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日本独立、健康、居住在社区的老年人的主观幸福感及相关因素

Subjective Well-Being and Related Factors among Independent, Healthy, Community-Dwelling Older Adults in Japan.

作者信息

Imamatsu Yuki, Oe Nanami, Ito Eriko, Iwata Yuka, Arimoto Azusa, Kobayashi Kisaki, Tadaka Etsuko

机构信息

Department of Community Health Nursing, Graduate School of Medicine, Yokohama City University, Fukuura 3-9, Kanazawa-Ku, Yokohama 236-0004, Japan.

Department of Community and Public Health Nursing, Graduate School of Health Sciences, Hokkaido University, K12-N5, Kita-Ku, Sapporo 060-0812, Japan.

出版信息

Healthcare (Basel). 2023 Aug 6;11(15):2211. doi: 10.3390/healthcare11152211.

Abstract

(1) Background: Subjective well-being (SWB) is internationally recognized as an important health-related factor for most age groups and is particularly influential for life quality and expectancy in independent, healthy, community-dwelling older adults. However, the physical function and community participation correlates of SWB in independent living older adults in super-aging societies and other influencing factors remain underexplored. (2) Methods: A total of 926 independent, healthy, community-dwelling older adults aged 65 years and above registered in Yokohama, Japan, were included. Respondents' mean age was 78.1 years (standard deviation = 6.7), and 74.0% were women. The dependent variable was SWB. The independent variables were respondents' demographic characteristics, physical factors (visual, hearing, and cognitive functions, and mobility), and community and social factors (participation in community groups, social networks, and community commitment. (3) Results: The mean (standard deviation) WHO-5 score was 16.3 (5.1). Significant factors associated with WHO-5 score were visual function (odds ratio [OR]: 0.708; 95% confidence interval [CI]: 0.352-0.690), hearing function (OR: 0.615; CI: 0.431-0.878), community groups (OR: 1.310; CI: 1.003-1.059), community commitments (OR: 1.180; CI: 1.132-1.231), and social networks (OR: 1.525; CI: 1.142-2.037) adjusted for the effects of demographic factors. (4) Conclusions: These findings are important because factors associated with SWB are likely to contribute to individual well-being and longevity and to developing a healthy super-aged society.

摘要

(1)背景:主观幸福感(SWB)在国际上被公认为是影响大多数年龄组健康的重要因素,对独立、健康、居住在社区的老年人的生活质量和预期寿命尤其具有影响力。然而,在超老龄化社会中,独立生活的老年人主观幸福感与身体功能及社区参与之间的关联以及其他影响因素仍未得到充分研究。(2)方法:纳入了日本横滨登记在册的926名65岁及以上独立、健康、居住在社区的老年人。受访者的平均年龄为78.1岁(标准差=6.7),女性占74.0%。因变量为主观幸福感。自变量为受访者的人口统计学特征、身体因素(视觉、听力和认知功能以及行动能力)以及社区和社会因素(参与社区团体、社会网络和社区归属感)。(3)结果:世界卫生组织-5幸福指数(WHO-5)的平均(标准差)得分为16.3(5.1)。与WHO-5得分相关的显著因素包括视觉功能(比值比[OR]:0.708;95%置信区间[CI]:0.352-0.690)、听力功能(OR:0.615;CI:0.431-0.878)、社区团体(OR:1.310;CI:1.003-1.059)、社区归属感(OR:1.180;CI:1.132-1.231)以及社会网络(OR:1.525;CI:1.142-2.037),这些因素均已针对人口统计学因素的影响进行了调整。(4)结论:这些发现很重要,因为与主观幸福感相关的因素可能有助于个人幸福和长寿,并有助于建设健康的超老龄化社会。

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