Kawamoto Ryuichi, Yoshida Osamu, Doi Takaaki
Department of Internal Medicine, Nomura Municipal Hospital.
Nihon Ronen Igakkai Zasshi. 2004 Jan;41(1):92-8. doi: 10.3143/geriatrics.41.92.
We conducted a comprehensive evaluation of the mental health of community-dwelling elderly people, and encompassed the physiological, psychological, social and environmental aspects of their lives. The study used a questionnaire similar to the one used by Matsubayashi et al in their study in Kahoku-cho. The Japanese version of General Health Questionnaire 12 (GHQ-12) was used to evaluate mental health. Responses were received from 2,799 (81.5%) of 3,432 Numura-cho residents. After eliminating inadequate responses, 1,298 (37.8%) (586 men and 712 women) were analyzed. By setting mental health disorder, defined as a value of GHQ-12 exceeding 4.0, as the target variable, logistic regression analysis was conducted using the background factors as explanatory variables. Information related function (odds ratio: 0.45; 95% CI: 0.30-0.66), living with others (0.36, 0.14-0.94), presence of spouse (2.52, 1.14-5.59), economic condition (0.45, 0.22-0.91), family relationship (0.17, 0.05-0.52), work & sports (0.31, 0.14-0.67) and emotional support (0.67, 0.48-0.95) were found to be explanatory variables for mental health in the young elderly; as were activities of daily living (0.52, 0.35-0.79), Information related function (0.56, 0.35-0.90) and emotional support (0.37, 0.24-0.58) in the old elderly; as were activities of daily living (0.37, 0.19-0.70) and economic condition (0.32, 0.11-0.95) in the very old. For amelioration of the mental health of elderly persons living in the community, attempts should be made to improve the background factors clarified by the present study by efficiently utilizing health, medical and welfare services.
我们对社区居住老年人的心理健康进行了全面评估，涵盖了他们生活的生理、心理、社会和环境方面。该研究使用了与松林等人在河北町的研究中所使用的问卷类似的问卷。采用日本版一般健康问卷12（GHQ - 12）来评估心理健康。沼村町3432名居民中有2799人（81.5%）回复了问卷。在剔除不充分的回复后，对1298人（37.8%）（586名男性和712名女性）进行了分析。以GHQ - 12值超过4.0所定义的心理健康障碍为目标变量，使用背景因素作为解释变量进行逻辑回归分析。发现信息相关功能（比值比：0.45；95%置信区间：0.30 - 0.66）、与他人同住（0.36，0.14 - 0.94）、配偶的存在（2.52，1.14 - 5.59）、经济状况（0.45，0.22 - 0.91）、家庭关系（0.17，0.05 - 0.52）、工作与运动（0.31，0.14 - 0.67）和情感支持（0.67，0.48 - 0.95）是年轻老年人心理健康的解释变量；日常生活活动（0.52，0.35 - 0.79）、信息相关功能（0.56，0.35 - 0.90）和情感支持（0.37，0.24 - 0.58）是老年老年人心理健康的解释变量；日常生活活动（0.37，0.19 - 0.70）和经济状况（0.32，0.11 - 0.95）是高龄老年人心理健康的解释变量。为改善社区居住老年人的心理健康，应通过有效利用健康、医疗和福利服务，尝试改善本研究中明确的背景因素。
