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日本老年人服务式住房居民与社区居住老年人的健康与幸福感比较:倾向得分匹配分析

Health and well-being comparison between residents of serviced housing for older people and community-dwelling older adults in japan: a propensity score matching analysis.

作者信息

Wang Hequn, Kawaguchi Kenjiro, Ling Ling, Ide Kazushige, Nakagomi Atsushi, Kondo Katsunori

机构信息

Advanced Preventive Medical Sciences, Graduate School of Medical and Pharmaceutical Sciences, Chiba University, Chiba University, Inage-ku, Chiba, Chiba, Japan.

Department of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba University, Inage-ku, Chiba, Chiba, Japan.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2025 Jun 23. doi: 10.1007/s00127-025-02947-8.

Abstract

PURPOSE

Serviced Housing for Older People (SHOP) in Japan offers barrier-free living environments and supportive services to enhance the health and well-being of older adults. This study aimed to compare the health and well-being of SHOP residents with community-dwelling older adults and to compare factors that may influence them.

METHODS

This cross-sectional study utilized propensity score matching to compare the health and well-being of 1,080 SHOP residents (69.4% female; mean age: 83.9 years) with 7,560 community-dwelling older adults (67.8% female; mean age: 84.1 years) from the Japan Gerontological Evaluation Study. Health and well-being were assessed using nine items. Additionally, social behaviours and social factors such as laughing frequency, regular outings, hobbies, depression, participation in preventive care activities, meeting friends frequently, emotional support, and eating with others, were compared.

RESULTS

SHOP residents exhibited significantly higher levels of happiness, life satisfaction, and physical health compared to community-dwelling older adults. They were more engaged in activities like regular outings, attending preventive care activities, meeting friends, and eating with others. They also reported higher frequencies of laughter and received emotional support.

CONCLUSION

SHOP may improve the health and well-being of older adults. These findings can help in developing age-friendly housing initiatives to address the challenges of an aging society.

摘要

目的

日本的老年人服务式住宅(SHOP)提供无障碍居住环境和支持性服务,以增进老年人的健康和福祉。本研究旨在比较SHOP居民与社区居住老年人的健康和福祉,并比较可能影响他们的因素。

方法

这项横断面研究利用倾向得分匹配法,将1080名SHOP居民(女性占69.4%;平均年龄:83.9岁)与来自日本老年学评估研究的7560名社区居住老年人(女性占67.8%;平均年龄:84.1岁)的健康和福祉进行比较。使用九个项目评估健康和福祉。此外,还比较了社交行为和社会因素,如笑的频率、定期外出、爱好、抑郁、参与预防保健活动、经常会见朋友、情感支持以及与他人一起用餐。

结果

与社区居住的老年人相比,SHOP居民在幸福、生活满意度和身体健康方面表现出显著更高的水平。他们更多地参与定期外出、参加预防保健活动、会见朋友和与他人一起用餐等活动。他们还报告说笑的频率更高,并得到了情感支持。

结论

SHOP可能改善老年人的健康和福祉。这些发现有助于制定适合老年人的住房举措,以应对老龄化社会的挑战。

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