14 research outputs found
Factors related to a sense of economic insecurity among older adults who participate in social activities.
Japan has the highest life expectancy worldwide. Older adults who experience economic insecurity may refrain from seeking medical consultation or using long-term care insurance, and these behaviors may increase the incidence and progression of frailty. This study conducted a cross-sectional survey to identify factors related to a sense of economic insecurity among older adults who participate in social activities, and identified support measures. In total, 1,351 older adults aged ≥65 years who had participated in social activities voluntarily completed an anonymous self-administered questionnaire. The questionnaire encompassed their physical, cognitive, social, and psychological conditions, and economic insecurity. We performed univariate analysis considering a sense of economic insecurity as the dependent variable, and conducted multiple logistic regression analysis (forced entry method) considering the independent variables with p<0.1 as the covariates. Among the 872 filled questionnaires, 717 were analyzed as they had no missing data with respect to the responses to survey questions (valid response rate was 53.1%). Analysis results showed that 43.6% of the older adults had a sense of economic insecurity, which was most common among those aged 75-84 years, accounting for 47.3%, followed by those aged 65-74 years accounting for 44.1%, and those aged ≥85 years accounting for 31.5% (p<0.05). The sense of economic insecurity was not associated with physical conditions, subjective symptoms of dementia, or social conditions; however, it grew with increased loneliness (OR: 1.71, 1.002-2.92, p = 0.049) and decreased with an increased subjective sense of well-being (OR: 0.86, 0.81-0.92, <0.001). Economic insecurity among older adults was not associated with physical, cognitive, or social aspects, as reported in previous studies. The survey respondents constituted older adults who participate in social activities. Maintaining interactions within the community, even in old age, may prevent loneliness and improve subjective health
Development of the dementia attitude scale focusing on well-being
IntroductionThis study aimed to develop the Dementia Attitude Scale Focusing on well-being (DASFWB) and to verify its reliability and validity. This scale measures the factors that individuals without dementia would consider important for their well-being if they were to develop dementia. It is expected to serve as a useful indicator for intervention strategies aimed at achieving an inclusive society.MethodsThe draft DASFWB scale was developed by extracting stories from older adults with mild Alzheimer's disease. The questionnaire was distributed to 1,614 adults aged 65 and older who were able to complete the self-administered questionnaire. Data from 815 individuals who completed the questionnaire without help (58.8% valid response rate) were analyzed. Exploratory and confirmatory factor analyses were performed to identify the factors underlying the scale. Reliability was tested using Cronbach's alpha. Validity was tested through sample, criterion-related, convergent, and discriminant validity.ResultsThe development and validation of the DASFWB identified a three-factor, 12-item scale. Cronbach's alpha coefficients for the scale and its three factors were 0.857, 0.843, 0.723, and 0.644, respectively. The confirmatory factor analysis model indices were as follows: χ2 = 146.574, df = 51, p < 0.001, comparative goodness of fit index = 0.930, goodness of fit index = 0.945, Tucker-Lewis index = 0.909, and root mean square error of approximation = 0.068. The composite reliability value for convergent validity, which was >0.7, was higher than the average variance extracted value. The criterion-related validity showed a weak correlation (ρ = −0.245 to 0.341, p < 0.001).DiscussionThe DASFWB exhibits good reliability and validity, indicating its utility as a measuring instrument
Factors related to sense of economic insecurity.
Japan has the highest life expectancy worldwide. Older adults who experience economic insecurity may refrain from seeking medical consultation or using long-term care insurance, and these behaviors may increase the incidence and progression of frailty. This study conducted a cross-sectional survey to identify factors related to a sense of economic insecurity among older adults who participate in social activities, and identified support measures. In total, 1,351 older adults aged ≥65 years who had participated in social activities voluntarily completed an anonymous self-administered questionnaire. The questionnaire encompassed their physical, cognitive, social, and psychological conditions, and economic insecurity. We performed univariate analysis considering a sense of economic insecurity as the dependent variable, and conducted multiple logistic regression analysis (forced entry method) considering the independent variables with p</div
Table 3. Related factors in sense of economic insecurity
This study conducted a cross-sectional survey to identify factors related to a sense of economic insecurity among older adults who participate in social activities (not limited to older adults experiencing frailty) in Japan. The participants of the study were older adults aged 65 years or older who voluntarily participated in low-cost community-based social activities, such as exercise and hobby activities, and who were able to fill out a self-administered survey form. The questionnaire encompassed their physical, cognitive, social, and psychological conditions, and economic insecurity. Table 3 shows the related factors in sense of economic insecurity.</p
Factors associated with sense of economic insecurity.
Factors associated with sense of economic insecurity.</p
Figure 1. Flowchart of the study participants
This study conducted a cross-sectional survey to identify factors related to a sense of economic insecurity among older adults who participate in social activities (not limited to older adults experiencing frailty) in Japan. The participants of the study were older adults aged 65 years or older who voluntarily participated in low-cost community-based social activities, such as exercise and hobby activities, and who were able to fill out a self-administered survey form. The questionnaire encompassed their physical, cognitive, social, and psychological conditions, and economic insecurity. Figure 1 shows the flowchart of the study participants.</p
Flowchart of the study participants.
Japan has the highest life expectancy worldwide. Older adults who experience economic insecurity may refrain from seeking medical consultation or using long-term care insurance, and these behaviors may increase the incidence and progression of frailty. This study conducted a cross-sectional survey to identify factors related to a sense of economic insecurity among older adults who participate in social activities, and identified support measures. In total, 1,351 older adults aged ≥65 years who had participated in social activities voluntarily completed an anonymous self-administered questionnaire. The questionnaire encompassed their physical, cognitive, social, and psychological conditions, and economic insecurity. We performed univariate analysis considering a sense of economic insecurity as the dependent variable, and conducted multiple logistic regression analysis (forced entry method) considering the independent variables with p</div
Table 2. Factors associated with sense of economic insecurity
This study conducted a cross-sectional survey to identify factors related to a sense of economic insecurity among older adults who participate in social activities (not limited to older adults experiencing frailty) in Japan. The participants of the study were older adults aged 65 years or older who voluntarily participated in low-cost community-based social activities, such as exercise and hobby activities, and who were able to fill out a self-administered survey form. The questionnaire encompassed their physical, cognitive, social, and psychological conditions, and economic insecurity. Table 2 shows the associations of basic attributes, physical conditions, subjective symptoms of dementia, social conditions, and psychological conditions with a sense of economic insecurity.</p
Data for analysis.
Japan has the highest life expectancy worldwide. Older adults who experience economic insecurity may refrain from seeking medical consultation or using long-term care insurance, and these behaviors may increase the incidence and progression of frailty. This study conducted a cross-sectional survey to identify factors related to a sense of economic insecurity among older adults who participate in social activities, and identified support measures. In total, 1,351 older adults aged ≥65 years who had participated in social activities voluntarily completed an anonymous self-administered questionnaire. The questionnaire encompassed their physical, cognitive, social, and psychological conditions, and economic insecurity. We performed univariate analysis considering a sense of economic insecurity as the dependent variable, and conducted multiple logistic regression analysis (forced entry method) considering the independent variables with p</div
Table 1. Characteristics according to age group
This study conducted a cross-sectional survey to identify factors related to a sense of economic insecurity among older adults who participate in social activities (not limited to older adults experiencing frailty) in Japan. The participants of the study were older adults aged 65 years or older who voluntarily participated in low-cost community-based social activities, such as exercise and hobby activities, and who were able to fill out a self-administered survey form. The questionnaire encompassed their physical, cognitive, social, and psychological conditions, and economic insecurity. Table 1 shows the participant characteristics according to age group.</p
