Relationship between economic security and self-rated health in elderly Japanese residents living alone.
Relationship between economic security and self-rated health in elderly Japanese residents living alone.
复制标题
日本独居老年人经济安全与自评健康的关系。
DOI：
10.1007/s12603-017-0994-0
复制
发表时间：
2017
期刊：
影响因子：
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通讯作者：
Fukuo K.
中科院分区：
文献类型：
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作者：
Otaki N.;Tanino N.;Yokoro M.;Yano M.;Akita M.;Uemura H.;Maeda M.;Fukuo K.
目的本研究的目的是评估经济安全和自测健康的关系，为老年日本居民独居designA二次分析的横断面研究。调查问卷发放给2，985名年龄≥70岁的独居老年居民，其中，1，939名（65.0%）被返回并被视为有效回答。测量调查包括性别、年龄、在N市生活的年数、自评健康、经济安全、独居年数、独居原因、生活满意度、结果1,563名（80.6%）被调查者认为自己在经济上有保障，376名（19.4%）被调查者认为自己在经济上没有保障。预测经济不安全的参与者的自评健康状况不佳的比值比显着较高（比值比：3.19，95%，置信区间（CI）：2.53 - 4.02，P < 0.001）。同样，在控制了年龄、性别、烹饪频率和社会参与等因素的多变量分析中，经济不安全的参与者自我评估健康状况不佳的调整后比值比显着较高（调整后比值比：2.21，95%，CI：1.70 - 2.88，P < 0.001）。此外，在分层分析的基础上观察到类似的趋势性别和年龄groups.ConclusionEconomic安全预测自测健康独立的混杂因素，包括社会参与和烹饪频率，在老年人独自生活在社区的日本。
ObjectivesThe purpose of this study was to assess the relationship between economic security and self-rated health for elderly Japanese residents living alone.DesignA secondary analysis of a cross-sectional study.SettingN City, H. Prefecture, Japan.ParticipantsSurvey questionnaires were distributed to 2,985 elderly residents living alone, aged ≥70 years, of which, 1,939 (65.0%) were returned and treated as valid responses.MeasurementsThe survey included questions about gender, age, number of years spent in N City, self-rated health, economic security, number of years spent living alone, reason for living alone, life satisfaction, cooking frequency, frequency of seeing a doctor, long-term care service usage, as well as whether they enjoyed their lives, participated in social organizations.ResultsOf the respondents, 1,563 (80.6%) reported that they were economically secure, and 376 (19.4%) responded that they were insecure. The odds ratio predicting poor self-rated health for the economically insecure participants was significantly high (odds ratio: 3.19, 95%, Confidence Interval (CI): 2.53−4.02, and P < 0.001). Similarly, the adjusted odds ratio for poor self-rated health was significantly high for the economically insecure participants in multivariate analyses controlling for factors such as age, gender, cooking frequency, and social participation (adjusted odds ratio: 2.21, 95%, CI: 1.70−2.88, and P < 0.001). Furthermore, a similar trend was observed in stratified analyses based on gender and age groups.ConclusionEconomic security predicted self-rated health independently of confounders, including social participation and cooking frequency, among the elderly Japanese living alone in communities.