Cross-Sectional Association Between Types of Leisure Activities and Self-rated Health According to Gender and Work Status Among Older Japanese Adults

Background: Participation in leisure activities (LA) is essential for successful aging. Our aim was to investigate the cross-sectional association of types of LA with self-rated health (SRH) by gender and work status. Methods: The target population was all residents aged ≥65 years in a municipality...

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Main Authors: Kimiko Tomioka, Norio Kurumatani, Keigo Saeki
Format: Article
Language:English
Published: Japan Epidemiological Association 2019-11-01
Series:Journal of Epidemiology
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jea/29/11/29_JE20180108/_pdf
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author Kimiko Tomioka
Norio Kurumatani
Keigo Saeki
author_facet Kimiko Tomioka
Norio Kurumatani
Keigo Saeki
author_sort Kimiko Tomioka
collection DOAJ
description Background: Participation in leisure activities (LA) is essential for successful aging. Our aim was to investigate the cross-sectional association of types of LA with self-rated health (SRH) by gender and work status. Methods: The target population was all residents aged ≥65 years in a municipality (n = 16,010; response rate, 62.5%). We analyzed 4,044 men and 4,617 women without disabilities. LA were categorized into 14 types. SRH was assessed through the SF-8. Excellent or very good SRH was defined as positive SRH. Covariates included age, marital status, education, subjective economic status, body mass index, chronic diseases, alcohol, smoking, walking time, depression, and cognitive functioning. Multiple logistic regressions were used to calculate the odds ratio (OR) and 95% confidence interval (CI) for positive SRH, with non-participation as the reference. Results: After adjustment for covariates and mutual adjustment for other LA, participation in the following types of LA was positively associated with positive SRH: sports activities among working men (OR 1.46; 95% CI, 1.07–2.00), non-working men (OR 1.33; 95% CI, 1.04–1.69), and non-working women (OR 1.74; 95% CI, 1.41–2.15); cooking among non-working men (OR 1.65; 95% CI, 1.18–2.33) and non-working women (OR 1.28; 95% CI, 1.03–1.60); musical activities among working men (OR 1.44; 95% CI, 1.01–2.05) and non-working women (OR 1.59; 95% CI, 1.29–1.95); and technology usage only among working men (OR 1.41; 95% CI, 1.01–1.96). In contrast, TV watching was negatively associated with positive SRH among non-working women (OR 0.69; 95% CI, 0.56–0.85). Conclusions: Our results suggest that encouraging older adults to participate in types of LA appropriate to their gender and work status might be a key to positive SRH.
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spelling doaj.art-e32fd6e922e54730b36159094cec5f892022-12-22T02:02:33ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922019-11-01291142443110.2188/jea.JE20180108Cross-Sectional Association Between Types of Leisure Activities and Self-rated Health According to Gender and Work Status Among Older Japanese AdultsKimiko Tomioka0Norio Kurumatani1Keigo Saeki2Nara Prefectural Health Research Center, Nara Medical University, Nara, JapanNara Prefectural Health Research Center, Nara Medical University, Nara, JapanNara Prefectural Health Research Center, Nara Medical University, Nara, JapanBackground: Participation in leisure activities (LA) is essential for successful aging. Our aim was to investigate the cross-sectional association of types of LA with self-rated health (SRH) by gender and work status. Methods: The target population was all residents aged ≥65 years in a municipality (n = 16,010; response rate, 62.5%). We analyzed 4,044 men and 4,617 women without disabilities. LA were categorized into 14 types. SRH was assessed through the SF-8. Excellent or very good SRH was defined as positive SRH. Covariates included age, marital status, education, subjective economic status, body mass index, chronic diseases, alcohol, smoking, walking time, depression, and cognitive functioning. Multiple logistic regressions were used to calculate the odds ratio (OR) and 95% confidence interval (CI) for positive SRH, with non-participation as the reference. Results: After adjustment for covariates and mutual adjustment for other LA, participation in the following types of LA was positively associated with positive SRH: sports activities among working men (OR 1.46; 95% CI, 1.07–2.00), non-working men (OR 1.33; 95% CI, 1.04–1.69), and non-working women (OR 1.74; 95% CI, 1.41–2.15); cooking among non-working men (OR 1.65; 95% CI, 1.18–2.33) and non-working women (OR 1.28; 95% CI, 1.03–1.60); musical activities among working men (OR 1.44; 95% CI, 1.01–2.05) and non-working women (OR 1.59; 95% CI, 1.29–1.95); and technology usage only among working men (OR 1.41; 95% CI, 1.01–1.96). In contrast, TV watching was negatively associated with positive SRH among non-working women (OR 0.69; 95% CI, 0.56–0.85). Conclusions: Our results suggest that encouraging older adults to participate in types of LA appropriate to their gender and work status might be a key to positive SRH.https://www.jstage.jst.go.jp/article/jea/29/11/29_JE20180108/_pdfgender differenceleisure activitiesself-rated healthsuccessful agingwork status
spellingShingle Kimiko Tomioka
Norio Kurumatani
Keigo Saeki
Cross-Sectional Association Between Types of Leisure Activities and Self-rated Health According to Gender and Work Status Among Older Japanese Adults
Journal of Epidemiology
gender difference
leisure activities
self-rated health
successful aging
work status
title Cross-Sectional Association Between Types of Leisure Activities and Self-rated Health According to Gender and Work Status Among Older Japanese Adults
title_full Cross-Sectional Association Between Types of Leisure Activities and Self-rated Health According to Gender and Work Status Among Older Japanese Adults
title_fullStr Cross-Sectional Association Between Types of Leisure Activities and Self-rated Health According to Gender and Work Status Among Older Japanese Adults
title_full_unstemmed Cross-Sectional Association Between Types of Leisure Activities and Self-rated Health According to Gender and Work Status Among Older Japanese Adults
title_short Cross-Sectional Association Between Types of Leisure Activities and Self-rated Health According to Gender and Work Status Among Older Japanese Adults
title_sort cross sectional association between types of leisure activities and self rated health according to gender and work status among older japanese adults
topic gender difference
leisure activities
self-rated health
successful aging
work status
url https://www.jstage.jst.go.jp/article/jea/29/11/29_JE20180108/_pdf
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AT noriokurumatani crosssectionalassociationbetweentypesofleisureactivitiesandselfratedhealthaccordingtogenderandworkstatusamongolderjapaneseadults
AT keigosaeki crosssectionalassociationbetweentypesofleisureactivitiesandselfratedhealthaccordingtogenderandworkstatusamongolderjapaneseadults