Pet ownership-related differences in medical and long-term care costs among community-dwelling older Japanese.

Pet ownership-related differences in medical and long-term care costs among community-dwelling older Japanese.
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DOI:
10.1371/journal.pone.0277049
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发表时间:
2023
期刊:
影响因子:
3.7
通讯作者:
--
中科院分区:
综合性期刊3区
文献类型:
--
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这项研究调查了居住在社区的日本老年人中,养宠物和不养宠物之间 18 个月内的医疗和长期护理费用的差异。宠物饲养数据收集自 460 名 65 岁及以上社区居住成年人。这些数据与养宠物调查中 17 个月前国民健康保险、老年人健康保险和长期护理保险受益人的数据进行了匹配。通过广义估计方程对宠物拥有群体特定的每月医疗和长期护理费用轨迹进行建模。在宠物主人(n = 96,20.9%)和非宠物主人(n = 364,79.1%)中,基线人口或健康特征(包括慢性病和自我报告的长期护理水平)没有显着差异。在基线时,宠物主人估计每月医疗费用为 48,054 日元(SE = 0.11;418 美元),而非宠物主人的每月医疗费用为 42,260 日元(SE = 0.06;367 美元)。在 18 个月的随访期间,两组的每月医疗费用没有显着差异。在基线时,宠物主人和非宠物主人的估计每月长期护理费用分别为 676 日元(SE = 0.75;6 美元)和 1,420 日元(SE = 0.52;12 美元)。随访期间,非宠物主人与主人每月长期护理费用的比率最低为1.2,最高为2.3。这项研究表明,宠物主人每月的长期护理费用大约是非宠物主人的一半。宠物主人可能会减少使用长期护理服务的频率,或使用较轻的护理服务。
This study examined the differences in medical and long-term care costs over 18 months between pet owners and non-owners among community-dwelling older Japanese. Pet ownership data were collected from 460 community-dwelling adults age 65 years and older. These data were matched with data from the National Health Insurance, health insurance for older people, and Long-Term Care Insurance beneficiaries for 17 months back from the survey on pet ownership. Pet-ownership group-specific trajectories in monthly medical and long-term care costs were modeled by a generalized estimating equation. Among pet owners (n = 96, 20.9%) and non-pet owners (n = 364, 79.1%) there were no significant differences in baseline demographic or health characteristics including chronic disease and self-reported long-term care level. At baseline, pet owners had estimated monthly medical costs of ¥48,054 (SE = 0.11; $418), compared to ¥42,260 (SE = 0.06; $367) for non-pet owners. The monthly medical costs did not differ significantly between the two groups during the 18-month follow-up period. At baseline, estimated monthly long-term care costs of pet owners and non-pet owners were ¥676 (SE = 0.75; $6) and ¥1,420 (SE = 0.52; $12), respectively. During the follow-up period, the non-pet owner to owner ratio of monthly long-term care costs was 1.2 at minimum and 2.3 at maximum. This study showed that monthly long-term care costs for pet owners were approximately half those of non-pet owners. Pet owners might use long-term care services less frequently, or use lighter care services.
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DOI: 10.3390/geriatrics5040089
发表时间: 2020-11-09
期刊: Geriatrics (Basel, Switzerland)
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