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It is known that there are many of directly and indirectly effects in this relationship, but the detailed nature of this relationship are still unknown.\nMethods This present study examined the relationship among subjective health and mortality in some of rural areas in Japan. In this study, respondents consists of 19,636 Japanese people aged over 60 in 1998. The baseline survey was conducted in 1998 and their survival status was ascertained during the subsequent 2 years. Within the follow-up period, 44 7 (2.3%) of the 19,636 respondents have died. \nResults In result S of analysis,by using of the Cox\u0027s proportional hazards models, controlling for age degree, number of diseases, and instrumental activities of daily living (IADL), a significantly higher mortality risk was found among men with a lower level of subjective health (poor, very poor) (relative hazard=1.69:95% confidence interval (CI) =1.02 to 2.82,3.45:2.25 to 5.30, respectively), a significantly higher mortality risk was found among women with a lower level of subjective health (very poor) (relative hazard=2.38 :9 5% confidence interval (CI) =1.34 to 4.22) . \nConclusion The data suggested that high level of subjective health may be important of decreasing the risk of death for both men and women. Finally, future research is needed to detail the risk factors and processes that result in subjective health. The implication from those findings for the implementation of health promotion program would be raised, and the limitation of this inference would also be discussed. 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主観的健康感が高齢者の生命予後に及ぼす影響
http://hdl.handle.net/10748/00009279
http://hdl.handle.net/10748/00009279b47e022a-899c-46f1-8727-21b6b37d414c
名前 / ファイル | ライセンス | アクション |
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20024-081-004.pdf (463.4 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2017-05-01 | |||||
タイトル | ||||||
タイトル | 主観的健康感が高齢者の生命予後に及ぼす影響 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 主観的健康感 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 高齢者 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 生命予後 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | リスク評価 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 比例ハザードモデル | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Subjective Health | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Elderly People | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Mortality | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Estimation of Risk Factor | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Proportional Hazards Models | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
著者 |
岡戸, 順一
× 岡戸, 順一× 艾, 斌× 巴山, 玉蓮× 櫻井, 尚子× 藤原, 佳典× 星, 旦二 |
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著者別名 |
Okado, Junichi
× Okado, Junichi× Ai, Bin× Tomoyama, Gyokuren× Sakurai, Naoko× Fujiwara, Yoshinori× Hoshi, Tanji |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 目的:本研究は高齢者における主観的健康感と生命予後との関連を明らかにし、その死亡リスクが有意となる評定段階の検討を目的としている。方法:調査は地域に居住する60歳以上の在宅高齢者19,636人を対象に、1998年7月より郵送法と面接法を併用した調査票による基礎調査を行い、その後、2000年6月までの生存状況に関する追跡調査を実施した。分析は主観的健康感のどのような組み合わせの評定段階間で生存関数に有意な差が見られるかを年齢階級、治療中疾病数、手段的自立度を共変量とした比例ハザードモデルにより性別に検討した。結果:主観的健康感が「健康でない」と回答した者の死亡に対するハザード比は、「とても健康である」、「まあまあ健康である」、「あまり健康ではない」と回答した者をまとめた群と比較して、男性で3.45 (95%CI: 2.25-5.30)、女性で2.38 (95%CI: 1.34-4.22) と統計学上有意に高かった。また男性のみ「あまり健康ではない」と囲答した者のハザード比は、「とても健康である」、「まあまあ健康である」と回答した者をまとめた群と比較して、1.69 (95%CI: 1.02-2.82) と有意に高かった。結論:男女とも主観的健康感が「健康でない」と回答した者の死亡リスクは、それより肯定的な回答をした者より高いことが見出された。さらに女性に比べて男性で生命予後に対する主観的健康感の影響が大きいことが見出された。 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Purpose In America and some of European countries, many studies suggest that there is a relationship between subjective health and mortality of the elderly people. It is known that there are many of directly and indirectly effects in this relationship, but the detailed nature of this relationship are still unknown. Methods This present study examined the relationship among subjective health and mortality in some of rural areas in Japan. In this study, respondents consists of 19,636 Japanese people aged over 60 in 1998. The baseline survey was conducted in 1998 and their survival status was ascertained during the subsequent 2 years. Within the follow-up period, 44 7 (2.3%) of the 19,636 respondents have died. Results In result S of analysis,by using of the Cox's proportional hazards models, controlling for age degree, number of diseases, and instrumental activities of daily living (IADL), a significantly higher mortality risk was found among men with a lower level of subjective health (poor, very poor) (relative hazard=1.69:95% confidence interval (CI) =1.02 to 2.82,3.45:2.25 to 5.30, respectively), a significantly higher mortality risk was found among women with a lower level of subjective health (very poor) (relative hazard=2.38 :9 5% confidence interval (CI) =1.34 to 4.22) . Conclusion The data suggested that high level of subjective health may be important of decreasing the risk of death for both men and women. Finally, future research is needed to detail the risk factors and processes that result in subjective health. The implication from those findings for the implementation of health promotion program would be raised, and the limitation of this inference would also be discussed. |
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書誌情報 |
総合都市研究 巻 81, p. 31-38, 発行日 2003 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 03863506 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00134354 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
その他のタイトル | ||||||
その他のタイトル | A Follow-up Study on the Relationship between Subjective Health and Mortality among the Elderly People | |||||
出版者 | ||||||
出版者 | 東京都立大学都市研究センター | |||||
資源タイプ | ||||||
内容記述タイプ | Other | |||||
内容記述 | postprint |