Contextual effect of neighborhood environment on homebound elderly in a Japanese community

Murayama, Hiroshi; Yoshie, Satoru; Sugawara, Ikuko; Wakui, Tomoko; Arami, Reiko

doi:10.1016/j.archger.2011.03.016

Cited by 34 publications

(45 citation statements)

References 13 publications

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“…18 Accordingly, the study findings showed that many participants did not carry out important activities for health in the previous week according to the biopsychosocial model of the WHO. 18 The proportion of homebound people among people with disabilities in ADLs was much higher than the estimates made in the general older population 1,4,[8][9][10][11] and in frail older people 5 ; however, it is important to emphasize that our sample was characterized by an advanced mean age, a high frequency of chronic health conditions, and the combination of motor and mental impairments. These characteristics are common in the group of people with disabilities in ADLs.…”

Section: Discussionmentioning

confidence: 70%

“…Previous studies have reported an association between walking ability limitations and homebound status among older people. 1,8,11,13,23 However, it is possible that this relation is bidirectional because homebound status may lead to greater walking limitations in the future, as a consequence of the negative effects of the reduction in physical activity and movement (e.g., loss of strength and endurance). [24][25][26][27] Households were systematically observed using a more comprehensive list of barriers compared to previous studies.…”

Section: Discussionmentioning

confidence: 99%

“…Other reports have shown that the lowest financial status was associated with homebound status. 1,11,34 It is possible that people with lower family incomes are more likely to report unmet needs for home adaptations; also, people with a better socioeconomic status may have better access to prevention and rehabilitation services. Finally, the participants were recruited from one region in Spain.…”

Section: Discussionmentioning

confidence: 99%

“…Homebound status has been associated with loneliness, 1 depression, [1][2][3][4][5] comorbidity, 1,6 hospitalization, 4,7 and worse self-reported health status 1,8 ; moreover, it is a risk factor for mortality. 3,7,8 Previous research has estimated the prevalence of homebound status in the older population, 1,4,[8][9][10][11] using diverse definitions. 6 Several studies have defined being homebound as going out of the house once a week or less, with a prevalence ranging between 7.5% and 19% 1,4,9,11 ; the prevalence was below 5% when this frequency was less than once a week.…”

mentioning

confidence: 99%

“…3,7,8 Previous research has estimated the prevalence of homebound status in the older population, 1,4,[8][9][10][11] using diverse definitions. 6 Several studies have defined being homebound as going out of the house once a week or less, with a prevalence ranging between 7.5% and 19% 1,4,9,11 ; the prevalence was below 5% when this frequency was less than once a week. 8,12 In a community sample of older people, 3.5% of the participants remained inside the home in the last month.…”

mentioning

confidence: 99%

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Homebound status among middle-aged and older adults with disabilities in ADLs and its associations with clinical, functional, and environmental factors

Celeiro

Santos-del-Riego

Muñiz

2017

Disability and Health Journal

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Background. Homebound status is associated with poor health, comorbidity, and mortality and represents a major challenge for health systems. However, its prevalence among people with disabilities in the basic activities of daily living (ADLs) is unknown. Objectives. The objectives were to: (1) examine the prevalence of the homebound status among middle-aged and older adults with disabilities in ADLs, and (2) identify its clinical, functional, and environmental determinants.Methods. This study included 221 community-dwelling subjects, aged ≥50 years, who applied for long-term care services at the Office for Legal Certification of Long-term Care Need of Coruña (Spain). Each subject had a disability in ADLs and was interviewed by a trained examiner in the subject's home. The participants were considered homebound if they remained inside their home during the previous week. Measures. Demographic, clinical, functional, and environmental factors. Multiple logistic regression was used to determine the factors associated with homebound status. Results. The prevalence of homebound status was 39.8%. A multivariate analysis revealed that the presence of architectural barriers at the home entrance (stairs [OR: 6.67, p < 0.001] or a heavy door [OR: 2.83, p = 0.023]), walking ability limitations (OR: 3.26, p = 0.006), and higher age (OR: 1.05, p = 0.04) were associated with homebound status. Conclusions. Homebound status is a highly prevalent problem among middle-aged and older adults with disabilities in ADLs. Architectural factors in the home and walking ability limitations seem to be important predictors, suggesting that health care interventions should target home adaptations and mobility skills as a means to preventing or decreasing homebound status.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Homebound status among middle-aged and older adults with disabilities in ADLs and its associations with clinical, functional, and environmental factors

Celeiro

Santos-del-Riego

Muñiz

2017

Disability and Health Journal

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The relationship between the participation of Japanese older adults in various activities and neighborhood environment

Kim

Hino

Fujiwara

2020

J Hous and the Built Environ

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Home but still engaged: participation in social activities among the homebound

et al. 2016

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Purpose Participation in social and community activities that require leaving one’s home is important to older adults; however, many older adults have difficulty or are unable to leave their dwellings, and little is known from national samples about issues related to remaining active outside the home or the barriers faced by these older adults. Design and methods We used the National Health and Aging Trends Study, a nationally representative study of older adults (n = 7197), to understand the following: (1) the importance that homebound and semi-homebound adults place on involvement in social or community activities, (2) their current level of involvement, and (3) reported barriers to participation. Results Despite the heavy burden of functional limitations, depression, pain, and falls, homebound adults reported that activities outside the home were important to them ranging from 25.2 % (attend clubs) to 70.0 % (visit family). Similarly, semi-homebound older adults had a strong interest in such participation, including visiting friends and family (81.8 %), attending religious services (72.6 %), and going out for enjoyment (72.5 %). Many homebound adults reported health (42.9–64.1 % depending on the activity) and transportation (12.2–18.2 %) as barriers to participation. Semi-homebound adults also identified health (23.8–41.0 %) and transportation (6.5–10.2 %) as participation barriers. Implications This information can be useful in designing community programs that will foster meaningful social and community engagement for older adults, which may improve their quality of life.

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Contextual effect of neighborhood environment on homebound elderly in a Japanese community

Cited by 34 publications

References 13 publications

Homebound status among middle-aged and older adults with disabilities in ADLs and its associations with clinical, functional, and environmental factors

Homebound status among middle-aged and older adults with disabilities in ADLs and its associations with clinical, functional, and environmental factors

The relationship between the participation of Japanese older adults in various activities and neighborhood environment

Home but still engaged: participation in social activities among the homebound

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