Impact of the elder abuse prevention and caregiver support law on system development among municipal governments in Japan

Nakanishi, Miharu; Hoshishiba, Yumiko; Iwama, Nobuyuki; Okada, Tomoko; Kato, Etsuko; Takahashi, Hiroshi

doi:10.1016/j.healthpol.2008.10.009

Cited by 17 publications

(17 citation statements)

References 27 publications

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“…As yet, there are no evidence-based interventions to reduce elder abuse by family caregivers [43]. The organization and collaboration of home care providers needed to support family caregivers to prevent such abuse is therefore an international issue and a future challenge that most countries, including Japan, must face [37,44-46]. …”

Section: Discussionmentioning

confidence: 99%

Knowledge, perceptions, and experiences of family caregivers and home care providers of physical restraint use with home-dwelling elders: a cross-sectional study in Japan

Kurata

Ojima

2014

BMC Geriatr

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Background: The use of physical restraints by family caregivers with home-dwelling elders has not been extensively studied but it might be widespread. Furthermore, it is also not clear how home care providers who support family caregivers perceive the use of physical restraint in elders' homes. This study assessed family caregivers' and home care providers' knowledge and perceptions of physical restraint used with elders living at home in Japan, a country with the highest proportion of elders in the world and where family caregiving is common. Methods: We undertook a cross-sectional study of 494 family caregivers, 201 home helpers, 78 visiting nurses, 131 visiting physicians, and 158 care managers of home-dwelling frail elders needing some care and medical support in Japan, using questionnaires on knowledge of 11 physical restraint procedures prohibited in institutions and 10 harmful effects of physical restraints, perceptions of 17 reasons for requiring physical restraints, and experiences involving physical restraint use. Results: Family caregivers were aware of significantly fewer recognized prohibited physical restraint procedures and recognized harmful effects of physical restraint than home care providers, and differences among home care providers were significant. The average importance rating from 1 (least) to 5 (most) of the 17 reasons for requiring physical restraints was significantly higher among family caregivers than home care providers, and significantly different among the home care providers. Moreover, these differences depended in part on participation in physical restraint education classes. While 20.1% of family caregivers had wavered over using physical restraints, 40.5% of home care providers had seen physical restraints used in elders' homes and 16.7% had advised physical restraint use or used physical restraints themselves.

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Section: Discussionmentioning

confidence: 99%

Knowledge, perceptions, and experiences of family caregivers and home care providers of physical restraint use with home-dwelling elders: a cross-sectional study in Japan

Kurata

Ojima

2014

BMC Geriatr

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“…Some researchers reported the possibility of underutilization of social services under the Japanese LTCI system due to social norms and the opinions of family caregivers [29-31]. Japan introduced legislation addressing elder abuse prevention and caregiver support in 2007 [31], and these initiatives may help to support families with fragile informal care-giving arrangements [30,32].…”

Section: Discussionmentioning

confidence: 99%

Mothers and daughters-in-law: a prospective study of informal care-giving arrangements and survival in Japan

et al. 2010

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BackgroundDaughters-in-law have played an important role in informal care-giving arrangements within East Asian traditional norms. The aim of this study was to measure the impact of daughter-in-law care-giving on the survival of care recipients. We prospectively examined the associations between different types of kinship relationship between the main family caregiver and the care recipient in relation to survival among care recipients.MethodsA questionnaire was administered to Japanese community-dwelling seniors who were eligible to receive national long-term care insurance (LTCI) community-based services. Among 191 individuals whose informal care-giving arrangement was definitively determined, we observed 58 care recipients receiving care from spouses, 58 from daughters-in-law, 27 from biological daughters, 25 from other relatives, and 23 care recipients living alone.ResultsDuring 51 months of follow-up from December 2001, 68 care recipients died, 117 survived, and 6 moved. Hazard ratios of each care-giving arrangement were estimated by Cox proportional hazard models adjusted for care recipients' demographic factors, their care needs level based on their physical and cognitive functioning and their service use, caregivers' demographic factors, and household size. The highest risk of mortality was found for female elders receiving care from daughters-in-law (HR 4.15, 95% CI 1.02-16.90) followed by those receiving care from biological daughters (HR 1.64, 95% CI 0.37-7.21), compared to women receiving spousal care. By contrast, male elders receiving care from daughters-in-law tended to live longer than those receiving care from their spouses.ConclusionsOur finding suggests that there may be a survival "penalty" for older Japanese women who are cared for by their daughters-in-law.

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“…For instance, the nationwide universal long-term care insurance system was started in 2000, 21 , 22 and an elder abuse prevention and caregiver support law was enacted in 2006. 23 Nevertheless, a new type of health inequality may result from imbalances and lack of harmonization in the community’s supply and demand of health and social care. 24 , 25 …”

Section: Introductionmentioning

confidence: 99%

Cohort Profile: The AGES 2003 Cohort Study in Aichi, Japan

Nishi¹,

Kondo²,

Hirai³

et al. 2011

Journal of Epidemiology

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BackgroundThe longevity of Japanese is thought to be associated with psychosocial factors such as sense of coherence, social support, and social capital. However, the actual factors responsible and the extent of their contribution to individual health status are not known.MethodsThe Aichi Gerontological Evaluation Study (AGES) 2003 Cohort Study is a prospective cohort study of community-dwelling, activities of daily living-independent people aged 65 or older living in 6 municipalities in Chita peninsula, Aichi Prefecture, Japan. Information on psychosocial factors and other individual- and community-level factors was collected in the second half of 2003 using a baseline questionnaire. Vital status and physical and cognitive decline have been followed using data derived from long-term care insurance certification. Geographical information on the study participants was also obtained.ResultsA total of 13 310 (6508 men; 6802 women) study participants were registered in the study. For an interim report, we followed the cohort for 48 months, yielding 24 753 person-years of observation among men and 26 456 person-years among women.ConclusionsThe AGES 2003 Cohort Study provides useful evidence for research in social epidemiology, gerontology, and health services.

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Impact of the elder abuse prevention and caregiver support law on system development among municipal governments in Japan

Cited by 17 publications

References 27 publications

Knowledge, perceptions, and experiences of family caregivers and home care providers of physical restraint use with home-dwelling elders: a cross-sectional study in Japan

Knowledge, perceptions, and experiences of family caregivers and home care providers of physical restraint use with home-dwelling elders: a cross-sectional study in Japan

Mothers and daughters-in-law: a prospective study of informal care-giving arrangements and survival in Japan

Cohort Profile: The AGES 2003 Cohort Study in Aichi, Japan

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