Mental Health and Nursing Research Team, Mental Health Promotion Project, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Department of Psychiatric Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Geriatr Gerontol Int. 2019 Aug;19(8):829-833. doi: 10.1111/ggi.13729. Epub 2019 Jul 7.
Japan introduced dementia-friendly initiatives into its national policies to help people with dementia remain involved in society for as long as possible. However, some people might choose to live in a nursing home to avoid care burden on family members. Understanding middle-aged adults' preferences for place of care and identifying factors that influence their preferences would help policy decision-makers promote dementia-friendly initiatives. The present study aimed to investigate the care preferences of middle-aged adults if they acquired dementia in Japan and the USA.
We carried out a cross-sectional observational study using an internet-based questionnaire survey of Japanese residents with Japanese ethnicity, Japanese Americans, and non-Asian Americans aged 40-70 years. A total of 301 participants, including 104 Japanese residents, 93 Japanese Americans and 104 non-Asian Americans, completed the survey. Participants were asked to answer the items based on a hypothetical situation in which they had acquired dementia requiring regular care and supervision.
Participants preferred nursing home care (29.9%), followed by professional home care (19.6%), family home care (17.6%) and hospital care (11.3%). Japanese residents had a significantly lower preference for professional home care than did Japanese or non-Asian Americans (adjusted odds ratio 0.28, 95% confidence interval 0.10-0.75). Between-ethnicity difference in care preferences was not observed.
A low preference for professional home care among the middle-aged adults might be influenced by country-specific long-term and dementia care systems. Policy decision-makers should develop professional home care services that are more available for families of people living with dementia. Geriatr Gerontol Int 2019; 19: 829-833.
日本将痴呆症友好倡议纳入国家政策，以帮助痴呆症患者尽可能长时间地参与社会活动。然而，有些人可能会选择住在养老院，以避免家庭成员的照顾负担。了解中年人的护理地点偏好，并确定影响他们偏好的因素，将有助于政策制定者推动痴呆症友好倡议。本研究旨在调查如果在日本和美国中年人群中患上痴呆症，他们对护理地点的偏好。
我们使用基于互联网的问卷调查对日本居民（具有日本民族）、日裔美国人和非亚裔美国人中 40-70 岁的人群进行了横断面观察性研究。共有 301 名参与者完成了调查，包括 104 名日本居民、93 名日裔美国人和 104 名非亚裔美国人。参与者被要求根据他们患有需要定期护理和监督的痴呆症的假设情况回答项目。
参与者首选养老院护理（29.9%），其次是专业家庭护理（19.6%）、家庭护理（17.6%）和医院护理（11.3%）。日本居民对专业家庭护理的偏好明显低于日裔或非亚裔美国人（调整后的优势比 0.28，95%置信区间 0.10-0.75）。不同族裔之间的护理偏好没有差异。
中年人群对专业家庭护理的低偏好可能受到特定国家的长期和痴呆症护理系统的影响。政策制定者应制定更适合痴呆症患者家庭的专业家庭护理服务。老年医学与老年病学国际 2019；19：829-833。
