Survival analysis of increases in care needs associated with dementia and living alone among older long-term care service users in Japan.
Survival analysis of increases in care needs associated with dementia and living alone among older long-term care service users in Japan.
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DOI：
10.1186/s12877-017-0555-8
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发表时间：
2017-08-15
期刊：
影响因子：
4.1
通讯作者：
Imanaka Y
中科院分区：
文献类型：
--
作者：
Lin HR;Otsubo T;Imanaka Y
日本以其预期寿命长和快速老龄化的社会而闻名，老年人需要满足各种需求，其中之一就是长期护理需求。因此，日本于2000年为65岁以上的公民和需要长期护理服务的40岁以上的公民实施了长期护理保险。本研究的目的是纵向研究痴呆症和独居对日本老年长期护理保险服务使用者护理需求增长的影响。长期护理保险索赔数据用于识别2010年10月至2011年9月期间申请长期护理服务的登记者，并跟踪受试者至2015年3月。进行Kaplan-Meier生存分析，以检查护理需求随时间的增加。考克斯回归模型被用来检查痴呆症和独居对护理需求增加的影响。在4.5年的观察期内，在护理需求增加之前，痴呆组的累积生存率为17.6%，非痴呆组为31.9%。在调整了年龄，性别，护理需求水平和独居状态后，痴呆症组的护理需求增加的风险高出1.5倍。独居不是护理需求增加的重要风险因素，但独居的痴呆症患者比非痴呆症患者有更高的护理需求增加风险。在研究期间，痴呆、老年、女性和较低的护理需求水平与护理需求增加的风险较高相关。在这些变量中，痴呆症对护理需求的增加影响最大，特别是在独居者中。
Japan is known for its long life expectancy and rapidly aging society that there are various demands of older adults need to be fulfilled with, and one of them is long-term care needs. Therefore, Japan implemented the Long-Term Care Insurance in year 2000 for citizens who are above 65-year old and citizens who are above 40-year old in needs of long-term care services. This study was undertaken to longitudinally examine the influence of dementia and living alone on care needs increases among older long-term care insurance service users in Japan. Long-term care insurance claims data were used to identify enrollees who applied for long-term care services between October 2010 and September 2011, and subjects were tracked until March 2015. A Kaplan-Meier survival analysis was conducted to examine increases in care needs over time in months. Cox regression models were used to examine the effects of dementia and living alone on care needs increases. The cumulative survival rates before care needs increased over the 4.5-year observation period were 17.6% in the dementia group and 31.9% in the non-dementia group. After adjusting for age, sex, care needs level, and status of living alone, the risk of care needs increases was found to be 1.5 times higher in the dementia group. Living alone was not a significant risk factor of care needs increases, but people with dementia who lived alone had a higher risk of care needs increases than those without dementia. Dementia, older age, the female sex, and lower care needs levels were associated with a higher risk of care needs increases over the study period. Among these variables, dementia had the strongest impact on care needs increases, especially in persons who lived alone.
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影响因子：
4
作者：
John, Philip D. St.;Tyas, Suzanne L.;Montgomery, Patrick R.
通讯作者：
Montgomery, Patrick R.
影响因子：
6.3
作者：
Amjad H;Roth DL;Samus QM;Yasar S;Wolff JL
通讯作者：
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影响因子：
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作者：
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通讯作者：
Takahashi H
DOI：
10.2185/jrm.7.6
发表时间：
2012-01-01
期刊：
Journal of rural medicine : JRM
影响因子：
--
作者：
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通讯作者：
Shiwaku, Kuninori
影响因子：
6.3
作者：
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通讯作者：
Neumann, Peter J.