The Relationship between Socio-economic Status and the Loss of Healthy Aging, and Relevant Gender Differences in the Japanese Older Population

Kondo, Katsunori; Ashida, Toyo; Hirai, Hiroshi; Jimpei, Misawa; Suzuki, Keisuke

doi:10.4091/iken.22.19

Cited by 11 publications

(15 citation statements)

References 4 publications

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“…The result was also consistent with reports that those with higher incomes have lower rates of mortality and eligibility for long-term care [25] as well as higher basic and instrumental activities of daily living, social activity, sense of wellness, and less disease [4], and that those who feel their life circumstances are poor tend to have a lower sense of wellness [26].…”

Section: Multiple Regression Analysissupporting

confidence: 80%

Factors Affecting the Health-Related Quality of Life of Community-Dwelling Elderly in Japan: A Focus on Spirituality

Kobayashi¹,

Marui²

2017

Health

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This study aimed to explain factors affecting health-related quality of life among community-dwelling elderly individuals living in Japan. We conducted a questionnaire survey of 898 individuals at senior citizens clubs in a rural area near the Tokyo metropolitan area in 2015, and analyzed the responses of 715 who provided valid responses. The survey questions included basic attributes (e.g., age, economic affluence), state of health (e.g., whether s/he has heart disease or not), the Spirituality Rating Scale Related to Health in the Elderly (SP Health Scale, composed of, e.g., meaning and purpose of living, self-transcendence), the Abbreviated Lubben Social Network Scale, and the MOS 8-Item Short Form Health Survey (SF-8). Multiple regression analyses were performed using the physical component summary (PCS) and mental component summary (MCS) of the SF-8 as dependent variables and all others as independent variables. Factors associated with improved PCS were economic affluence and SP Health Scale (meaning and purpose of living), while the factors associated with reduced PCS were age and state of health (heart disease, gastrointestinal disease, osteoarthritis, lower back pain, knee pain, and eligible for long-term care). Meanwhile, factors associated with improved MCS were economic affluence, while those that were associated with reduced MCS were state of health (cancer and headache) and SP Health Scale (self-transcendence). These results suggest the need to understand spirituality in addition to the subjective economic situation, age, and medical condition of elderly individuals in order to improve their physical and mental health.

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Section: Multiple Regression Analysissupporting

confidence: 80%

Factors Affecting the Health-Related Quality of Life of Community-Dwelling Elderly in Japan: A Focus on Spirituality

Kobayashi¹,

Marui²

2017

Health

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“…In the present study, there were no significant correlations between socioeconomic status and activity limitations. Although some previous studies reported that living arrangements and equivalized disposable household income predicted demands for long‐term care, others showed that these socioeconomic status factors had no significant associations with disability and demands for long‐term care . As the association between socioeconomic status and activity limitations still remains uncertain, further research is required to investigate this topic.…”

Section: Discussionmentioning

confidence: 82%

“…In addition, diseases under treatment and history of chronic diseases were important risk factors. Furthermore, recently some researchers reported the associations of socioeconomic status with demand for long‐term care …”

Section: Introductionmentioning

confidence: 99%

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Age and sex differences of risk factors of activity limitations in Japanese older adults

Monma

Takeda

Noguchi

et al. 2015

Geriatrics Gerontology Int

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Mental health was the most important factor of activity limitations in Japanese older adults. Furthermore, low back pain regardless of age and sex, other musculoskeletal diseases only for women and cardiovascular diseases mainly for men could also be significant risk factors to activity limitations. Therefore, preventive approaches of activity limitations considering sex differences are important for older adults in Japan. Geriatr Gerontol Int 2015; ●●: ●●-●●.

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“…However, a previous study suggested that a proportion of missing data of less than 10% may not influence the results. Finally, although we modeled for numerous potential confounders, the results might have still been influenced by other factors such as education or socioeconomic status; however, the health inequalities (including income and education attainment) were relatively insignificant or absent in older Japanese adults, 34 and after adjusting for employment, the results were unchanged. However, there would be nondifferential misclassification or attenuate in the associations compared objective measures of physical activity.…”

Section: Sensitivity Analysismentioning

confidence: 99%

Physical activity and incident dementia in older Japanese adults: The Okayama study

Liu

Mitsuhashi

Yamakawa

et al. 2019

Int J Geriat Psychiatry

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Objective To evaluate the association between regular physical activity and the risk of incident dementia in older Japanese adults. Methods This was a retrospective cohort study performed in Okayama City, Japan. Overall, 51 477 older Japanese adults were followed from 2008 to 2014. A health checkup questionnaire was used to assess regular physical activity. The Dementia Scale of long‐term care insurance was used as a measure of incident dementia. Cox proportional hazard models were used to calculate adjusted hazard ratios, with their 95% confidence intervals, for the incidence of dementia across the categories of physical activity. Results During a 7‐year follow‐up, 13 816 subjects were considered as having incident dementia. Compared with participants who performed physical activity less than or equal to one time per week, the multivariate adjusted hazard ratio values (95% confidence intervals) for participants who performed physical activity greater than or equal to two times per week but not every day and those who performed physical activity every day were 0.79 (0.75‐0.84) and 0.94 (0.89‐0.98), respectively. The interaction of physical activity and sex was statistically significant (P < .01). In subgroup analysis, the multivariate‐adjusted hazard ratio values (95% confidence intervals) remained low, at 0.76 (0.70‐0.84) in males and 0.81 (0.76‐0.87) in females who performed physical activity greater than or equal to two times per week but not every day; they were 0.82 (0.76‐0.89) in males and 1.01 (0.95‐1.07) in females who performed physical activity every day. Conclusions Regular physical activity could reduce the risk of incident dementia in older Japanese adults, except females who performed physical activity every day.

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The Relationship between Socio-economic Status and the Loss of Healthy Aging, and Relevant Gender Differences in the Japanese Older Population

Cited by 11 publications

References 4 publications

Factors Affecting the Health-Related Quality of Life of Community-Dwelling Elderly in Japan: A Focus on Spirituality

Factors Affecting the Health-Related Quality of Life of Community-Dwelling Elderly in Japan: A Focus on Spirituality

Age and sex differences of risk factors of activity limitations in Japanese older adults

Physical activity and incident dementia in older Japanese adults: The Okayama study

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