Who prefers to age in place? Cross-sectional survey of middle-aged people in Japan
Who prefers to age in place? Cross-sectional survey of middle-aged people in Japan
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DOI：
10.1111/ggi.12503
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发表时间：
2016-05-01
影响因子：
3.3
通讯作者：
Nagata, Satoko
中科院分区：
文献类型：
--
作者：
Matsumoto, Hiroshige;Naruse, Takashi;Nagata, Satoko
目的：中年人对就地养老的偏好是估计残疾老年人未来社区服务需求的一个重要因素。利用Litwak和Longino的搬迁类型学，本研究调查了中年人的特点，他们喜欢在原地养老，而那些喜欢搬家的人，在两个残疾水平上：不能独自行走和卧床不起。方法：在本横断面研究中，向2500名年龄在40-64岁的社区居住成年人发送了一份匿名的自我管理问卷。如果不能独自外出，43.0%的受访者更愿意从自己家里搬出来。如果卧床不起，29.5%的人更喜欢移动。在对年龄和性别进行调整后，如果不能独自外出，房屋大小、在该房屋居住的时间长度、共同居住的人数以及对家庭和社区的依恋与移动偏好独立相关。无障碍的医院和超市，社区参与，并使用互联网移动的喜好，如果bedridged.Conclusions：性别，目前的生活安排和地理属性与社区居住的成年人的偏好的变化，为住宅搬迁的身体功能下降。市政决策者有必要了解这些相互关系，以便规划和发展有效的社区护理系统。
Aim: Preference for aging in place among middle-aged people is an important element in estimating the future needs for community services of disabled older adults. Drawing on Litwak and Longino's typologies of relocation, the present study investigated the characteristics of middle-aged adults who prefer to age in place and those who prefer to move, at two levels of disability: being unable to walk alone and being bedridden.Methods: In the present cross-sectional study, an anonymous, self-administered questionnaire was sent to 2500 community-dwelling adults aged 40-64 years.Results: If unable to walk outside alone, 43.0% of respondents would prefer to move from their own homes. If bedridden, 29.5% preferred to move. After age and sex had been adjusted for, house size, length of time living at that house, the number of people living together, and attachment to home and neighborhood were independently related to moving preferences if unable to walk outside alone. Accessibility of hospitals and supermarkets, community participation, and use of the Internet were related to moving preferences if bedridden.Conclusions: Sex, current living arrangement and geographic properties are correlated with changes in community-dwelling adults' preferences for residential relocation as physical function declines. It is necessary for municipal policymakers to understand these correlations in order to plan and develop effective community care systems.