Yamagata Journal of Health Sciences, Vol. 16, 2013 Tamio KEITOKU 12Katsuko TANNO 3Kiyoko ARIMA 4Noboru CHIBA 1 Abstract The present study aimed to clarify differences in awareness regarding future residence among elderly and middle-aged people based on an understanding of the present residential environment of health-conscious local residents of a regional city in the Tohoku region, and to identify residential environmental conditions that enable people to continue living in their own homes as they are used to for as long as possible. Participants comprised 151 people (85(56.3%) aged 65 or over, 66 (43.7%) aged 64 or younger; 22 men, 129 women) who participated in health education initiatives and health advice initiatives in which the Health Development Department of A City, a city of approximately 80,000 people in A Prefecture, was involved, over a 3-month period from June to August 2011. A 21-item self-administered questionnaire covering issues such as current residential situation and future intentions regarding residence was distributed at venues for events connected to the initiatives above, and responses were requested. Responses were analyzed using descriptive statistics, followed by chi-square tests between each item. Differences in current residential environment according to age group were as follows: floor on which bedroom was located (P=.000); existence of house entrance apart from the front door (P=.003); and form of front door (P=.006). In terms of awareness of future residence, it was clear that those aged 65 or over thought more about being able to continue living in their own homes than those aged 64 or younger, even if they needed to use a 990-2212 260 Department of Occupational Therapy, Yamagata Prefectural University of Health Sciences 260 Kamiyanagi, Yamagata, Yamagata, 990-2212, Japan 339-8555 1288 Department of Health Sciences of Mind and Body, University and Graduate School of Human Arts and Sciences 1288 Magome, Iwatsuki-ku, Saitama, Saitama, 339-8555, Japan 990-2212 260 Department of Physical Therapy, Yamagata Prefectural University of Health Sciences 260 Kamiyanagi, Yamagata, Yamagata, 990-2212, Japan 962-0054 5 Health Promotion Section, Health and Welfare Department Sukagawa City Hall, Fukushima Prefecture 5 Ushibukuro, Sukagawa, Fukushima, 962-0054, Japan 20121221 2013128
16 2013 stick, even if they needed help in their daily lives, or even if they started to experience dementia. Regarding the relationship between current residential environment and awareness of future residence, those who wanted to continue living in their present home lived in an environment that had a sliding door as the front door, had an entrance apart from the front door, or had a veranda, or where the bath was easily accessible. The present findings suggest that differences in age and in the present residential environment may be residential environmental factors that contribute to continued living at home. Key words : residential environment, awareness, continued living at home, elderly people, middle-aged people 2011 10 23.3 2025 30 1 2 60 2 37.1 63.8 38.4 3 40 11 16 70 19 20 40 5 9 70 10 12 4 5 5 A A 7 3 10 3 1 1 1 3
21 1 23 6 8 3 65 64 2 1 2 2-1 2-2 2-3 2-4 2-5 2-6 2-7 2-8 2-9 2-10 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 1 1 1
16 2013 n=85 1112.9 7487.1 n=66 1116.7 5583.3 73.95.5 47.210.4 8195.3 5684.8 1 1.2 812.1 3 3.5 2 3.0 910.6 2 3.0 4552.9 5177.3 5160.0 4670.8 5 5.9 2436.9 2529.4 6 9.1 0 0.0 1 1.5 n χ 2 SPSS ver.16 J for Windows 5 1103-27 23 3 3 2 10 151 85 11 74 66 11 55 73.95.5 65-88 47.2 10.4 37-64 80 9 10.6 2 3.0 1 10 50 52.8 53.0 55.051.3 4 3 42.4 42.4 40.0 30.0 1 16.6 P.001 P.003 P.006 3 2 3 4
8 5 4 4 3 2 2 2 4 3 79 61.7 49 38.3 P.002 62.3 37.7 6 4 3 5 3 3 4 2 3 2 4 3 40.8 24.5 70.1 29.9 55.4 44.6 P.003 P.036 P.001 4 5
16 2013 5 7 1 7 4 2 2 8 2 4 4 4 2 2 5 38.126.2 16.7 27.726.2 3 23.1 26.624.1 22.8 23.425.0 18.8 65 47.3 16.2 54.7 66.2 50.8 8 P.011 P.001P.015 P.026 P-value 3238.1 2226.2 1416.7 1011.9 1822.7 1726.2 1015.4 1523.1 n=88 n=65 2122.6 1822.8 1924.1 1523.4 1625.0 1218.8 n=79 n=64 3547.3 1216.2 1216.2 3554.7 914.1 710.9 n=74 n=64 5366.2 1417.5 7 8.8 3326.2 1726.2 1218.5 n=80 n=65 n χ 2 not significant
1.011.000.015.517.403.691.505.026.993.490.512.196.059.619.015 1.000.199.004.033.535.104.583.078 1.000.858 1.000.158.346.290.490.210.593.059.689.721.126.077.021 1.000 1.000.350 1.000.068 1.000.343.311.717.113.279.475 χ 2 P-value P.015P.004 P.033 P.021 1961 WHO safetyhealthefficiency comfort 4 6789 3 10 3 9
16 2013 50 70.1 50 2 2 10 2001 WHO ICFInternational Classification of Functioning, Disability and Health 11
3 12 13 4 5 1 2 3 A A A 23 23650460 71 1 2012 2 22 2011 3 NHK 2010 2011 4 2008;123:347-371 5
16 2013 5 2011;33:385-394 6 2009p.8-9. 7 2004;586:25-30 8 2003;45:892-895 9 2001 10 1957;9-12 11WHO 2002 12 5 2005;5:40-45 13 2004
A 8 A 23 6 8 3 151 65 85 56.364 66 43.7 22 129 21 χ 2 P.001P.003P.006