Murayama Akihiko, Higuchi Daisuke, Saida Kosuke, Tanaka Shigeya, Shinohara Tomoyuki
Department of Physical Therapy, Faculty of Rehabilitation, Gunma University of Health and Welfare, Maebashi Plaza Genki 21 6-7F, 2-12-1 Hon-machi, Maebashi-shi 371-0023, Gunma, Japan.
Department of Physical Therapy, Faculty of Health Care, Takasaki University of Health and Welfare, 27 Naka Orui-machi, Takasaki-shi 370-0033, Gunma, Japan.
Int J Environ Res Public Health. 2025 Mar 16;22(3):437. doi: 10.3390/ijerph22030437.
This study aimed to identify the characteristics of community-dwelling older people who are difficult to reach by mail survey in anticipation of a future infectious disease crisis. A baseline survey of 1808 community-dwelling older people was conducted in May 2021, and a follow-up survey of 935 respondents was conducted in May 2023. Factors predictive of responding to the follow-up survey included age at baseline, sex, comorbidities, living with family, long-term care insurance, a history of falls, the Simple Frailty Index, and a Questionnaire on Changes in Lifestyle in the Past Month (QCL). Participants were divided into the responding (n = 330) and non-responding (n = 605) groups. Binomial logistic regression analysis was used to analyze items that showed significant differences in the between-group comparison: odds ratios (ORs) of 2.36, 1.84, 1.69, 1.57, and 1.20 for living alone, having comorbidities, having long-term care insurance, fatigue, and reduced ability to communicate, respectively. If social distancing is required in the future, we believe that face-to-face support should be prioritized for people who live alone, have comorbidities, use long-term care insurance, or are aware of fatigue and limited communication, as it is highly unlikely that they will be able to continue exchanging written information.
本研究旨在确定在未来可能发生的传染病危机中，难以通过邮件调查联系到的社区老年居民的特征。2021年5月对1808名社区老年居民进行了基线调查，并于2023年5月对935名受访者进行了随访调查。预测对随访调查做出回应的因素包括基线年龄、性别、合并症、与家人同住、长期护理保险、跌倒史、简易衰弱指数以及过去一个月生活方式变化问卷（QCL）。参与者被分为回应组（n = 330）和无回应组（n = 605）。采用二项逻辑回归分析来分析在组间比较中显示出显著差异的项目：独居、患有合并症、拥有长期护理保险、疲劳以及沟通能力下降的优势比（OR）分别为2.36、1.84、1.69、1.57和1.20。如果未来需要保持社交距离，我们认为对于独居、患有合并症、使用长期护理保险或者意识到疲劳和沟通受限的人群，应优先提供面对面支持，因为他们极有可能无法继续通过书面信息进行交流。
