山梨県女性は睡眠不足が重度高血圧を増幅

-- 山梨県女性：睡眠満足度と重度高血圧、降圧薬使用の年代別指標
WITH sleep AS (
  SELECT
    age_group,
    SUM(CASE WHEN answer_value = 'いいえ' THEN response_count ELSE 0 END) AS poor_sleepers,
    SUM(response_count) AS total_resp
  FROM questionnaire_responses
  WHERE question_id = 20
    AND area_type = 'prefecture'
    AND gender = 'F'
    AND prefecture_name = '山梨県'
  GROUP BY age_group
),
sbp AS (
  SELECT
    age_group,
    SUM(CASE WHEN r.range_label IN ('160以上180未満','180以上') THEN b.inspection_count ELSE 0 END) AS severe_bp_count,
    SUM(b.inspection_count) AS total_count
  FROM basic_checkup_results b
  JOIN health_inspection_value_ranges r ON b.range_id = r.range_id
  WHERE b.item_id = (SELECT item_id FROM health_inspection_items WHERE item_name = '収縮期血圧')
    AND b.area_type = 'prefecture'
    AND b.gender = 'F'
    AND b.prefecture_name = '山梨県'
  GROUP BY age_group
),
meds AS (
  SELECT
    age_group,
    SUM(CASE WHEN answer_value = 'はい' THEN response_count ELSE 0 END) AS medication_yes,
    SUM(response_count) AS total_resp
  FROM questionnaire_responses
  WHERE question_id = 1
    AND area_type = 'prefecture'
    AND gender = 'F'
    AND prefecture_name = '山梨県'
  GROUP BY age_group
)
SELECT
  COALESCE(s.age_group, b.age_group) AS age_group,
  ROUND(100.0 * s.poor_sleepers / NULLIF(s.total_resp, 0), 2) AS poor_sleep_pct,
  ROUND(100.0 * b.severe_bp_count / NULLIF(b.total_count, 0), 2) AS severe_bp_pct,
  ROUND(100.0 * m.medication_yes / NULLIF(m.total_resp, 0), 2) AS medication_pct
FROM sleep s
FULL JOIN sbp b ON s.age_group = b.age_group
FULL JOIN meds m ON COALESCE(s.age_group, b.age_group) = m.age_group
ORDER BY age_group;