Predictors of houseboundedness among elderly persons living autonomously in a rural community

Watanabe, Misuzu; Watanabe, Takemasa; Matsuura, Takamaro; Higuchi, Yoshio; Shibutani, Takahiro; Usuda, Kan; Kono, Koichi

doi:10.3143/geriatrics.44.238

Cited by 12 publications

(11 citation statements)

References 5 publications

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“…Social isolation is another important factor related to homebound status and its outcomes. Specifically, limited social contact was previously found predictive of homebound status in community dwelling older persons (Watanabe et al, 2007), while social isolation from family and friends and the frequency of social interaction were found to be significant predictors of mortality in older persons (Blazer, 1982; Seeman et al, 1987). Specifically, Seeman et al (1987) reported that greater social isolation significantly predicted increased 17-year mortality risk for older persons aged 70 and older, after adjusting for background variables and baseline health status.…”

Section: Discussionmentioning

confidence: 92%

Homebound older persons: Prevalence, characteristics, and longitudinal predictors

Cohen‐Mansfield

Shmotkin

Hazan

2012

Archives of Gerontology and Geriatrics

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The current study examines the prevalence and correlates of homebound status aiming to elucidate the predictors and implications of being homebound. Analyzed sample was drawn from two representative cohorts of older persons in Israel, including 1191 participants (mean age = 83.10 ± 5.3 years) of the first wave of the Cross-Sectional and Longitudinal Aging Study (CALAS) and 418 participants (mean age = 83.13 ± 5.2) of the Israeli Multidisciplinary Aging Study (IMAS). Cross-sectional and longitudinal analyses were conducted. Homebound prevalence rates of 17.7% -19.5% were found. Homebound participants tended to be older, female, have obese or underweight body mass index (BMI), poorer health, lower functional status, less income, higher depressed affect, were significantly lonelier (in CALAS), and more likely to have stairs and no elevators, than their counterparts. Predictors of becoming homebound include low functional IADL status, having stairs and no elevator (in both cohorts), old age, female gender, and being obese or underweight (in CALAS). The study shows homebound status is a prevalent problem in old-old Israelis. Economic and socio-demographic resources, environment, and function play a role in determining the older person's homebound status. Implications for preventing homebound status and mitigating its impact with regards to the Israeli context are discussed.

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Section: Discussionmentioning

confidence: 92%

Homebound older persons: Prevalence, characteristics, and longitudinal predictors

Cohen‐Mansfield

Shmotkin

Hazan

2012

Archives of Gerontology and Geriatrics

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“…Housebound has been found to be a risk factor for long‐term care conditions and mortality . It is also believed that being housebound involves interacting physical, psychological, and social and environmental factors . Currently, there is no concept of housebound or a unified definition, but the frequency of going out (FGO) was used as a screening measure of housebound .…”

Section: Introductionmentioning

confidence: 99%

Association between decrease in frequency of going out and oral function in older adults living in major urban areas

Mikami

Watanabe

Motokawa

et al. 2019

Geriatrics Gerontology Int

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Aim To examine the association between a decrease in the frequency of going out and oral function in independent older adults living in the urban area of Tokyo. Methods The participants analyzed were 785 older adults from the “Takashimadaira Study” (344 men and 441 women, age 77.0 ± 4.6 years). This study investigated the following items: decrease in frequency of going out; basic characteristics (sex, age); physical factors, such as oral function (difficulty chewing, difficulty swallowing, dry mouth); body pain; the Japan Science and Technology Agency Index of Competence; physical activities; psychological factors, such as the Geriatric Depression Scale‐15 score; and social and environmental factors, such as the presence or absence of participation in organization activities. Results To investigate the factors associated with a decrease in frequency of going out, logistic regression analysis showed an association with age (OR 1.08, 95% CI 1.03–1.13), difficulty chewing (OR 2.41, 95% CI 1.52–3.83), dry mouth (OR 1.68, 95% CI 1.07–2.64), body pain (OR 1.78, 95% CI 1.14–2.78), Japan Science and Technology Agency Index of Competence scores (OR 0.91, 95% CI 0.84–0.99), physical activities (OR 0.99, 95% CI 0.98–1.00), Geriatric Depression Scale‐15 scores (OR 1.13, 95% CI 1.05–1.21) and organization activities (OR 1.94, 95% CI 1.22–3.07). Covariance structural analyses showed that both “difficulty chewing” and “dry mouth” significantly affected “decrease in frequency of going out.” In addition, decrease in frequency of going out was significantly affected by “ Geriatric Depression Scale‐15 scores” through oral function. Conclusions The relationship between oral function and decrease in frequency of going out was clarified, after the multifaceted factors were adjusted. Geriatr Gerontol Int 2019; 19: 792–797.

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“…Being homebound was defined as a condition with infrequency of going outdoors. Based on previous studies, a cut‐off point was set between “once per 2–3 days or more often” and “once a week or less often,” and we regarded the latter as being homebound . Urinary incontinence, a condition with involuntary leakage of urine once a day or more often, was assessed using an item of the Barthel Index .…”

Section: Methodsmentioning

confidence: 99%

“…Although the definition of being homebound varies, the frequency of going outdoors has been commonly used to identify being homebound in Japan . Specifically, one who goes outdoors once a week or less often is regarded as a homebound person . Various factors have been found to be associated with being homebound, such as cardiovascular, cerebrovascular and musculoskeletal disorders .…”

Section: Introductionmentioning

confidence: 99%

Sense of coherence as a key to improve homebound status among older adults with urinary incontinence

Takahashi

Kato²,

Igari³

et al. 2014

Geriatrics Gerontology Int

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Predictors of houseboundedness among elderly persons living autonomously in a rural community

Cited by 12 publications

References 5 publications

Homebound older persons: Prevalence, characteristics, and longitudinal predictors

Homebound older persons: Prevalence, characteristics, and longitudinal predictors

Association between decrease in frequency of going out and oral function in older adults living in major urban areas

Sense of coherence as a key to improve homebound status among older adults with urinary incontinence

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