Reduced long-term care cost by social participation among older Japanese adults: a prospective follow-up study in JAGES
| العنوان: | Reduced long-term care cost by social participation among older Japanese adults: a prospective follow-up study in JAGES |
|---|---|
| المؤلفون: | Masashige Saito, Katsunori Kondo, Airi Amemiya, Jun Aida, Hirotaka Kato, Junko Saito, Naoki Kondo, Yasuhiro Ota |
| المصدر: | BMJ Open |
| بيانات النشر: | BMJ Publishing Group, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Gerontology, Male, social participation, cumulative cost, 03 medical and health sciences, 0302 clinical medicine, cost containment, Japan, Cost Savings, Surveys and Questionnaires, Medicine, Humans, 030212 general & internal medicine, Longitudinal Studies, Prospective Studies, Baseline (configuration management), Hobby, older adults, Aged, Aged, 80 and over, business.industry, Inverse probability weighting, Research, Confounding, General Medicine, Social engagement, Long-Term Care, Long-term care, Cumulative cost, Observational study, Female, Public Health, business, 030217 neurology & neurosurgery, Follow-Up Studies |
| الوصف: | ObjectivesReducing costs related to functional disabilities and long-term care (LTC) is necessary in ageing societies. We evaluated the differences in the cumulative cost of public LTC insurance (LTCI) services by social participation.DesignProspective observational study.SettingOur baseline survey was conducted in March 2006 among people aged 65 or older who were not eligible for public LTCI benefits and were selected using a complete enumeration in Tokoname City, Japan. We followed up with their LTC services costs over a period of 11 years. Social participation was assessed by the frequency of participation in clubs for hobbies, sports or volunteering. We adopted a classical linear regression analysis and an inverse probability weighting (IPW), with multiple imputation of missing values.ParticipantsFunctionally independent 5377 older adults.Primary outcome measuresThe cumulative cost of public LTCI services for 11 years.ResultsEven when adjusting for the confounding variables, social participation at the baseline was negatively associated with the cumulative cost of LTCI services. The IPW model showed that in respondents who participated in hobby activities once a week or more, the cumulative cost of LTCI services for 11 years was lower, approximately US$3500 per person, in comparison to non-participants. Similarly, that in respondents who participated in sports group or clubs was lower, approximately US$6000 than non-participants.ConclusionsOlder adults’ participation in community organisations may help reduce future LTC costs. Promoting participation opportunities in the community could ensure the financial stability of LTCI services. |
| اللغة: | English |
| تدمد: | 2044-6055 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::931e6c805e0c13d7ff64b14c61640458Test http://europepmc.org/articles/PMC6475166Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....931e6c805e0c13d7ff64b14c61640458 |
| قاعدة البيانات: | OpenAIRE |
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We evaluated the differences in the cumulative cost of public LTC insurance (LTCI) services by social participation.DesignProspective observational study.SettingOur baseline survey was conducted in March 2006 among people aged 65 or older who were not eligible for public LTCI benefits and were selected using a complete enumeration in Tokoname City, Japan. We followed up with their LTC services costs over a period of 11 years. Social participation was assessed by the frequency of participation in clubs for hobbies, sports or volunteering. We adopted a classical linear regression analysis and an inverse probability weighting (IPW), with multiple imputation of missing values.ParticipantsFunctionally independent 5377 older adults.Primary outcome measuresThe cumulative cost of public LTCI services for 11 years.ResultsEven when adjusting for the confounding variables, social participation at the baseline was negatively associated with the cumulative cost of LTCI services. The IPW model showed that in respondents who participated in hobby activities once a week or more, the cumulative cost of LTCI services for 11 years was lower, approximately US$3500 per person, in comparison to non-participants. Similarly, that in respondents who participated in sports group or clubs was lower, approximately US$6000 than non-participants.ConclusionsOlder adults’ participation in community organisations may help reduce future LTC costs. 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