Association between Geriatric Function and Subjective Economy among Elderly Living in a Rural Community in Japan
Association between Geriatric Function and Subjective Economy among Elderly Living in a Rural Community in Japan
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日本农村社区老年人的老年功能与主观经济的关系
DOI：
10.1111/j.1532-5415.2012.03875.x
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发表时间：
2012
期刊：
影响因子：
6.3
通讯作者：
Matsubayashi K.
中科院分区：
文献类型：
--
作者：
Chen WL;Wada T;Ishimoto Y;Kimura Y;Fukutomi E;Imai H;Sakamoto R;Okumiya K;Otsuka K;Fujisawa M;Matsubayashi K.
致编辑：在经济困难时期，美国和加拿大的新临床项目面临挑战，包括医院管理人员和寻求削减成本机会的权威人士的更严格审查。[1]日本的老年人社区健康计划也有类似之处，特别是自2007年全球经济衰退以来。为了说明经济状况对老年人社区健康的重要性，2008年对居住在日本农村社区的868名65岁及以上的老年人进行了主观经济状况与综合老年功能之间的关系的研究（平均年龄76.9±7.2岁; 343名男性，525名女性，合格老年人群的应答率为57%），居住在日本高知县土佐市。主观经济状况是通过要求参与者回答“你如何看待你自己的个人经济状况”这个问题来评估的。答案是：富裕、标准或贫穷。分析比较了两个主观经济状况组之间的老年功能：标准和以上（包括富裕和标准）和低。采用自我报告的日常生活活动（ADL）、抑郁、定量主观生活质量（QOL）和月收入评估老年功能。为了评估基本ADL，使用0（完全依赖）至3（完全独立）的评分量表对7个项目（行走、上下楼梯、自我进食、排便、穿衣、洗澡、梳理）的评分进行求和，以获得基本ADL评分（0-21）。2对于高级ADL患者，使用东京都老年学研究所能力指数评定量表（TMIG-IC）（0-13）测量能力。3该量表量化了工具性自我维持（0-5），智力活动（0-4）和社会角色（0-4）。筛选抑郁症状
To the Editor: In difficult economic times, new clinical programs in the United States and Canada face challenges, including greater scrutiny from hospital administrators and persons of authority looking for opportunities to cut costs. 1 A parallel can be drawn with community health programs for elderly adults in Japan, particularly since the global economic downturn in 2007. To address the importance of the economy’s influence on community health of elderly adults, the association between subjective economic status and comprehensive geriatric function of elderly adults living in a rural community in Japan in 2008 was studied.The study population consisted of 868 communitydwelling participants aged 65 and older (mean age 76.9±7.2; 343 male, 525 female, response rate 57% of eligible elderly population) living in Tosa, Kochi Prefecture, Japan. Subjective economic status was evaluated by asking participants to respond to the question,“How do you perceive your own personal economic status?” with one of the following answers: rich, standard, or poor. The analysis compared geriatric function between two subjective economic status groups: standard and above (includes rich and standard) and low. Geriatric function was assessed using self-reported activities of daily living (ADLs), depression, quantitative subjective quality of life (QOL), and monthly income. To assess basic ADLs, scores for seven items (walking, ascending and descending stairs, feeding self, toileting, dressing, bathing, grooming) were summed using a rating scale for each item from 0 (completely dependent) to 3 (completely independent) to obtain a basic ADL score (0–21). 2 For advanced ADLs, the Tokyo Metropolitan Institute of Gerontology Index of Competence rating scale (TMIG-IC)(0–13) was used to measure competence. 3 This scale quantifies instrumental self-maintenance (0–5), intellectual activity (0–4), and social roles (0–4). Depressive symptoms were screened