Relationship between the Well-Being of Elderly Men and Cohabiting with Women Who Have Had Experience as a Health Promotion Volunteer in Japan: A Cross-Sectional Study

Relationship between the Well-Being of Elderly Men and Cohabiting with Women Who Have Had Experience as a Health Promotion Volunteer in Japan: A Cross-Sectional Study
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DOI:
10.3390/ijerph16010065
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发表时间:
2019-01-01
影响因子:
--
通讯作者:
Nishiwaki, Yuji
Nishiwaki, Yuji
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Imamura, Haruhiko;Nakamura, Hideki;Nishiwaki, Yuji

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在日本,传统上有许多健康促进志愿者活动。然而,这些活动对志愿者家庭的影响尚不清楚。本研究探讨了日本老年男性的幸福感是否会受到与有健康促进志愿者经验的女性同居的影响。研究地区是Suzaka市,60多年来,有7 500多名妇女当选并担任健康促进志愿者。2014年,以65岁以上的全体居民为对象,采用自填式问卷进行了横断面调查,共有10,758名居民(77.7%)参加了调查。其中,分析了与已婚女性生活在一起的已婚男性(n = 2370)。功能能力和抑郁症状分别作为结果进行分析。在2 370名男性中,有1 434名(60.5%)与过去有健康促进志愿者经历的女性住在一起。调整协变量的改良泊松回归分析显示,与有这种经历的女性一起生活与抑郁症状呈负相关(调整后的患病率比; 0.84,95%置信区间; 0.73-0.97),但与低功能能力无关。这些结果表明,与有健康促进志愿者经历的女性生活在一起可能会影响老年男性的抑郁症状。
In Japan, there are traditionally many health promotion volunteer activities. However, the effects these activities have on the volunteers' families are not clear. This study examined whether the well-being of Japanese elderly men was affected by cohabiting with women who have had experience as a health promotion volunteer. The study area was Suzaka City, where more than 7500 women have been elected and served as health promotion volunteers for over 60 years. A cross-sectional survey targeting all residents aged 65 years or over was conducted in 2014 using a self-administered questionnaire and 10,758 (77.7%) residents participated. Of those, married men who lived with married women were analyzed (n = 2370). Functional capacity and depressive symptoms were analyzed as outcomes respectively. Of the 2370 men, 1434 (60.5%) lived with women who had experience as a health promotion volunteer in the past. Modified Poisson regression analysis adjusting for covariates showed that living with women who had this experience was inversely associated with depressive symptoms (adjusted Prevalence Ratio; 0.84, 95% Confidence Interval; 0.73-0.97), but not with low functional capacity. These results suggest that living with women who had the experience as health promotion volunteer might affect depressive symptoms of elderly men.