都市在宅高齢者における身体的健康と社会的健康との経年変化とその因果関係  [in Japanese] Chronological evaluation and causal relationships between physical and social health for the urban elderly dwellers  [in Japanese]

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Author(s)

    • 劉 新宇 LIU Xinyu
    • 首都大学東京都市システム科学専攻 Tokyo Metropolitan University Graduate School of Urban Science
    • 高 燕 GAO Yan
    • 首都大学東京都市システム科学専攻 Tokyo Metropolitan University Graduate School of Urban Science
    • 星 旦二 HOSHI Tanji
    • 首都大学東京都市システム科学専攻 Tokyo Metropolitan University Graduate School of Urban Science

Abstract

目的: 都市在宅高齢者の身体的健康と社会的健康の経年変化を明らかにし, 更に, その因果関係について共分散構造分析を用いて定量的に推論することを研究目的とする.<BR>方法: 2001年9月にA都市の65歳以上在宅居住高齢者全員16, 462人に対して質問紙調査を行い, 13, 195人 (回収率80.2%) から回答を得た.引き続き, 2004年9月に8, 560人の質問紙調査が追跡できた.交差遅れ効果モデルと同時効果モデルを用いて因果関係分析を行った.<BR>結果: 潜在変数の経年変化をみると, 男女の前期・後期高齢者共に, 初回調査の『身体的要因』 (『』は潜在変数を示す) と『社会的要因』から追跡調査の同様な潜在変数に対して統計学上有意に影響する可能性が示された.因果関係については, 男女とも前期・後期高齢者共に, 初回調査の『社会的要因』から追跡調査の『身体的要因』に対して統計学上有意に影響する可能性が示された.一方, 初回調査の『身体的要因』から追跡調査の『社会的要因』に対しては男女ともに後期高齢者を除き, 統計学上有意に影響する可能性が示された.<BR>結論: 本調査により, 都市部在宅高齢者の身体的健康は, 三年前の社会的健康に規定される可能性が示唆された.今後, 外的妥当性を高めることが研究課題である.

Objective: The purpose of this study is to make clear that the chronological evaluation between physical health and social health for the urban elderly dwellers.<BR>Methods: The questionnaire survey was conducted to all 16, 462 urban elderly dwellers of 65 years old or more in A City in September, 2001. The answer was obtained from 13, 195 people (response rate of 80.2%) . The follow-up survey of 8, 560 members was done in September, 2004. By using Cross-Lagged Effects Models and Synchronous Effects Models, the causal relationships were analyzed.<BR>Results: All elderly were seen that [the physical factor] ( [] means latent variable) and [the social factor] conducted on the follow-up survey in 2004 would be significantly affected by the same latent variable, which was investigated in 2001 regarding the chronological evaluation. As also would be estimated from the analyses, [the social factors] of the first survey had significant influence on [the physical factor] of the follow-up survey for both sexes regarding the causal relationship. However, [the physical factor] of the first survey except elderly men and women would have significant influence on [the social factor] of the follow-up survey.<BR>Conclusion: It was suggested that the physical health would be affected by the social health during three years follow-up in the urban elderly dwellers. Further study is needed how we could attain a high external validity.

Journal

  • Japanese Journal of Health Education and Promotion

    Japanese Journal of Health Education and Promotion 16(4), 176-185, 2008

    JAPANESE SOCIETY OF HEALTH EDUCATION AND PROMOTION

Cited by:  1

Codes

  • NII Article ID (NAID)
    130004124953
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    1340-2560
  • Data Source
    CJPref  J-STAGE 
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