担当区分：筆頭著者,　最終著者,　責任著者   記述言語：日本語   掲載種別：（MISC）総説・解説（学術雑誌）   出版者・発行元：日本老年社会科学会  

担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：日本疫学会  

DOI： 10.2188/jea.JE20180260

PubMed

担当区分：筆頭著者,　最終著者,　責任著者   記述言語：日本語   掲載種別：（MISC）総説・解説（学術雑誌）   出版者・発行元：公益財団法人　地方自治総合研究所  

記述言語：日本語   掲載種別：（MISC）総説・解説（学術雑誌）   出版者・発行元：日本老年社会科学会 ; 1979-  

CiNii Books

CiNii Research

その他リンク： https://search.jamas.or.jp/link/ui/2020042399

担当区分：筆頭著者,　最終著者,　責任著者   記述言語：日本語   掲載種別：（MISC）総説・解説（大学・研究所紀要）   出版者・発行元：長寿社会開発センター  

記述言語：英語   掲載種別：研究論文（学術雑誌）  

© 2017 Yokobayashi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Aim: The present study examined whether social support, informal socializing and social participation are associated with glycemic control in older people. Methods: Data for this population-based cross-sectional study was obtained from the Japan Gerontological Evaluation Study (JAGES) 2010 linked to the annual health check-up data in Japan. We analyzed 9,554 individuals aged ≥65 years without the certification of needed long-term care. Multivariate logistic regression models were used to assess the effect of social support, informal socializing and social participations on glycemic control. The outcome measure was HbA1c ≥8.4%. Results: 1.3% of the participants had a level of HbA1c over 8.4%. Better glycemic control was significantly associated with meeting with friends one to four times per month (odds ratio [OR] 0.51, 95% confidence interval [CI] 0.30-0.89, compared to meeting with friends a few times per year or less) and participation in sports groups (OR 0.50, 95% CI 0.26-0.97) even after adjusting for other variables. Meeting with friends more than twice per week, receiving social support, and being married were not associated with better control of diabetes. Conclusions: Meeting with friends occasionally is associated with better glycemic control among older people.

DOI： 10.1371/journal.pone.0169904

Scopus

PubMed

記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1186/s13030-016-0064-6

Web of Science

PubMed

記述言語：日本語   掲載種別：研究論文（学術雑誌）  

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：ACADEMIC PRESS INC ELSEVIER SCIENCE  

Objective. Many studies have suggested a U-shaped curve for the association between body size and mortality risks, i.e., mortality risks increase in those who are both overweight and underweight. The strength of the associations may vary according to socioeconomic statuses (SES), as they determine levels of access to healthcare and psychosocial stresses. We investigated the modifying effects of SES on the relationship between body mass index (BMI) and mortality.
Method. We used prospective cohort data of participants in the Aichi Gerontological Evaluation Study in 2003 (n = 14,931), who were 65 years or older and physically and cognitively independent at baseline, and residing in eight municipalities in Japan. Data on all-causes mortality and mortality from cancer, cardiovascular disease, and respiratory disease was obtained from municipal government registries.
Results. Proportional hazard regression analyses showed that, among men, the associations between overweight (BMI >= 25 kg/m(2)) and higher mortality risks by any cause were stronger among lower income groups. Even adjusting for multiple confounding factors, hazard ratios (95% confidence intervals) for mortality by all causes among low income group (household income <15 million yen) were 1.96 (1.02-3.73) for overweight compared with BMIs between 23.0 and 24.9, whereas they were 0.94 (0.57-138) among men in high income group (income > 3 million yen). The modifying effects of income were not marked among women.
Conclusion. Household income, which may directly reflect accessibility to healthcare and psychosocial stress among older Japanese men, may be an important modifying factor in the health risks attributable to overweight. (C) 2015 Elsevier Inc. All rights reserved.

DOI： 10.1016/j.ypmed.2015.05.015

Web of Science

PubMed

担当区分：最終著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：日本公衆衛生学会  

記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.3390/ijerph120201745

Scopus

PubMed

記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：厚生労働統計協会  

目的 本研究では,高齢者抑うつ尺度(Geriatric Depression Scale)の短縮版であるGDS5の日本語版について,高齢者を対象とした調査(AGESプロジェクト)の縦断データを用いて,要介護認定,死亡,要介護認定または死亡(健康寿命の喪失)のリスクを評価する際の予測的妥当性を検証した。方法 2003年10月,東海地方の介護保険者6自治体の協力を得て,各市町に居住する65歳以上高齢者29,374名を対象とした自記式アンケート郵送調査を行った。調査回答者14,286名(回収率48.6%)のうち,年齢または性別のデータが無効な者(n=1,533),あるいは歩行,入浴,排泄のうち1つ以上が自立していない,または無回答の者(n=1,295)を除いた11,753名を4年間追跡した。目的変数として,要介護認定,死亡,健康寿命の喪失を用いた。説明変数はGDS5とした。調整変数として,年齢,性別,教育年数,等価所得,治療中の疾病の有無,主観的健康感を用いた。Cox比例ハザード回帰分析を用いて,要介護認定,死亡,健康寿命の喪失についてのハザード比を求めた。結果 年齢,性別,教育年数,等価所得,治療中の疾病の有無,主観的健康感について調整した上で,GDS5と要介護認定,死亡,健康寿命の喪失との関連をみたところ,いずれについても「うつなし」に対して「うつ傾向(要介護認定:HR=1.263,死亡:HR=1.331,健康寿命の喪失:HR=1.292)」が有意に高いハザード比を示した。考察 GDS5の日本語版について,要介護認定,死亡,健康寿命の喪失のリスクを評価する際の予測的妥当性を示すことができた。(著者抄録)

担当区分：最終著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）  

記述言語：英語   掲載種別：研究論文（学術雑誌）  

担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1093/ageing/afu146

PubMed

記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Japan Society of Civil Engineers  

本研究の目的は盛岡市松園地区に居住する40歳以上の住民を対象とした自記式調査のデータを用いて，買い物環境の条件として，食料品を入手可能な小売店舗から居住区までの距離，利用可能な交通手段，家族等による買い物の代行サポート，宅配等のサービス利用などが，肉・魚の摂取頻度，野菜・果物の摂取頻度に関連するかどうかを検討することである．肉・魚の摂取頻度は，男性，一人暮らし，歩行可能な距離に店舗がない者で少なくなりやすかった．野菜・果物の摂取頻度は，非高齢者，男性，一人暮らし，子世代のいる世帯，歩行可能な距離に店舗がない者で低くなりやすいという関連が示された．

DOI： 10.2208/jscejipm.70.I_295

担当区分：筆頭著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：The City Planning Institute of Japan  

本研究は，盛岡市における今後の買い物不便者対策に資することを目的に，食料品小売店舗数の変化と高齢者における食料品買い物不便者人口の推計の2002年から2012年までの推移の概観を行った．食料品の小売店舗数は2002から10年間で約2割減少していた．店舗種類別にみると特に「食料品店」の減少が著しく，ほぼ半減していた．小売店舗数の変化によって，小売店舗カバー面積は1割から3割減少した．またこの10年間の自家用車を運転できない高齢者人口の増加は約1万人であった．その結果食料品買い物不便者人口は約9000人増加し約2倍となっていた．これは自家用車を運転できない高齢者の増加分約1万人の約9割にあたる規模であった．食料品買い物不便者人口の分布をメッシュ単位で見た結果，周辺部で食料品買い物不便者が多いメッシュが増えており，また地域類型によっては，メッシュ数はあまり増えずに，食料品買い物不便者の密度が大きくなっているところがみられた．

DOI： 10.11361/journalcpij.48.969

CiNii Books

担当区分：最終著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）  

記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： j.socscimed.2013.05.006

記述言語：日本語   掲載種別：研究論文（学術雑誌）  

J-GLOBAL

記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：日本語   掲載種別：研究論文（学術雑誌）  

担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：PERGAMON-ELSEVIER SCIENCE LTD  

To evaluate the gender-specific impact of social exclusion on the mortality of older Japanese adults, we performed a prospective data analysis using the data of the Aichi Gerontological Evaluation Study (AGES). In AGES, we surveyed functionally independent residents aged 65 years or older who lived in six municipalities in Aichi prefecture, Japan. We gathered baseline information from 13,310 respondents in 2003. Information on mortality was obtained from municipal databases of the public long-term care insurance system. All participants were followed for up to 4 years. We evaluated social exclusion in terms of the combination of social isolation, social inactivity, and relative poverty. Cox's proportional hazard model revealed that socially excluded older people were at significantly increased risk (9-34%) for premature mortality. Those with simultaneously relative poverty and social isolation and/or social inactivity were 1.29 times more likely to die prematurely than those who were not socially excluded. Women showed stronger overall impact of social exclusion on mortality, whereas relative poverty was significantly associated with mortality risks for men. If these associations are truly causal, social exclusion is attributable to 9000-44,000 premature deaths (1-5%) annually for the older Japanese population. Health and social policies to mitigate the issue of social exclusion among older adults may require gender-specific approaches. (C) 2012 Elsevier Ltd. All rights reserved.

DOI： 10.1016/j.socscimed.2012.04.006

Web of Science

PubMed

記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1136 /bmjopen-2012-001262.

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：PERGAMON-ELSEVIER SCIENCE LTD  

The story of Roseto, Pennsylvania, USA, is one of the most widely cited studies of the putative influence of community social cohesion on population health. However, few contemporary studies of community-based "social capital" on health have addressed "communities" as unique places with unique histories outside of a Western context. In the present study, we focus on a specific region of Japan (which we call the M-region to preserve anonymity). Using survey data and qualitative interviews, we discuss the historical and contextual origins of the high social capital in the M-region that could account for its relatively good health profile. The analysis of survey data suggested that the residents of M-region have higher norms of reciprocity and participate more in horizontal organizations (including volunteer group, citizen or consumer group, sports group or club, and hobby group), and it also indicated better health status and behaviors in some outcomes among the residents of M-region. Based on qualitative interviews, the origins of social capital in the M-region appeared to be rooted in the strong sense of solidarity fostered by the fact that many of the residents were recruited into the region by the same local employer (a steel manufacturing company). Our study points to the need to ground studies of community-based "social capital" and health on detailed knowledge of the historical context of specific places. (C) 2012 Elsevier Ltd. All rights reserved.

DOI： 10.1016/j.socscimed.2012.03.017

Web of Science

PubMed

担当区分：筆頭著者,　最終著者,　責任著者   記述言語：日本語   掲載種別：（MISC）総説・解説（その他）  

記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：公益財団法人 医療科学研究所  

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：LIPPINCOTT WILLIAMS & WILKINS  

Objectives: Studies have shown that people with cognitive impairment have poor dental health. However, the direction of causality remains unknown. This prospective cohort study aimed to determine the association between four self-reported dental health variables and dementia onset in older Japanese people. Methods: Analysis was conducted on 4425 residents 65 years or older. Four self-reported dental health variables included the number of teeth and/or use of dentures, ability to chew, presence/absence of a regular dentist, and taking care of dental health. Data were collected using self-administered questionnaires given in 2003. Records of dementia onset during 2003 to 2007 were obtained from municipalities in charge of the public long-term care insurance system. Age, income, body mass index, present illness, alcohol consumption, exercise, and forgetfulness were used as covariates. Results: Dementia onset was recorded in 220 participants. Univariate Cox proportional hazards models showed significant associations between the dental health variables and dementia ilia In models fully adjusted for all covariates, hazard ratios (95% confidence intervals) of dementia onset of respondents were as follows: 1.85 (1.04-3.31) for those with few teeth and without dentures; 1.25 (0.81-1.93) for those who could not chew very well; 1.44 (1.04-2.01) for those who did not have a regular dentist; and 1.76 (0.96-3.20) for those who did not take care of their dental health. Conclusions: Few teeth without dentures and absence of a regular dentist, not poor mastication and poor attitudes toward dental health, were associated with higher risk of dementia onset in the older Japanese cohort even after adjustment for available covariates.

DOI： 10.1097/PSY.0b013e318246dffb

Web of Science

PubMed

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：ELSEVIER SCI LTD  

Why are some communities more cohesive than others? The answer to the puzzle has two parts: (a) due to variations in the attributes of residents, and/or (b) due to variations in the attributes of places. However, few studies have sought to examine the community-level determinants of social capital. In the present study, we examined the associations between social capital and different area characteristics: (1) neighborhood walkability, (2) date of community settlement, and (3) degree of urbanization. We based our analysis on 9414 respondents from the Aichi Gerontological Evaluation Study (AGES), conducted in 2003. No significant positive association was found between the walkability score and any of the social capital indices. In contrast, community age and degree of urbanization were associated with many of the social capital indicators, even after controlling for characteristics of the residents. Community social capital thus appears to be more consistently linked to the broader historical and geographic contexts of neighborhoods, rather than to the proximal built environment (as measured by walkability). (C) 2011 Elsevier Ltd. All rights reserved.

DOI： 10.1016/j.healthplace.2011.09.015

Web of Science

PubMed

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：WILEY-BLACKWELL  

OBJECTIVES: To determine the association between dental health status and onset of functional disability in older Japanese people.
DESIGN: Prospective cohort study.
SETTING: Six Japanese municipalities.
PARTICIPANTS: Four thousand four hundred twenty-five community-dwelling individuals aged 65 and over.
MEASUREMENTS: The outcome measure was the onset of functional disability based on public records of people receiving long-term care insurance benefits, determined through a standardized multistep assessment of functional and cognitive impairment including a personal interview and an examination by a physician. Disability data were analyzed for 4,425 respondents during 2003 to 2007. Self-reported number of remaining teeth and eating ability were used as measures of dental health status. Age, sex, body mass index, self-rated health, present illness, smoking, alcohol, exercise, and equivalent income were used as covariates.
RESULTS: In the age-and sex-adjusted Cox proportional hazard models, there were significant associations between number of remaining teeth, eating ability, and onset of disability. After adjusting for sociodemographic, behavioral, and health status variables, respondents with 19 or fewer teeth had a significant 1.21 (95% confidence interval = 1.06-1.40) times higher hazard ratio for the onset of functional disability. In contrast, eating ability was not significantly associated with the onset of disability.
CONCLUSION: Poor dental status was associated with a higher risk of onset of functional disability in older Japanese people. Sociodemographic, behavioral, and health status covariates explained the association between eating ability and onset of disability. J Am Geriatr Soc 60: 338343, 2012.

DOI： 10.1111/j.1532-5415.2011.03791.x

Web of Science

PubMed

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：PUBLIC LIBRARY SCIENCE  

Background: Studies have reported that the predictive ability of self-rated health (SRH) for mortality varies by sex/gender and socioeconomic group. The purpose of this study is to evaluate this relationship in Japan and explore the potential reasons for differences between the groups.
Methodology/Principal Findings: The analyses in the study were based on the Aichi Gerontological Evaluation Study's (AGES) 2003 Cohort Study in Chita Peninsula, Japan, which followed the four-year survival status of 14,668 communitydwelling people who were at least 65 years old at the start of the study. We first examined sex/gender and education-level differences in association with fair/poor SRH. We then estimated the sex/gender-and education-specific hazard ratios (HRs) of mortality associated with lower SRH using Cox models. Control variables, including health behaviors (smoking and drinking), symptoms of depression, and chronic co-morbid conditions, were added to sequential regression models. The results showed men and women reported a similar prevalence of lower SRH. However, lower SRH was a stronger predictor of mortality in men (HR = 2.44 [95% confidence interval (CI): 2.14-2.80]) than in women (HR = 1.88 [95% CI: 1.44-2.47]; p for sex/gender interaction = 0.018). The sex/gender difference in the predictive ability of SRH was progressively attenuated with the additional introduction of other co-morbid conditions. The predictive ability among individuals with high school education (HR = 2.39 [95% CI: 1.74-3.30]) was similar to that among individuals with less than a high school education (HR = 2.14 [95% CI: 1.83-2.50]; p for education interaction = 0.549).
Conclusions: The sex/gender difference in the predictive ability of SRH for mortality among this elderly Japanese population may be explained by male/female differences in what goes into an individual's assessment of their SRH, with males apparently weighting depressive symptoms more than females.

DOI： 10.1371/journal.pone.0030179

Web of Science

PubMed

記述言語：英語   掲載種別：研究論文（学術雑誌）  

Cardiovascular diseases, cancer, and respiratory disease are major causes of death in developed countries. No study has simultaneously compared the contribution of oral health with these major causes of death. This study examined the association between oral health and cardiovascular diseases, cancer, and respiratory mortality among older Japanese. Self-administered questionnaires were mailed to participants in the Aichi Gerontological Evaluation Study (AGES) Project in 2003. Mortality data were analyzed for 4425 respondents. Three categories of oral health were used: 20 or more teeth, 19 or fewer teeth and eat everything, 19 or fewer teeth and eating difficulty. Sex, age, body mass index (BMI), self-rated health, present illness, exercise, smoking, alcohol, education, and income were used as covariates. During 4.28 years' follow-up, 410 people died, 159 from cancer, 108 of cardiovascular diseases, and 58 of respiratory disease. Multivariate adjusted Cox proportional hazard models showed that, compared with the respondents with 20 or more teeth, respondents with 19 or fewer teeth and with eating difficulty had a 1.83 and 1.85 times higher hazard ratio for cardiovascular disease mortality and respiratory disease mortality, respectively. There was no significant association with cancer mortality. Oral health predicted cardiovascular and respiratory disease mortality but not cancer mortality in older Japanese. © 2011 International &amp
American Associations for Dental Research.

DOI： 10.1177/0022034511414423

Scopus

PubMed

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：BIOMED CENTRAL LTD  

Background: Although many studies have reported the association between neighborhood built environment (BE) and physical activity (PA), less is known about the associations for older populations or in countries besides the US and Australia. The aim of this paper is to examine the associations for older adult populations in Japan.
Methods: Our analyses were based on cross-sectional data from the Aichi Gerontological Evaluation Study (AGES), conducted in 2003. The respondents were older adults, aged 65 years or over (n = 9,414), from 8 municipalities across urban, suburban, and rural areas. The frequency of leisure time sports activity and total walking time were used as the outcome variables. Using geographic information systems (GIS), we measured residential density, street connectivity, number of local destinations, access to recreational spaces, and land slope of the respondents' neighborhoods, based on network distances with multiple radii (250 m, 500 m, 1,000 m). An ordinal logistic regression model was used to analyze the association between PA and BE measures.
Results: Population density and presence of parks or green spaces had positive associations with the frequency of sports activity, regardless of the selected buffer zone. The analysis of total walking time, however, showed only a few associations.
Conclusions: Our findings provide mixed support for the association between PA and the characteristics of BE measures, previously used in Western settings. Some characteristics of the neighborhood built environment may facilitate leisure time sports activity, but not increase the total walking time for Japanese older adults.

DOI： 10.1186/1471-2458-11-657

Web of Science

PubMed

記述言語：英語   掲載種別：（MISC）研究発表要旨（国際会議）   出版者・発行元：BMJ PUBLISHING GROUP  

DOI： 10.1136/jech.2011.142976d.92

Web of Science

担当区分：筆頭著者   記述言語：英語   掲載種別：（MISC）研究発表要旨（国際会議）   出版者・発行元：B M J PUBLISHING GROUP  

DOI： 10.1136/jech.2011.142976g.34

Web of Science

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：BIOMED CENTRAL LTD  

Background: The majority of studies of the local food environment in relation to obesity risk have been conducted in the US, UK, and Australia. The evidence remains limited to western societies. The aim of this paper is to examine the association of local food environment to body mass index (BMI) in a study of older Japanese individuals.
Methods: The analysis was based on 12,595 respondents from cross-sectional data of the Aichi Gerontological Evaluation Study (AGES), conducted in 2006 and 2007. Using Geographic Information Systems (GIS), we mapped respondents' access to supermarkets, convenience stores, and fast food outlets, based on a street network (both the distance to the nearest stores and the number of stores within 500 m of the respondents' home). Multiple linear regression and logistic regression analyses were performed to examine the association between food environment and BMI.
Results: In contrast to previous reports, we found that better access to supermarkets was related to higher BMI. Better access to fast food outlets or convenience stores was also associated with higher BMI, but only among those living alone. The logistic regression analysis, using categorized BMI, showed that the access to supermarkets was only related to being overweight or obese, but not related to being underweight.
Conclusions: Our findings provide mixed support for the types of food environment measures previously used in western settings. Importantly, our results suggest the need to develop culture-specific approaches to characterizing neighborhood contexts when hypotheses are extrapolated across national borders.

DOI： 10.1186/1476-072X-10-43

Web of Science

PubMed

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：BIOMED CENTRAL LTD  

Background: Few prospective cohort studies have assessed the association between social capital and mortality. The studies were conducted only in Western countries and did not use the same social capital indicators. The present prospective cohort study aimed to examine the relationships between various forms of individual social capital and all-cause mortality in Japan.
Methods: Self-administered questionnaires were mailed to subjects in the Aichi Gerontological Evaluation Study (AGES) Project in 2003. Mortality data from 2003 to 2008 were analyzed for 14,668 respondents. Both cognitive and structural components of individual social capital were collected: 8 for cognitive social capital (trust, 3; social support, 3; reciprocity, 2) and 9 for structural social capital (social network). Cox proportional hazard models stratified by sex with multiple imputation were used. Age, body mass index, self-rated health, current illness, smoking history, alcohol consumption, exercise, equivalent income and education were used as covariates.
Results: During 27,571 person-years of follow-up for men and 29,561 person-years of follow-up for women, 790 deaths in men and 424 in women were observed. In the univariate analyses for men, lower social capital was significantly related to higher mortality in one general trust variable, all generalised reciprocity variables and four social network variables. For women, lower social capital was significantly related to higher mortality in all generalised reciprocity and four social network variables. After adjusting for covariates, lower friendship network was significantly associated with higher all-cause mortality among men (meet friends rarely; HR = 1.30, 95% CI = 1.10-1.53) and women (having no friends; HR = 1.81, 95% CI = 1.02-3.23). Among women, lower general trust was significantly related to lower mortality (most people cannot be trusted; HR = 0.65, 95% CI = 0.45-0.96).
Conclusions: Friendship network was a good predictor for all-cause mortality among older Japanese. In contrast, mistrust was associated with lower mortality among women. Studies with social capital indices considering different culture backgrounds are needed.

DOI： 10.1186/1471-2458-11-499

Web of Science

PubMed

記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1922/CDH_2538Hanibuchi08

PubMed

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：JAPAN EPIDEMIOLOGICAL ASSOC  

Background: The longevity of Japanese is thought to be associated with psychosocial factors such as sense of coherence, social support, and social capital. However, the actual factors responsible and the extent of their contribution to individual health status are not known.
Methods: The Aichi Gerontological Evaluation Study (AGES) 2003 Cohort Study is a prospective cohort study of community-dwelling, activities of daily living-independent people aged 65 or older living in 6 municipalities in Chita peninsula, Aichi Prefecture, Japan. Information on psychosocial factors and other individual- and community-level factors was collected in the second half of 2003 using a baseline questionnaire. Vital status and physical and cognitive decline have been followed using data derived from long-term care insurance certification. Geographical information on the study participants was also obtained.
Results: A total of 13 310 (6508 men; 6802 women) study participants were registered in the study. For an interim report, we followed the cohort for 48 months, yielding 24 753 person-years of observation among men and 26 456 person-years among women.
Conclusions: The AGES 2003 Cohort Study provides useful evidence for research in social epidemiology, gerontology, and health services.

DOI： 10.2188/jea.JE20100135

Web of Science

PubMed

記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：日本公衆衛生学会  

目的 本研究の目的は，認知症を伴う要介護認定の心理社会的な危険因子や認知症予防につながる趣味の種類を明らかにすることである。<br/>方法 愛知老年学的評価研究（Aichi Gerontological Evaluation Study）プロジェクトの一環として，65歳以上で，要介護認定を受けていない高齢者を対象に自記式郵送調査を2003年に行った（回収率49.4%）。そのうち性別，年齢が明らかで ADL 全自立の9,720人，平均年齢72.8±6.0歳（男性4,614人，女性5,106人）を 3 年間追跡した。要介護と認定され二次判定で「認知症高齢者の日常生活自立度判定基準」ランクII以上による要介護認定をエンドポイントとした。説明変数には，健康行動，心理・認知的因子，趣味・社会的活動，老研式活動能力指標，社会階層を用いた。趣味活動は 8 種類（スポーツ・文化・音楽・創作・園芸・テレビやラジオ視聴・観光・投資やギャンブル）とした。Cox 比例ハザード回帰分析を用いて年齢調整した，ハザード比を男女別に求めた。次に有意差のみられた因子を説明変数としステップワイズ法を用い分析を行った。<br/>結果 3 年間に認知症を伴う要介護認定は330人（男性139人，女性191人），それ以外の者は9,390人で，その認定率は，11.3/1,000人・年だった。<br/> ステップワイズ法で認知症を伴う要介護認定を予測する因子（ハザード比：HR）として，男女共通に有意であったのは，物忘れの自覚「あり」（男性 HR:1.69，女性 HR:2.59），手段的自立 4 点以下（HR:1.80, HR:2.23），男性では，独居（HR:2.39），主観的健康感「よくない」（HR:2.04），仕事「なし」（HR:1.80），知的能動性 3 点以下（HR:2.13），園芸的活動「なし」（HR:1.99），女性では，スポーツ的活動「なし」（HR:1.92）であった。<br/>結論 心理社会的状態や生活機能が良好な者，趣味の種類では男性で園芸的活動，女性でスポーツ的活動を行っている者で認知症を伴う要介護認定が少なかった。認知症の介護予防政策では，健康行動以上にこれらの因子に着目する重要性が示唆された。

DOI： 10.11236/jph.57.12_1054

記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：The Behaviormetric Society of Japan  

Social capital, both at an individual and a community level, has received attention as a determinant of health behavior. In this study the authors analyzed regional differences of health behaviors and social capital, and their relationship at an individual level, focusing on the M-region in Aichi Prefecture. The result revealed that the elderly in the M-region tended to exhibit better health behaviors and richer social capital. Although some of the social capital indices showed significant associations with the health behaviors at an individual level, this might only explain a part of the differences we observed in health behaviors between the M-region and the other region. We then discussed the role of social capital at a community level to explain the better health behaviors that occur in the M-region, and proposed the importance of &lt;i&gt;sha-en&lt;/i&gt; (social relations with co-workers or business partners), as a more fundamental local condition for &#039;a healthy neighborhood&#039;.

DOI： 10.2333/jbhmk.37.53

CiNii Books

記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1007/978-4-431-99644-6_95

Web of Science

記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：国立社会保障・人口問題研究所  

CiNii Books

記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1016/j.socscimed.2009.05.006

PubMed

記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Japanese Society of Public Health  

&lt;b&gt;目的&lt;/b&gt; 本研究では，地域在住高齢者9,702人を 3 年間追跡し，要介護認定のリスク要因の検討を行った。&lt;br/&gt;&lt;b&gt;方法&lt;/b&gt; 2003年10月，東海地方の介護保険者 5 市町の協力を得て，各市町に居住する65歳以上で要介護認定を受けていない高齢者24,374人を対象とした自記式アンケート郵送回収調査を行った。調査回答者は12,031人（回収率49.4%）であった。このうち，性別，年齢を回答していない者（n=1387），歩行，入浴，排泄が自立していないまたは無回答の者（n=905），2003年10月31日までに要介護状態になった者，死亡した者（n=37）を除いた9,702人を分析対象とし2006年10月まで 3 年間追跡した。&lt;br/&gt; 目的変数（エンドポイント）は要介護認定とした。説明変数として年齢，家族構成，等価所得，教育年数，治療中の疾病の有無，内服薬数，転倒，咀嚼力，BMI，聴力障害，視力障害，排泄障害，老研式活動能力指標，うつ，主観的健康感，飲酒，喫煙，一日当たりの平均歩行時間，外出頻度，友人との交流，社会的サポート，会参加，就労，家事への従事を用いた。&lt;br/&gt; Cox 比例ハザード回帰分析を用いて，要介護認定についてのハザード比を求めた。分析は男女別に行った。分析にはすべて SPSS 12.0J for Windows の Cox 比例ハザード回帰を用いた。&lt;br/&gt;&lt;b&gt;結果&lt;/b&gt; 3 年の追跡期間中の死亡は520人，要介護認定838人，重度要介護認定380人であった。転出等による追跡打ち切りが103人であった。男女共通して要支援以上の要介護認定の高いリスクと関連していることが示されたのは，年齢高い，治療中の疾病あり，服薬数多い，一年間の転倒歴あり，咀嚼力低い，排泄障害あり，生活機能低い，主観的健康感よくない，うつ状態，歩行時間30分未満，外出頻度少ない，友人と会う頻度月 1 回未満，自主的会参加なし，仕事していない，家事していないこと，であった。&lt;br/&gt;&lt;b&gt;結論&lt;/b&gt; 要介護に認定に関連するリスク要因を明らかにした。これらに着目した介護予防プログラムの開発が必要である。

DOI： 10.11236/jph.56.8_501

CiNii Books

記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1016/j.socscimed.2009.06.003

PubMed

記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1136/jech.2008.078642

PubMed

記述言語：日本語   掲載種別：（MISC）総説・解説（その他）   出版者・発行元：三輪書店  

CiNii Books

記述言語：日本語   掲載種別：（MISC）総説・解説（その他）   出版者・発行元：三輪書店  

CiNii Books

記述言語：日本語   掲載種別：（MISC）総説・解説（その他）   出版者・発行元：三輪書店  

CiNii Books

記述言語：日本語   掲載種別：（MISC）総説・解説（その他）   出版者・発行元：三輪書店  

CiNii Books

記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：厚生統計協会  

CiNii Books

記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：農村計画学会  

DOI： 10.2750/arp.27.269

CiNii Books

記述言語：日本語   掲載種別：（MISC）総説・解説（その他）   出版者・発行元：三輪書店  

CiNii Books

記述言語：日本語   掲載種別：（MISC）総説・解説（その他）   出版者・発行元：三輪書店  

CiNii Books

記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1016/j.healthplace.2007.08.007

PubMed

記述言語：日本語   掲載種別：（MISC）その他記事  

記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：地理情報システム学会編集委員会  

DOI： 10.5638/thagis.15.59

CiNii Books

記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：THE ASSOCIATION OF RURAL PLANNING  

This paper investigates linkage between social capital and individual health using multilevel analysis. Data for the analysis is based on 9,248 people over 65 years old living in 28 school districts in Chita peninsula. Results show that school-district-level contextual effects are found for average income and social capital. Importantly, it is argued that without adopting a multilevel approach, the debate on linkage between individual health and social capital cannot be adequately addressed.

DOI： 10.2750/arp.24.S277

CiNii Books

開催年月日： 2021年12月

記述言語：日本語   会議種別：シンポジウム・ワークショップ パネル（指名）  

開催年月日： 2020年2月

記述言語：日本語   会議種別：ポスター発表  

開催年月日： 2019年10月

記述言語：日本語   会議種別：シンポジウム・ワークショップ パネル（指名）  

開催年月日： 2019年10月

記述言語：日本語   会議種別：ポスター発表  

開催年月日： 2018年10月

記述言語：日本語   会議種別：ポスター発表  

開催年月日： 2017年11月

記述言語：日本語   会議種別：口頭（一般）  

開催地：岩手大学  

開催年月日： 2017年10月

記述言語：日本語   会議種別：口頭（一般）  

開催年月日： 2017年7月

記述言語：英語   会議種別：ポスター発表  

開催年月日： 2017年1月

記述言語：日本語   会議種別：ポスター発表  

開催地：甲府市  

開催年月日： 2016年11月

記述言語：日本語   会議種別：口頭（一般）  

開催地：長崎市  

開催年月日： 2016年10月

記述言語：日本語   会議種別：口頭（一般）  

開催地：大阪市