Factors associated with good self-rated health of non-disabled elderly living alone in Japan: a cross-sectional study

Wei Sun; Watanabe, Misuzu; Tanimoto, Yoshimi; Shibutani, Takahiro; Kono, Rei; Saito, Masahisa; Usuda, Kan; Kono, Koichi
January 2007
BMC Public Health;2007, Vol. 7 Issue 1, p297
Academic Journal
Background: Self-rated health (SRH) is reported as a reliable predictor of disability and mortality in the aged population and has been studied worldwide to enhance the quality of life of the elderly. Nowadays, the elderly living alone, a particular population at great risk of suffering physical and mental health problems, is increasing rapidly in Japan and could potentially make up the majority of the aged population. However, few data are available pertaining to SRH of this population. Given the fact that sufficient healthcare is provided to the disabled elderly whereas there is little support for non-disabled elderly, we designed this population-based survey to investigate SRH of non-disabled elderly living alone and to identify the factors associated with good SRH with the purpose of aiding health promotion for the elderly. Methods: A cross-sectional study was conducted in a metropolitan suburb in Japan. Questionnaires pertaining to SRH and physical conditions, lifestyle factors, psychological status, and social activities, were distributed in October 2005 to individuals aged = 65 years and living alone. Response rate was 75.1%. Among these respondents, a total of 600 male and 2587 female respondents were identified as non-disabled elderly living alone and became our subjects. Multivariate logistic regression was used to identify the factors associated with good SRH and sex-specific effect was tested by stepwise logistic regression. Results: Good SRH was reported by 69.8% of men and 73.8% of women. Multivariate logistic regression analysis showed that good SRH correlated with, in odds ratio sequence, "can go out alone to distant places", no depression, no weight loss, absence of self-rated chronic disease, good chewing ability, and good visual ability in men; whereas with "can go out alone to distant places", absence of self-rated chronic disease, no weight loss, no depression, no risk of falling, independent IADL, good chewing ability, good visual ability, and social integration (attend) in women. Conclusion: For the non-disabled elderly living alone, sex-appropriate support should be considered by health promotion systems from the view point of SRH. Overall, the ability to go out alone to distant places is crucial to SRH of both men and women.


Related Articles

  • IPG volume 28 issue 4 Cover and Back matter.  // International Psychogeriatrics;Apr2016, Vol. 28 Issue 4, pb1 

    The table of contents for the April 2016 issue of "International Psychogeriatrics" is presented.

  • NIA Guide for Older People on Communicating with Physicians. Chatfield, Joanne E. // American Family Physician;2/15/2002, Vol. 65 Issue 4, p738 

    Reports on the release of a new edition of the booklet "Talking with Your Doctor: A Guide for Older People," by the National Institute on Aging. Description of the booklet, which contains information on how older persons can effectively communicate with their physician; Issues discussed in the...

  • Undergraduate training in geriatric medicine: getting it right. Lally, Frank; Crome, Peter // Age & Ageing;Jul2007, Vol. 36 Issue 4, p366 

    The article reflects on the declining place of the teaching of geriatric medicine in British medical schools. It cites the importance of students learning about the special problems associated with older people's health according to the "Tomorrow's Doctors" document released by the General...

  • Evaluation of physical activity programmes for elderly people - a descriptive study using the EFQM' criteria. Marques, Ana I.; Rosa, Maria J.; Soares, Pedro; Santos, Rute; Mota, Jorge; Carvalho, Joana // BMC Public Health;2011, Vol. 11 Issue 1, p123 

    Background: In the past years, there has been a growing concern in designing physical activity (PA) programmes for elderly people, because evidence suggests that such health promotion interventions may reduce the deleterious effects of the ageing process. Quality is an important issue when...

  • A Demonstration Project to Increase the Awareness of Cancer Clinical Trials Among Community-Dwelling Seniors. Ehrenberger, Heidi E.; Breeden, Jamie R.; Donovan, Mary E. // Oncology Nursing Forum;Jul/Aug2003, Vol. 30 Issue 4, p571 

    Purpose/Objectives: To describe the planning, implementation, and evaluation of an educational program to increase the awareness of cancer clinical trials among community-dwelling seniors in a southeastern metropolitan community. Data Sources: Published articles, research findings, conference...

  • Equinox bulks up on cash to muscle into new territory. Curan, Catherine // Crain's New York Business;9/3/2001, Vol. 17 Issue 36, p4 

    Reports on introduction of a program for older people and individuals recovering from injuries by Equinox Fitness Club in New York, New York. Increase of members in the health club industry; Rate of annual membership fee; Concentration on longevity; Development of training incorporating...

  • Frailty progression reversed.  // Geriatrics;May2006, Vol. 61 Issue 5, p8 

    Discusses research being done on addressing the first signs of frailty progression among the elderly. Reference to a study by Thomas Gill et al in the February 2006 issue of "Archives of Internal Medicine" Criteria used to stratify patients to non-frail, pre-frail and frail condition; Decrease...

  • The Best Doctor for You. Leipzig, Rosanne M. // Focus on Healthy Aging;Aug2019, Vol. 22 Issue 8, p2 

    No abstract available.

  • The influence of multi-morbidity and self-reported socio-economic standing on the prevalence of depression in an elderly Hong Kong population. Wong, Samuel Y. S.; Mercer, Stewart W.; Woo, Jean; Leung, Jason // BMC Public Health;2008, Vol. 8 Issue 1, p119 

    Background: There has been an increasing prevalence of both depression and chronic medical conditions globally but the relationship between depression and multi-morbidity is not well understood. The aim of the present study was to investigate the relationship between depression, multi-morbidity...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics