Department of Environmental and Occupational Health, School of Medicine, Toho University, Tokyo 1438540, Japan.
Health and Welfare Department, Suzaka City Hall, Suzaka City, Nagano 3828511, Japan.
Int J Environ Res Public Health. 2018 Dec 27;16(1):65. doi: 10.3390/ijerph16010065.
In Japan, there are traditionally many health promotion volunteer activities. However, the effects these activities have on the volunteers' families are not clear. This study examined whether the well-being of Japanese elderly men was affected by cohabiting with women who have had experience as a health promotion volunteer. The study area was Suzaka City, where more than 7500 women have been elected and served as health promotion volunteers for over 60 years. A cross-sectional survey targeting all residents aged 65 years or over was conducted in 2014 using a self-administered questionnaire and 10,758 (77.7%) residents participated. Of those, married men who lived with married women were analyzed ( = 2370). Functional capacity and depressive symptoms were analyzed as outcomes respectively. Of the 2370 men, 1434 (60.5%) lived with women who had experience as a health promotion volunteer in the past. Modified Poisson regression analysis adjusting for covariates showed that living with women who had this experience was inversely associated with depressive symptoms (adjusted Prevalence Ratio; 0.84, 95% Confidence Interval; 0.73⁻0.97), but not with low functional capacity. These results suggest that living with women who had the experience as health promotion volunteer might affect depressive symptoms of elderly men.
在日本,传统上有许多健康促进志愿者活动。然而,这些活动对志愿者家庭的影响尚不清楚。本研究考察了与有健康促进志愿者经验的女性共同居住是否会影响日本老年男性的幸福感。研究区域是铃鹿市,该市有超过 7500 名女性,她们已经连续 60 多年当选并担任健康促进志愿者。2014 年,我们使用自我管理问卷对所有 65 岁及以上的居民进行了横断面调查,共有 10758 名(77.7%)居民参与。其中,分析了与已婚女性共同居住的已婚男性(n=2370)。分别将功能能力和抑郁症状作为结果进行分析。在 2370 名男性中,有 1434 名(60.5%)与过去有健康促进志愿者经验的女性共同居住。调整协变量的校正泊松回归分析显示,与有这种经验的女性共同居住与抑郁症状呈负相关(调整后患病率比;0.84,95%置信区间;0.73⁻0.97),但与功能能力低下无关。这些结果表明,与有健康促进志愿者经验的女性共同居住可能会影响老年男性的抑郁症状。