{"created":"2023-06-19T12:45:58.981814+00:00","id":5863,"links":{},"metadata":{"_buckets":{"deposit":"24ed9ff8-3779-4869-a418-92c385b8d9c2"},"_deposit":{"created_by":3,"id":"5863","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"5863"},"status":"published"},"_oai":{"id":"oai:tokyo-metro-u.repo.nii.ac.jp:00005863","sets":["521:613:616:763:1343"]},"author_link":["19508","19511","19510","19507","19500","19512","19505","19506","19499","19503","19501","19509","19504","19502"],"item_3_alternative_title_19":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"The Prevalence Rate and the Structure of Self-rated Health among Community-dwelling Older Adults in Urban City"}]},"item_3_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2003","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"114","bibliographicPageStart":"97","bibliographicVolumeNumber":"80","bibliographic_titles":[{"bibliographic_title":"総合都市研究"}]}]},"item_3_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Takahashi, Toshihiko"}],"nameIdentifiers":[{"nameIdentifier":"19506","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Hoshi, Tanji"}],"nameIdentifiers":[{"nameIdentifier":"19507","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Sakurai, Naoko"}],"nameIdentifiers":[{"nameIdentifier":"19508","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ai, Bin"}],"nameIdentifiers":[{"nameIdentifier":"19509","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ichiko, Taro"}],"nameIdentifiers":[{"nameIdentifier":"19510","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Takemiya, Kenji"}],"nameIdentifiers":[{"nameIdentifier":"19511","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nakabayashi, Itsuki"}],"nameIdentifiers":[{"nameIdentifier":"19512","nameIdentifierScheme":"WEKO"}]}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"研究背景: 高齢者の主観的健康感が低下していると、生命予後の予測妥当性が高いことが報告されているために、重要な保健活動による成果指標の一つである。しかしながら、都市部高齢者の主観的健康感の実態と共に、その関連要因や構造が明確になっているわけではない。研究目的: 研究目的は、東京都都市部高齢者の主観的健康感実態を明確にすることと共に、主観的健康感と関連する医学的、社会経済学的、生活習慣要因との関連性とその構造を明確にすることである。データと研究方法: 調査対象者は、多摩市在宅高齢者で2001年のアンケート調査に回答した13,067名とした。調査デザイン: 2001年に実施した65歳以上の高齢者の横断調査である。データは、自己記載のアンケート調査で、調査項目は、治療受診状況、社会経済状況、生活活動能力と生活習慣である。四つの選択肢を設定した主観的健康感に関する構造モデル(多重指標モデル)を設定して、共分散構造分析手法を用いて分析した。主要分析結果: 多摩市高齢者の主観的健康感は、男女共に全国値よりも健康だと回答する割合が高かった。一方、内生の潜在変数である「ー病息災的健康」 (以下「」は潜在変数を示す)は、仮説的に設定した3つの潜在変数つまり「くらしと年齢」「社会的ネットワーク」「生活能力と習慣」による構造モデルによって、多母集団の同時分析の適合度指標はAGFI=0.926、CFI=0.837、TLI=0.806、NFI=0.832、RMSEA=0.047とおおむねデータとモデルが適合しており、男性では50%、女性では49%が説明できた。結論: 治療中の疾病があったり体の痛みがあっても主観的に健康だとする「ー病息災的健康」は、収入や友人との社会的ネットワークや生活活動力を維持することに規定される可能性に注目したい。今後は、追跡研究によって主観的健康感が関連要因とどのような因果関係を持つかについて明らかにしていくことが必要である。保健の担当者や政策立案者は、高齢者のQOLを高めるための方策に関する地域での調査研究を推進すべきである。","subitem_description_type":"Abstract"},{"subitem_description":"BACKGROUND: Poor self-rated health is a strong predictor of subsequent mortality for the aged，and that self-rated health therefore may be one of the useful healthcare outcome measures. It is no so clear both the prevalence and the structure of self-rated health for the aged in urban city. OBJECTIVE: Based on a conceptual model of self-rated health，this study was aimed at exploring the structure of self-rated health associated with medication use，socio-economical factor，lifestyle including the prevalence of the self-rated health in urban city of Tokyo. DATA SOURCES AND STUDY SETTING: A total of 13,067 older adults living their own home were identified from the 2001 survey supported by the Tama city. STUDY DESIGN: A cross-sectional population-based study on 1998 men and women aged 60 and over. Data were collected through self-administered questionnaires，including medication use，socio-economical factor，lifestyle and instrumental ADL. Four health status domains were analyzed using the analyses of structural equation modeling to test a hypothetical model. PRINCIPLE FINDINGS: According this study，we have made to clear that the prevalence rate of “Healthy” by the self-rated health is much more higher than the one of Japanese for both sexes especially for women. 50% of self-rated health with some of disease as an internal latent variable is explained by the three latent variables for men (R^2=50%)，and women (R^2=49%)， NFI=0.832， CFI=0.837， TLI=0.806，RMSEA= 0.047，AGFI=0.926. CONCLUSIONS: Greater attention should be given to the theoretical structure of self-rated health with disease and/or some of pain，particularly，the significant impact of both IADL and social network including income for both sexes. Longitudinal studies are needed to determine how self-rated health and corelational factors interact and why so high rate of self-rated health for urban aged people. Practitioners and policy makers should continue the search for community-based programs that improve the quality of life for the aged living their own home.","subitem_description_type":"Abstract"}]},"item_3_description_40":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"postprint","subitem_description_type":"Other"}]},"item_3_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"東京都立大学都市研究センター"}]},"item_3_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00134354","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_8":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03863506","subitem_source_identifier_type":"ISSN"}]},"item_3_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"高橋, 俊彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"星, 旦二"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"櫻井, 尚子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"艾, 斌"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"市古, 太郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"竹宮, 健司"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中林, 一樹"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-04-14"}],"displaytype":"detail","filename":"20024-080-006.pdf","filesize":[{"value":"1.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"20024-080-006.pdf","url":"https://tokyo-metro-u.repo.nii.ac.jp/record/5863/files/20024-080-006.pdf"},"version_id":"a43d72a6-144a-4882-93fa-a29417d31e9c"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"高齢者","subitem_subject_scheme":"Other"},{"subitem_subject":"主観的健康感","subitem_subject_scheme":"Other"},{"subitem_subject":"共分散構造分析","subitem_subject_scheme":"Other"},{"subitem_subject":"潜在変数","subitem_subject_scheme":"Other"},{"subitem_subject":"一病息災的健康","subitem_subject_scheme":"Other"},{"subitem_subject":"Aged People","subitem_subject_scheme":"Other"},{"subitem_subject":"Self-rated Health","subitem_subject_scheme":"Other"},{"subitem_subject":"Structural Equation Modeling","subitem_subject_scheme":"Other"},{"subitem_subject":"Latent Variable","subitem_subject_scheme":"Other"},{"subitem_subject":"Health with Some of Diseases","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"都市に居住する在宅高齢者の主観的健康感の実態とその構造","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"都市に居住する在宅高齢者の主観的健康感の実態とその構造"}]},"item_type_id":"3","owner":"3","path":["1343"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-05-01"},"publish_date":"2017-05-01","publish_status":"0","recid":"5863","relation_version_is_last":true,"title":["都市に居住する在宅高齢者の主観的健康感の実態とその構造"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-06-19T16:57:08.719991+00:00"}