Predictors of houseboundedness among elderly persons living autonomously in a rural community

• Watanabe Misuzu

  Department of Hygiene and Public Health, Osaka Medical College

• Watanabe Takemasa

  Health and Sports Science, Chukyo University

• Matsuura Takamaro

  Goshiki Healths and Welfare Center

• Higuchi Yumi

  Department of Hygiene and Public Health, Osaka Medical College

• Shibutani Takahiro

  Department of Hygiene and Public Health, Osaka Medical College

• Usuda Kan

  Department of Hygiene and Public Health, Osaka Medical College

• Kono Koichi

  Department of Hygiene and Public Health, Osaka Medical College

Bibliographic Information

Other Title

• 生活機能の自立した高齢者における閉じこもり発生の予測因子
• セイカツ キノウ ノ ジリツシタ コウレイシャ ニ オケル トジコモリ ハッセイ ノ ヨソク インシ

Abstract

Aim: The housebound state is a risk factor for disability. This prospective study aimed to determine factors predictive of houseboundedness in the elderly, with an ultimate goal of preventing this condition.<br> Methods: A self-report questionnaire pertaining to mental, physical and social status was administered to 732 community-dwelling elderly persons (313 men, 419 women; age range, 65-85 years) in October 2000. All subjects independently performed both basic and instrumental activities of daily living, went out alone for long distances, and did not use long-term care insurance. They were followed up until March 2003. "Housebound" was defined as leaving the house once a week or less. A stepwise multiple logistic regression model, adjusted for age, was used to identity factors predictive of houseboundedness. Data were analyzed on the basis of gender.<br> Results: By the end of the follow-up period, 14.4% of men and 26.0% of women had become housebound. Stepwise multiple logistic regression analysis showed that predictive factors for men were lack of frequent contact with friends, neighbors and relatives; symptoms of lower limb pain; and self-assessed weight or muscle loss; and predictive factors for women were lack of frequent contact with friends, neighbors and relatives; lower limb pain; and self-assessed deterioration in health. Limited social contact and the presence of lower limb pain were common predictive factors for houseboundedness in both men and women.<br> Conclusion: The findings from this study show that, among autonomous elderly persons, those who are socially isolated or who have physical pain are more likely to become housebound.<br>

Journal

• Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics

  Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 44 (2), 238-246, 2007

  The Japan Geriatrics Society

Keywords

• Elderly persons
• Housebound
• Predictor
• Prospective study

Details

• CRID: 1390001205024084096
• NII Article ID: 130004485450
• NII Article ID: 10019497285
• NII Book ID: AN00199010
• DOI: 10.3143/geriatrics.44.238
• NDL BIB ID: 8798843
• ISSN: 03009173
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I8798843
• Web Site: https://search.jamas.or.jp/link/ui/2007209273
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed