1Department of Community Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
2Department of Island and Community Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
3Unit of Translational Medicine, Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
4Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
5Center for Health and Community Medicine, Nagasaki University, Nagasaki, Japan
6Department of Global Health, Medicine and welfare, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan