Department of Public Health, Kitasato University School of Medicine.
Department of Public Health, School of Medicine, International University of Health and Welfare.
J Occup Health. 2018 Nov 27;60(6):458-466. doi: 10.1539/joh.2017-0295-OA. Epub 2018 Aug 28.
This study investigated potential associations between having a person in need of nursing care at home and psychological distress amongst the Japanese working population, using a nationally representative sample.
We extracted data from the 2013 Comprehensive Survey of Living Conditions conducted by the Ministry of Health, Labour and Welfare of Japan. The original survey was conducted amongst 295,367 households in 5,530 randomly selected municipalities. We analyzed participants aged 25-65 years who headed a household. The original questionnaire included questions about the specific qualifications required to receive long-term care insurance benefits, about psychological distress (measured using the K6 scale), and other covariates. If a family contained a member in need of nursing care at home, the person who headed that household was recognized as the participant who had a person in need of nursing care at home. Multiple logistic regression analysis was conducted to investigate the association between having a person in need of nursing care at home and psychological distress.
A total of 36,193 men and 2,765 women were included in the analysis, 2.9% of whom had a person in need of nursing care at home. Statistical analysis revealed an association between having a care-requiring older relative at home and psychological distress (odds ratio: 1.40, 95% confidence interval: 1.01-1.93).
Having a person in need of nursing care at home appears to be positively correlated with worsening mental health of working populations in Japan.
本研究使用全国代表性样本，调查了日本劳动人口中家中有需要护理的人与其心理困扰之间的潜在关联。
我们从日本厚生劳动省 2013 年进行的综合生活状况调查中提取了数据。原始调查在 5530 个随机选择的市町村中进行，对 295367 户家庭进行了调查。我们分析了作为家庭户主、年龄在 25-65 岁的参与者。原始问卷包含了有关获得长期护理保险福利所需特定资格的问题、有关心理困扰（使用 K6 量表衡量）和其他协变量的问题。如果家庭中有需要在家中护理的人，则该家庭的户主被视为家中有需要护理的人。我们进行了多因素逻辑回归分析，以调查家中有需要护理的人与其心理困扰之间的关联。
共纳入 36193 名男性和 2765 名女性参与者，其中 2.9%的人有需要护理的人在家中。统计分析显示，家中有需要护理的老年亲属与心理困扰之间存在关联（比值比：1.40，95%置信区间：1.01-1.93）。
家中有需要护理的人似乎与日本劳动人口心理健康状况恶化呈正相关。
