Hioki Atsushi, Tanaka Tagayasu
Gifu Prefectural Gifu Region Public Health Center, 1-1 Naka-Fudogaoka, Kakamigahara, Gifu 504-0838, Japan.
J Epidemiol. 2004 Jan;14(1):23-31. doi: 10.2188/jea.14.23.
Many working-age people have poor health habits. The aim of this study was to investigate their views of old age and death and the relationship of those views to their health habits.
A structured interview about views on old age and death, self-rated health, satisfaction with life (life satisfaction) and health habits was conducted on a random sample of 1,200 men and women aged 30-59 years in the southern part of Gifu Prefecture, Japan. The response rate was 78%.
Less than half as many respondents expected to live past 80 years than expected to live past 70 years. A greater percentage of men than women had no plan for old age, while the percentage of women who expected to live with friends and family was higher than that for men. For men, fewer symptoms, life satisfaction, valuing health, and anxiety about health status during solitary old age, and for women, occupation, fewer symptoms, life satisfaction, valuing health, expecting social participation during old age, expecting to live with her spouse during old age and considering one's own death were positively associated with health habits. Experience of presence at a deathbed was not related to health habits.
Results of our survey suggest that men have a poor outlook toward old age and death and suggest the possibility that helping men prepare for an inevitable death may help them live fuller lives.
许多劳动年龄人口有不良的健康习惯。本研究的目的是调查他们对老年和死亡的看法,以及这些看法与他们健康习惯的关系。
对日本岐阜县南部1200名年龄在30 - 59岁的男性和女性进行了一项关于老年和死亡看法、自评健康状况、生活满意度(生活满足感)及健康习惯的结构化访谈。回复率为78%。
预期活到80岁以上的受访者人数不到预期活到70岁以上受访者人数的一半。没有老年规划的男性比例高于女性,而预期与朋友和家人一起生活的女性比例高于男性。对于男性来说,症状较少、生活满意度高、重视健康以及对独居老年时健康状况的焦虑,对于女性来说,职业、症状较少、生活满意度高、重视健康、预期老年时参与社交、预期老年时与配偶一起生活以及思考自己的死亡与健康习惯呈正相关。有过在临终床边陪伴的经历与健康习惯无关。
我们的调查结果表明男性对老年和死亡的看法不佳,并表明帮助男性为不可避免的死亡做好准备可能有助于他们过上更充实的生活。