Association between satisfaction with state of health and meals, physical condition and food diversity, health behavior, and perceptions of shopping difficulty among older people living alone in Japan
| Autor: | Yoshiharu Fukuda, Kaori Yoshiba, Miho Nozue, Nobuo Yoshiike, Yukari Takemi, Kaoru Kusama, Nobuko Murayama, Midori Ishikawa, T. Yokoyama, Tomoki Nakaya |
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| Rok vydání: | 2016 |
| Předmět: |
Male
0301 basic medicine Gerontology State of health Health Status media_common.quotation_subject Health Behavior Medicine (miscellaneous) Sample (statistics) Personal Satisfaction Social Environment Logistic regression Food Supply 03 medical and health sciences Nursing care Japan Surveys and Questionnaires Activities of Daily Living Odds Ratio Humans Medicine Meals Socioeconomic status Aged media_common Aged 80 and over Response rate (survey) 030109 nutrition & dietetics Nutrition and Dietetics business.industry Feeding Behavior Diet Cross-Sectional Studies Logistic Models Attitude Income Quality of Life Female Perception Residence Geriatrics and Gerontology business Diversity (politics) |
| Zdroj: | Epub 2016 Oct 22 |
| ISSN: | 1760-4788 1279-7707 |
| DOI: | 10.1007/s12603-016-0824-9 |
| Popis: | This study aimed to examine perceptions of shopping difficulty, and the relationships with satisfaction with state of health and meals, physical condition, food diversity and health behavior in older people living alone in Japan. A cross-sectional, multilevel survey was designed. The questionnaire was distributed by mail and self-completed by participants. The sample was drawn from seven towns and cities across Japan. A geographic information system was used to select the sample of older people living alone, by proximity to a supermarket. In total, 2,346 older people (827 men and 1,519 women) completed the questionnaire. The dependent variable was whether shopping was easy or difficult. A logistic regression analysis was performed, adjusting for age, socioeconomic status and proximity of residence to a supermarket using stepwise variable analyses. The response rate was 67.8%. Overall, 14.5% of men and 21.7% of women considered shopping difficult. The stepwise logistic analysis showed that the factors most strongly related to shopping difficulty were a subjective feeling of poor health (men: OR = 3.01, women: OR = 2.16) and lack of satisfaction with meals (men: OR = 2.82, women: OR = 3.69). Other related physical condition and dietary factors were requiring nursing care (men: OR = 3.69, women: OR = 1.54), a high level of frailty, measured using the frailty index score (women: OR = 0.36) and low food diversity score (men: OR = 1.84, women: OR = 1.36). The study found that older people’s assessment of their shopping difficulty was related to satisfaction aspects, including a subjective feeling of poor health, and lack of satisfaction with meals, as well as physical condition. These have a greater influence on shopping difficulty than income in both sexes, and proximity to a supermarket in women. |
| Databáze: | OpenAIRE |
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