Factors associated with community commitment among older adults: a stratified analysis of community group leaders and members

Taguchi, Hina; Tadaka, Etsuko; Iwata, Yuka; Arimoto, Azusa

doi:10.1186/s12877-022-03361-4

Cited by 7 publications

(8 citation statements)

References 61 publications

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“…Moreover, our results showed that the average CCS score among OAPs overall was 11.1 (SD = 3.9), with 11.7 (SD = 3.4) in the group with high HBSO scores and 10.5 (SD = 4.3) in the group with low HBSO scores. Previous studies found an average CCS score of 14.5 (SD = 4.1) for the general urban older population (44) and 17.2 (SD = 3.7) for older people participating in community activities in urban areas (45). Similar to results of the LSNS-6, OAPs in our study were found to have lower CCS scores than older adults who were actively engaged in community activities, as well as older adults in general and even physically frail older adults.…”

Section: Discussionmentioning

confidence: 94%

Factors associated with health behaviors in preventing non-communicable diseases among older adults living alone in poverty in Japan

Imamatsu,

Tadaka

2023

Front. Public Health

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IntroductionOlder adults who live alone in poverty are highly susceptible to non-communicable diseases and other adverse conditions owing to health disparities resulting from social structures. However, the factors associated with health behavior to prevent non-communicable diseases in this population are rarely explored. The purpose of this study was to identify factors associated with health behavior to prevent non-communicable diseases among older adults living alone in poverty.MethodsWe conducted a self-administered mail survey covering 2,818 older adults living alone who were receiving public assistance, randomly selected from lists of individuals receiving national public assistance in all 1,250 local social welfare offices across Japan. A total of 1,608 individuals completed the questionnaire, a valid response rate of 57.1%. Respondents’ mean age was 74.5 years (standard deviation = 6.7), and 52.9% were women. The study variables included demographic characteristics, scores on a health behavior scale for older adults living alone and receiving public assistance (HBSO), and individual and community-related factors.ResultsLogistic regression analysis revealed that the individual factor of having a health check-up in the past 12 months [odds ratio (OR): 1.45, 95% confidence interval (CI): 1.10–1.91] and the community-related factors Lubben social network scale score (OR 1.15, 95% CI: 1.12–1.18) and Community Commitment Scale score (OR: 1.04, 95% CI: 1.00–1.08) were significantly associated with HBSO scores.ConclusionTo improve health behavior among older adults living alone in poverty in Japan, social structures, such as lowering mental barriers to the detection, treatment, and management of non-communicable diseases and developing human resources, should be changed to provide social support, such that these individuals are not only dependent on family and friends.

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Section: Discussionmentioning

confidence: 94%

Factors associated with health behaviors in preventing non-communicable diseases among older adults living alone in poverty in Japan

Imamatsu,

Tadaka

2023

Front. Public Health

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“…In comparison, the scores of the general Japanese population were as follows: All HLS-EU-Q47 25.3 (8.2), HLS-EU-Q47 HP 25.5 (9.2), HLS-EU-Q47 DP 22.7 (9.2), and HLS-EU-Q47 HC 25.7 (8.6) [37]. Additionally, the scores for older urban residents in Japan were as follows: All HLS-EU-Q47 27.5 (8.8), HLS-EU-Q47 HP 25.6 (10.2), HLS-EU-Q47 DP 31.2 (9.8), and HLS-EU-Q47 HC 26.0 (9.7) [39]. The health literacy scores for CHWs of Q1 group, with the lowest COCS-N scores, were higher than those of the general Japanese public.…”

Section: Discussionmentioning

confidence: 99%

“…A high score indicate a high degree of community commitment. This scale has a Cronbach's alpha of 0.75 among local volunteers in Japan [39]. Similar to HL, CCS scores were recorded for the overall CCS and the subscales on socializing and belonging.…”

Section: Community Factorsmentioning

confidence: 98%

Empowering Community Health Workers in Japan: Determinants of Non-Communicable Disease Prevention Competency

Imamatsu,

Iwata,

Yokoyama

et al. 2024

Healthcare

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Background: Community health workers (CHWs), hailing from the general populace, play a pivotal role in fortifying healthcare systems, with a primary focus on mitigating non-communicable diseases (NCDs) and elevating overall life expectancy. To assess the aptitude of CHWs in NCD prevention, we introduced the Community Health Workers Perceptual and Behavioral Competency Scale for preventing non-communicable diseases (COCS-N). This study examines the multifaceted interplay of individual and community factors that influence CHWs’ COCS-N scores. Methods: The research design is a secondary analysis using data from a self-administered questionnaire survey of 6480 CHWs residing in municipalities across Japan, which obtained 3120 valid responses, between September to November 2020. The COCS-N was employed as the dependent variable, while the independent variables were individual-related factors, including years of community health work, health literacy, and community-related factors, such as CHWs’ sense of community. To ascertain the significance of associations between individual and community factors and CHWs’ competency, an analysis of covariance (ANCOVA) was utilized to compare the three groups Q1/Q2/Q3 by low, medium, and high scores on the COCS-N scale. Statistical significance was considered to be indicated by a p-value of less than 0.05. Results: The ANCOVA analysis revealed that three factors were significantly linked to CHWs’ competence. These comprised individual factors: “years of CHWs” (mean ± SD Q1: 6.0 ± 6.0, Q2: 7.8 ± 7.0, Q3: 8.2 ± 7.7, p < 0.001) and “health literacy” (Q1: 27.7 ± 6.6, Q2: 30.4 ± 6.9, Q3: 33.8 ± 7.8, p < 0.001), as well as a community factor: “Sense of community” (Q1: 14.8 ± 3.7, Q2: 16.5 ± 3.5, Q3: 18.2 ± 3.6, p < 0.001). Conclusions: Our finding is that a positive association was derived between COCS-N scores and certain determinants. Notably, “years of CHWs” and “health literacy” in the individual domain, along with the “Sense of community” in the communal context, were firmly established as being significantly associated with CHWs’ competency. Consequently, CHWs need training to increase their “health literacy” and “sense of community”, to acquire high competency in NCD prevention, which will lead to the empowerment of CHWs and maintain their motivation to continue.

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“…The high and low COCS-N score groups were analyzed separately. Then, based on previous studies that conducted stratified analysis, differences between the COCS-N scores and the independent variables were compared using t-tests and χ 2 tests [33]. Logistic regression analysis was performed in an attempt to identify the key determinants of COCS-N scores.…”

Section: Discussionmentioning

confidence: 99%

“…The results showed that the CHWs' average overall CCS scores were 16.4 (SD = 3.9), with the high COCS-N score group averaging 17.7 (SD = 3.7) and the low COCS-N score group averaging 15.3 (SD = 3.7). Previous studies found average CCS scores of 14.5 (SD = 4.1) for the general urban older population [42], 13.0 (SD = 4.3) for mothers raising children [43], and 17.2 (SD = 3.7) for older people participating in community activities in urban areas [33]. Thus, the overall scores we obtained were higher than those of mothers raising children and older people in general, but lower than those of older people participating in community activities in urban areas.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Competence in Preventing Non-communicable Diseases among Community Health Workers in Japan

Imamatsu¹,

Tadaka²

2023

Preprint

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Background Community health workers (CHWs) drawn from the general population are an important human resource in health care systems, preventing non-communicable diseases (NCDs) and contributing to an increase in healthy life expectancy in Japan. Thus, we have developed the COmmunity health workers perceptual and behavioral Competency Scale for preventing Non-communicable diseases (COCS-N) to measure CHWs’ competence in preventing NCDs. The purpose of this study is to examine individual and community factors affecting CHWs’ COCS-N scores. Methods Municipal public health nurses and other public health professionals are responsible for training and supporting CHWs in Japan. Therefore, the existence of CHWs and their willingness to participate in the study were confirmed with the municipalities, who were asked to distribute the self-administered questionnaire to CHWs where consent was obtained (N = 6,480). Variables used included demographic characteristics, COCS-N scores, and individual- and community-related factors. Logistic regression analysis was used to assess associations between variables. Results A total of 3,120 people completed the questionnaire, a valid response rate of 48.1%. The respondents’ mean age was 67.0 years (standard deviation = 9.0), and 88.0% were female. Comparison of the high- and low- competence groups in terms of NCD prevention based on COCS-N scores identified 13 factors associated with significant differences, including years spent working as a CHW (p < 0.001), subjective sense of health (p = 0.005), European Health Literacy Survey Questionnaire (HLS-EU-Q47) scores (p < 0.001), and community commitment scale (CCS) scores (p < 0.001). Logistic regression analysis revealed that HLS-EU-Q47 scores (odds ratio [OR]: 1.02, 95% confidence interval [CI]: 1.02–1.03) were a significant individual factor, while CCS scores (OR: 1.14, 95% CI: 1.11–1.16) were a significant community factor. Conclusions We found that the COCS-N score was associated with the individual factors overall health literacy (HL), perceptions of HL, and subjective sense of health, and with the community factor CCS scores. These results suggest that strengthening individual factors such as HL and subjective sense of health, and community factors such as sense of community is an effective strategy for increasing CHWs’ competence in preventing NCDs.

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Factors associated with community commitment among older adults: a stratified analysis of community group leaders and members

Cited by 7 publications

References 61 publications

Factors associated with health behaviors in preventing non-communicable diseases among older adults living alone in poverty in Japan

Factors associated with health behaviors in preventing non-communicable diseases among older adults living alone in poverty in Japan

Empowering Community Health Workers in Japan: Determinants of Non-Communicable Disease Prevention Competency

Factors Associated with Competence in Preventing Non-communicable Diseases among Community Health Workers in Japan

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