Factors Explaining Disability-free Life Expectancy in Japan: the Proportion of Older Workers, Self-reported Health Status, and the Number of Public Health Nurses
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概要
- 論文の詳細を見る
BACKGROUND: Disability-free life expectancy (DFLE) data for 47 prefectures in Japan were reported in 1999; however, few studies have identified the factors associated with the length of the DFLE. The objective of this study was to elucidate the primary factors that explain differences in DFLEs in Japan.METHODS: In our ecological study, 47 prefectures in Japan were used as units of analysis. The DFLEs for men and women at 65 years of age (DFLE65), calculated by Hashimoto et al using Sullivan's method, were set as dependent variables. From various national surveys, 181 factors associated with demographics, socioeconomic status, health status and health behaviors, medical environment, social relationships, climate, and other areas were gathered as independent variables. Pearson's or Spearman's correlation coefficients were calculated to screen independent variables potentially associated with the DFLE65s. Then, multivariate linear regression analyses were conducted for the selected 24 independent variables after adjusting for the proportion of older people (65 years or more) and population density.RESULTS: Multivariate linear regression analyses revealed that the large number of public health nurses per 100,000 population, a good self-reported health status, and a high proportion of older workers were significantly associated with long DFLE65s for both genders.CONCLUSIONS: These three factors could potentially explain the differences in DFLE of the older population in Japan.J Epidemiol 2005; 15:219-227.
- 日本疫学会の論文
著者
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Kondo Naoki
Department Of Cadiology Komatsushima Red Cross Hospital
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Yamagata Zentaro
Department Of Health Sciences Faculty Of Medicine School Of Medicine University Of Yamanashi
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Takeda Yasuhisa
Department Of Health Sciences Yamanashi Medical University
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Mizutani Takashi
Department Of Electrical Engineering Faculty Of Engineering Nagoya University
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Imai Hisashi
Department Of Business Administration Yamanashi Gakuin University
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Kazama Mari
Department Of Nursing Faculty Of Nursing Mejiro University
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Minai Junko
Department Of Health Sciences Interdisciplinary Graduate School Of Medicine And Engineering University Of Yamanashi
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Mizutani Takashi
Department of Health Sciences, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi.
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Kazama Mari
Department of Health Sciences, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi.
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Takeda Yasuhisa
Department of Health Sciences, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi.
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