Are there inter-municipality differences in the ratio of individuals with limited activities of daily living?: The JAGES Project Kiyohito Kato 1 , Katsunori Kondo 2 , Tokunori Takeda 3 , Seungwon Jeong 4 1Department of Rehabilitation Major in Occupational Therapy, Heisei College of Health Sciences 2Center for Preventive Medical Sciences, Chiba University 3Division of Occupational Therapy, Faculty of Care and Rehabilitation, Seijoh University 4National Center for Geriatrics and Gerontology Keyword: 介護予防 , IADL , (地域在住高齢者) , Care prevention , Community-dwelling older adults pp.541-554
Published Date 2015/10/15
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 We investigated inter-municipal differences in the ratio of community-dwelling older adults with limited instrumental activities of daily living (IADL) and relevant factors with the aim of forming a strategy for preventing the need for long-term care through community development. We used the Japan Gerontological Evaluation Study (JAGES) data for 88,370 individuals in 53 municipalities to perform a regional correlation analysis on the ratio of non-independence in any of the 5 IADL items of a gerontology index of competence and relevant factors. The ratio of under-75 older adults with limited IADL ranged from 7.9-23.2% among municipalities, and a 2-17 times difference was seen in many indices including potentially relevant psychosocial indicators. Of particular note, municipalities with a higher participation rate in sports, and interest groups by women had a lower proportion of women with limited IADL, showing a negative relationship. Although multi-faceted studies are needed, these findings suggest that hobbies that are the focus of occupational therapy and community development to promote group activities may help prevent the need for long-term care.

Copyright © 2015, Japanese Association of Occupational Therapists. All rights reserved.


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