Correlates and Prognosis in Relation to Participation in Social Activities Among Older People Living in a Community in Osaka, Japan

Journal of Clinical Geropsychology - Tập 6 - Trang 299-307 - 2000
Noriyuki Nakanishi1, Kozo Tatara1
1Department of Social and Environmental Medicine, Course of Social Medicine, Osaka University Graduate School of Medicine F2, Osaka, Japan

Tóm tắt

To examine the factors associated with social participation and to determine whether social participation is predictive of mortality, a cohort of 1405 randomly selected older people aged 65 years and over, living in Settsu, Osaka Prefecture, was followed up for 66 months. By multivariate analysis using logistic regression, female sex, older age, disability, medical treatment, no use of health checks, no daily preventive health practices, and no life worth living (no Ikigai) were independent risk factors for no participation in social activities. From the analysis using the Kaplan–Meier method, the cumulative survival rates were higher among those who took part in social activities than among those who did not in both age groups, 65–74 years and 75 years and older, for men and women. Application of the Cox proportional hazards model resulted in adjusted hazard ratio of no participation in social activities for mortality of 1.53 (95% confidence interval: 1.11–2.11), controlling for other potential factors. These results suggest that participation in social activities is closely associated with health and psychosocial conditions and may be an independent risk factor for mortality among community-residing older people.

Từ khóa


Tài liệu tham khảo

Antonovsky, A. (1979). Health, Stress and Coping, Jossey-Bass, San Francisco.

Atchley, R. C. (1980). The Social Forces in Later Life, Wadsworth, California.

Belloc, N., and Breslow, L. (1972). Relationship of physical health status and health practice. Prev. Med. 1: 409-421.

Berkman, L. F. (1986). Social networks, support and health: Taking the next step forward. Am. J. Epidemiol. 123: 559-562.

Blazer, D. G. (1982). Social support and mortality in an elderly community population. Am. J. Epidemiol. 115: 684-694.

Breslow, L. (1978). Prospects for improving health through reducing risk factors. Prev. Med. 7: 449-458.

George, L. K. (1989). Stress, social support, and depression over the life course. In Markides, K. S., and Cooper, C. L. (eds.), Ageing, Stress, and Health, John Wiley, Manchester.

Grand, A., Grosclaude, P., Bocquet, H., Pous, J., and Albarede, J. L. (1990). Disability, psychosocial factors and mortality among the elderly in a rural French population. J. Clin. Epidemiol. 43: 773-782.

House, J. S., Landis K. R., and Umberson, D. (1988). Social relationships and health. Science 241: 540-545.

Larson, R. (1978). Thirty years of research on the subjective well-being of older Americans. J. Gerontol. 33: 109-125.

Libow, L. S. (1974). Interaction of medical, biologic and behavioral factors on ageing adaptation and survival: An 11-year longitudinal study. Geriatrics 29: 75-88.

Martin, J., Meltzer, H., and Elliot, D. (1988). The prevalence of disability among adults. OPCS Surveys of Disability in Great Britain, Report 1, Her Majestry's Stationary Office, London.

Mossey, J. M., and Shapiro, E. (1982). Self-rated health: A predictor of mortality among the elderly. Am. J. Public. Health 72: 800-809.

Nakanishi, N. (1999). Ikigai in older Japanese people. Age Ageing 28: 323-324.

Nakanishi, N., Tatara, K., Naramura, H., Fujiwara, H., Takashima, Y., and Fukuda, H. (1997a). Urinary and fecal incontinence in a community-residing elderly population in Japan. J. Am. Geriatr. Soc. 45: 215-219.

Nakanishi, N., Tatara, K., Takashima, Y., Fujiwara, H., Takamori, Y., Takabayashi, H., and Scott, R. (1995). The association of health management with the health of elderly people. Age Ageing 24: 334-340.

Nakanishi, N., Tatara, K., Takatorige, T., Murakami, S., and Shinsho, F. (1997b). Effects of preventive health services on survival of the elderly living in a community in Osaka, Japan. J. Epidemiol. Community. Health 51: 199-204.

Seeman, T. E., Kaplan, G. A., Knudsen, L., Cohen, R., and Guralnik, J. (1987). Social network ties and mortality among the elderly in the Alameda County Study. Am. J. Epidemiol. 126: 714-723.

Simonsick, E. M., Kasper, J. D., and Phillips, C. L. (1998). Physical disability and social interaction: Factors associated with low social contact and home confinement in disabled older women (the women's health and aging study). J. Gerontol. B. Psychol. Sci. Soc. Sci. 53: S209-S217.

Sugisawa, H., Liang, J., and Liu, X. (1994). Social networks, social support, and mortality among older people in Japan. J. Gerontol. 49: S3-S13.

Umberson, D. (1987). Family status and health behaviors: Social control as a dimension of social integration. J. Health. Soc. Behav. 28: 306-319.

Warren, M. D, and Knight, R. (1982). Mortality in relation to the functional capacities of people with disabilities living at home. J. Epidemiol. Community. Health 36: 220-223.

Thông tin
Thông tin xuất bản

Journal of Clinical Geropsychology

Tập 6

299-307

Thông tin tác giả