The cultural context of teaching and learning sexual health care examinations in Japan: a mixed methods case study assessing the use of standardized patient instructors among Japanese family physician trainees of the Shizuoka Family Medicine Program

Table 1 Health indicators related to breast, pelvic, male genital, and prostate examinations, and the primary care workforce

	World	Japan
Age-standardized incidence rate for cancer per 100,000 population, 2010 [37]
Prostate	37.9	56.0^a
Breast (female only)	60.8	78.4^a
Uterus	22.0	28.1^a
Cervix uteri	11.2	14.2^a
Corpus uteri	10.4	13.5^a
Ovary	9.0	11.3^a
Estimated number of new cancer cases attributable to HPV infection, 2008 [11]	610,000	11,000
Herpes simplex virus type 2, population aged 15–49 years, prevalence in millions [38]	535.5	4.8
Cervical cancer screening, percentage women screened aged 20–69 years, 2009 [8]	85.9 (United States) 78.7 (United Kingdom) 38.9 (Mexico)^b	24.5
Mammography screening, percentage of women aged 50–69 years screened, 2009 [8]	81.1 (United States) 74.0 (United Kingdom) 16.6 (Mexico)	23.8
Practicing medical doctors per 1000 population, 2009 [8]	2.4 (United States) 2.7 (United Kingdom) 2.0 (Mexico)	2.2
General practitioners, as a share (%) of total medical doctors, 2009	12.3 (United States) [8]^c 27.1 (United Kingdom) [39]^d 36.7 (Mexico) [8]^c	16.7–34.4 [39]^d,e
Doctor visits per year [18]	3.9 (United States) 5.9 (United Kingdom) 2.8 (Mexico)	13.2

HPV human papillomavirus
^aBased on Japan model population in 1985
^bBased on data from 2000
^cBased on data from 2009
^dBased on data from 2004
^eThe primary care workforce in Japan includes many physician types, including internal medicine (41.8 %), ophthalmology (8.0 %), orthopedics (7.2 %), pediatrics (6.8 %), otolaryngology (5.6 %), surgery (5.5 %), obstetrics/gynecology (4.7 %), dermatology (4.7 %), and others (15.6 %)

ISSN: 1447-056X