|Budget Amount *help
¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 1998: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1997: ¥500,000 (Direct Cost: ¥500,000)
To evaluate the burden of elder care in communities, the disabilities life years (DLY) were calculated by N-life computer software developed, with the data of activities of daily living (ADL) for residents aged 40 years and over in three island communities, Oshima-cho, Oshima-son, and loujima-cho. Oshima-cho and loujima-cho are model communities of health promotion planning of Ministry of Health and Welfare, Japan. The ADL data were collected by public health nurses in the communities. Proportions of person with mild disabilities for men and women were 4.1% (61/1495) and 5.9%(114/1927) in Oshima-cho, 8.0%(40/500) and 7.0%(44/626) in Oshima-son, and 16.2%(45/278) and 18.5%(73/394) in loujima-cho, respectively. Proportions of those who need intensive care (per 1,000) were 7.6, 18.2, 20.0, 12.8, 68.3, 63.5, respectively, and their average years for care were calculated as 3.1, 6.5, 7.6, 7.1, 14.9, 15.4, respectively. Both disabilities free life years and periods with disabilities were longer for women than men in all the communities. Ioujima-cho showed the largest burden of elder care, despite their efforts of community health promotion. Basic disease causing disabilities in Ioujima-cho were cardiovascular diseases, impairment with ageing, and psychiatric disorders. Although it takes longer time to evaluate the effects of community health promotion activities on compression of morbidity, the present research method was found to be suitable to do it with making clear the aim of the activities.