢆ฼⏝ࡍࡿ⸆≀౫Ꮡ⪅ࡢ ணᚋࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡟ࠊࢥ࣮࣍ࢺ◊

✲ࢆ❧ࡕୖࡆࡓࠋࡇࡢሗ࿌᭩࡛ࡣࠊ࣮࣋ࢫࣛ࢖

ࣥ࠿ࡽ2ᖺணᚋࡲ࡛ࡢ㏣㊧⤖ᯝࢆሗ࿌ࡍࡿࠋ

㹀㸬◊✲᪉ἲ

1. ㄪᰝ᪉ἲ࠾ࡼࡧᑐ㇟⪅

ࡲࡎࠊ2016ᖺ7᭶ࡢ᫬Ⅼ࡛άືࡀ☜ㄆ࡛ࡁࡓ ィ57ᅋయ࡟ㄪᰝ࡬ࡢ༠ຊ౫㢗ᩥ᭩ࢆ㒑㏦ࡋࡓࠋ ࡑࡢᚋࠊྛ᪋タ࡟࢔࣏࢖ࣥࢺࢆྲྀࡾࠊᐇ㝿࡟᪋

タࢆゼၥࡋࠊㄪᰝ࡟㛵ࡍࡿㄝ᫂ࢆ⾜ࡗࡓ㸦2016 ᖺ7᭶㹼9᭶㸧ࠋ

⤖ᯝ࡜ࡋ࡚ࠊィ57ᅋయࡢ࠺ࡕ46ᅋయ㸦༠ຊ

⋡80.7%㸧࠿ࡽㄪᰝ࡬ࡢ༠ຊ౫㢗ࢆᚓࡓࠋ࡞࠾ࠊ ṧࡾࡢ9 ᅋయࡢ࠺ࡕ5ᅋయ࠿ࡽࡣ༠ຊ㎡㏥ࡢ ពྥࡀ࠶ࡾࠊ4ᅋయ࠿ࡽࡣㄪᰝᑐ㇟⪅ࡀ࠸࡞࠸

ࡓࡵ㎡㏥࡜࠸࠺ᅇ⟅ࢆᚓࡓࠋ

2016ᖺ10᭶࠿ࡽ12᭶࡟࠿ࡅ࡚ࠊ༠ຊࡀᚓ

ࡽࢀࡓィ46ᅋయࡢ฼⏝⪅ࢆᑐ㇟࡟࣮࣋ࢫࣛ࢖

(3)

ࣥㄪᰝ㸦௨ୗࠊBL࡜⾲グ㸧ࢆᐇ᪋ࡋࡓࠋㄪᰝ ᑐ㇟⪅ࡣࠊᙜヱ᪋タࡢධᡤ⪅ࠊ㏻ᡤ⪅࠾ࡼࡧ↓

⤥⫋ဨ࡛࠶ࡗࡓࠋࡓࡔࡋࠊ᭷⤥⫋ဨ㸦ᖖ໅࣭㠀 ᖖ໅࡟㛵ࢃࡽࡎ㸧ࠊ᪥ᮏㄒࡢㄞࡳ᭩ࡁࡀᅔ㞴࡞

እᅜேࠊᚰ㌟ࡢ≧ែࡀ㔜⠜࡛ㄪᰝ࡬ࡢཧຍࡀᅔ 㞴࡜᪋タ㛗ࡀุ᩿ࡋࡓ฼⏝⪅࡟ࡘ࠸࡚ࡣࠊᑐ㇟

࠿ࡽ㝖እࡋࡓࠋBLࡣࠊ⮬グᘧࡢ㉁ၥ⣬ㄪᰝ࡟

࡚ᐇ᪋ࡋࡓࠋBL࡛ᅇ⟅ࡀᚓࡽࢀࡓ701ྡ࠿ࡽࠊ

ⓑ⣬ᅇ⟅➼ࢆ㝖࠸ࡓ 695 ྡࢆᮏ◊✲࡟࠾ࡅࡿ

ศᯒᑐ㇟࡜ࡋࡓ㸦ᅗA. ࣇ࣮ࣟࢳ࣮ࣕࢺࢆཧ↷㸧ࠋ ࣇ࢛࣮ࣟ࢔ࢵࣉㄪᰝࡣࠊ6 ࣨ᭶࡟୍ᗘ⾜࠸ࠊ

ྛ᪋タࡢ⫋ဨ࡟ࡼࡿ⪺ࡁྲྀࡾ࡟ࡼࡾᐇ᪋ࡋࡓࠋ ᑐ㇟⪅ࡀᙜヱ᪋タࢆ㏥ᡤࡋ࡚࠸ࡿሙྜࡣࠊ㠃ㄯ

࡟ຍ࠼ࠊ㟁ヰࡸ࣓࣮ࣝࡶά⏝ࡋ࡞ࡀࡽ⪺ࡁྲྀࡾ

ࡋࡓࠋᑐ㇟⪅࡜㐃⤡ࡀࡘ࠿࡞࠸ሙྜࡣࠊᐙ᪘ࡸ

㛵ಀ⪅࡬ࡢ⪺ࡁྲྀࡾࡶᐇ᪋ࡋࡓࠋ

࡞࠾ࠊᮏሗ࿌࡛ࡣࠊBL࠿ࡽ6ࣨ᭶᫬Ⅼ࡛ࡢ

ࣇ࢛࣮ࣟ࢔ࢵࣉ1㸦2017ᖺ4᭶㹼6᭶㸧ࢆ6Mࠊ 1ᖺ᫬Ⅼ࡛ࡢࣇ࢛࣮ࣟ࢔ࢵࣉ2㸦2017ᖺ10᭶ 㹼12᭶㸧ࢆ12Mࠊ1ᖺ6ࣨ᭶᫬Ⅼ࡛ࡢࣇ࢛ࣟ

࣮࢔ࢵࣉ3㸦2018ᖺ4᭶㹼6᭶㸧ࢆ18Mࠊ2ᖺ

᫬Ⅼ࡛ࡢࣇ࢛࣮ࣟ࢔ࢵࣉ4㸦2018ᖺ10᭶㹼12

᭶㸧ࢆ24M࡜⾲グࡋࡓࠋ

2. ᐃ㡯┠

ᮏ◊✲࡟࠾ࡅࡿ࣓࢖ࣥ࢔࢘ࢺ࣒࢝ࡣࠊ᩿⸆

⋡࣭᩿㓇⋡ࠊ⸆≀࣭࢔ࣝࢥ࣮ࣝࡢ෌౑⏝࡛࠶ࡿࠋ 㐣ཤ6ࣨ᭶௨ෆ࠾ࡼࡧ㐣ཤ1ࣨ᭶௨ෆࡢ⸆≀࣭

࢔ࣝࢥ࣮ࣝ౑⏝ࢆࠕ࡞ࡋࠖࠊࠕ࠶ࡾࠖࠊࠕ୙᫂ࠖࡢ 3㡯┠࡛ᑜࡡࡓࠋ

᩿⸆⋡ࡣࠊࣇ࢛࣮ࣟ࢔ࢵࣉᮇ㛫୰࡟୍ᗘࡶ⸆

≀౑⏝ࢆࡋ࡚࠸࡞࠸᏶඲᩿⸆⋡ࢆࠊ᩿㓇⋡ࡣࠊ

ࣇ࢛࣮ࣟ࢔ࢵࣉᮇ㛫୰࡟୍ᗘࡶ㣧㓇ࢆࡋ࡚࠸

࡞࠸᏶඲᩿㓇⋡ࢆ⟬ฟࡋࡓࠋࡇࡇ࡛࠸࠺ࠊ᏶඲

᩿㓇⋡㸦࠶ࡿ࠸ࡣ᏶඲᩿⸆⋡㸧࡜ࡣࠊẖᅇࡢࣇ

࢛࣮ࣟ࢔ࢵࣉ࡛᩿㓇㸦࠶ࡿ࠸ࡣ᩿⸆㸧ࡀ☜ㄆ࡛

ࡁࡓሙྜࢆព࿡ࡋ࡚࠾ࡾࠊ୍ᗘ࡛ࡶ☜ㄆ࡛ࡁ࡞

࠿ࡗࡓሙྜࡣ୙᫂࡜ࡋ࡚ᢅࡗࡓࠋࡲࡓࠊࣇ࢛ࣟ

࣮࢔ࢵࣉᮇ㛫୰࡟ࠊ࢔ࣝࢥ࣮࣭ࣝ⸆≀౑⏝ࡢ࠸

ࡎࢀࡶ࡞࠿ࡗࡓ๭ྜࢆࠊ᏶඲᩿⸆⋡࠾ࡼࡧ᏶඲

᩿㓇⋡ࢆྜᡂࡋࠊ᩿㓇࣭᩿⸆⋡࡜ࡋ࡚⟬ฟࡋࡓࠋ ୍᪉ࠊ෌౑⏝⋡ࡣࠊ⸆≀࡜࢔ࣝࢥ࣮ࣝࡢ୧᪉

࡟ࡘ࠸࡚ࠊ6ࣨ᭶༢఩࡛ ᐃࡋࡓࠕ༊㛫෌౑⏝

⋡ࠖࢆ⟬ฟࡋࡓࠋࡘࡲࡾBL࠿ࡽ6Mࡲ࡛ࠊ6M

࠿ࡽ12Mࡲ࡛ࠊ12M࠿ࡽ18Mࡲ࡛ࠊ18M࠿

ࡽ24Mࡲ࡛ࡢ4༊㛫࡛࠶ࡿࠋࣇ࢛࣮ࣟ࢔ࢵࣉ

ࢆ㐍ࡵࡿ࠺ࡕ࡟ࠊ෌౑⏝≧ἣࡀ୙᫂࡜࡞ࡿ⪅ࡶ

ቑຍࡍࡿࡇ࡜ࡀண ࡉࢀࡓࡓࡵࠊࠕ୙᫂๭ྜࠖ

ࡶ⟬ฟࡋࡓࠋ

ࢧࣈ࢔࢘ࢺ࣒࢝ࡣࠊᑵປ≧ἣ㸦10㡯┠㸧࠾ࡼ

ࡧ⏕άಖㆤࡢཷ⤥≧ἣ㸦5㡯┠㸧࡛࠶ࡾࠊBL࠿

ࡽ24Mࡲ࡛ࡢᑵປ⋡ࠊᮍᑵປ⋡ࠊ⏕άಖㆤཷ

⤥⋡ࢆ⟬ฟࡋࡓࠋࡑࡢ௚ࠊ⏕άᣐⅬ㸦8㡯┠㸧ࠊ

⮬ຓࢢ࣮ࣝࣉ࡬ࡢཧຍ㢖ᗘ㸦6㡯┠㸧࡞࡝ࡀࣇ

࢛࣮ࣟ࢔ࢵࣉ᫬࡟ ᐃࡋࡓࠋ

3. ศᯒ᪉ἲ

⤫ィศᯒࡣࠊᑐ㇟⪅ࡢᇶᮏᒓᛶ࡜୺ࡓࡿ౫Ꮡ 㸦⸆≀/࢔ࣝࢥ࣮ࣝ/ࡑࡢ௚㸧࡜ࡢࢡࣟࢫ㞟ィ㸦⾲

1㸧ࠊᑐ㇟⪅ࡢ⏕άᣐⅬࡢኚ໬㸦⾲2㸧ࠊ᩿㓇࣭᩿

⸆⋡ࡢ᥎⛣㸦⾲3㹼5㸧ࠊ෌౑⏝⋡ࡢ᥎⛣㸦⾲6 㹼8㸧࡟ࡼࡾࠊBL࠿ࡽ24Mࡲ࡛ࡢኚ໬ࢆ᳨ウ ࡋࡓࠋ

ḟ࡟ࠊ᩿㓇࣭᩿⸆ࡢ༴㝤ᅉᏊ࣭ಖㆤᅉᏊࢆ≉

ᐃࡍࡿࡓࡵ࡟ࠊᇶᮏᒓᛶࡸࣉࣟࢢ࣒ࣛ㛵㐃㡯┠

࡜ࡢࢡࣟࢫ㞟ィࢆ⾜࠸ࠊ᭷ពᕪ᳨ᐃࢆᐇ᪋ࡋࡓ 㸦⾲ 9㹼12㸧ࠋࡇࡇ࡛࠸࠺ࠊࣉࣟࢢ࣒ࣛ㛵㐃㡯

┠࡜ࡣࠊࣉࣟࢢ࣒ࣛཧຍ࡬ࡢ✚ᴟᛶ㸦኱ኚ๓ྥ

ࡁ㹼඲ࡃ๓ྥࡁ࡛ࡣ࡞࠸ࡲ࡛ࡢ4௳ἲ㸧ࠊ࣓ࣥ

ࣂ࣮࡜ࡢ㛵ಀᛶ㸦኱ኚⰋዲ㹼኱ኚⰋࡃ࡞࠸ࡲ࡛ࠊ 4௳ἲ㸧ࠊࢫࢱࢵࣇ࡜ࡢ㛵ಀᛶ㸦኱ኚⰋዲ㹼኱ኚ Ⰻࡃ࡞࠸ࡲ࡛ࠊ4௳ἲ㸧ࠊᅇ᚟ࡢࣔࢹࣝ࡜࡞ࡿ௰ 㛫㸦」ᩘ࠸ࡿ/୍ேࡔࡅ࠸ࡿ/୍ேࡶ࠸࡞࠸㸧ࠊ⮬

ຓࢢ࣮ࣝࣉཧຍ㢖ᗘ㸦࡯ࡰẖ᪥/㐌࡟ᩘᅇ/㐌࡟

1ᅇ/᭶࡟1ᅇࠊ࡯࡜ࢇ࡝࡞ࡋ/୙᫂ࠊ6௳ἲ㸧࡛

࠶ࡿࠋࣉࣟࢢ࣒ࣛཧຍ࡬ࡢ✚ᴟᛶࠊ࣓ࣥࣂ࣮࡜

ࡢ㛵ಀᛶࠊࢫࢱࢵࣇ࡜ࡢ㛵ಀᛶ࡟ࡘ࠸࡚ࡣࠊࣂ

࢖ࢼࣜ㸦2್᝟ሗ㸧࡟ኚ᥮ࡋ࡚࠿ࡽศᯒࢆ⾜ࡗ

࠸ࢃࡺࡿࣇ࢙࣮ࣟࢩࢵࣉ㸦௰㛫ࡢຊ㸧ࡀᙳ㡪ࡋ࡚࠸ࡿ࡜⪃࠼ࡽࢀࡿࠋࡲࡓࠊ⮬ຓࢢ࣮ࣝࣉ࡟ᐃᮇⓗ

࡟ཧຍࡍࡿࡇ࡜ࡶࠊ᩿⸆ࢆ⥔ᣢࡍࡿୖ࡛ಖㆤⓗ࡟ാ࠸࡚࠸ࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓࠋ⸆≀౫Ꮡࡢ⫼

ᬒࢆᣢࡘ⸆≀஦≢⪅ࡢᨭ᥼ࢆᆅᇦ࡛⾜࠺㝿࡟ࡣࠊࡇ࠺ࡋࡓಖㆤᅉᏊࢆ㋃ࡲ࠼ࡓୖ࡛ࠊ᩿⸆ࢆࢧ࣏࣮

ࢺࡋ࡚࠸ࡃࡇ࡜ࡀồࡵࡽࢀࡿࠋ

◊✲༠ຊ⪅

㏆⸨࠶ࡺࡳ ᅜ❧⢭⚄࣭⚄⤒་⒪◊✲ࢭࣥࢱ࣮

⸆≀౫Ꮡ◊✲㒊

⡿⃝㞞Ꮚ ᅜ❧⢭⚄࣭⚄⤒་⒪◊✲ࢭࣥࢱ࣮

⸆≀౫Ꮡ◊✲㒊

㏆⸨ᜏኵ ᪥ᮏࢲࣝࢡ࣭NPOἲே࢔ࣃࣜ

㸿㸬◊✲┠ⓗ

ぬࡏ࠸๣ྲྀ⥾ἲ㐪཯࡟ࡼࡿ᳨ᣲ⪅ᩘࡣᖺ㛫1

୓ேࢆ㉸࠼ࠊྠ୍⨥ྡࡢ෌≢⪅⋡ࡣ60%ࢆ㉸࠼

ࡿ㧗࠸≧ែࡀ⥆࠸࡚࠸ࡿࠋ2016ᖺ6᭶࡟ࡣ⸆

≀౑⏝➼ࡢ⨥ࢆ≢ࡋࡓ⪅ࢆ୺ࡓࡿᑐ㇟⪅࡜ࡍ

ࡿࠕฮࡢ୍㒊ᇳ⾜⊰ணไᗘࠖࡀ᪋⾜ࡉࢀࠊฮᮇ ࡢ㏵୰࠿ࡽ♫఍࡟ฟ࡚෌≢ࢆ㜵ࡄᨭ᥼ࡸ἞⒪

ࢆཷࡅ࡞ࡀࡽ❧ࡕ┤ࡾࢆᨭ᥼ࡋ࡚࠸ࡃไᗘࡀ ࢫࢱ࣮ࢺࡋࡓࠋࡑࡋ࡚ࠊ⥆ࡃ12᭶࡟ࡣࠊࠕ෌≢

㜵Ṇ᥎㐍ἲࠖࡀ᪋⾜ࡉࢀࠊ▹ṇ᪋タࡢ཰ᐜᮇ㛫 ࡢࡳ࡞ࡽࡎࠊ♫఍᚟ᖐᚋࡶ㏵ษࢀࡿࡇ࡜࡞ࡃᚲ せ࡞ᣦᑟࡸᨭ᥼ࢆཷࡅࡽࢀࡿࡼ࠺࡟ࡍࡿ➼ࡢ ᇶᮏ⌮ᛕࡀ᫂グࡉࢀࡓࠋ

ࡲࡓࠊἲົ┬ಖㆤᒁ࣭▹ṇᒁ࠾ࡼࡧཌ⏕ປാ

┬♫఍࣭᥼ㆤᒁࡀඹྠ࡛Ⓨฟࡋࡓࠕ⸆≀౫Ꮡࡢ

࠶ࡿฮົᡤฟᡤ⪅➼ࡢᨭ᥼࡟㛵ࡍࡿᆅᇦ㐃ᦠ

࢞࢖ࢻࣛ࢖ࣥ㸦2015ᖺ11᭶㸧࡛ࠖࡣࠊ⸆≀౫ Ꮡࡢ࠶ࡿฮົᡤฟᡤ⪅➼࡟ᑐࡍࡿᨭ᥼࡟㛵ࡋ

࡚ࠊ㛵ಀᶵ㛵ࡀඹ᭷ࡍ࡭ࡁᇶᮏ஦㡯ࡀᐃࡵࡽࢀ

࡚࠸ࡿࠋྠ࢞࢖ࢻࣛ࢖࡛ࣥࡣࠊࠕ㛵ಀᶵ㛵ࡣࠊ⸆

≀౫Ꮡ⪅࡟ᑐࡍࡿᨭ᥼࡟࠾࠸࡚ࠊẸ㛫ᨭ᥼ᅋయ

࡜ࡢ㐃ᦠࡀᴟࡵ࡚㔜せࠖ࡜᫂グࡉࢀ࡚࠸ࡿࠋ

୍᪉ࠊ⸆≀౫Ꮡᛶ⪅ࢆᑐ㇟࡜ࡍࡿẸ㛫ᨭ᥼ᅋ య࡜ࡋ࡚ࢲࣝࢡࡢάືࡀ▱ࡽࢀ࡚࠸ࡿࠋࢲࣝࢡ

࡜ࡣࠊDrug Addiction Rehabilitation Center ࡢ㢌ᩥᏐࢆ࡜ࡗࡓDARCࡢࡇ࡜࡛࠶ࡿࠋᙜ஦

⪅ࡀ୺య࡜࡞ࡗࡓᅇ᚟ᨭ᥼άືࢆ1985ᖺ࠿ࡽ

㛤ጞࡋࠊࡑࡢάືࡣ඲ᅜ࡟ᗈࡀࡾࠊ⌧ᅾ࡛ࡣ⣙

60ᅋయࡀྛᆅᇦ࡛άືࢆ⥆ࡅ࡚࠸ࡿࠋ ࡋ࠿ࡋࠊࢲࣝࢡ฼⏝⪅ࡢ᩿⸆≧ἣࡸࠊ෌౑⏝

⋡࡞࡝ࡢணᚋ࡟㛵ࡍࡿᇶ♏᝟ሗࡣ౫↛࡜ࡋ࡚

୙㊊ࡋ࡚࠸ࡿࠋ⸆≀౫Ꮡ⑕⪅࡟ᑐࡍࡿᨭ᥼࡟㛵 ࡍࡿᆅᇦ㐃ᦠࢆ㐍ࡵࡿ࡟࠶ࡓࡗ࡚ࡣࠊࢲࣝࢡ࡞

࡝ࡢẸ㛫ᨭ᥼ᅋయࡢ᝟ሗࢆ㛵ಀᶵ㛵࡟࿘▱ࡋࠊ ඹ᭷ࡋ࡚࠸ࡃࡇ࡜ࡀᚲせ࡜⪃࠼ࡓࠋ

ࡑࡇ࡛ศᢸ◊✲⪅ࡽࡣࠊ⸆≀౫Ꮡ⑕ࡢẸ㛫ᨭ

᥼ᅋయ࡛࠶ࡿࢲࣝࢡࢆ฼⏝ࡍࡿ⸆≀౫Ꮡ⪅ࡢ ணᚋࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡟ࠊࢥ࣮࣍ࢺ◊

✲ࢆ❧ࡕୖࡆࡓࠋࡇࡢሗ࿌᭩࡛ࡣࠊ࣮࣋ࢫࣛ࢖

ࣥ࠿ࡽ2ᖺணᚋࡲ࡛ࡢ㏣㊧⤖ᯝࢆሗ࿌ࡍࡿࠋ

㹀㸬◊✲᪉ἲ

1. ㄪᰝ᪉ἲ࠾ࡼࡧᑐ㇟⪅

ࡲࡎࠊ2016ᖺ7᭶ࡢ᫬Ⅼ࡛άືࡀ☜ㄆ࡛ࡁࡓ ィ57ᅋయ࡟ㄪᰝ࡬ࡢ༠ຊ౫㢗ᩥ᭩ࢆ㒑㏦ࡋࡓࠋ ࡑࡢᚋࠊྛ᪋タ࡟࢔࣏࢖ࣥࢺࢆྲྀࡾࠊᐇ㝿࡟᪋

タࢆゼၥࡋࠊㄪᰝ࡟㛵ࡍࡿㄝ᫂ࢆ⾜ࡗࡓ㸦2016 ᖺ7᭶㹼9᭶㸧ࠋ

⤖ᯝ࡜ࡋ࡚ࠊィ57ᅋయࡢ࠺ࡕ46ᅋయ㸦༠ຊ

⋡80.7%㸧࠿ࡽㄪᰝ࡬ࡢ༠ຊ౫㢗ࢆᚓࡓࠋ࡞࠾ࠊ ṧࡾࡢ9ᅋయࡢ࠺ࡕ5ᅋయ࠿ࡽࡣ༠ຊ㎡㏥ࡢ ពྥࡀ࠶ࡾࠊ4ᅋయ࠿ࡽࡣㄪᰝᑐ㇟⪅ࡀ࠸࡞࠸

ࡓࡵ㎡㏥࡜࠸࠺ᅇ⟅ࢆᚓࡓࠋ

2016ᖺ10᭶࠿ࡽ12᭶࡟࠿ࡅ࡚ࠊ༠ຊࡀᚓ

ࡽࢀࡓィ46ᅋయࡢ฼⏝⪅ࢆᑐ㇟࡟࣮࣋ࢫࣛ࢖

(4)

ࡓࠋ

᭱ᚋ࡟ࢧࣈ࢔࢘ࢺ࣒࢝࡜ࡋ࡚ࠊᮍᑵປ⋡ࠊᑵ ປ⋡ࠊ⏕άಖㆤཷ⤥⋡ࡢኚ໬࡟ࡘ࠸᳨࡚ウࡋࡓࠋ

௨ୖࠊ◊✲ᐇ᪋࡟࠶ࡓࡾࠊᅜ❧⢭⚄࣭⚄⤒་

⒪◊✲ࢭࣥࢱ࣮೔⌮ጤဨ఍ࡢᢎㄆࢆᚓࡓ㸦ᢎㄆ

␒ྕA2016-022㸧ࠋ

㹁㸬◊✲⤖ᯝ

1. ᑐ㇟⪅ࡢᇶᮏᒓᛶ

⾲1࡟ᑐ㇟⪅695ྡࡢᇶᮏᒓᛶࢆ୺ࡓࡿ౫ Ꮡᑐ㇟ู࡟♧ࡋࡓࠋ୺ࡓࡿ౫Ꮡᑐ㇟ࡣࠊ⸆≀౫ Ꮡ⪅492ྡࠊ࢔ࣝࢥ࣮ࣝ౫Ꮡ⪅169ྡࠊࡑࡢ

௚ࡢ౫Ꮡ⪅㸦ࢠࣕࣥࣈࣝ࡞࡝㸧34ྡࡢ3⩌࡛

࠶ࡗࡓࠋ

⸆≀౫Ꮡ⪅ࡢᖹᆒᖺ㱋ࡣ40.7ṓ࡛࠶ࡾࠊ࢔

ࣝࢥ࣮ࣝ㸦50.7ṓ㸧ࡸࡑࡢ௚㸦44.2ṓ㸧࡟ẚ࡭

࡚᭷ព࡟ⱝ࠿ࡗࡓ(p<0.001)ࠋ࠸ࡎࢀࡢ⩌ࡶ⏨

ᛶࡢẚ⋡ࡀ9๭ࢆ㉸࠼ࠊ⩌㛫࡟᭷ពᕪࡣㄆࡵࡽ

ࢀ࡞࠿ࡗࡓ㸦p=0.356㸧ࠋ฼⏝ᙧែ࡟ࡘ࠸࡚ࡣࠊ ࡑࡢ௚ࡢ౫Ꮡ⪅࡛㏻ᡤ⪅ࡢ๭ྜࡀ㧗ࡃࠊ⸆≀౫ Ꮡ⪅࡛ࡣࢫࢱࢵࣇ◊ಟ୰ࡢ๭ྜࡀ㧗ࡃࠊ᭷ពᕪ ࡀㄆࡵࡽࢀࡓ㸦p=0.011㸧ࠋ

ࢲࣝࢡࡢ฼⏝ᮇ㛫ࡀ1ᖺᮍ‶ࡢ⪅ࡣࠊ⸆≀౫ Ꮡ⪅࡛32.1%ࠊ࢔ࣝࢥ࣮ࣝ౫Ꮡ⪅࡛32.5%ࠊࡑ ࡢ௚ࡢ౫Ꮡ⪅࡛53.3%࡛࠶ࡗࡓࡀࠊ⩌㛫࡟᭷ព ᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸦p=0.111㸧ࠋ

ἲⓗ≧ែ࡟ࡘ࠸࡚ࡣࠊ⸆≀౫Ꮡ⪅࡛ࡣࠊ‶ᮇ 㔘ᨺᚋ㸦16.5%㸧ࠊ௬㔘ᨺ୰㸦10.2%㸧ࠊಖㆤほ ᐹ↓ࡋࡢᇳ⾜⊰ண୰㸦9.8%㸧࡞࡝ࡢ⫼ᬒࢆᣢࡗ ࡓᑐ㇟⪅ࡀࡳࡽࢀࡿࡢ࡟ᑐࡋ࡚ࠊ࢔ࣝࢥ࣮ࣝ౫ Ꮡࡸࡑࡢ௚ࡢ౫Ꮡ࡛ࡣࠊ᭷ព࡟ప⋡࡛࠶ࡗࡓ 㸦p<0.001㸧ࠋ

⏕άಖㆤཷ⤥⋡ࡣࠊ⸆≀౫Ꮡ⪅࡛75.8%ࠊ࢔

ࣝࢥ࣮ࣝ౫Ꮡ⪅࡛ 85.2%ࠊࡑࡢ௚ࡢ౫Ꮡ⪅࡛

76.5%࡛࠶ࡾࠊ⩌㛫࡟᭷ពᕪࡣㄆࡵࡽࢀ࡞࠿ࡗ

ࡓ㸦p=0.052㸧ࠋ

ేᏑ㞀ᐖࡢ࠶ࡿᑐ㇟⪅ࡣࠊ⸆≀౫Ꮡ⪅࡛

38.6%ࠊ࢔ࣝࢥ࣮ࣝ౫Ꮡ⪅࡛35.5%ࠊࡑࡢ௚ࡢ ౫Ꮡ⪅࡛38.2%࡛࠶ࡾࠊ⩌㛫࡟᭷ពᕪࡣㄆࡵࡽ

ࢀ࡞࠿ࡗࡓ㸦p=0.861㸧ࠋ⢾ᒀ⑓ࠊᚠ⎔ჾ⑌ᝈࠊ

࢞ࣥ࡞࡝ࡢ៏ᛶ⑌ᝈࢆᢪ࠼ࡿ⪅ࡣࠊ࢔ࣝࢥ࣮ࣝ

౫Ꮡ⪅࡛㧗ࡃ㸦32.5%㸧ࠊ⸆≀౫Ꮡ⪅㸦21.1%㸧

ࡸࡑࡢ௚ࡢ౫Ꮡ⪅㸦14.7%㸧࡟ẚ࡭࡚᭷ព࡟㧗

࠿ࡗࡓ㸦p=0.006㸧

2. ᪋タ฼⏝ᙧែࠊ⏕άᣐⅬࡢኚ໬

ᅗ1࡟ࠊ᪋タ฼⏝ᙧែࡢኚ໬ࢆ♧ࡋࡓࠋBL

࡛ࡣධᡤ⪅ࡀ79.6㸣ࠊ㏻ᡤ⪅ࡀ 20.4%࡛࠶ࡗ ࡓࠋࡑࡢᚋࠊ᫬㛫ࡢ⤒㐣࡜࡜ࡶ࡟ࠊ㏥ᡤ⪅ࡀቑ

࠼ࠊ24M࡛ࡣ඲యࡢ47.1%ࡀ㏥ᡤ⪅࡜࡞ࡗࡓࠋ ⾲2࠾ࡼࡧᅗ2࡟ࠊᑐ㇟⪅ࡢ⏕άᣐⅬࡢኚ໬

ࢆ♧ࡋࡓࠋ24M࡟࠾࠸࡚ࠊᑐ㇟⪅඲యࡢ44.0%

ࡣ౫↛࡜ࡋ࡚ࢲࣝࢡ࡛⏕άࡋ࡚࠸ࡓࡀࠊ⮬Ꮿ 㸦24.0%㸧ࡸࠊ௚᪋タ㸦11.4%㸧࡛⏕άࡋ࡚࠸ࡿ

⪅ࡶࡳࡽࢀࡓࠋ୍᪉ࠊ๭ྜ࡜ࡋ࡚ࡣప⋡࡛࠶ࡿ

ࡀࠊධ㝔୰㸦2.7%㸧ࠊ㐊ᤕ࣭໙␃࣭ཷฮ୰㸦2.7%㸧ࠊ Ṛஸ㸦2.3%㸧࡜࠸࠺ᑐ㇟⪅ࡶࡳࡽࢀࡓࠋࡲࡓࠊ

⏕άᣐⅬࡀ୙᫂ࠊࡘࡲࡾ⾜᪉୙᫂࡜࡞ࡗ࡚࠸ࡿ

⪅ࡣࠊ24M ࡟࠾࠸࡚඲యࡢ11.2%࡟࡜࡝ࡲࡗ ࡓࠋ

3. ᩿㓇࣭᩿⸆⋡ࡢ᥎⛣

ࣇ࢛࣮ࣟ࢔ࢵࣉᮇ㛫୰ࡢ᩿⸆࣭᩿⸆⋡ࡢ᥎⛣

ࢆ⾲3㹼5ࠊᅗ3㹼5࡟♧ࡋࡓࠋ

ᑐ㇟⪅඲యࡢ᩿⸆⋡ࡣࠊ6M㸦88.3%㸧ࠊ12M 㸦76.5%㸧ࠊ18M㸦69.6%㸧ࠊ24M㸦62.9%㸧࡜㧗

⋡࡛࠶ࡗࡓࠋ୍᪉ࠊ᩿㓇⋡ࡣࠊ6M㸦80.6%㸧ࠊ 12M㸦67.5%㸧ࠊ18M㸦61.4%㸧ࠊ24M㸦55.8%㸧

࡜᩿⸆⋡ࢆୗᅇࡗ࡚࠸ࡓࠋࣇ࢛࣮ࣟ࢔ࢵࣉᮇ㛫

୰࡟࢔ࣝࢥ࣮ࣝ࠾ࡼࡧ⸆≀౑⏝ࡢ࠸ࡎࢀࡶ࡞

࠸᩿㓇࣭᩿⸆⋡ࡣࠊ6M㸦79.1%㸧ࠊ12M㸦64.4%㸧ࠊ 18M㸦58.4%㸧ࠊ24M㸦52.1%㸧࡛࠶ࡗࡓࠋ ࡞࠾ࠊ⸆≀౫Ꮡ⪅࠾ࡼࡧ࢔ࣝࢥ࣮ࣝ౫Ꮡ⪅ࡔ ࡅࢆᢳฟࡋࡓ⤖ᯝࢆ⾲4,5ࠊᅗ4,5࡟♧ࡋࡓࠋ

(5)

4. ෌౑⏝⋡ࡢ᥎⛣

ࣇ࢛࣮ࣟ࢔ࢵࣉᮇ㛫୰ࡢ෌౑⏝⋡ࡢ᥎⛣ࢆ

⾲6㹼8ࠊᅗ6㹼8࡟♧ࡋࡓࠋ

ᑐ㇟⪅඲యࡢ⸆≀෌౑⏝⋡ࡣࠊ6M㸦5.3%㸧ࠊ 12M㸦5.8%㸧ࠊ18M㸦4.0%㸧ࠊ24M㸦4.5%㸧࡜

ᶓࡤ࠸࡛࠶ࡗࡓࠋ⸆≀౑⏝≧ἣࡀ୙᫂ࡢ๭ྜࡣࠊ 6M㸦4.7%㸧ࠊ12M㸦12.1%㸧ࠊ18M㸦15.3%㸧ࠊ 24M㸦19.3%㸧࡛࠶ࡾࠊ᫬㛫ࡢ⤒㐣࡜ࡶ࡟ቑຍ ࡋ࡚࠸ࡓࠋ୍᪉ࠊ࢔ࣝࢥ࣮ࣝ෌౑⏝⋡ࡣࠊ6M 㸦12.7%㸧ࠊ12M㸦10.8%㸧ࠊ18M㸦9.4%㸧ࠊ24M 㸦8.5%㸧࡜ῶᑡഴྥ࡛࠶ࡗࡓࠋ

࡞࠾ࠊ⸆≀౫Ꮡ⪅࠾ࡼࡧ࢔ࣝࢥ࣮ࣝ౫Ꮡ⪅ࡔ ࡅࢆᢳฟࡋࡓ෌౑⏝⋡ࢆ⾲7,8ࠊᅗ7,8࡟♧ࡋ ࡓࠋ

5. ᩿㓇࣭᩿⸆ࡢ༴㝤ᅉᏊ࣭ಖㆤᅉᏊ

᩿㓇⋡ࡸ᩿⸆⋡ࡢ༴㝤ᅉᏊࡸಖㆤᅉᏊࢆ≉

ᐃࡍࡿࡓࡵࠊBL᫬ࡢᇶᮏᒓᛶࡸᅇ᚟ࣉࣟࢢࣛ

࣒㛵㐃㡯┠࡜ࡢ㛵㐃ᛶࢆ᳨ウࡋࡓ㸦⾲9㹼12㸧ࠋ BL᫬ࡢᇶᮏᒓᛶ࡜᩿⸆⋡࡜ࡢศᯒ⤖ᯝࢆ⾲

9࡟♧ࡋࡓࠋࢫࢱࢵࣇ◊ಟ୰࡛࠶ࡗࡓᑐ㇟⪅ࡣࠊ ධᡤ฼⏝⪅ࡸ㏻ᡤ฼⏝⪅࡟ẚ࡭࡚᩿⸆⋡ࡀ㧗 ࡃࠊ6M࠿ࡽ24Mࡲ࡛ࡢྛ᫬Ⅼ࡟࠾࠸࡚᭷ព ᕪࡀㄆࡵࡽࢀࡓࠋධᡤᮇ㛫ࡀ1ᖺᮍ‶࡛࠶ࡗࡓ

⪅ࡣࠊ1ᖺ௨ୖࡢᑐ㇟⪅࡟ẚ࡭࡚᩿⸆⋡ࡀపࡃࠊ 6M࠿ࡽ24Mࡲ࡛ࡢྛ᫬Ⅼ࡟࠾࠸࡚᭷ពᕪࡀ ㄆࡵࡽࢀࡓࠋ

ᑵປ≧ἣ࡜ࡢ㛵㐃࡛ࡣࠊᑵປࡋ࡚࠸࡞࠸⪅ࡣࠊ ᑵປࡋ࡚࠸ࡿ⪅࡟ẚ࡭࡚ࠊ᩿⸆⋡ࡀపࡃࠊ12M

࠾ࡼࡧ24M࡟࠾࠸࡚᭷ពᕪࡀㄆࡵࡽࢀࡓࠋ⏕

άಖㆤࢆཷ⤥ࡋ࡚࠸ࡿ⪅ࡣࠊཷ⤥ࡋ࡚࠸࡞࠸⪅

࡟ẚ࡭࡚ࠊ᩿⸆⋡ࡀ㧗ࡃࠊ6M࠾ࡼࡧ18M࡟

࠾࠸࡚᭷ពᕪࡀㄆࡵࡽࢀࡓࠋేᏑ㞀ᐖࡀ࠶ࡿ⪅

ࡣࠊ↓࠸⪅࡟ẚ࡭࡚ࠊ᩿⸆⋡ࡀపࡃࠊ6M࠾ࡼ

ࡧ12M࡟࠾࠸࡚᭷ពᕪࡀㄆࡵࡽࢀࡓࠋ ୍᪉ࠊᛶูࠊἲⓗ≧ែࠊ៏ᛶ⑌ᝈࡢ᭷↓࡟ࡘ

࠸࡚ࡣࠊ᩿⸆⋡࡜ࡢ㛵㐃ᛶࡀㄆࡵࡽࢀ࡞࠿ࡗࡓࠋ

࡞࠾ࠊ᩿㓇⋡࡟ࡘ࠸࡚ࡣࠊධᡤᮇ㛫ࡔࡅࡀ᭷ព

࡟㛵㐃ࡋ࡚࠸ࡓ㸦⾲10㸧ࠋ

⥆࠸࡚ࠊBL᫬ࡢᅇ᚟ࣉࣟࢢ࣒ࣛ㛵㐃㡯┠࡜

᩿⸆⋡࡜ࡢศᯒ⤖ᯝࢆ⾲11࡟♧ࡋࡓࠋ࣓ࣥࣂ

࣮࡜ࡢ㛵ಀᛶࡀⰋዲ࡛࠶ࡿ⪅ࡣࠊⰋዲ࡛ࡣ࡞࠸

⪅࡟ẚ࡭࡚ࠊ᩿㓇⋡ࡀ㧗ࡃࠊ6Mࠊ12Mࠊ18M

࡟࠾࠸࡚᭷ពᕪࡀㄆࡵࡽࢀࡓࠋᅇ᚟ࡢࣔࢹࣝ࡜

࡞ࡿ௰㛫ࡀ࠸ࡿ⪅ࡣࠊ࠸࡞࠸⪅࡟ẚ࡭࡚᩿⸆⋡

ࡀ㧗ࡃࠊ12M࡟࠾࠸࡚᭷ពᕪࡀㄆࡵࡽࢀࡓࠋ⮬

ຓࢢ࣮ࣝࣉࡢཧຍ㢖ᗘࡣ᩿⸆⋡࡜㛵㐃ᛶࡀ࠶

ࡾࠊཧຍ㢖ᗘࡀࠕ࡯ࡰẖ᪥ࠖ࠶ࡿ࠸ࡣࠕ㐌࡟ᩘ

ᅇࠖ࡜࠸࠺⪅ࡣࠊ⮬ຓࢢ࣮ࣝࣉ࡟࡯࡜ࢇ࡝ཧຍ ࡋ࡚࠸࡞࠸⪅࡟ẚ࡭࡚ࠊ᩿⸆⋡ࡀ᭷ព࡟㧗࠿ࡗ ࡓ㸦6M㹼24M ࡢྛ᫬Ⅼ㸧ࠋࣉࣟࢢ࣒ࣛཧຍࡢ

✚ᴟᛶࠊࢫࢱࢵࣇ࡜ࡢ㛵ಀᛶ࡟ࡘ࠸࡚ࡣ᩿⸆⋡

࡜ࡢ㛵㐃ᛶࡀㄆࡵࡽࢀ࡞࠿ࡗࡓࠋ

ᅇ᚟ࣉࣟࢢ࣒ࣛ㛵㐃㡯┠࡜᩿㓇⋡࡜ࡢ㛵㐃 ᛶࢆ⾲12࡟♧ࡋࡓࠋ⮬ຓࢢ࣮ࣝࣉࡢཧຍ㢖ᗘ

࡜ࡢ㛵㐃ᛶࡣࠊ᩿⸆⋡࡜୍⮴ࡍࡿ⤖ᯝ࡛࠶ࡗࡓࠋ ᅇ᚟ࡢࣔࢹࣝ࡜࡞ࡿ௰㛫ࡢᏑᅾࡀࠊ᩿㓇⋡࡟ࡣ ᙳ㡪ࡋ࡚࠾ࡾࠊྛ᫬Ⅼ࡟࠾࠸࡚᭷ពᕪࡀㄆࡵࡽ

ࢀࡓࠋ࣓ࣥࣂ࣮࡜ࡢ㛵㐃ᛶ㸦6Mࡢࡳ㸧ࠊࢫࢱࢵ

ࣇ࡜ࡢ㛵㐃ᛶ㸦12Mࡢࡳ㸧࡟ࡘ࠸࡚ࡶ᭷ពᕪࡀ ㄆࡵࡽࢀࡓࠋ

6. ᑵປ≧ἣ࣭⏕άಖㆤ

᭱ᚋ࡟ᑐ㇟⪅ࡢᑵປ≧ἣࡸ⏕άಖㆤࡢኚ໬

࡟㛵ࡍࡿ⤖ᯝࢆ⾲13㹼15ࠊᅗ9㹼11࡟♧ࡋࡓࠋ ᮍᑵປ⋡ࡣࠊBL㸦76.4%㸧ࠊ6M㸦66.0%㸧ࠊ12M 㸦56.5%㸧ࠊ18M㸦45.0%㸧ࠊ24M㸦40.9%㸧࡛࠶

ࡾࠊ᫬㛫ࡢ⤒㐣࡜ࡶ࡟ῶᑡഴྥ࡟࠶ࡗࡓࠋ⏕ά ಖㆤࡢཷ⤥⋡ࡶྠᵝ࡟ࠊBL㸦78.1%㸧ࠊ6M 㸦74.4%㸧ࠊ12M㸦67.9%㸧ࠊ18M㸦64.3%㸧ࠊ24M 㸦59.9%㸧࡜ῶᑡഴྥ࡟࠶ࡗࡓࠋ

ᑵປ≧ἣࡣࠊ࠸ࡎࢀࡢ✀ูࡶቑຍഴྥ࡟࠶ࡾࠊ

≉࡟୍⯡ᑵປ㸦ᖖ໅࣭㠀ᖖ໅㸧ࡸࠊࢲࣝࢡࡢᖖ

໅⫋ဨ࡟ࡘ࠸࡚╔ᐇ࡞ቑຍഴྥࡀㄆࡵࡽࢀࡓࠋ ࡓࠋ

᭱ᚋ࡟ࢧࣈ࢔࢘ࢺ࣒࢝࡜ࡋ࡚ࠊᮍᑵປ⋡ࠊᑵ ປ⋡ࠊ⏕άಖㆤཷ⤥⋡ࡢኚ໬࡟ࡘ࠸᳨࡚ウࡋࡓࠋ

௨ୖࠊ◊✲ᐇ᪋࡟࠶ࡓࡾࠊᅜ❧⢭⚄࣭⚄⤒་

⒪◊✲ࢭࣥࢱ࣮೔⌮ጤဨ఍ࡢᢎㄆࢆᚓࡓ㸦ᢎㄆ

␒ྕA2016-022㸧ࠋ

㹁㸬◊✲⤖ᯝ

1. ᑐ㇟⪅ࡢᇶᮏᒓᛶ

⾲1࡟ᑐ㇟⪅695ྡࡢᇶᮏᒓᛶࢆ୺ࡓࡿ౫ Ꮡᑐ㇟ู࡟♧ࡋࡓࠋ୺ࡓࡿ౫Ꮡᑐ㇟ࡣࠊ⸆≀౫ Ꮡ⪅492ྡࠊ࢔ࣝࢥ࣮ࣝ౫Ꮡ⪅169ྡࠊࡑࡢ

௚ࡢ౫Ꮡ⪅㸦ࢠࣕࣥࣈࣝ࡞࡝㸧34ྡࡢ3⩌࡛

࠶ࡗࡓࠋ

⸆≀౫Ꮡ⪅ࡢᖹᆒᖺ㱋ࡣ40.7ṓ࡛࠶ࡾࠊ࢔

ࣝࢥ࣮ࣝ㸦50.7ṓ㸧ࡸࡑࡢ௚㸦44.2ṓ㸧࡟ẚ࡭

࡚᭷ព࡟ⱝ࠿ࡗࡓ(p<0.001)ࠋ࠸ࡎࢀࡢ⩌ࡶ⏨

ᛶࡢẚ⋡ࡀ9๭ࢆ㉸࠼ࠊ⩌㛫࡟᭷ពᕪࡣㄆࡵࡽ

ࢀ࡞࠿ࡗࡓ㸦p=0.356㸧ࠋ฼⏝ᙧែ࡟ࡘ࠸࡚ࡣࠊ ࡑࡢ௚ࡢ౫Ꮡ⪅࡛㏻ᡤ⪅ࡢ๭ྜࡀ㧗ࡃࠊ⸆≀౫ Ꮡ⪅࡛ࡣࢫࢱࢵࣇ◊ಟ୰ࡢ๭ྜࡀ㧗ࡃࠊ᭷ពᕪ ࡀㄆࡵࡽࢀࡓ㸦p=0.011㸧ࠋ

ࢲࣝࢡࡢ฼⏝ᮇ㛫ࡀ1ᖺᮍ‶ࡢ⪅ࡣࠊ⸆≀౫ Ꮡ⪅࡛32.1%ࠊ࢔ࣝࢥ࣮ࣝ౫Ꮡ⪅࡛32.5%ࠊࡑ ࡢ௚ࡢ౫Ꮡ⪅࡛53.3%࡛࠶ࡗࡓࡀࠊ⩌㛫࡟᭷ព ᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸦p=0.111㸧ࠋ

ἲⓗ≧ែ࡟ࡘ࠸࡚ࡣࠊ⸆≀౫Ꮡ⪅࡛ࡣࠊ‶ᮇ 㔘ᨺᚋ㸦16.5%㸧ࠊ௬㔘ᨺ୰㸦10.2%㸧ࠊಖㆤほ ᐹ↓ࡋࡢᇳ⾜⊰ண୰㸦9.8%㸧࡞࡝ࡢ⫼ᬒࢆᣢࡗ ࡓᑐ㇟⪅ࡀࡳࡽࢀࡿࡢ࡟ᑐࡋ࡚ࠊ࢔ࣝࢥ࣮ࣝ౫ Ꮡࡸࡑࡢ௚ࡢ౫Ꮡ࡛ࡣࠊ᭷ព࡟ప⋡࡛࠶ࡗࡓ 㸦p<0.001㸧ࠋ

⏕άಖㆤཷ⤥⋡ࡣࠊ⸆≀౫Ꮡ⪅࡛75.8%ࠊ࢔

ࣝࢥ࣮ࣝ౫Ꮡ⪅࡛ 85.2%ࠊࡑࡢ௚ࡢ౫Ꮡ⪅࡛

76.5%࡛࠶ࡾࠊ⩌㛫࡟᭷ពᕪࡣㄆࡵࡽࢀ࡞࠿ࡗ

ࡓ㸦p=0.052㸧ࠋ

ేᏑ㞀ᐖࡢ࠶ࡿᑐ㇟⪅ࡣࠊ⸆≀౫Ꮡ⪅࡛

38.6%ࠊ࢔ࣝࢥ࣮ࣝ౫Ꮡ⪅࡛35.5%ࠊࡑࡢ௚ࡢ ౫Ꮡ⪅࡛38.2%࡛࠶ࡾࠊ⩌㛫࡟᭷ពᕪࡣㄆࡵࡽ

ࢀ࡞࠿ࡗࡓ㸦p=0.861㸧ࠋ⢾ᒀ⑓ࠊᚠ⎔ჾ⑌ᝈࠊ

࢞ࣥ࡞࡝ࡢ៏ᛶ⑌ᝈࢆᢪ࠼ࡿ⪅ࡣࠊ࢔ࣝࢥ࣮ࣝ

౫Ꮡ⪅࡛㧗ࡃ㸦32.5%㸧ࠊ⸆≀౫Ꮡ⪅㸦21.1%㸧

ࡸࡑࡢ௚ࡢ౫Ꮡ⪅㸦14.7%㸧࡟ẚ࡭࡚᭷ព࡟㧗

࠿ࡗࡓ㸦p=0.006㸧

2. ᪋タ฼⏝ᙧែࠊ⏕άᣐⅬࡢኚ໬

ᅗ1࡟ࠊ᪋タ฼⏝ᙧែࡢኚ໬ࢆ♧ࡋࡓࠋBL

࡛ࡣධᡤ⪅ࡀ79.6㸣ࠊ㏻ᡤ⪅ࡀ 20.4%࡛࠶ࡗ ࡓࠋࡑࡢᚋࠊ᫬㛫ࡢ⤒㐣࡜࡜ࡶ࡟ࠊ㏥ᡤ⪅ࡀቑ

࠼ࠊ24M࡛ࡣ඲యࡢ47.1%ࡀ㏥ᡤ⪅࡜࡞ࡗࡓࠋ ⾲2࠾ࡼࡧᅗ2࡟ࠊᑐ㇟⪅ࡢ⏕άᣐⅬࡢኚ໬

ࢆ♧ࡋࡓࠋ24M࡟࠾࠸࡚ࠊᑐ㇟⪅඲యࡢ44.0%

ࡣ౫↛࡜ࡋ࡚ࢲࣝࢡ࡛⏕άࡋ࡚࠸ࡓࡀࠊ⮬Ꮿ 㸦24.0%㸧ࡸࠊ௚᪋タ㸦11.4%㸧࡛⏕άࡋ࡚࠸ࡿ

⪅ࡶࡳࡽࢀࡓࠋ୍᪉ࠊ๭ྜ࡜ࡋ࡚ࡣప⋡࡛࠶ࡿ

ࡀࠊධ㝔୰㸦2.7%㸧ࠊ㐊ᤕ࣭໙␃࣭ཷฮ୰㸦2.7%㸧ࠊ Ṛஸ㸦2.3%㸧࡜࠸࠺ᑐ㇟⪅ࡶࡳࡽࢀࡓࠋࡲࡓࠊ

⏕άᣐⅬࡀ୙᫂ࠊࡘࡲࡾ⾜᪉୙᫂࡜࡞ࡗ࡚࠸ࡿ

⪅ࡣࠊ24M࡟࠾࠸࡚඲యࡢ11.2%࡟࡜࡝ࡲࡗ ࡓࠋ

3. ᩿㓇࣭᩿⸆⋡ࡢ᥎⛣

ࣇ࢛࣮ࣟ࢔ࢵࣉᮇ㛫୰ࡢ᩿⸆࣭᩿⸆⋡ࡢ᥎⛣

ࢆ⾲3㹼5ࠊᅗ3㹼5࡟♧ࡋࡓࠋ

ᑐ㇟⪅඲యࡢ᩿⸆⋡ࡣࠊ6M㸦88.3%㸧ࠊ12M 㸦76.5%㸧ࠊ18M㸦69.6%㸧ࠊ24M㸦62.9%㸧࡜㧗

⋡࡛࠶ࡗࡓࠋ୍᪉ࠊ᩿㓇⋡ࡣࠊ6M㸦80.6%㸧ࠊ 12M㸦67.5%㸧ࠊ18M㸦61.4%㸧ࠊ24M㸦55.8%㸧

࡜᩿⸆⋡ࢆୗᅇࡗ࡚࠸ࡓࠋࣇ࢛࣮ࣟ࢔ࢵࣉᮇ㛫

୰࡟࢔ࣝࢥ࣮ࣝ࠾ࡼࡧ⸆≀౑⏝ࡢ࠸ࡎࢀࡶ࡞

࠸᩿㓇࣭᩿⸆⋡ࡣࠊ6M㸦79.1%㸧ࠊ12M㸦64.4%㸧ࠊ 18M㸦58.4%㸧ࠊ24M㸦52.1%㸧࡛࠶ࡗࡓࠋ ࡞࠾ࠊ⸆≀౫Ꮡ⪅࠾ࡼࡧ࢔ࣝࢥ࣮ࣝ౫Ꮡ⪅ࡔ ࡅࢆᢳฟࡋࡓ⤖ᯝࢆ⾲4,5ࠊᅗ4,5࡟♧ࡋࡓࠋ

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㹂㸬⪃ᐹ

ᮏ◊✲࡛ࡣࠊẸ㛫ᨭ᥼ᅋయ࡛࠶ࡿࢲࣝࢡࢆ฼

⏝ࡍࡿ⸆≀౫Ꮡ⪅ࡢ᩿⸆≧ἣࢆྵࡴணᚋࢆ᫂

ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡟ࠊࢥ࣮࣍ࢺ◊✲ࢆᐇ᪋

ࡋࡓࠋㄪᰝᑐ㇟ࡣࠊࢲࣝࢡ฼⏝⪅⣙700ྡ࡛࠶

ࡾࠊࡇࡢ࠺ࡕ⣙ 500 ྡࢆ⸆≀౫Ꮡ⑕⪅ࡀ༨ࡵ

ࡓࠋ

ᅜෆ࡟࠾ࡅࡿ⸆≀౫Ꮡ⑕ࡢẸ㛫ᨭ᥼ᅋయࡢ ணᚋ◊✲ࡣ㝈ࡽࢀ࡚࠾ࡾࠊ࠸ࡎࢀࡶ30ேつᶍ ࡢணᚋㄪᰝ࡟㐣ࡂ࡞࠸㸦㏆⸨ࡽࠊཌ⏕ປാ⛉Ꮫ

◊✲㈝⿵ຓ㔠ࠊ་⸆ရ࣭་⒪ᶵჾ➼ࣞࢠࣗࣛࢺ

࣮ࣜࢧ࢖࢚ࣥࢫ⥲ྜ◊✲஦ᴗࠊ2006㸧ࠋ⣙500

ྡ㏆࠸⸆≀౫Ꮡ⑕⪅ࡢணᚋࢆ 2 ᖺ࡟Ώࡾ㏣㊧

ࡋࡓᮏ◊✲ࡣࠊࡇࢀࡲ࡛࡟ሗ࿌ࡉࢀ࡚࠸࡞࠸኱

つᶍ࡞ࢥ࣮࣍ࢺ◊✲࡛࠶ࡾࠊᅜෆ࡛ࡣึࡵ࡚ࡢ ヨࡳ࡛࠶ࡗࡓ࡜࠸࠼ࡿࠋ

୍᪉ࠊ࢔ࣝࢥ࣮ࣝ౫Ꮡ⑕ࡢணᚋ◊✲࡜ࡋ࡚ࡣࠊ ୡ⏣㇂ಖ೺ᡤ࡟࠾ࡅࡿ㓇ᐖ┦ㄯ஦ᴗ࡛┦ㄯࢆ

ཷࡅࡓ⣙ 700 ྡࡢ࢔ࣝࢥ࣮ࣝ౫Ꮡ⑕⪅ࡢணᚋ ㄪᰝࡀ▱ࡽࢀࡿ㸦ᚨỌࠊ࢔ࣝࢥ࣮ࣝ౫Ꮡ࡜࢔ࢹ

࢕ࢡࢩࣙࣥࠊ1996㸧ࠋ

⬺ⴠ⪅ࢆ㜵ࡄࡇ࡜ࡣࠊࢥ࣮࣍ࢺ◊✲ࢆ㐍ࡵࡿ

ୖ࡛୙ྍḞ࡛࠶ࡿࠋ2016ᖺ10᭶ࡢBL࠿ࡽ2 ᖺࡀ⤒㐣ࡋࠊࡇࢀࡲ࡛4ᅇࡢࣇ࢛࣮ࣟ࢔ࢵࣉࢆ

ᐇ᪋ࡋࡓࠋᅗ1࡟♧ࡋࡓࡼ࠺࡟ࠊBL࠿ࡽ2ᖺ ࡀ⤒㐣ࡋࡓ᫬Ⅼ㸦24M㸧࡛ࡣࠊ༙ᩘ㏆ࡃࡢᑐ㇟

⪅ࡀࢲࣝࢡࢆ㏥ᡤࡋ࡚࠸ࡓࡶࡢࡢࠊ75%௨ୖࡢ ᑐ㇟⪅࡜┤᥋㐃⤡ࡀ࡜ࢀࡿ≧ែ࡛࠶ࡗࡓ 㸦ᅗ.B㸧ࠋ୍᪉ࠊᅗ2࡟♧ࡋࡓࡼ࠺࡟ࠊ⏕άᣐ

Ⅼࡀࠕ୙᫂ࠖ࡜࠸࠺ᑐ㇟⪅ࡣࠊ2ᖺணᚋ࡟࠾࠸

࡚⣙1๭࡟࡜࡝ࡲࡗ࡚࠸ࡿࠋࡇࡢࡇ࡜࠿ࡽࠊ⬺

ⴠ⪅ࡀᑡ࡞ࡃࠊ༑ศ࡞ࢥ࣮࣍ࢺࡀ⥔ᣢࡉࢀ࡚࠸

ࡿ࡜ุ᩿ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋࡑࡢ⫼ᬒ࡟ࡣࠊ᪋

タࢫࢱࢵࣇ࡜ࡢ㛵ಀᛶࡀⰋዲ࡛࠶ࡗࡓࡇ࡜࡟

ຍ࠼ࠊ6ࣨ᭶࡟୍ᗘࡢ⪺ࡁྲྀࡾ⮬యࡀࠊᑐ㇟⪅

ࢆࡘ࡞ࡂ࡜ࡵࡿຠᯝ࡜ࡋ࡚ᙺ❧ࡗ࡚࠸ࡓྍ⬟

ᛶࡀ⪃࠼ࡽࢀࡿࠋ

ࡲࡓᮏ◊✲࡛ࡣࠊྛ᪋タ࡜ࡢࠕ㢦ࡀぢ࠼ࡿ㛵

ಀᛶࠖࢆ㔜どࡋࠊྛ᪋タࡢᢸᙜ⪅ࢆᑐ㇟࡜ࡋࡓ ࠕࢲࣝࢡពぢ஺᥮఍ࠖࢆᐃᮇⓗ࡟ᐇ᪋ࡋ࡚ࡁࡓ 㸦ࡇࢀࡲ࡛࡟ィ4ᅇᐇ᪋㸧ࠋࡇࡢពぢ஺᥮఍࡛

ࡣࠊࢥ࣮࣍ࢺ◊✲ࡢ㐍ᤖ≧ἣࢆᐃᮇⓗ࡟ሗ࿌ࡍ

ࡿ࡜࡜ࡶ࡟ࠊẸ㛫ᨭ᥼ᅋయࡀ┤㠃ࡋ࡚࠸ࡿㄢ㢟

࡟ࡘ࠸࡚ពぢࢆ஺᥮ࡍࡿሙ࡜ࡋ࡚㛤ദࡋ࡚ࡁ ࡓࠋ౛࠼ࡤࠊࡇࢀࡲ࡛࡟ྲྀࡾୖࡆࡓࢸ࣮࣐࡜ࡋ

࡚ࡣࠊࠕ㞀ᐖ⪅⥲ྜᨭ᥼ἲࠖࠊࠕᑵປᨭ᥼ࠖࠊࠕࢭࢡ ࢩࣗ࢔࣐ࣝ࢖ࣀࣜࢸ࢕ᨭ᥼ࠖ࡞࡝࡛࠶ࡿࠋࡇ࠺

ࡋࡓሙࢆタࡅࡿࡇ࡜ࡀࠊ◊✲ࢳ࣮࣒࡜ࡢಙ㢗㛵 ಀࡢᵓ⠏࡟ࡘ࡞ࡀࡾࠊࡑࡢ⤖ᯝ࡜ࡋ࡚ࠊ⬺ⴠ⪅

ࡢᑡ࡞࠸ࢥ࣮࣍ࢺࢆ⥔ᣢ࡛ࡁ࡚࠸ࡿࡢ࠿ࡶࡋ

ࢀ࡞࠸ࠋ

ᮏ◊✲࡛ࡣ᩿⸆⋡㸦᩿㓇⋡㸧࠾ࡼࡧ෌౑⏝⋡

㸦⸆≀࠾ࡼࡧ࢔ࣝࢥ࣮ࣝ㸧ࢆ࣓࢖ࣥ࢔࢘ࢺ࣒࢝

࡜ࡋࡓࠋಖ೺ᡤ࡛㓇ᐖ┦ㄯࢆཷࡅࡓ࢔ࣝࢥ࣮ࣝ

౫Ꮡ⑕⪅ࡢ᩿㓇⋡㸦1ᖺணᚋ㸧ࡣ26.9%ࠊ⢭⚄

ಖ೺⚟♴ࢭࣥࢱ࣮࡛ㄆ▱⾜ື⒪ἲࣉࣟࢢ࣒ࣛ

ࢆཷࡅࡓ⸆≀౫Ꮡ⑕⪅ࡢ᩿⸆⋡㸦6 ࣨ᭶ணᚋ㸧 ࡣ54.5%࡜ሗ࿌ࡉࢀ࡚࠸ࡿࠋࡇࢀࡽ࡜ẚ㍑ࡍࡿ

࡜ࠊࢲࣝࢡ࡟࠾ࡅࡿ᩿㓇࣭᩿⸆⋡ࡣ࠿࡞ࡾ㧗Ỉ

‽࡜࠸࠼ࡿࠋࡑࡢ⫼ᬒ࡟ࡣࠊ᩿⸆ࡢಖㆤᅉᏊ࡜

ࡋ࡚≉ᐃࡉࢀࡓࠊ࣓ࣥࣂ࣮ྠኈࡢ㛵ಀᛶࡸࠊᅇ

᚟ࡢࣔࢹࣝࡢᏑᅾ࡜࠸ࡗࡓࠊ࠸ࢃࡺࡿࣇ࢙࣮ࣟ

ࢩࢵࣉ㸦௰㛫ࡢຊ㸧ࡀᙳ㡪ࡋ࡚࠸ࡿ࡜⪃࠼ࡽࢀ

ࡿࠋࡲࡓࠊ⮬ຓࢢ࣮ࣝࣉ࡟ᐃᮇⓗ࡟ཧຍࡍࡿࡇ

࡜ࡶࠊ᩿⸆ࢆ⥔ᣢࡍࡿୖ࡛ಖㆤⓗ࡟ാ࠸࡚࠸ࡿ

ࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓࠋ

⸆≀౫Ꮡࡢ⫼ᬒࢆᣢࡘ⸆≀஦≢⪅ࡢᨭ᥼ࢆ

ᆅᇦ࡛⾜࠺㝿࡟ࡣࠊࡇ࠺ࡋࡓಖㆤᅉᏊࢆ㋃ࡲ࠼

ࡓୖ࡛ࠊ᩿⸆ࢆࢧ࣏࣮ࢺࡋ࡚࠸ࡃࡇ࡜ࡀồࡵࡽ

ࢀࡿࠋ౛࠼ࡤࠊ⢭⚄⑓㝔ࠊ⢭⚄ಖ೺⚟♴ࢭࣥࢱ

࣮ࠊಖㆤほᐹᡤ➼࡛ᐇ᪋ࡉࢀ࡚࠸ࡿSMARPP

➼ࡢㄆ▱⾜ື⒪ἲࣉࣟࢢ࣒ࣛ࡟࠾࠸࡚ࡶࠊࢢࣝ

࣮ࣉෆࡢ⤎ࡀ᩿⸆࡟࡜ࡗ࡚ࣉࣛࢫ࡟ാࡃሙྜ

ࡀ࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋࡲࡓࠊࢲࣝࢡ࡞࡝ࡢẸ㛫 ᨭ᥼᪋タࡢ⫋ဨࡀࠊࡇ࠺ࡋࡓࢢ࣮ࣝࣉ࡟ཧຍࡍ

ࡿࡇ࡜࡛ࠊᙜ஦⪅࡟࡜ࡗ࡚ᅇ᚟ࡢ࢖࣓࣮ࢪࡀᥗ

ࡳࡸࡍࡃ࡞ࡾࠊ⤖ᯝ࡜ࡋ࡚᩿⸆ຠᯝࡀୖࡀࡿྍ

(7)

⬟ᛶࡶ⪃࠼ࡽࢀࡿࠋࡑࡋ࡚ࠊNAࡸAA࡞࡝ࡢ

⮬ຓࢢ࣮ࣝࣉࡢᐃᮇⓗ࡞ཧຍࡀ᩿⸆ࢆ⥔ᣢࡍ

ࡿୖ࡛ᙺ❧ࡘࡇ࡜࡟ࡶゐࢀࡘࡘࠊ⮬ຓࢢ࣮ࣝࣉ

ࡢάື࡟㛵ࡍࡿ᝟ሗᥦ౪ࢆ⾜ࡗ࡚࠸ࡃࡇ࡜ࡀ 㔜せ࡜⪃࠼ࡽࢀࡿࠋ

㹃㸬⤖ㄽ

⸆≀౫Ꮡ⑕ࡢẸ㛫ᨭ᥼ᅋయࢲࣝࢡ฼⏝⪅ࢆ

ᑐ㇟࡜ࡍࡿࢥ࣮࣍ࢺ◊✲࡟ࡼࡾࠊ௨ୗࡢ▱ぢࡀ ᚓࡽࢀࡓࠋ

1. BL࠿ࡽ2ᖺࡀ⤒㐣ࡋࠊ༙ᩘ㏆ࡃࡀࢲࣝࢡ

ࢆ㏥ᡤࡋ࡚࠸ࡓࡀࠊ౫↛࡜ࡋ࡚ᑐ㇟⪅ࡢ 75%࡜㐃⤡ࡀ࡜ࢀࡿ≧ែ࡛࠶ࡾࠊ⬺ⴠ⪅ࡢ ᑡ࡞࠸ࢥ࣮࣍ࢺࡀ⥔ᣢࡉࢀ࡚࠸ࡓࠋ 2. ᑐ㇟⪅඲యࡢ᩿⸆⋡ࡣࠊ6M㸦88.3%㸧ࠊ12M

㸦76.5%㸧ࠊ18M㸦69.6%㸧ࠊ24M㸦62.9%㸧

࡛࠶ࡗࡓࠋ

3. ࢔ࣝࢥ࣮࣭ࣝ⸆≀౑⏝ࡢ࠸ࡎࢀࡶ࡞࠸᩿

㓇࣭᩿⸆⋡ࡣࠊ6M㸦79.1%㸧ࠊ12M㸦64.4%㸧ࠊ 18M㸦58.4%㸧ࠊ24M㸦52.1%㸧࡛࠶ࡗࡓࠋ 4. ⸆≀෌౑⏝⋡ࡣࠊ6M㸦5.3%㸧ࠊ12M㸦5.8%㸧ࠊ

18M㸦4.0%㸧ࠊ24M㸦4.5%㸧࡜ᶓࡤ࠸࡛࠶

ࡗࡓࡀࠊ⸆≀౑⏝≧ἣࡀ୙᫂ࡢ๭ྜࡣࠊ6M 㸦4.7%㸧ࠊ12M㸦12.1%㸧ࠊ18M㸦15.3%㸧ࠊ 24M㸦19.3%㸧࡛࠶ࡾࠊ᫬㛫ࡢ⤒㐣࡜ࡶ࡟

ቑຍࡋ࡚࠸ࡓࠋ

5. ᩿⸆ࢆ⥔ᣢࡍࡿୖ࡛ࡢ༴㝤ᅉᏊࡣࠊධᡤᮇ 㛫ࡀ1ᖺᮍ‶࡛࠶ࡿࡇ࡜ࠊᮍᑵປ≧ែ࡛࠶

ࡿࡇ࡜ࠊేᏑ㞀ᐖࡀ࠶ࡿࡇ࡜࡛࠶ࡗࡓࠋ 6. ᩿⸆ࢆ⥔ᣢࡍࡿୖ࡛ࡢಖㆤᅉᏊࡣࠊࢫࢱࢵ

ࣇ◊ಟ୰࡛࠶ࡿࡇ࡜ࠊ⏕άಖㆤࢆཷ⤥ࡋ࡚

࠸ࡿࡇ࡜ࠊ࣓ࣥࣂ࣮ྠኈࡢ㛵ಀᛶࡀⰋዲ࡛

࠶ࡿࡇ࡜ࠊᅇ᚟ࡢࣔࢹࣝ࡜࡞ࡿ௰㛫ࡀ࠸ࡿ

ࡇ࡜ࠊ⮬ຓࢢ࣮ࣝࣉ࡟ᐃᮇཧຍࡋ࡚࠸ࡿࡇ

࡜࡛࠶ࡗࡓࠋ

7. ᫬㛫ࡢ⤒㐣࡜࡜ࡶ࡟ࠊᮍᑵປ⋡࠾ࡼࡧ⏕ά ಖㆤཷ⤥⋡ࡣ࠸ࡎࢀࡶῶᑡࡍࡿ୍᪉ࠊᑵປ

⋡ࡣቑຍࡋ࡚࠸ࡓ㸦≉࡟ࠊ୍⯡ᑵປࡸࢲࣝ

ࢡ⫋ဨ࡜ࡋ࡚㸧ࠋ

㹄㸬೺ᗣ༴㝤᝟ሗ 㸦┬␎㸧

㹅㸬◊✲Ⓨ⾲

1. ㄽᩥⓎ⾲

1) ᔱ᰿༟ஓ㸸㐣㔞᭹⸆࡟ᑐࡍࡿ⸆๣ᖌࡢᙺ๭.

⮫ᗋ⢭⚄⸆⌮. 22(3), 2019. ༳ๅ୰

2) Tanibuchi Y, Matsumoto T, Funada D, Shimane T㸸 The influence of tightening regulations on patients with new

psychoactive substance-related disorders in Japan.

Neuropsychopharmacol Rep. 38(4), 189- 196, 2018.

3) ᔱ᰿༟ஓ㸪௒ᮧ㢧ྐ㸪ụ⏣࿴Ꮚ㸪ᒣᮏᨻᘯ㸪

㎷㯞⌮Ꮚ㸪㛗୚⏤⣖Ꮚ㸪ᯇᮏಇᙪ㸸⸆≀౑

⏝⤒㦂ࡢ࠶ࡿHIV㝧ᛶ⪅࡟࠾࠸࡚༴㝤ࢻ

ࣛࢵࢢ౑⏝ࡀ᭹⸆࢔ࢻࣄ࢔ࣛࣥࢫ࡟୚࠼

ࡿᙳ㡪ࠊ᪥ᮏ࢚࢖ࢬᏛ఍㞧ㄅ20(1)㸸32-40, 2018.

4) బࠎᮌ┿ே, ᇼᒸᗈ⛱, ᮧᒸㅬ⾜, 㛗㷂኱Ṋ, ⏣ᮧᫀኈ, すᮧ┤♸, 㛗⏣Ⰻ

࿴, ᡞ⏣᠇, ᐑ⏣⚈୍, す᳃ᗣኵ, ᔱ

᰿༟ஓ㸸⸆ᒁ⸆๣ᖌࢆᑐ㇟࡜ࡋࡓࢤ࣮ࢺ࢟

࣮ࣃ࣮◊ಟ఍ࡀ▱㆑࣭⮬ᕫຠຊឤ࣭⮫ᗋ⾜

ື࡟୚࠼ࡿᙳ㡪, ᪥ᮏ⸆๣ᖌ఍㞧ㄅ, 70(7):849-857, 2018.

5) ᔱ᰿༟ஓ㸸᪥ᮏ࡟࠾ࡅࡿ⸆≀஘⏝ࡢࣔࢽࢱ

ࣜࣥࢢㄪᰝ࡜ᅇ᚟ᨭ᥼ࣉࣟࢢ࣒ࣛ࡟ࡘ࠸

࡚㸬㱟㇂ἲᏛ50(3)㸸1805-1812㸪2018.

6) ᔱ᰿༟ஓ㸸࠙ϫ㸬▱ࡗ࡚࠾ࡁࡓ࠸㸟⏕άࢧ

࣏࣮ࢺ㸤ᛶᩍ⫱ࠚ40 ⸆≀஘⏝㸬ᑠඣ⛉50 㸦5㸧4᭶⮫᫬ቑหྕࠕᛮ᫓ᮇࢆデࡿ㸟ࠖ㸸㹂㸬⪃ᐹ

ᮏ◊✲࡛ࡣࠊẸ㛫ᨭ᥼ᅋయ࡛࠶ࡿࢲࣝࢡࢆ฼

⏝ࡍࡿ⸆≀౫Ꮡ⪅ࡢ᩿⸆≧ἣࢆྵࡴணᚋࢆ᫂

ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡟ࠊࢥ࣮࣍ࢺ◊✲ࢆᐇ᪋

ࡋࡓࠋㄪᰝᑐ㇟ࡣࠊࢲࣝࢡ฼⏝⪅⣙700ྡ࡛࠶

ࡾࠊࡇࡢ࠺ࡕ⣙500 ྡࢆ⸆≀౫Ꮡ⑕⪅ࡀ༨ࡵ

ࡓࠋ

ᅜෆ࡟࠾ࡅࡿ⸆≀౫Ꮡ⑕ࡢẸ㛫ᨭ᥼ᅋయࡢ ணᚋ◊✲ࡣ㝈ࡽࢀ࡚࠾ࡾࠊ࠸ࡎࢀࡶ30ேつᶍ ࡢணᚋㄪᰝ࡟㐣ࡂ࡞࠸㸦㏆⸨ࡽࠊཌ⏕ປാ⛉Ꮫ

◊✲㈝⿵ຓ㔠ࠊ་⸆ရ࣭་⒪ᶵჾ➼ࣞࢠࣗࣛࢺ

࣮ࣜࢧ࢖࢚ࣥࢫ⥲ྜ◊✲஦ᴗࠊ2006㸧ࠋ⣙500

ྡ㏆࠸⸆≀౫Ꮡ⑕⪅ࡢணᚋࢆ 2 ᖺ࡟Ώࡾ㏣㊧

ࡋࡓᮏ◊✲ࡣࠊࡇࢀࡲ࡛࡟ሗ࿌ࡉࢀ࡚࠸࡞࠸኱

つᶍ࡞ࢥ࣮࣍ࢺ◊✲࡛࠶ࡾࠊᅜෆ࡛ࡣึࡵ࡚ࡢ ヨࡳ࡛࠶ࡗࡓ࡜࠸࠼ࡿࠋ

୍᪉ࠊ࢔ࣝࢥ࣮ࣝ౫Ꮡ⑕ࡢணᚋ◊✲࡜ࡋ࡚ࡣࠊ ୡ⏣㇂ಖ೺ᡤ࡟࠾ࡅࡿ㓇ᐖ┦ㄯ஦ᴗ࡛┦ㄯࢆ

ཷࡅࡓ⣙ 700 ྡࡢ࢔ࣝࢥ࣮ࣝ౫Ꮡ⑕⪅ࡢணᚋ ㄪᰝࡀ▱ࡽࢀࡿ㸦ᚨỌࠊ࢔ࣝࢥ࣮ࣝ౫Ꮡ࡜࢔ࢹ

࢕ࢡࢩࣙࣥࠊ1996㸧ࠋ

⬺ⴠ⪅ࢆ㜵ࡄࡇ࡜ࡣࠊࢥ࣮࣍ࢺ◊✲ࢆ㐍ࡵࡿ

ୖ࡛୙ྍḞ࡛࠶ࡿࠋ2016ᖺ10᭶ࡢBL࠿ࡽ2 ᖺࡀ⤒㐣ࡋࠊࡇࢀࡲ࡛4ᅇࡢࣇ࢛࣮ࣟ࢔ࢵࣉࢆ

ᐇ᪋ࡋࡓࠋᅗ1࡟♧ࡋࡓࡼ࠺࡟ࠊBL࠿ࡽ2ᖺ ࡀ⤒㐣ࡋࡓ᫬Ⅼ㸦24M㸧࡛ࡣࠊ༙ᩘ㏆ࡃࡢᑐ㇟

⪅ࡀࢲࣝࢡࢆ㏥ᡤࡋ࡚࠸ࡓࡶࡢࡢࠊ75%௨ୖࡢ ᑐ㇟⪅࡜┤᥋㐃⤡ࡀ࡜ࢀࡿ≧ែ࡛࠶ࡗࡓ 㸦ᅗ.B㸧ࠋ୍᪉ࠊᅗ2࡟♧ࡋࡓࡼ࠺࡟ࠊ⏕άᣐ

Ⅼࡀࠕ୙᫂ࠖ࡜࠸࠺ᑐ㇟⪅ࡣࠊ2ᖺணᚋ࡟࠾࠸

࡚⣙1๭࡟࡜࡝ࡲࡗ࡚࠸ࡿࠋࡇࡢࡇ࡜࠿ࡽࠊ⬺

ⴠ⪅ࡀᑡ࡞ࡃࠊ༑ศ࡞ࢥ࣮࣍ࢺࡀ⥔ᣢࡉࢀ࡚࠸

ࡿ࡜ุ᩿ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋࡑࡢ⫼ᬒ࡟ࡣࠊ᪋

タࢫࢱࢵࣇ࡜ࡢ㛵ಀᛶࡀⰋዲ࡛࠶ࡗࡓࡇ࡜࡟

ຍ࠼ࠊ6ࣨ᭶࡟୍ᗘࡢ⪺ࡁྲྀࡾ⮬యࡀࠊᑐ㇟⪅

ࢆࡘ࡞ࡂ࡜ࡵࡿຠᯝ࡜ࡋ࡚ᙺ❧ࡗ࡚࠸ࡓྍ⬟

ᛶࡀ⪃࠼ࡽࢀࡿࠋ

ࡲࡓᮏ◊✲࡛ࡣࠊྛ᪋タ࡜ࡢࠕ㢦ࡀぢ࠼ࡿ㛵

ಀᛶࠖࢆ㔜どࡋࠊྛ᪋タࡢᢸᙜ⪅ࢆᑐ㇟࡜ࡋࡓ ࠕࢲࣝࢡពぢ஺᥮఍ࠖࢆᐃᮇⓗ࡟ᐇ᪋ࡋ࡚ࡁࡓ 㸦ࡇࢀࡲ࡛࡟ィ4ᅇᐇ᪋㸧ࠋࡇࡢពぢ஺᥮఍࡛

ࡣࠊࢥ࣮࣍ࢺ◊✲ࡢ㐍ᤖ≧ἣࢆᐃᮇⓗ࡟ሗ࿌ࡍ

ࡿ࡜࡜ࡶ࡟ࠊẸ㛫ᨭ᥼ᅋయࡀ┤㠃ࡋ࡚࠸ࡿㄢ㢟

࡟ࡘ࠸࡚ពぢࢆ஺᥮ࡍࡿሙ࡜ࡋ࡚㛤ദࡋ࡚ࡁ ࡓࠋ౛࠼ࡤࠊࡇࢀࡲ࡛࡟ྲྀࡾୖࡆࡓࢸ࣮࣐࡜ࡋ

࡚ࡣࠊࠕ㞀ᐖ⪅⥲ྜᨭ᥼ἲࠖࠊࠕᑵປᨭ᥼ࠖࠊࠕࢭࢡ ࢩࣗ࢔࣐ࣝ࢖ࣀࣜࢸ࢕ᨭ᥼ࠖ࡞࡝࡛࠶ࡿࠋࡇ࠺

ࡋࡓሙࢆタࡅࡿࡇ࡜ࡀࠊ◊✲ࢳ࣮࣒࡜ࡢಙ㢗㛵 ಀࡢᵓ⠏࡟ࡘ࡞ࡀࡾࠊࡑࡢ⤖ᯝ࡜ࡋ࡚ࠊ⬺ⴠ⪅

ࡢᑡ࡞࠸ࢥ࣮࣍ࢺࢆ⥔ᣢ࡛ࡁ࡚࠸ࡿࡢ࠿ࡶࡋ

ࢀ࡞࠸ࠋ

ᮏ◊✲࡛ࡣ᩿⸆⋡㸦᩿㓇⋡㸧࠾ࡼࡧ෌౑⏝⋡

㸦⸆≀࠾ࡼࡧ࢔ࣝࢥ࣮ࣝ㸧ࢆ࣓࢖ࣥ࢔࢘ࢺ࣒࢝

࡜ࡋࡓࠋಖ೺ᡤ࡛㓇ᐖ┦ㄯࢆཷࡅࡓ࢔ࣝࢥ࣮ࣝ

౫Ꮡ⑕⪅ࡢ᩿㓇⋡㸦1ᖺணᚋ㸧ࡣ26.9%ࠊ⢭⚄

ಖ೺⚟♴ࢭࣥࢱ࣮࡛ㄆ▱⾜ື⒪ἲࣉࣟࢢ࣒ࣛ

ࢆཷࡅࡓ⸆≀౫Ꮡ⑕⪅ࡢ᩿⸆⋡㸦6 ࣨ᭶ணᚋ㸧 ࡣ54.5%࡜ሗ࿌ࡉࢀ࡚࠸ࡿࠋࡇࢀࡽ࡜ẚ㍑ࡍࡿ

࡜ࠊࢲࣝࢡ࡟࠾ࡅࡿ᩿㓇࣭᩿⸆⋡ࡣ࠿࡞ࡾ㧗Ỉ

‽࡜࠸࠼ࡿࠋࡑࡢ⫼ᬒ࡟ࡣࠊ᩿⸆ࡢಖㆤᅉᏊ࡜

ࡋ࡚≉ᐃࡉࢀࡓࠊ࣓ࣥࣂ࣮ྠኈࡢ㛵ಀᛶࡸࠊᅇ

᚟ࡢࣔࢹࣝࡢᏑᅾ࡜࠸ࡗࡓࠊ࠸ࢃࡺࡿࣇ࢙࣮ࣟ

ࢩࢵࣉ㸦௰㛫ࡢຊ㸧ࡀᙳ㡪ࡋ࡚࠸ࡿ࡜⪃࠼ࡽࢀ

ࡿࠋࡲࡓࠊ⮬ຓࢢ࣮ࣝࣉ࡟ᐃᮇⓗ࡟ཧຍࡍࡿࡇ

࡜ࡶࠊ᩿⸆ࢆ⥔ᣢࡍࡿୖ࡛ಖㆤⓗ࡟ാ࠸࡚࠸ࡿ

ࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓࠋ

⸆≀౫Ꮡࡢ⫼ᬒࢆᣢࡘ⸆≀஦≢⪅ࡢᨭ᥼ࢆ

ᆅᇦ࡛⾜࠺㝿࡟ࡣࠊࡇ࠺ࡋࡓಖㆤᅉᏊࢆ㋃ࡲ࠼

ࡓୖ࡛ࠊ᩿⸆ࢆࢧ࣏࣮ࢺࡋ࡚࠸ࡃࡇ࡜ࡀồࡵࡽ

ࢀࡿࠋ౛࠼ࡤࠊ⢭⚄⑓㝔ࠊ⢭⚄ಖ೺⚟♴ࢭࣥࢱ

࣮ࠊಖㆤほᐹᡤ➼࡛ᐇ᪋ࡉࢀ࡚࠸ࡿSMARPP

➼ࡢㄆ▱⾜ື⒪ἲࣉࣟࢢ࣒ࣛ࡟࠾࠸࡚ࡶࠊࢢࣝ

࣮ࣉෆࡢ⤎ࡀ᩿⸆࡟࡜ࡗ࡚ࣉࣛࢫ࡟ാࡃሙྜ

ࡀ࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋࡲࡓࠊࢲࣝࢡ࡞࡝ࡢẸ㛫 ᨭ᥼᪋タࡢ⫋ဨࡀࠊࡇ࠺ࡋࡓࢢ࣮ࣝࣉ࡟ཧຍࡍ

ࡿࡇ࡜࡛ࠊᙜ஦⪅࡟࡜ࡗ࡚ᅇ᚟ࡢ࢖࣓࣮ࢪࡀᥗ

ࡳࡸࡍࡃ࡞ࡾࠊ⤖ᯝ࡜ࡋ࡚᩿⸆ຠᯝࡀୖࡀࡿྍ

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774-780㸪2018.

7) ᔱ᰿༟ஓ㸸⸆≀஘⏝㜵Ṇࡢ᭱๓⥺㸸⸆๣ᖌ

࡟ ▱ ࡗ ࡚ ࡯ ࡋ ࠸ ࡇ ࡜ 㸬Excellent Pharmacy5᭶1᪥ྕ㸪pp11-13㸪2018.

8) ᔱ᰿༟ஓ㸸⸆≀஘⏝㜵Ṇ࡟࠾ࡅࡿ⸆๣ᖌࡢ ᙺ๭㸬ࣇ࢓࣐ࣝࢩ࢔54(6)㸸541-543㸪2018.

9) ᔱ᰿༟ஓ㸸ࠕNOࠖ࡜ゝ࠼࡞࠸Ꮚ࡝ࡶࡓࡕ㸫㓇࣭ࢱࣂࢥ࣭ࢡࢫࣜ࡜᥼ຓᕼồ㸬ࡇࡇࢁࡢ

⛉Ꮫ №202㸸47-51㸪2018.

10) ᔱ᰿༟ஓ㸸⸆≀౑⏝ࡢ᭱᪂ືྥ㸸኱㯞࠿ࡽ

࢚ࢼࢪ࣮ࢻࣜࣥࢡࡲ࡛ࠊKNOW NEWS LETTER 99ྕ,p2-5,2018.

11) ᔱ᰿༟ஓ㸪ᯇᮏಇᙪ㸸2.ホ౯ᑻᗘࡢゎㄝ㸦2㸧

⸆≀౑⏝㞀ᐖࡢホ౯ᑻᗘ㸬᪂࢔ࣝࢥ࣮࣭ࣝ

⸆≀౑⏝㞀ᐖࡢデ᩿἞⒪࢞࢖ࢻࣛ࢖ࣥ㸪➨

1❶ ⥲ㄽϩデ᩿⥲ㄽ㸪᪂⯆་Ꮫฟ∧♫㸪ᮾ

ி㸪pp11-13㸪2018.

12) ᔱ᰿༟ஓ㸪ᯇᮏಇᙪ㸸2.⸆≀஘⏝࣭౫Ꮡࡢ

␿Ꮫ㸬᪂࢔ࣝࢥ࣮࣭ࣝ⸆≀౑⏝㞀ᐖࡢデ᩿

἞⒪࢞࢖ࢻࣛ࢖ࣥ㸪➨1❶⥲ㄽ ϫ␿Ꮫ㸪 ᪂⯆་Ꮫฟ∧♫㸪ᮾி㸪pp28-31㸪2018.

2. Ꮫ఍Ⓨ⾲

1) Shimane T ,Wada K , Qiu D㸸Prevalence of binge drinking and association with substance use 㸸 A cross-sectional nationwide general population survey in Japan. 19th World Congress of International Society for Biomedical Research on Alcoholism(ISBRA2018)㸪 Kyoto, Japan㸪2018.9.12

2) Shimane T ,Tani M㸪Yamaki M㸪 Kobayashi M㸪Kondo A㸪Takahashi M㸸 Methamphetamine users in Japanese prisons㸸Comorbid hazardous alcohol consumption㸬19th World Congress of International Society for Biomedical Research on Alcoholism(ISBRA2018)㸪 Kyoto, Japan㸪2018.9.12

3) Yamaki M㸪Takeshita Y㸪Takahashi M㸪 Kondo A㸪Shimane T㸸Prevalence and correlates of adverse childhood experience(aces)among

methamphetamine users in Japanese prison 㸬 19th World Congress of International Society for Biomedical Research on Alcoholism(ISBRA2018)㸪 Kyoto, Japan㸪2018.9.11

4) Shimane T㸸Drug use and addiction in Japan: Increase and decrease with new psychoactive substances 㸬 The 20th International Society of Addiction Medicine Annual Meeting(ISAM BUSAN 2018)㸪Busan㸪Republic of Korea㸪 2018..11.4.

5) ᔱ᰿༟ஓ㸪㏆⸨࠶ࡺࡳ㸪⡿⃝㞞Ꮚ㸪㏆⸨ᜏ ኵ㸪ᯇᮏಇᙪ㸸Ẹ㛫ᨭ᥼ᅋయ฼⏝⪅ࡢࢥ࣍

࣮ࢺㄪᰝ࡜ᨭ᥼ࡢㄢ㢟࡟㛵ࡍࡿ◊✲㸦➨஧

ሗ㸧㸬ࢩ࣏ࣥࢪ࣒࢘ 33 ฮࡢ୍㒊ᇳ⾜⊰ண ไᗘ᪋⾜ᚋ࡟࠾ࡅࡿ⸆≀౫Ꮡ⑕ᆅᇦᨭ᥼

ࡢ⌧≧࡜ㄢ㢟㸬➨114ᅇ᪥ᮏ⢭⚄⚄⤒Ꮫ఍

Ꮫ⾡⥲఍㸪රᗜ㸪2018.6.21.

6) ኱す┿⏤⨾㸪ᑿᓮᩗᏊ㸪ᔱ᰿༟ஓ㸸ᅜ㝿ಖ

೺࡜␿Ꮫ㹼ࣇ࢕࣮ࣝࢻ࡜࢔࢝ࢹ࣑࢔ࢆࡘ

࡞ࡄࡓࡵ࡟㸬➨33ᅇ᪥ᮏᅜ㝿ಖ೺་⒪Ꮫ

఍Ꮫ⾡኱఍ࢩ࣏ࣥࢪ࣒࢘㸪ᮾி㸪2018.12.1.

7) ᔱ᰿༟ஓ㸸༴㝤ࢻࣛࢵࢢၥ㢟ࡢ⾜᪉㸸඲ᅜ ఫẸㄪᰝ2015ᖺࡢ⤖ᯝࡼࡾ㸬➨22ᅇᇸ

⋢┴⸆๣ᖌ఍Ꮫ⾡኱఍㸪ᇸ⋢㸪2016.11.6.

8) ࿴⏣Ύ㸪ྜᕝຬ୕㸪᳃⏣ᒎᙲ㸪ᔱ᰿༟ஓ㸸

⸆≀஘⏝࣭౫Ꮡ⑕⪅࡟࠾ࡅࡿHIV࣭HCV

➼ឤᰁ≧ἣ࡜ឤᰁࣁ࢖ࣜࢫࢡ⾜ື࡟㛵ࡍ

ࡿ◊✲㸬ᖹᡂ29ᖺᗘ᪥ᮏ࢔ࣝࢥ࣮࣭ࣝ࢔

ࢹ࢕ࢡࢩࣙࣥ་Ꮫ఍Ꮫ⾡⥲఍㸪⚄ዉᕝ㸪 2017.9.9.

9) ᔱ᰿༟ஓ㸪㑪෤ᱵ㸪࿴⏣Ύ㸸୍⯡ఫẸ࡟࠾

ࡅࡿ࢝ࣇ࢙࢖ࣥ〇๣౑⏝≧ἣ࡜⸆≀౑⏝

࡜ࡢ㛵㐃㸸⸆≀౑⏝࡟㛵ࡍࡿ඲ᅜఫẸㄪᰝ

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ࡼࡾ㸬ᖹᡂ30ᖺᗘ᪥ᮏ࢔ࣝࢥ࣮࣭ࣝ࢔ࢹ

࢕ࢡࢩࣙࣥ་Ꮫ఍Ꮫ⾡⥲఍㸪ி㒔㸪 2018.9.10.

ࡅࡿ࢚ࢼࢪ࣮ࢻࣜࣥࢡ౑⏝≧ἣ࡜⸆≀౑

⏝࡜ࡢ㛵㐃㸸⸆≀౑⏝࡟㛵ࡍࡿ඲ᅜఫẸㄪ ᰝࡼࡾ㸬ᖹᡂ30ᖺᗘ᪥ᮏ࢔ࣝࢥ࣮࣭ࣝ࢔

ࢹ࢕ࢡࢩࣙࣥ་Ꮫ఍Ꮫ⾡⥲఍㸪ி㒔㸪 2018.9.10.

ࡅࡿ኱㯞౑⏝ࡢቑຍ㸸⸆≀౑⏝࡟㛵ࡍࡿ඲

ᅜఫẸㄪᰝࡼࡾ㸬ᖹᡂ30ᖺᗘ᪥ᮏ࢔ࣝࢥ

࣮࣭ࣝ࢔ࢹ࢕ࢡࢩࣙࣥ་Ꮫ఍Ꮫ⾡⥲఍㸪ி

㒔㸪2018.9.10.

12) ᘬᅵ⤮ᮍ㸪ᒸᓮ㔜ே㸪ຍ⸨㝯㸪ᒣᮏ኱㸪ᒣ 㷂᫂⩏㸪ᯇᮏಇᙪ㸪ᔱ᰿༟ஓ㸸ᅇ᚟ᨭ᥼᪋

タ࡟࠾ࡅࡿTC࢚ࣥ࢝࢘ࣥࢱ࣮࣭ࢢ࣮ࣝࣉ

ࡢ㐺⏝࡟㛵ࡍࡿ◊✲㸬ᖹᡂ30ᖺᗘ᪥ᮏ࢔

ࣝࢥ࣮࣭ࣝ࢔ࢹ࢕ࢡࢩࣙࣥ་Ꮫ఍Ꮫ⾡⥲఍㸪

ி㒔㸪2018.9.10.

13) ᔱ᰿༟ஓ㸪௒ᮧ㢧ྐ㸪ụ⏣࿴Ꮚ㸪ᒣᮏᨻᘯ㸪

㎷㯞⌮Ꮚ㸪㛗୚⏤⣖Ꮚ㸪ᯇᮏಇᙪ㸸⸆≀౑

⏝⤒㦂ࡢ࠶ࡿHIV㝧ᛶ⪅࡟࠾ࡅࡿள◪㓟

࢚ࢫࢸࣝ౑⏝ࡀ᭹⸆࢔ࢻࣄ࢔ࣛࣥࢫ࡟୚

࠼ࡿᙳ㡪㸬➨32ᅇ᪥ᮏ࢚࢖ࢬᏛ఍Ꮫ⾡㞟

఍࣭⥲఍㸪኱㜰㸪2018.12.4.

㹆㸬▱ⓗ㈈⏘ᶒࡢฟ㢪࣭Ⓩ㘓≧ἣ

࡞ࡋ

㹇㸬ᘬ⏝ᩥ⊩

࡞ࡋ

774-780㸪2018.

7) ᔱ᰿༟ஓ㸸⸆≀஘⏝㜵Ṇࡢ᭱๓⥺㸸⸆๣ᖌ

࡟ ▱ ࡗ ࡚ ࡯ ࡋ ࠸ ࡇ ࡜ 㸬Excellent Pharmacy5᭶1᪥ྕ㸪pp11-13㸪2018.

8) ᔱ᰿༟ஓ㸸⸆≀஘⏝㜵Ṇ࡟࠾ࡅࡿ⸆๣ᖌࡢ ᙺ๭㸬ࣇ࢓࣐ࣝࢩ࢔54(6)㸸541-543㸪2018.

9) ᔱ᰿༟ஓ㸸ࠕNOࠖ࡜ゝ࠼࡞࠸Ꮚ࡝ࡶࡓࡕ㸫㓇࣭ࢱࣂࢥ࣭ࢡࢫࣜ࡜᥼ຓᕼồ㸬ࡇࡇࢁࡢ

⛉Ꮫ №202㸸47-51㸪2018.

10) ᔱ᰿༟ஓ㸸⸆≀౑⏝ࡢ᭱᪂ືྥ㸸኱㯞࠿ࡽ

࢚ࢼࢪ࣮ࢻࣜࣥࢡࡲ࡛ࠊKNOW NEWS LETTER 99ྕ,p2-5,2018.

11) ᔱ᰿༟ஓ㸪ᯇᮏಇᙪ㸸2.ホ౯ᑻᗘࡢゎㄝ㸦2㸧

⸆≀౑⏝㞀ᐖࡢホ౯ᑻᗘ㸬᪂࢔ࣝࢥ࣮࣭ࣝ

⸆≀౑⏝㞀ᐖࡢデ᩿἞⒪࢞࢖ࢻࣛ࢖ࣥ㸪➨

1❶ ⥲ㄽϩデ᩿⥲ㄽ㸪᪂⯆་Ꮫฟ∧♫㸪ᮾ

ி㸪pp11-13㸪2018.

12) ᔱ᰿༟ஓ㸪ᯇᮏಇᙪ㸸2.⸆≀஘⏝࣭౫Ꮡࡢ

␿Ꮫ㸬᪂࢔ࣝࢥ࣮࣭ࣝ⸆≀౑⏝㞀ᐖࡢデ᩿

἞⒪࢞࢖ࢻࣛ࢖ࣥ㸪➨1❶⥲ㄽ ϫ␿Ꮫ㸪 ᪂⯆་Ꮫฟ∧♫㸪ᮾி㸪pp28-31㸪2018.

2. Ꮫ఍Ⓨ⾲

1) Shimane T ,Wada K , Qiu D㸸Prevalence of binge drinking and association with substance use 㸸 A cross-sectional nationwide general population survey in Japan. 19th World Congress of International Society for Biomedical Research on Alcoholism(ISBRA2018)㸪 Kyoto, Japan㸪2018.9.12

2) Shimane T ,Tani M㸪Yamaki M㸪 Kobayashi M㸪Kondo A㸪Takahashi M㸸 Methamphetamine users in Japanese prisons㸸Comorbid hazardous alcohol consumption㸬19th World Congress of International Society for Biomedical Research on Alcoholism(ISBRA2018)㸪 Kyoto, Japan㸪2018.9.12

3) Yamaki M㸪Takeshita Y㸪Takahashi M㸪 Kondo A㸪Shimane T㸸Prevalence and correlates of adverse childhood experience(aces)among

methamphetamine users in Japanese prison 㸬 19th World Congress of International Society for Biomedical Research on Alcoholism(ISBRA2018)㸪 Kyoto, Japan㸪2018.9.11

4) Shimane T㸸Drug use and addiction in Japan: Increase and decrease with new psychoactive substances 㸬 The 20th International Society of Addiction Medicine Annual Meeting(ISAM BUSAN 2018)㸪Busan㸪Republic of Korea㸪 2018..11.4.

5) ᔱ᰿༟ஓ㸪㏆⸨࠶ࡺࡳ㸪⡿⃝㞞Ꮚ㸪㏆⸨ᜏ ኵ㸪ᯇᮏಇᙪ㸸Ẹ㛫ᨭ᥼ᅋయ฼⏝⪅ࡢࢥ࣍

࣮ࢺㄪᰝ࡜ᨭ᥼ࡢㄢ㢟࡟㛵ࡍࡿ◊✲㸦➨஧

ሗ㸧㸬ࢩ࣏ࣥࢪ࣒࢘ 33 ฮࡢ୍㒊ᇳ⾜⊰ண ไᗘ᪋⾜ᚋ࡟࠾ࡅࡿ⸆≀౫Ꮡ⑕ᆅᇦᨭ᥼

ࡢ⌧≧࡜ㄢ㢟㸬➨114ᅇ᪥ᮏ⢭⚄⚄⤒Ꮫ఍

Ꮫ⾡⥲఍㸪රᗜ㸪2018.6.21.

6) ኱す┿⏤⨾㸪ᑿᓮᩗᏊ㸪ᔱ᰿༟ஓ㸸ᅜ㝿ಖ

೺࡜␿Ꮫ㹼ࣇ࢕࣮ࣝࢻ࡜࢔࢝ࢹ࣑࢔ࢆࡘ

࡞ࡄࡓࡵ࡟㸬➨33ᅇ᪥ᮏᅜ㝿ಖ೺་⒪Ꮫ

఍Ꮫ⾡኱఍ࢩ࣏ࣥࢪ࣒࢘㸪ᮾி㸪2018.12.1.

7) ᔱ᰿༟ஓ㸸༴㝤ࢻࣛࢵࢢၥ㢟ࡢ⾜᪉㸸඲ᅜ ఫẸㄪᰝ2015ᖺࡢ⤖ᯝࡼࡾ㸬➨22ᅇᇸ

⋢┴⸆๣ᖌ఍Ꮫ⾡኱఍㸪ᇸ⋢㸪2016.11.6.

8) ࿴⏣Ύ㸪ྜᕝຬ୕㸪᳃⏣ᒎᙲ㸪ᔱ᰿༟ஓ㸸

⸆≀஘⏝࣭౫Ꮡ⑕⪅࡟࠾ࡅࡿHIV࣭HCV

➼ឤᰁ≧ἣ࡜ឤᰁࣁ࢖ࣜࢫࢡ⾜ື࡟㛵ࡍ

ࡿ◊✲㸬ᖹᡂ29ᖺᗘ᪥ᮏ࢔ࣝࢥ࣮࣭ࣝ࢔

ࢹ࢕ࢡࢩࣙࣥ་Ꮫ఍Ꮫ⾡⥲఍㸪⚄ዉᕝ㸪 2017.9.9.

ࡅࡿ࢝ࣇ࢙࢖ࣥ〇๣౑⏝≧ἣ࡜⸆≀౑⏝

࡜ࡢ㛵㐃㸸⸆≀౑⏝࡟㛵ࡍࡿ඲ᅜఫẸㄪᰝ

(10)

ᅗA. ᑐ㇟⪅ࡢࣇ࣮ࣟࢳ࣮ࣕࢺ

ᅗB. ᑐ㇟⪅࡜ࡢ㐃⤡≧ἣ㸦㐃⤡ࡀࡘ࠸ࡓ๭ྜ㸧

(11)

Q Q Q Q SYDOXH

೧ྺʤฑۋʥ

੓พ

ɻɻ஋੓

ɻɻঃ੓

ཤ༽ܙସ

ɻɻ೘ॶཤ༽ं

ɻɻ௪ॶཤ༽ं

ɻɻηνρϓݜर஦

೘ॶغؔ

ɻɻ೧າຮ ɻɻ೧Ґ৏

ξϩέͶͯ͵఼͗ͮͪ࣎Ͳ͹๑దয়ସ

ɻɻ͏ͥΗ΍౲ͱͺΉΔ͵͏

ɻɻฯए஦

ɻɻࣧߨ㛻༩஦Ͳʤฯޤ؏ࡱ͵͢ʥ ɻɻࣧߨ㛻༩஦ʤฯޤ؏ࡱ͍Εʥ ɻɻՀए๎஦

ɻɻຮغए๎ޛ

ݳࡑ͹म࿓য়ڱ

ɻɻम࿓͢ͱ͏͵͏

ɻɻम࿓஦ʤෳࢳదम࿓ʀඉ৙ۊʥ ɻɻम࿓஦ʤෳࢳదम࿓ʀ৙ۊʥ ɻɻम࿓஦ʤҲൢम࿓ʀඉ৙ۊʥ ɻɻम࿓஦ʤҲൢम࿓ʀ৙ۊʥ ɻɻम࿓஦ʤηνρϓݜर஦ʥ ɻɻͨ͹ଠʤ෰ָɼ௪ָ஦͵ʹʥ

ਫ਼׈ฯޤ͹णڇ

ɻɻ͍Ε

ɻɻ͵͢ʤਅ੧஦ʥ

ɻɻ͵͢ʤҐ઴ण͜ͱ͏ͪʥ ɻɻ͵͢ʤҲౕ΍ण͜ͱ͏͵͏ʥ

ɻɻ͍Ε

ɻɻ͵͢ʀ෈໎

ɻɻ͍Ε

ɻɻ͵͢ʀ෈໎

නଲেं͹ϗʖηϧ΢ϱͶ͕͜Ζخຌ଒੓ʤғଚଲেพʥ

ݳࡑਏஇΝण͜ͱ͏Ζອ੓࣮׳ʤ౸೚බɼ१؂ح࣮׳ɼΪϱ͵ʹ͹ਐର࣮׳ʥ ݳࡑਏஇΝण͜ͱ͏Ζญଚ্֒ʤ෼࣯࢘༽্֒Ґ֐͹੠ਈ্֒ʥ

ࡂ ࡂ ࡂ ࡂ સର ༂෼ Πϩαʖϩ ͨ͹ଠ ʤQ ʤQ ʤQ ʤQ

ᅗA. ᑐ㇟⪅ࡢࣇ࣮ࣟࢳ࣮ࣕࢺ

ᅗB. ᑐ㇟⪅࡜ࡢ㐃⤡≧ἣ㸦㐃⤡ࡀࡘ࠸ࡓ๭ྜ㸧

(12)

ᅗ1. ᪋タ฼⏝ᙧែࡢኚ໬㸦6M㹼24M㸧

ᅗ2.ᑐ㇟⪅ࡢ⏕άᣐⅬࡢኚ໬㸦6M㹼24M㸧

නଲেं͹ਫ਼׈ڎ఼͹รԿʤ0ʛ0ʥ

ਫ਼׈ڎ఼ 0 0 0 0 ξϩέͲਫ਼׈

ࣙ୒Ͳਫ਼׈

ଠࢬઅͲਫ਼׈

೘Ӆ஦

ୃำʀޱཻʀणܒ஦

ࢰ๤

ͨ͹ଠ

෈໎

(13)

ᅗ3. ᩿㓇࣭᩿⸆⋡ࡢ᥎⛣㸦ᑐ㇟⪅඲యࠊn=695)

0 0 0 0

༂෼

Πϩαʖϩ

༂෼Πϩαʖϩ නஇठʀஇ༂ི͹ਬҢʤଲেंસରɼQ

ᅗ1. ᪋タ฼⏝ᙧែࡢኚ໬㸦6M㹼24M㸧

ᅗ2.ᑐ㇟⪅ࡢ⏕άᣐⅬࡢኚ໬㸦6M㹼24M㸧

නଲেं͹ਫ਼׈ڎ఼͹รԿʤ0ʛ0ʥ

ਫ਼׈ڎ఼ 0 0 0 0 ξϩέͲਫ਼׈

ࣙ୒Ͳਫ਼׈

ଠࢬઅͲਫ਼׈

೘Ӆ஦

ୃำʀޱཻʀणܒ஦

ࢰ๤

ͨ͹ଠ

෈໎

(14)

ᅗ4. ᩿㓇࣭᩿⸆⋡ࡢ᥎⛣㸦⸆≀౫Ꮡࠊn=492)

0 0 0 0

༂෼

Πϩαʖϩ

༂෼Πϩαʖϩ නஇठʀஇ༂ི͹ਬҢʤ༂෼ғଚɼQ

(15)

ᅗ5. ᩿㓇࣭᩿⸆⋡ࡢ᥎⛣㸦࢔ࣝࢥ࣮ࣝ౫Ꮡࠊn=169) 0 0 0 0

༂෼

Πϩαʖϩ

༂෼Πϩαʖϩ නஇठʀஇ༂ི͹ਬҢʤΠϩαʖϩғଚɼQ

ᅗ4. ᩿㓇࣭᩿⸆⋡ࡢ᥎⛣㸦⸆≀౫Ꮡࠊn=492)

0 0 0 0

༂෼

Πϩαʖϩ

༂෼Πϩαʖϩ නஇठʀஇ༂ི͹ਬҢʤ༂෼ғଚɼQ

(16)

ᅗ6. ෌౑⏝⋡ࡢ᥎⛣㸦ᑐ㇟⪅඲యࠊn=695) 0 0 0 0

༂෼

෈໎

Πϩαʖϩ ˠ෈໎ͺ༂෼࢘༽Ͷͯ͏ͱ

න࠸࢘༽ི͹ਬҢʤଲেंસରɼQ

(17)

ᅗ7. ෌౑⏝⋡ࡢ᥎⛣㸦⸆≀౫Ꮡࠊn=492) 0 0 0 0

༂෼

෈໎

න࠸࢘༽ི͹ਬҢʤ༂෼ғଚɼQ

ᅗ6. ෌౑⏝⋡ࡢ᥎⛣㸦ᑐ㇟⪅඲యࠊn=695) 0 0 0 0

༂෼

෈໎

න࠸࢘༽ི͹ਬҢʤଲেंસରɼQ

(18)

ᅗ8. ෌౑⏝⋡ࡢ᥎⛣㸦࢔ࣝࢥ࣮ࣝ౫Ꮡࠊn=169) 0 0 0 0

༂෼

෈໎

Πϩαʖϩ ˠ෈໎ͺΠϩαʖϩ࢘༽Ͷͯ͏ͱ

න࠸࢘༽ི͹ਬҢʤΠϩαʖϩғଚɼQ

(19)

0 0 0 0

੓พ

ɻɻ஋੓

ɻɻঃ੓

ɻɻSYDOXH

ཤ༽ܙସ

ɻɻ೘ॶཤ༽ं

ɻɻ௪ॶཤ༽ं

ɻɻSYDOXH

೘ॶغؔ

ɻɻ೧າຮ

ɻɻ೧Ґ৏

ɻɻSYDOXH

ɻɻ͏ͥΗ΍౲ͱͺΉΔ͵͏

ɻɻฯए஦

ɻɻࣧߨ㛻༩஦Ͳʤฯޤ؏ࡱ͵͢ʥ

ɻɻࣧߨ㛻༩஦ʤฯޤ؏ࡱ͍Εʥ

ɻɻՀए๎஦

ɻɻຮغए๎ޛ

ɻɻSYDOXH

ݳࡑ͹म࿓য়ڱ

ɻɻम࿓஦ʤෳࢳదम࿓ʀඉ৙ۊʥ

ɻɻम࿓஦ʤෳࢳదम࿓ʀ৙ۊʥ

ɻɻम࿓஦ʤҲൢम࿓ʀඉ৙ۊʥ

ɻɻम࿓஦ʤҲൢम࿓ʀ৙ۊʥ

ɻɻम࿓஦ʤηνρϓݜर஦ʥ

ɻɻͨ͹ଠʤ෰ָɼ௪ָ஦͵ʹʥ

ɻɻSYDOXH

ਫ਼׈ฯޤ͹णڇ

ɻɻ͍Ε

ɻɻ͵͢

ɻɻSYDOXH

ɻɻ͍Ε

ɻɻ͵͢ʀ෈໎

ɻɻSYDOXH

ɻɻ͍Ε

ɻɻ͵͢ʀ෈໎

ɻɻSYDOXH

༂෼ғଚंʤQ ʥ

ξϩέͶͯ͵఼͗ͮͪ࣎Ͳ͹๑దয়ସ

න༂෼ғଚं͹இ༂ིͳخຌ଒੓ͳ͹ؖ࿊ʤ0ʛ0ʥ

ݳࡑਏஇΝण͜ͱ͏Ζອ੓࣮׳ʤ౸೚බɼ१؂ح࣮׳ɼΪϱ͵ʹ͹ਐର࣮׳ʥ ݳࡑਏஇΝण͜ͱ͏Ζญଚ্֒ʤ෼࣯࢘༽্֒Ґ֐͹੠ਈ্֒ʥ

ᅗ8. ෌౑⏝⋡ࡢ᥎⛣㸦࢔ࣝࢥ࣮ࣝ౫Ꮡࠊn=169) 0 0 0 0

༂෼

෈໎

Πϩαʖϩ ˠ෈໎ͺΠϩαʖϩ࢘༽Ͷͯ͏ͱ

න࠸࢘༽ི͹ਬҢʤΠϩαʖϩғଚɼQ

(20)

නΠϩαʖϩғଚं͹இठིͳخຌ଒੓ͳ͹ؖ࿊ʤ0ʛ0ʥ

0 0 0 0

੓พ

ɻɻ஋੓

ɻɻঃ੓

ɻɻSYDOXH ཤ༽ܙସ

ɻɻ೘ॶཤ༽ं

ɻɻ௪ॶཤ༽ं

ɻɻSYDOXH

೘ॶغؔ

ɻɻ೧າຮ

ɻɻ೧Ґ৏

ɻɻSYDOXH ݳࡑ͹म࿓য়ڱ

ɻɻम࿓஦ʤෳࢳదम࿓ʀඉ৙ۊʥ ɻɻम࿓஦ʤෳࢳదम࿓ʀ৙ۊʥ ɻɻम࿓஦ʤҲൢम࿓ʀඉ৙ۊʥ ɻɻम࿓஦ʤҲൢम࿓ʀ৙ۊʥ ɻɻम࿓஦ʤηνρϓݜर஦ʥ ɻɻͨ͹ଠʤ෰ָɼ௪ָ஦͵ʹʥ ɻɻSYDOXH ਫ਼׈ฯޤ͹णڇ

ɻɻ͍Ε

ɻɻ͵͢

ɻɻSYDOXH

ɻɻ͍Ε

ɻɻ͵͢ʀ෈໎

ɻɻSYDOXH

ɻɻ͍Ε

ɻɻ͵͢ʀ෈໎

ɻɻSYDOXH ΠϩαʖϩғଚंʤQ ʥ

ݳࡑਏஇΝण͜ͱ͏Ζญଚ্֒ʤ෼࣯࢘༽্֒Ґ֐͹੠ਈ্֒ʥ

ݳࡑਏஇΝण͜ͱ͏Ζອ੓࣮׳ʤ౸೚බɼ१؂ح࣮׳ɼΪϱ͵ʹ͹ਐର࣮׳ʥ

(21)

0 0 0 0 ϕϫήϧϞࢂՅ͹੷ۅ੓

ɻɻ઴޴͘

ɻɻ઴޴͘Ͳͺ͵͏

ɻɻSYDOXH ϟϱώʖͳ͹ؖܐ੓

ɻɻྒྷ޹

ɻɻྒྷ޹Ͳͺ͵͏

ɻɻSYDOXH ηνρϓͳ͹ؖܐ੓

ɻɻྒྷ޹

ɻɻྒྷ޹Ͳͺ͵͏

ɻɻSYDOXH

ɻɻ෵਼͏Ζ

ɻɻҲਕ͏Ζ

ɻɻ͏͵͏

ɻɻSYDOXH

ࣙঁήϩʖϕࢂՅළౕʤ0఼࣎ʥ

ɻɻΆ·ຘೖ

ɻɻुͶ਼յ

ɻɻुͶյ

ɻɻ݆Ͷյ

ɻɻΆͳΞʹ͵͢

ɻɻ෈໎

ɻɻSYDOXH න༂෼ғଚं͹இ༂ིͳյ෰ϕϫήϧϞͳ͹ؖ࿊ʤ0ʛ0ʥ

յ෰͹Ϡυϩͳ͵Ζ஧ؔ

නΠϩαʖϩғଚं͹இठིͳخຌ଒੓ͳ͹ؖ࿊ʤ0ʛ0ʥ

0 0 0 0

੓พ

ɻɻ஋੓

ɻɻঃ੓

ɻɻSYDOXH ཤ༽ܙସ

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ɻɻ௪ॶཤ༽ं

ɻɻSYDOXH

೘ॶغؔ

ɻɻ೧າຮ

ɻɻ೧Ґ৏

ɻɻSYDOXH ݳࡑ͹म࿓য়ڱ

ɻɻम࿓஦ʤෳࢳదम࿓ʀඉ৙ۊʥ ɻɻम࿓஦ʤෳࢳదम࿓ʀ৙ۊʥ ɻɻम࿓஦ʤҲൢम࿓ʀඉ৙ۊʥ ɻɻम࿓஦ʤҲൢम࿓ʀ৙ۊʥ ɻɻम࿓஦ʤηνρϓݜर஦ʥ ɻɻͨ͹ଠʤ෰ָɼ௪ָ஦͵ʹʥ ɻɻSYDOXH ਫ਼׈ฯޤ͹णڇ

ɻɻ͍Ε

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ɻɻSYDOXH

ɻɻ͍Ε

ɻɻ͵͢ʀ෈໎

ɻɻSYDOXH ΠϩαʖϩғଚंʤQ ʥ

ݳࡑਏஇΝण͜ͱ͏Ζญଚ্֒ʤ෼࣯࢘༽্֒Ґ֐͹੠ਈ্֒ʥ

ݳࡑਏஇΝण͜ͱ͏Ζອ੓࣮׳ʤ౸೚බɼ१؂ح࣮׳ɼΪϱ͵ʹ͹ਐର࣮׳ʥ

(22)

0 0 0 0 ϕϫήϧϞࢂՅ͹੷ۅ੓

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ɻɻ઴޴͘Ͳͺ͵͏

ɻɻྒྷ޹

ɻɻྒྷ޹Ͳͺ͵͏

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ɻɻSYDOXH

ɻɻ෵਼͏Ζ

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ɻɻ͏͵͏

ɻɻSYDOXH

ɻɻΆ·ຘೖ

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ɻɻुͶյ

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ɻɻΆͳΞʹ͵͢

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ɻɻSYDOXH නΠϩαʖϩғଚं͹இठིͳյ෰ϕϫήϧϞͳ͹ؖ࿊ʤ0ʛ0ʥ

ΠϩαʖϩғଚंʤQ ʥ

(23)

ᅗ9. ᑐ㇟⪅ࡢᮍᑵປ⋡࣭⏕άಖㆤཷ⤥⋡ࡢኚ໬㸦BL㹼24M㸧

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າम࿓ི

म࿓ི

ɻɻෳࢳదम࿓ʀඉ৙ۊ ɻɻෳࢳదम࿓ʀ৙ۊ ɻɻҲൢम࿓ʀඉ৙ۊ ɻɻҲൢम࿓ʀ৙ۊ ɻɻξϩέݜर஦

ɻɻξϩέʀඉ৙ۊ ɻɻξϩέʀ৙ۊ ɻɻͨ͹ଠʤ෰ָɼ௪ָ஦͵ʹʥ ਫ਼׈ฯޤणڇི

නଲেं͹म࿓য়ڱʀਫ਼׈ฯޤ͹รԿʤ%/ʛ0ʥ

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ϕϫήϧϞࢂՅ͹੷ۅ੓

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ɻɻ઴޴͘Ͳͺ͵͏

ɻɻྒྷ޹

ɻɻྒྷ޹Ͳͺ͵͏

ɻɻྒྷ޹

ɻɻྒྷ޹Ͳͺ͵͏

ɻɻSYDOXH

ɻɻ෵਼͏Ζ

ɻɻҲਕ͏Ζ

ɻɻ͏͵͏

ɻɻSYDOXH

ɻɻΆ·ຘೖ

ɻɻुͶ਼յ

ɻɻुͶյ

ɻɻ݆Ͷյ

ɻɻΆͳΞʹ͵͢

ɻɻ෈໎

ɻɻSYDOXH නΠϩαʖϩғଚं͹இठིͳյ෰ϕϫήϧϞͳ͹ؖ࿊ʤ0ʛ0ʥ

(24)

ᅗ10. ⸆≀౫Ꮡ⪅ࡢᮍᑵປ⋡࣭⏕άಖㆤཷ⤥⋡ࡢኚ໬㸦BL㹼24M㸧

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າम࿓ི

म࿓ི

න༂෼ғଚं͹म࿓য়ڱʀਫ਼׈ฯޤ͹รԿʤ%/ʛ0ʥ

(25)

ᅗ11. ࢔ࣝࢥ࣮ࣝ౫Ꮡ⪅ࡢᮍᑵປ⋡࣭⏕άಖㆤཷ⤥⋡ࡢኚ໬㸦BL㹼24M㸧

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າम࿓ི

म࿓ི

නΠϩαʖϩғଚं͹म࿓য়ڱʀਫ਼׈ฯޤ͹รԿʤ%/ʛ0ʥ

ᅗ10. ⸆≀౫Ꮡ⪅ࡢᮍᑵປ⋡࣭⏕άಖㆤཷ⤥⋡ࡢኚ໬㸦BL㹼24M㸧

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າम࿓ི

म࿓ི

න༂෼ғଚं͹म࿓য়ڱʀਫ਼׈ฯޤ͹รԿʤ%/ʛ0ʥ