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The IVII values for influenza A in the "Burdened Optimists" group were over 100 (range 117-142); the observed numbers were higher than those expected, with the difference being statistically significance (p < 0.001, chi-square test) for all four seasons.
The "Burdened Optimists" group was characterized by families consisting of young parents and the IVAG values for the under 15 yr and 25-44 yr age-groups were all over 120.
After age adjustment, the numbers of influenza B patients in the "Middle Japan", "Blue Collar Owners" and "Deeply Rural" groups were significantly higher than those expected in one season, but that of the "Burdened Optimists" group lost statistical significance in both seasons (Table 4).
After age adjustment, the number of influenza A patients in the "Burdened Optimists" group in the 2005/06 and 2007/08 seasons (p < 0.001) and "Blue Collar Owners" group in the 2004/2005 and 2006/2007 seasons remained statistically significant with higher than expected values in these seasons (Table 4).
For influenza B, the number of patients in the "Burdened Optimists" group was significantly higher than that expected in the two analyzed seasons, 2004/2005 and 2006/2007 (p < 0.01), and the IVII values were 114 and 130, respectively, without age adjustment (Table 3).
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The "Middle Japan" and "Burdened Optimists" groups were mainly distributed in the center of the study area.
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