Regional Differences in Disability Incidence among Japanese Adults Aged 75 Years and Older: A 4-Year Prospective Cohort Study
| Autor: | Katsuhiko Takatori, Daisuke Matsumoto |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Longitudinal study social participation Frail Elderly Health Toxicology and Mutagenesis Article 03 medical and health sciences 0302 clinical medicine Japan 030502 gerontology medicine Humans Medical history Longitudinal Studies Prospective Studies 030212 general & internal medicine Prospective cohort study Stroke Aged business.industry Incidence Incidence (epidemiology) Hazard ratio Public Health Environmental and Occupational Health medicine.disease Social engagement Confidence interval regional difference disability Medicine Female Independent Living 0305 other medical science business Demography |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 18, Iss 6791, p 6791 (2021) International Journal of Environmental Research and Public Health Volume 18 Issue 13 |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | The present prospective study investigated the regional differences and trajectories of new-onset disabilities among older adults in the districts within a city in Japan. We analyzed data from 5050 Japanese residents aged ≥75 years old (men/women: 2512/2538) who completed the Kihon Checklist (a self-reported questionnaire on frailty) and a questionnaire on medical history and social capital in Ikoma city in 2015. The incidence of disability was determined using the new certification of long-term care insurance and was followed-up on 4 years after the primary outcome. A Cox proportional hazards regression model was used to determine the factors related to the risk of incident disability. During the 4-year follow-up period, 567 participants (11.2%) were newly certified to have a disability. The disability incidence rate ranged from 8.1% to 14.6%, depending on the district. After adjustment for the covariates of: older, women, stroke, prefrail, frail, participation in multiple social activities (hazard ratio [HR] = 0.72, 95% confidence interval [CI] = 0.56–0.91), and one of the districts (HR = 1.67, 95% CI = 1.06–2.61) were significantly associated with disability incidence. The findings of this longitudinal study suggest that there could be a regional difference in disability incidence among older adults in Japan. Thus, community-based approaches should be designed to prevent disability in older adults. |
| Databáze: | OpenAIRE |
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