This article has been cited by other articles in PMC. Abstract Background Although the number of elderly people needing care is increasing rapidly in the home setting in Japan, family size and ability to provide such support are declining.
The purpose of this study was to identify the risk factors of functional disability by household composition among community-dwelling elderly people. In the health examination, we conducted an interview survey using a questionnaire in July and July Questionnaire items covered the following: We defined the occurrence of functional disability as certification for long-term care needs of the subjects.
The certification process started with a home visit for an initial assessment to evaluate nursing care needs using a questionnaire on current physical and mental status. The onset of functional disability was followed from July to March Cox proportional hazard regression analysis was used to estimate the risk factors related to the onset of functional disability, adjusted for age and sex.
Results Of the participants, were male Up to Marchfunctional disabilities occurred in participants Elderly people living only with their children demonstrated a significantly higher risk for functional disability than the three-generation household group hazard ratio, 1.
The risk factors for functional disability varied according to household group. Conclusions In Japan, the number of vulnerable households with elderly people in need of care has increased steadily over the years. Appropriately identifying the risks related to functional disability requires a means of assessment that takes the household composition into consideration.
Elderly, Functional disability, Households, Long-term care Background Households in Japan, including those with elderly people, have become increasingly characterized by diminishing size and reduced care functions.
The proportion of the population in the 65 or older age-group amounted to Because of the effects of social change and urbanization, families are also becoming more nuclear: The number of three-generation households with an elderly person aged 65 or older has decreased 3.
Single-person household have also increased in number 5. The number of three-generation households with an elderly person aged 65 or older has decreased: Likewise, the number of spouse-only households has increased: The number of single-person household has also increased: This trend is expected to continue, and the number of spouse-only and single-person households is estimated to increase to approximately 6.
Despite the decline in family resources and functions, the number of elderly people with functional disability is on the rise 2. The risk factors related to the functional decline of elderly people in different households are still not fully clear.
Several cross-sectional studies have investigated household factors related to mortality, risk of disease, admission to nursing homes or hospitals, self-related health, depressive status, and poverty risk among elderly people [ 4 - 9 ]; however, there is a lack of longitudinal data relating to vulnerable households.
The development toward smaller household sizes and reduced family functions can potentially cause difficulties for elderly people with functional disability in a home-care setting.Honda works in partnership with suppliers worldwide to promote safety, compliance, risk, protection of information, etc., to determine the best supplier.
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In this way, through the Company’s efforts to actively promote insurance policy and risk management. factors that include differing transport infrastructure, laws and. Several cross-sectional studies have investigated household factors related to mortality, risk of disease, admission to nursing homes or hospitals, self-related health, depressive status, and poverty risk among elderly people ; however, there is a lack of longitudinal data relating to vulnerable households.
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