Social Participation and Functional Decline: A Comparative Study of Rural and Urban Older People, Using Japan Gerontological Evaluation Study Longitudinal Data
Social Participation and Functional Decline: A Comparative Study of Rural and Urban Older People, Using Japan Gerontological Evaluation Study Longitudinal Data
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DOI：
10.3390/ijerph17020617
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发表时间：
2020-01-02
影响因子：
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通讯作者：
Kondo, Katsunori
中科院分区：
文献类型：
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作者：
Ide, Kazushige;Tsuji, Taishi;Kondo, Katsunori
本研究通过关注老年人参加的组织的数量和类型，比较了日本农村和城市老年人包括工作在内的社会参与与功能衰退发生率之间的关系。使用了日本老年学评价研究（JAGES）的纵向数据，该研究对55，243名65岁或65岁以上的人进行了6年的随访。采用考克斯比例风险模型计算6年内功能下降发生率的风险比（HR），并对农村和城市环境进行分层。在这个模型中，我们调整了13个变量作为行为、心理和功能混杂因素。农村和城市的老年人参加各种组织越多，他们就越能避免功能衰退。参加体育活动（人力资源：农村= 0.79;城市= 0.83），业余爱好团体（人力资源：农村= 0.76;城市= 0.90），和工作（人力资源：农村= 0.83;城市= 0.80）显着保护的发病率下降，在农村和城市地区。对农村和城市老年人来说，促进社会参与，如体育和业余爱好团体以及就业支助，似乎是预防功能衰退的公共卫生政策的一个重要方面。
This study compared the relationship between social participation, including work, and incidence of functional decline in rural and urban older people in Japan, by focusing on the number and types of organizations older people participated in. The longitudinal data of the Japan Gerontological Evaluation Study (JAGES) that followed 55,243 individuals aged 65 years or older for six years were used. The Cox proportional hazards model was employed to calculate the hazard ratio (HR) of the incidence of functional decline over six years and the stratification of rural and urban settings. In this model, we adjusted 13 variables as behavioral, psychosocial, and functional confounders. The more rural and urban older people participated in various organizations, the more they were protected from functional decline. Participation in sports (HR: rural = 0.79; urban = 0.83), hobby groups (HR: rural = 0.76; urban = 0.90), and work (HR: rural = 0.83; urban = 0.80) significantly protected against the incidence of decline in both rural and urban areas. For both rural and urban older people, promoting social participation, such as sports and hobby groups and employment support, seemed to be an important aspect of public health policies that would prevent functional decline.