Protective and high-risk social activities associated with homebound status among older adults in rural Japan
Becoming homebound can be devastating for older adults in rural communities. This study aimed to identify protective or high-risk social activities associated with homebound status among the rural young old (ages 65–74) and the oldest old (ages ≥ 75). We used data from a survey of older adults in a...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-12-01
|
| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335522003448 |
| _version_ | 1811310915083042816 |
|---|---|
| author | Mayumi Mizutani Ritsuko Nishide Susumu Tanimura Hiroyo Hatashita |
| author_facet | Mayumi Mizutani Ritsuko Nishide Susumu Tanimura Hiroyo Hatashita |
| author_sort | Mayumi Mizutani |
| collection | DOAJ |
| description | Becoming homebound can be devastating for older adults in rural communities. This study aimed to identify protective or high-risk social activities associated with homebound status among the rural young old (ages 65–74) and the oldest old (ages ≥ 75). We used data from a survey of older adults in a rural community of Japan in 2014. Questions covered sociodemographic characteristics, homebound status (i.e., going out less than once a week), physical and psychological status, and social activities. Using survey data, we conducted logistic regression analysis to identify protective and high-risk social activities associated with homebound status. Of the 1,564 participants, 51.0 % were the oldest old, and the mean age was 75.2 (±7.0) years. The prevalence of homebound status was 10.5 % total: 5.2 % among the young old and 15.7 % among the oldest old and highest among the female oldest old (19.4 %). The main protective social activity for the young and the oldest old was visiting friends’ houses (adjusted odds ratio [AOR] 5.38, 95 % confidence interval [CI] 1.64–17.64 and AOR 3.49, 95 % CI 1.07–11.42, respectively). For the young old, specific high-risk social activities were advising family and friends (AOR 0.07, 95 % CI 0.01–0.62) and activities to support older adults (AOR 0.17, 95 % CI 0.03–0.84). For the oldest old, a protective social activity was participating in long-term care prevention programs (AOR 28.94, 95 % CI 1.90–441.63). To prevent rural older adults from becoming homebound, support should be provided according to protective and high-risk social activities for age groups, with particular attention to safe socialization amid the threat of COVID-19. |
| first_indexed | 2024-04-13T10:08:33Z |
| format | Article |
| id | doaj.art-72d269e17a4448aa9b8e2d350e1936e1 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-04-13T10:08:33Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-72d269e17a4448aa9b8e2d350e1936e12022-12-22T02:51:00ZengElsevierPreventive Medicine Reports2211-33552022-12-0130102037Protective and high-risk social activities associated with homebound status among older adults in rural JapanMayumi Mizutani0Ritsuko Nishide1Susumu Tanimura2Hiroyo Hatashita3Department of Public Health Nursing, Mie University Graduate School of Medicine, Tsu, Mie, Japan; Corresponding author at: Department of Public Health Nursing, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan.Department of Public Health Nursing, Mie University Graduate School of Medicine, Tsu, Mie, JapanDepartment of Public Health Nursing, Mie University Graduate School of Medicine, Tsu, Mie, JapanWakayama Faculty of Nursing, Tokyo Healthcare University, Wakayama, Wakayama, JapanBecoming homebound can be devastating for older adults in rural communities. This study aimed to identify protective or high-risk social activities associated with homebound status among the rural young old (ages 65–74) and the oldest old (ages ≥ 75). We used data from a survey of older adults in a rural community of Japan in 2014. Questions covered sociodemographic characteristics, homebound status (i.e., going out less than once a week), physical and psychological status, and social activities. Using survey data, we conducted logistic regression analysis to identify protective and high-risk social activities associated with homebound status. Of the 1,564 participants, 51.0 % were the oldest old, and the mean age was 75.2 (±7.0) years. The prevalence of homebound status was 10.5 % total: 5.2 % among the young old and 15.7 % among the oldest old and highest among the female oldest old (19.4 %). The main protective social activity for the young and the oldest old was visiting friends’ houses (adjusted odds ratio [AOR] 5.38, 95 % confidence interval [CI] 1.64–17.64 and AOR 3.49, 95 % CI 1.07–11.42, respectively). For the young old, specific high-risk social activities were advising family and friends (AOR 0.07, 95 % CI 0.01–0.62) and activities to support older adults (AOR 0.17, 95 % CI 0.03–0.84). For the oldest old, a protective social activity was participating in long-term care prevention programs (AOR 28.94, 95 % CI 1.90–441.63). To prevent rural older adults from becoming homebound, support should be provided according to protective and high-risk social activities for age groups, with particular attention to safe socialization amid the threat of COVID-19.http://www.sciencedirect.com/science/article/pii/S2211335522003448Rural healthJapanAgedHomeboundProtective factorsRisk factors |
| spellingShingle | Mayumi Mizutani Ritsuko Nishide Susumu Tanimura Hiroyo Hatashita Protective and high-risk social activities associated with homebound status among older adults in rural Japan Preventive Medicine Reports Rural health Japan Aged Homebound Protective factors Risk factors |
| title | Protective and high-risk social activities associated with homebound status among older adults in rural Japan |
| title_full | Protective and high-risk social activities associated with homebound status among older adults in rural Japan |
| title_fullStr | Protective and high-risk social activities associated with homebound status among older adults in rural Japan |
| title_full_unstemmed | Protective and high-risk social activities associated with homebound status among older adults in rural Japan |
| title_short | Protective and high-risk social activities associated with homebound status among older adults in rural Japan |
| title_sort | protective and high risk social activities associated with homebound status among older adults in rural japan |
| topic | Rural health Japan Aged Homebound Protective factors Risk factors |
| url | http://www.sciencedirect.com/science/article/pii/S2211335522003448 |
| work_keys_str_mv | AT mayumimizutani protectiveandhighrisksocialactivitiesassociatedwithhomeboundstatusamongolderadultsinruraljapan AT ritsukonishide protectiveandhighrisksocialactivitiesassociatedwithhomeboundstatusamongolderadultsinruraljapan AT susumutanimura protectiveandhighrisksocialactivitiesassociatedwithhomeboundstatusamongolderadultsinruraljapan AT hiroyohatashita protectiveandhighrisksocialactivitiesassociatedwithhomeboundstatusamongolderadultsinruraljapan |