高齢者のコミュニティー・ケアと介護予防に関する研究－台湾と日本の農村比較調査から

• Project/Area Number: 13J02892
• Research Category: Grant-in-Aid for JSPS Fellows
• Allocation Type: Single-year Grants
• Section: 国内
• Research Field: Public health/Health science
• Research Institution: Kyoto University
• Principal Investigator: 陳 ウン玲 京都大学, 東南アジア研究所, 特別研究員(DC2)
• Project Period (FY): 2013-04-01 – 2015-03-31
• Project Status: Completed (Fiscal Year 2014)
• Budget Amount: ¥2,000,000 (Direct Cost: ¥2,000,000); Fiscal Year 2014: ¥1,000,000 (Direct Cost: ¥1,000,000); Fiscal Year 2013: ¥1,000,000 (Direct Cost: ¥1,000,000)
• Keywords: 高齢者 / 主観的幸福感 / つながり / 信頼関係 / 抑うつ / 地域在住高齢者 / 繋がり / QOL / 基本的日常生活動作

Outline of Annual Research Achievements

高齢者は、慢性疾患が加齢とともに増加するがそれを有していても、基本的日常生活動作をできるだけ保つことが重要である。慢性疾患やADL障害は精神的な状態に影響を与えるが、社会的なつながりを保つことが重要である。また、社会的なつながりをサポートすることによって、精神的な状態を保ち、基本的日常生活動作を維持することにもつながると考えられる。しかし、地域在住高齢者における、基本的日常生活動作、精神的な状態（GDSやQOL）、社会的なつながりのお互いの関連を調べた論文は乏しいである。
台湾・台南市D町の医学調査への65歳以上の地域在住高齢者の参加者は149名で、男性68名、女性81名、平均年齢75.4歳(最高齢101歳)であった。149名の高齢者うち地域のつながり信頼関係は、Social Cohesion and Trust(SCT:3項目、3-15点）を用いて評価した。年齢、性別、基本的日常生活動作（ADL）、抑うつ状態（GDS）、地域のつながり信頼関係（SCT）と主観的幸福感（Subjective Happiness）との関連を調べた。
SCTは、他の高齢者総合的機能指標(特に身体的能力)との関連が比較的弱いにもかかわらず（去年度の研究報告）、ADLやGDSと独立して、高齢者の主観的幸福感と地域のつながり信頼関係との関連があると明らかにした。
本年度の結果から台湾・台南市D町高齢者の「主観的幸福感」を考える場合、年齢、性別、基本的日常生活動作、抑うつ状態以外にも、地域のつながり信頼関係も重要であることを明らかにした。
一人暮らし世帯が増加し、地域のつながりを再構築して高齢者の社会的孤立を解消するためには、超高齢社会を迎える台湾が、コミュニティを構成する人々の主体的なコミュニケーションに基づくコミュニティの「地域性」を取り戻すことが、21世紀の新たなコミュニティデザインが重要と思います。

Research Progress Status

26年度が最終年度であるため、記入しない。

Strategy for Future Research Activity

26年度が最終年度であるため、記入しない。

Research Products

• [Journal Article] Social cohesion and health in old age: a study in southern Taiwan. (2015)
  • Author(s): Chen W, Okumiya K, Wada T, Sakamoto R, Imai H, Ishimoto Y, Kimura Y, Fukutomi E, Fujisawa M, Shih HI, Chang CM, Matsubayashi K.
  • Journal Title: Int Psychogeriatr. Volume: 25 Pages: 1-9
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Depression and subjective economy among elderly people in Asian communities: Japan, Taiwan, and Korea. (2015)
  • Author(s): Imai H, Chen WL, Fukutomi E, Okumiya K, Wada T, Sakamoto R, Fujisawa M, Ishimoto Y, Kimura Y, Chang CM, Matsubayashi K.
  • Journal Title: Arch Gerontol Geriatr. Volume: 60(2) Issue: 2 Pages: 322-7
  • DOI: 10.1016/j.archger.2014.11.003
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Association between risk perception, subjective knowledge, and depression in community-dwelling elderly people in Japan. (2015)
  • Author(s): Imai H, Okumiya K, Fukutomi E, Wada T, Ishimoto Y, Kimura Y, Chen WL, Tanaka M, Sakamoto R, Fujisawa M, Matsubayashi K.
  • Journal Title: Psychiatry Res. Volume: inpress Issue: 1 Pages: 27-31
  • DOI: 10.1016/j.psychres.2015.03.002
  • Peer Reviewed / Open Access / Acknowledgement Compliant
• [Journal Article] Predictors of difficulty in carrying out basic activities of daily living among the old-old: A 2-year community-based cohort study. (2015)
  • Author(s): Sakamoto R, Okumiya K, Ishine M, Wada T, Fujisawa M, Imai H, Ishimoto Y, Kimura Y, Fukutomi E, Chen W, Sasiwongsaroj K, Kato E, Otsuka K, Matsubayashi K.
  • Journal Title: Geriatr Gerontol Int. Volume: inpress Issue: 2 Pages: 214-22
  • DOI: 10.1111/ggi.12462
  • Peer Reviewed / Open Access / Acknowledgement Compliant
• [Journal Article] Effect of early diagnosis and lifestyle modification on depressive symptoms in community-dwelling elderly adults with glucose intolerance: 5-year longitudinal study. (2015)
  • Author(s): Okumiya K, Fujisawa M, Sakamoto R, Wada T, Chen WL, Imai H, Ishimoto Y, Kimura Y, Fukutomi E, Sasiwongsaroj K, Kato E, Tanaka M, Hirosaki M, Kasahara Y, Nakatsuka M, Nose M, Ishine M, Yamamoto N, Otsuka K, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc Volume: inpress Issue: 2 Pages: 393-5
  • DOI: 10.1111/jgs.13269
  • Peer Reviewed / Open Access / Acknowledgement Compliant
• [Journal Article] Buddhist Social Networks and Health in Old Age:A Study in Central Thailand. (2015)
  • Author(s): Sasiwongsaroj K, Wada T, Okumiya K, Imai H, Ishimoto Y, Sakamoto R, Fujisawa M, Kimura Y, Chen WL, Fukutomi E, Matsubayashi K
  • Journal Title: Geriatr Gerontolo Int. Volume: in press Issue: 11 Pages: 1210-8
  • DOI: 10.1111/ggi.12421
  • Peer Reviewed / Open Access / Acknowledgement Compliant
• [Journal Article] Relationships between each category of 25-item frailty risk assessment (Kihon Checklist) and newly certified older adults under Long-Term Care Insurance: A 24-month follow-up study in a rural community in Japan (2015)
  • Author(s): Fukutomi E, Okumiya K, Wada T, Sakamoto R, Ishimoto Y, Kimura Y, Chen WL, Imai H, Kasahara Y, Fujisawa M, Otsuka K, Matsubayashi K.
  • Journal Title: Geriatr Gerontol Int. Volume: in press Issue: 7 Pages: 864-71
  • DOI: 10.1111/ggi.12360
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Ipsative imputation for a 15-item Geriatric Depression Scale in community-dwelling elderly people. (2014)
  • Author(s): Imai H, Furukawa TA, Kasahara Y, Ishimoto Y, Kimura Y, Fukutomi E, Chen WL, Tanaka M, Sakamoto R, Wada T, Fujisawa M, Okumiya K, Matsubayashi K.
  • Journal Title: Psychogeriatrics Volume: 14(3) Issue: 3 Pages: 182-7
  • DOI: 10.1111/psyg.12060
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Preferred feeding methods for dysphagia due to end-stage dementia in community-dwelling elderly people in Japan. (2014)
  • Author(s): Wada T, Imai H, Fukutomi E, Chen WL, Okumiya K, Ishimoto Y, Kimura Y, Sakamoto R, Fujisawa M,Matsubayashi K.
  • Journal Title: J Am Geriatr Soc. Volume: 62(9) Issue: 9 Pages: 1810-1
  • DOI: 10.1111/jgs.13009
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Factor structures of a Japanese version of the Geriatric Depression Scale and its correlation with the qualitv of life and functional ability. (2014)
  • Author(s): Imai H, Yamanaka G, Ishimoto Y , KimuraY, Fukutomi E.
  • Journal Title: Psychiatry Research Volume: 215 Issue: 2 Pages: 460-5
  • DOI: 10.1016/j.psychres.2013.12.015
  • Peer Reviewed
• [Journal Article] Comprehensive geriatric functional analysis of elderly populations in four categories of the long-term care insurance system in a rural, depopulated and aging town in Japan. (2013)
  • Author(s): Chen W, Fukutomi E, Wada T, Ishimoto Y, Kimura Y, Kasahara Y, et al.
  • Journal Title: Geriatr Gerontol Int Volume: 13(1) Issue: 1 Pages: 63-69
  • DOI: 10.1111/j.1447-0594.2012.00859.x
  • Peer Reviewed
• [Journal Article] The postcard intervention against depression among community-dwelling older adults : study protocol for a randomized contr oiled trial. (2013)
  • Author(s): Imai H, Furukawa TA, Oku miya K, Wada T, Fukutomi E
  • Journal Title: Trials Volume: 9 Issue: 1 Pages: 202-202
  • DOI: 10.1186/1745-6215-14-202
  • Peer Reviewed
• [Journal Article] Relationship between depression and blood pressure in community-dwelling oldest-old adults in Japan. (2013)
  • Author(s): Imai H, Okumiya K, Wada T, Fujisawa M, Sakamoto R, Ishimoto Y, Kimura Y, Fukutomi E, Chen WL, Tanaka M, Matsubayashi K.
  • Journal Title: J Am Geriatr Soc. Volume: 61(12) Issue: 12 Pages: 2241-2
  • DOI: 10.1111/jgs.12576
  • Peer Reviewed
• [Journal Article] Evaluation of chewing ability and its relationship with activities of daily living, depression, cognitive status and food intake in the community-dwelling elderly. (2013)
  • Author(s): Kimura Y, Ogawa H, Yoshihara A, Yamaga T, Takiguchi T, Wada T, Sakamoto R, Ishimoto Y, Fukutomi E, Chen W, Fujisowa M, Okumiya K, Otsuka K, Miyazaki H, Matsubayashi K.
  • Journal Title: Geriatr Gerontol Int Volume: 13(3) Issue: 3 Pages: 718-25
  • DOI: 10.1111/ggi.12006
  • Peer Reviewed
• [Journal Article] Importance of cognitive assessment as part of the "Kihon Checklist" developed by the Japanese Ministry of Health, Labor and Welfare for prediction of frailty at a 2-year follow up. (2013)
  • Author(s): Fukutomi E, Okumiya K, Wada T, Sakamoto R, Ishimoto Y, Kimura Y, Kasahara Y, Chen WL, Imai H, Fujisawa M, Otuka K, Matsubayashi K.
  • Journal Title: Geriatr Gerontol Int. Volume: 13(3) Pages: 654-62
  • Peer Reviewed
• [Journal Article] Positive affect as a predictor of lower risk of functional decline in communiry-dwelling elderly in Japan. (2012)
  • Author(s): Hirosaki M, Ishimoto Y, Kasahara Y, et al.
  • Journal Title: Geriatr Gerontolo Int Volume: 13(4) Issue: 4 Pages: 1051-8
  • DOI: 10.1111/ggi.12008
  • Peer Reviewed
• [Presentation] 農村高齢者のSocial Cohesion and Trustと総合機能評価－日本と台湾の比較研究 (2014)
  • Author(s): 陳玟玲、和田泰三、坂本龍太、石本恭子、木村友美、今井必生、福富江利子 、奥宮清人、松林公蔵
  • Organizer: 第56回日本老年医学会学術集会
  • Place of Presentation: 福岡
  • Year and Date: 2014-06-12 – 2014-06-14
• [Presentation] Association between Geriatric Function and Subjective Economy among Elderly Living in a Rural Community in Japan (2014)
  • Author(s): Wenling Chen, Kiyohito Okumiya, Taizo Wada, Ryota Sakamoto, Hissei Imai, Yasuko Ishimoto, Yumi Kimura, Eriko Fukutomi, Kwanchit Sasiwongsaroj, Michiko Fujisawa,Kozo Matsubayashi
  • Organizer: The 3rd International Conference on Population and Development at Sherubtse College-Royal University of Bhutan
  • Place of Presentation: Bhutan
  • Year and Date: 2014-04-15 – 2014-04-16
• [Presentation] 地域在住高齢者の主観的健康感に関連する要因一日本と台湾の比較研究 (2013)
  • Author(s): 陳政玲、和田泰三、坂本龍太、石本恭子、木村友美、今井必生、福富江利子、奥宮清人、松林公蔵
  • Organizer: 第55回日本老年医学会学術集会
  • Place of Presentation: 大阪
• [Presentation] 高齢者の基本的ADLに関する11年の経年変化 : 都市部有料老人ホーム入居者 (2013)
  • Author(s): 陳政玲、石本恭子、和田泰三、坂本龍太、木村友美、今井必生、福富江利子、奥宮清人、松林公蔵
  • Organizer: 第24回日本老年医学会近畿地方会
  • Place of Presentation: 京都