Human Ecological Study on the Function of Family for primary Health Care for Aged People.

对长崎县大岛县(n=85)和长崎市(n=111)使用医疗保健和福利服务的老年人的身心状况及其与家庭支持功能的关系进行了研究。(1)体重、体质量指数、皮褶厚度随年龄增长呈下降趋势。生理能力也随着年龄的增长而显著下降。(2)日常生活活动能力(ADL)得分不随年龄增长呈线性下降。男性的损伤比女性更严重，特别是在洗澡和穿衣能力方面。运动功能障碍在城市中更为常见。(3)包括疑似病例在内的老年期痴呆患病率，城市为13.6%，海岛为15.5%，且随年龄增长而上升；(4)残疾男性最常与妻子同住，而女性最常与子女同住：孤独者在海岛(27.8%)比在城市(10%)更常见。尤其是老年痴呆症患者，独居海岛的比例高达58.3%，而城市独居的比例为13.3%。(5)规划初级卫生保健，加强家庭护理和社区护理之间针对社区的最佳合作。

The physico-psychiatric conditions and their relation with supportive function of family were studied on the old persons who utilized health care and welfare services in Ohshima Island of Nagasaki Prefecture(n=85) and in Nagasaki City(n=111). (1) Body weight, the body mass index and skinfold thicknesses decreased with age. Physiological abilities also significantly decreased with age. (2) The score of activities of daily living (ADL) didn't lineally decrease with age. The impairment were more severe for men than for women, especially on abilities for bathing and clothing. The impairment of locomotion was more frequent in the city. (3) Prevalence of senile dementia including the suspected cases was 13.6% in the city and 15.5% in the island, and increased with age, (4) Men with impairments lived most frequently with their wives, while women with impairments lived most frequently with their children: those living alone are more popular in the island (27.8%) than in the city (10%). Especially for those with senile dementia, living alonein the island was as high as 58.3%, comparing with 13.3% in the city(13.3%). (5) Primary Health Care should be planned to strengthen the community-specific optima cooperation between family care and community care.