Shirai Kokoro, Iso Hiroyasu, Fukuda Hideki, Toyoda Yasuhiro, Takatorige Toshio, Tatara Kozo
Graduate School of Social and Environmental Medicine, Osaka University, Japan.
Health Qual Life Outcomes. 2006 Feb 27;4:12. doi: 10.1186/1477-7525-4-12.
"Ikigai" is culturally defined in the society of Japan as a comprehensive concept describing subjective well-being. It is considered to be related to life-satisfaction, self-esteem, morale, happiness as well as evaluation towards meaning of one's life. Although previous studies examined factors associated with Ikigai with smaller samples, consistent results have not been obtained, especially from the viewpoint of gender differences. Identification of gender-specific factors related with Ikigai among the elderly, may be of value to enhance subjective well-being.
Self-administered questionnaires were distributed among 4,737 randomly selected members of the Silver Human Resources Centre (SHRC), a public temporary employment agency for seniors, in Osaka, Japan. This represents about 10% of all registered members (n = 41,593) in the 38 SHRC centres in Osaka. A total of 4,376 subjects (male: 2,913; female: 1,463) provided a satisfactory response to the questionnaire (response rate: 92%). The status whether they have "Ikigai" or not was evaluated by self-anchoring scale ranging from 0 to 5 (0 = lowest rate and 5 = highest rate of having "Ikigai"). Also, self-rated life-change score through work (-3 to 3) was evaluated by three items, i.e.) changes in (1) the number of friends through work, (2) social interests and (3) the quantity of conversation with others (1 = increase, 0 = no change, and -1 = decrease).
The factors associated with "Ikigai" for total subjects were the number of rooms in one's residence, annual income, healthy life style score (Breslow), the number of working days through SHRC, satisfaction with one's life history and life-change sore through work. The multivariable odds ratio (95% CI) of having "Ikigai" was 1.9 (1.1-3.3) for persons with no change in life thorough work compared with subjects with a score of < or = -1. Moreover, the multivariable odds ratios were 3.5 (1.9-6.6) for a life-change score = 1, 3.1 (1.7-5.7) for a score = 2 and 7.8 (4.0-15.2) for a score = 3 compared with persons with a score of < or = -1. For male subjects, other factors associated with having "Ikigai" were the number of rooms in their residence, annual income, the number of working days through SHRC, subjective assessment of health condition, and degree of satisfaction with their life history. For female, the corresponding factors were the presence of a spouse and degree of satisfaction with their life history.
Scores for life-changes through work were associated with a higher prevalence of having "Ikigai" for both male and female. For male, "Ikigai" tended to be associated with physical condition and socioeconomic factors such as the size of their residence or annual income, while for female, family relations such as having spouse and psychological factors such as satisfaction with one's life history were significant factors. In spite of the design limitations of this study, it is possible to conclude that the recognition of life change through obtaining work may enhance "Ikigai" among people who wish to engage in productive activities in their later stages of life for both male and female. SHRC has a potential to provide resources for fulfilling one's "Ikigai" through supporting working opportunities to realize life changes for both elder male and female.
在日本社会,“生活意义”在文化层面被定义为一个描述主观幸福感的综合概念。它被认为与生活满意度、自尊、士气、幸福以及对个人生活意义的评价相关。尽管先前的研究以较小样本探讨了与“生活意义”相关的因素,但尚未获得一致结果,尤其是从性别差异的角度。识别老年人中与“生活意义”相关的性别特异性因素,可能对提高主观幸福感具有价值。
在日本大阪,对银色人力资源中心(SHRC)4737名随机抽取的成员进行了自填式问卷调查,该中心是一家面向老年人的公共临时就业机构。这约占大阪38个SHRC中心所有注册成员(n = 41593)的10%。共有4376名受试者(男性:2913名;女性:1463名)对问卷给出了满意答复(答复率:92%)。他们是否拥有“生活意义”的状况通过0至5的自我锚定量表进行评估(0 = “生活意义”拥有率最低,5 = “生活意义”拥有率最高)。此外,通过工作的自评生活变化得分(-3至3)通过三个项目进行评估,即:(1)通过工作结交的朋友数量、(2)社会兴趣以及(3)与他人交谈的数量(1 = 增加,0 = 无变化,-1 = 减少)。
全体受试者中与“生活意义”相关的因素包括居住房间数、年收入、健康生活方式得分(布雷斯洛)、通过SHRC的工作日数、对个人生活经历的满意度以及工作带来的生活变化得分。与生活变化得分≤ -1的受试者相比,工作中生活无变化的人拥有“生活意义”的多变量优势比(95%置信区间)为1.9(1.1 - 3.3)。此外,与得分≤ -1的人相比,生活变化得分为1时多变量优势比为3.5(1.9 - 6.6),得分为2时为3.1(1.7 - 5.7),得分为3时为7.8(4.0 - 15.2)。对于男性受试者,与拥有“生活意义”相关的其他因素包括居住房间数、年收入、通过SHRC的工作日数、对健康状况的主观评估以及对个人生活经历的满意度。对于女性,相应因素为配偶的存在以及对个人生活经历的满意度。
工作带来的生活变化得分与男性和女性拥有“生活意义”的较高患病率相关。对于男性,“生活意义”往往与身体状况和社会经济因素相关,如居住面积或年收入大小;而对于女性,家庭关系如拥有配偶以及心理因素如对个人生活经历的满意度是重要因素尽管本研究存在设计局限性,但可以得出结论,认识到通过工作实现生活变化可能会提高男性和女性在晚年希望从事生产性活动人群中的“生活意义”。SHRC有潜力通过为老年男性和女性提供支持工作机会以实现生活变化,来为实现个人的“生活意义”提供资源。