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[ Recorded presentation ] Recorded presentation

Characteristics of housebound elderly in Japan

Michiyo Hashimoto, PhD1, Takashi Muto, MD, PhD1, and Toshiko Takahashi, RN2. (1) Department of Public Health Sciences, Dokkyo University School of Medicine, Mibu-machi, Shimotsuga-gun, Tochigi, 321-0293, Japan, +81-282-87-2133, michiyoh@dokkyomed.ac.jp, (2) Hoken-Dohjinsha, Inc., 4-4, Ichibancho, Chiyoda-ku, Tokyo, Japan

Background: A few studies have reported the epidemiology and characteristics of the housebound population. Although the criteria of the housebound vary depending on the researchers, approximately 10% of the elderly Japanese are considered housebound. This study investigated the characteristics of the housebound elderly in Japan. Method: Subjects were recipients of elderly healthcare services offered by a private company. There were 1,425 subjects (male=26.7%; female=73.3%), and their average age was 77.7 years old. All subjects received a phone interview followed by the visit of a registered nurse to their house. One visit session was 60 to 90 minutes long. In this study, the housebound was defined as going out once a week or less. This criterion was often used in previous studies. Results: There were 14.1% of the subjects (N=201) categorized as the housebound group, while 1,224 subjects comprised the non-housebound group. The housebound group had significantly higher mean age, more frequently lived with their children, had a lower level of activities of daily living skills and a lower subjective quality of life, were more forgetful, currently receiving more medical treatment and medications, and were less physically independent than the non-housebound group. Multivariate analysis indicated that the level of physical independence and the subjective quality of life were major factors associated with the housebound status. Conclusion: Future research needs to address the associations among physical, psychological, and environmental factors of the housebound in order to establish effective intervention strategies.

Learning Objectives:

Keywords: Elderly, Community Health

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

[ Recorded presentation ] Recorded presentation

International/Population Aging Issues

The 132nd Annual Meeting (November 6-10, 2004) of APHA