都市部在宅中高年者における7年間の生命予後に及ぼす主観的幸福感の影響

  • 岩佐 一
    日本大学文学研究科 東京都老人総合研究所 自立促進と介護予防研究チーム
  • 河合 千恵子
    東京都老人総合研究所 福祉と生活ケア研究チーム
  • 権藤 恭之
    東京都老人総合研究所 福祉と生活ケア研究チーム
  • 稲垣 宏樹
    東京都老人総合研究所 自立促進と介護予防研究チーム
  • 鈴木 隆雄
    東京都老人総合研究所 自立促進と介護予防研究チーム

書誌事項

タイトル別名
  • Subjective well-being and all-cause mortality among middle-aged and elderly people living in an urban Japanese community
  • トシブ ザイタク チュウコウネンシャ ニ オケル 7ネンカン ノ セイメイ ヨゴ ニ オヨボス シュカンテキ コウフクカン ノ エイキョウ

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[Aim] We examined the relationship between subjective well-being and all-cause mortality among middle-aged and elderly people, using a population-based prospective approach (Tokyo Metropolitan Institute of Gerontology-Longitudinal Interdisciplinary Study on Aging).<br>[Methods] The participants were 1, 034 men and 1, 413 women aged 52 to 77 years, living in an urban Japanese community.<br>The baseline data on age, gender, number of years of education, hospitalization, lifestyle-related illness, subjective health status, living alone and subjective well-being (measured by Philadelphia Geriatric Center Morale Scale) were collected in 1993.<br>[Results] Mean subjective well-being scores for men and women were 12.3±3.2 and 11.9±3.5, respectively. Analysis of covariance controlling for age, the number of years of education, hospitalization, lifestyle-related illness and living alone, revealed no inter-gender difference in subjective well-being. Multiple regression analysis to explore factors related to subjective well-being showed that age in men, and the number of years of education in both genders were significantly, independently and positively associated with subjective well-being, and that hospitalization, lifestyle-related illness and living alone in both genders were significantly, independently and negatively related to subjective well-being.<br>From 1993 to 2000, there were 183 deaths and 258 dropouts. In Cox's multivariate hazard model adjusted for age, the number of years of education, hospitalization, lifestyle-related illness and living alone, there was a significant and independent association between a low level of subjective well-being and the risk for all-cause mortality in both genders.<br>[Conclusion] Satisfaction with life is an important factor affecting longevity among middle-aged and elderly people.

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