Preventive role of social support and networks for the elderly with pre-dementia status and declined ADL/depression -Cohort Study of the elderly in a large city, an ex-coal-mining town and a rural area

社会支持和网络对痴呆前期和日常生活能力下降/抑郁症老年人的预防作用——大城市、前煤矿城镇和农村地区老年人的队列研究

• 批准号: 11470102
• 负责人: KISHI Reiko
• 金额: $ 8.32万
• 依托单位: Hokkaido University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B).
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-11470102/
• 关键词: The elderly; Social support; Networks; Depression; Life events; Zung's Self-Rating Depression Scale; Risk factors; Cohort study

Recent scientific research has established strong empirical evidence for a causal impact of social relationships on the health of the elderly. From 1991, we have studied the relationship between health and the social relationships of the elderly, in three cohorts in Hokkaido prefecture. The purpose of this study is to ascertain if daily activities, and social support networks were related to sustaining active lives among the elderly. The population for this study comprised of 653 elderly persons who, in 1992, had lived in Takasu, in Hokkaido, and who had participated in our longitudinal study. After six years follow-up, 437 of 653 persons were defined as "extended active" in the community. Persons who were defined as "active life loss" included, 109 dead, 12 institutionalized, 15 admitted in hospitals for over three months, and 70 persons dependent in daily activities living in the community. Multiple logistic analysis showed that among men, adjusting all potential confounders, "not going far away by himself", "not putting snow away", "lower social participation", "age", and "history of hospital admission" were significantly related to "active life loss". Among women, "not cleaning up rooms by themselves", "not going far away by themselves", "not being married", "lower self-rated health" and "visual disfunction" were significant risk factors for "active life loss". These results suggest that in order to sustain active lives among the elderly, community care systems should pay attention not only to predicting diseases, but also to maintaining daily activities and to confirming a social network for the elderly.

最近的科学研究已经建立了强有力的经验证据，证明社会关系对老年人健康的因果影响。从1991年起，我们在北海道县的三个队列中研究了老年人的健康与社会关系之间的关系。本研究的目的是确定日常活动和社会支持网络是否与维持老年人积极生活有关。本研究的人群包括653名老年人，他们在1992年居住在北海道的高须，并参加了我们的纵向研究。经过六年的跟踪调查，653人中有437人被界定为在社区中“长期活跃”。被定义为“主动死亡”的人包括109人死亡，12人被送入机构，15人住院超过三个月，70人在社区生活，日常活动依赖。多因素Logistic回归分析显示，在男性中，调整所有潜在的混杂因素，“不自己走远”、“不放雪”、“较低的社会参与”、“年龄”和“住院史”与“主动寿命损失”显著相关。在女性中，“不自己打扫房间”、“不自己去很远的地方”、“没有结婚”、“自评健康水平较低”和“视力障碍”是“主动寿命损失”的显著危险因素。这些结果表明，为了维持老年人的积极生活，社区护理系统不仅要注意预测疾病，还要注意维持日常活动和确认老年人的社会网络。

项目成果

増地あゆみ,岸玲子 他: "高齢者の抑うつに及ぼすストレスフル・ライフイベントの影響とソーシャルサポートネットワークの役割"第10回日本疫学学会学術総会講演集. 10(1). 80 (2000)

Ayumi Masuji、Reiko Kishi 等：“压力生活事件对老年人抑郁的影响和社会支持网络的作用”日本流行病学会第十届年会记录 10(1)。 ）

KISHI R., TSUKISHIMA E., EGUCHI T., KATAKURA Y., MAEDA N.: "Effects of social support and networks on life prognosis and function prognosis of the elderly-Long-term cross-sectional study in a rural area"Collected Papers of Academic General Meeting of the

岸R.，月岛E.，江口T.，片仓Y.，前田N.：“社会支持和网络对老年人生活预后和功能预后的影响——农村地区的长期横断面研究”收集

増地 あゆみ、岸 玲子 他: "高齢者の抑うつに及ぼすストレスフル・ライフイベントの影響とソーシャルサポートネットワークの役割"第10回日本疫学会学術総会講演集. 10(1). 80 (2000)

Ayumi Masuji、Reiko Kishi 等：“压力生活事件的影响和社会支持网络对老年人抑郁的作用”日本流行病学会第十届年会记录 10(1)。

Kishi R., Tsukishima E, .et al: "Influence of social support and network on physical and mental health in an elderly community population - A longitudinal follow-up study"Abstract Book (vol. 2) The XV international scientific meeting of the international

Kishi R.，Tsukishima E，等人：“社会支持和网络对老年人社区人群身心健康的影响 - 纵向跟踪研究”摘要书（第 2 卷） 第十五届国际科学会议

岸 玲子、築島恵理、江口照子、片倉洋子、前田信雄: "高齢者の社会的サポートネットワークが生命予後と機能予後に及ぼす影響-農村における長期横断研究"第11回日本疫学学会学術総会講演集. 11(1). 118 (2001)

Reiko Kishi、Eri Tsukishima、Teruko Eguchi、Yoko Katakura、Nobuo Maeda：“老年人社会支持网络对生活预后和功能预后的影响——农村地区的长期横断面研究”第11届年会论文集日本流行病学学会 11(1) 118 (2001)。