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家族類型と食生活と医師不足:地方都市における健康格差」の英語長文問題

以下の英文を読み、設問に答えなさい。

The correlation between family structure, dietary habits, and the scarcity of medical professionals is a growing concern in many rural areas of Japan. This complex interplay significantly impacts the health and well-being of residents, particularly the elderly and those with limited access to healthcare. Nuclear families, increasingly prevalent in urban centers, are characterized by smaller household sizes and often rely on readily available processed foods for convenience. This often leads to diets lacking in essential nutrients and high in sodium and saturated fats. In contrast, multi-generational families, more common in rural communities, traditionally maintain more balanced diets centered around locally sourced, home-cooked meals. However, even within these families, dietary choices are undergoing a gradual shift towards more processed options, mirroring wider trends in food consumption. The scarcity of medical professionals in rural areas exacerbates these challenges. Long waiting times for appointments, limited access to specialized care, and difficulties in receiving timely diagnoses are common. The strain on the existing medical infrastructure is particularly felt in areas with aging populations and higher rates of chronic illnesses. This deficit in healthcare access disproportionately affects those with limited mobility, low socioeconomic status, and families without access to private healthcare. Furthermore, the changing demographics of rural Japan present unique challenges. Younger generations, often seeking better employment opportunities, are moving to urban centers, leaving behind aging populations with specific health needs that are not always adequately addressed by the diminished medical workforce. This demographic shift reinforces existing inequalities in healthcare access and underscores the need for targeted interventions. Consequently, health outcomes in rural Japan, particularly in terms of diet-related diseases, are markedly different from those in urban areas. Addressing this multifaceted issue requires comprehensive solutions that encompass improved healthcare infrastructure, targeted nutritional education programs, and policies to incentivize medical professionals to practice in rural areas. The complex interplay between family structure, dietary habits, and healthcare access warrants further investigation and innovative approaches to ensure equitable healthcare outcomes for all Japanese citizens.

1. According to the passage, what is a significant factor contributing to the health disparities between rural and urban areas in Japan?

2. The passage suggests that dietary habits in rural areas are:

3. What is a key challenge related to the aging population in rural Japan?

4. The passage argues that solving the health disparities in rural Japan requires: