Project/Area Number |
14201025
|
Research Category |
Grant-in-Aid for Scientific Research (A)
|
Allocation Type | Single-year Grants |
Section | 一般 |
Research Field |
社会学(含社会福祉関係)
|
Research Institution | Tokyo Metropolitan Foundation for Research on Aging and Promotion of Human Welfare |
Principal Investigator |
TAKAHASHI Ryutaro Tokyo Metropolitan Institute of Gerontology, Research Team Leader, 東京都老人総合研究所, 研究部長 (20150881)
|
Co-Investigator(Kenkyū-buntansha) |
SONODA Koichi Niigata University of Health and Welfare, Department of Social Welfare, Professor, 社会福祉学部, 教授 (20009898)
SUDA Yuko Tokyo University, Department of Sociology, Professor, 社会学部, 教授 (60339207)
FUKAYA Taro Tokyo Metropolitan Institute of Gerontology, Research Assistant, 研究助手 (80312289)
|
Project Period (FY) |
2002 – 2005
|
Project Status |
Completed (Fiscal Year 2005)
|
Budget Amount *help |
¥41,860,000 (Direct Cost: ¥32,200,000、Indirect Cost: ¥9,660,000)
Fiscal Year 2005: ¥16,510,000 (Direct Cost: ¥12,700,000、Indirect Cost: ¥3,810,000)
Fiscal Year 2004: ¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2003: ¥14,690,000 (Direct Cost: ¥11,300,000、Indirect Cost: ¥3,390,000)
Fiscal Year 2002: ¥5,850,000 (Direct Cost: ¥4,500,000、Indirect Cost: ¥1,350,000)
|
Keywords | International Scientist Exchange / Long-term Care Insurance / Study on Social Welfare / Quantitative Study / Care Burden / Family Relationship / Care Manager |
Research Abstract |
The aim of this study was to explore the structure of care experience among elderly care recipients and their caregivers living in the community. One thousand and fifty-seven and 522 people who were eligible for long-term care insurance were studied in June 2003 and followed in June 2005 in Katsushika, Tokyo and in Odate, Akita, respectively. Elders tended to live alone and daughters or in-home helpers took roles of caregivers more often in Katsushika than in Odate. At the 2-year follow-up study, 22.6% and 33.1 %, respectively, of elders either died or admitted to the long-term care institutions. Main caregivers of deceased cases tended to be wives or daughters-in-law, and survival analysis showed that death was associated with caregivers' lower morale state or higher care burden and lack of basic care such as combing or shaving. Institutionalization was more common in Odate. This may explain better health status and lower malnutrition incidence in Odate. Institutionalized elders utilized more short-stay services and revealed dementia-related behaviors more often. In Japan, people are apt to regard in-home care giving as care giving living together. This obsession may urge families to choose institutionalization. Case studies suggest that care giving under pretending no concern contributes to stable care-relationship.
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