Differences in Cumulative Long-Term Care Costs by Community Activities and Employment: A Prospective Follow-Up Study of Older Japanese Adults
| العنوان: | Differences in Cumulative Long-Term Care Costs by Community Activities and Employment: A Prospective Follow-Up Study of Older Japanese Adults |
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| المؤلفون: | Katsunori Kondo, Junko Saito, Naoki Kondo, Jun Aida, Masashige Saito, Toshiyuki Ojima, Hisataka Anezaki |
| المصدر: | International Journal of Environmental Research and Public Health, Vol 18, Iss 5414, p 5414 (2021) International Journal of Environmental Research and Public Health Volume 18 Issue 10 |
| بيانات النشر: | MDPI AG, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Health, Toxicology and Mutagenesis, cumulative cost, Article, 03 medical and health sciences, 0302 clinical medicine, Japan, Humans, Medicine, Prospective Studies, 030212 general & internal medicine, Healthy longevity, older adults, Aged, Estimation, business.industry, Inverse probability weighting, Public Health, Environmental and Occupational Health, Follow up studies, Baseline survey, Long-Term Care, Confidence interval, Long-term care, employment, community activities, business, Older people, 030217 neurology & neurosurgery, Follow-Up Studies, public long-term care insurance, Demography |
| الوصف: | We evaluated differences in the cumulative benefit costs of public long-term care (LTC) insurance services by employment status and frequency of community activities. A baseline survey was conducted on functionally independent older people from 12 municipalities as a nationwide survey from 2010 to 2011. Employment status was dichotomized, and community activity was assessed based on the frequency of participation in hobbies, sports clubs, or volunteering. We followed the respondents’ LTC service costs over a period of 6 years using public LTC claim records (n = 46,616). We adopted a classical linear regression analysis and an inverse probability weighting estimation with multiple imputation for missing values. Compared with non-participation in each community activity, the cumulative LTC costs among individuals who participated in hobbies or sports group activities at least twice a week were 1.23 (95% confidence interval: 0.73–1.72) to 1.18 (0.68–1.67) thousand USD lower per person over the 6-year period (28.7% to 30.1% lower, respectively). Similarly, the costs for employed persons were 0.55 (0.20–0.90) to 0.64 (0.29–0.99) thousand USD per person lower than among retirees (14.5% to 16.9% lower). Promoting employment opportunities and frequent participation in community activities among older adults may help reduce future LTC costs by around 20% as a result of extending healthy longevity. |
| وصف الملف: | application/pdf |
| تدمد: | 1660-4601 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a85329b7415290e9733e34981937f1fdTest https://doi.org/10.3390/ijerph18105414Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....a85329b7415290e9733e34981937f1fd |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16604601 |
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