Relation between use of health check ups starting in middle age and demand for inpatient care by elderly people in Japan.

Tatara, Kozo; Shinsho, Fumiaki; Suzuki, Michele Mity; Takatorige, Toshio; Nakanishi, Noriyuki; Kuroda, Kenji

doi:10.1136/bmj.302.6777.615

Cited by 31 publications

(27 citation statements)

References 3 publications

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“…The 27 subjects with data missing about the activities of daily living or housing conditions were excluded, so data on 423 people in total were analysed.…”

Section: Subjects and Baseline Datamentioning

confidence: 99%

Mortality of frail elderly people living at home in relation to housing conditions.

Zhao

Tatara

Kuroda

et al. 1993

Journal of Epidemiology & Community Health

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Study objective-The study was undertaken to identify any relationship between the mortality of frail elderly people living at home and their housing conditions. Design and setting-A cohort of frail elderly people living in Yao City, Osaka Prefecture, Japan was followed for six years. Data on demographic variables, activities of daily living, the disease that was the main cause of the disability, medical treatment, the feasibility of continuing family care, and some housing conditions were collected in December 1983 by interview during home visits. Deaths were checked for each year for five years. Subjects-Altogether 423 people aged 65 years or more living at home in Yao City who were disabled and housebound for at least three months were studied. Measurements and main results-Life table analysis and multivariate logistic regression analysis were done. The cumulative survival rates of old people with good housing conditions were higher than those with poor housing conditions in each group stratified by age, sex, or the activities of daily living level. The odds ratio for poor housing conditions compared with good housing conditions for five year mortality remained highly significant after adjustment for potential confounding factors including age, sex, and the activities of daily living level by logistic regression analysis. Conclusions-The mortality of frail elderly people living at home is affected by housing conditions. Programmes to improve housing conditions of the disabled are important for home care of the elderly.

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“…The 27 subjects with data missing about the activities of daily living or housing conditions were excluded, so data on 423 people in total were analysed.…”

Section: Subjects and Baseline Datamentioning

confidence: 99%

Mortality of frail elderly people living at home in relation to housing conditions.

Zhao

Tatara

Kuroda

et al. 1993

Journal of Epidemiology & Community Health

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“…The Health Services for the Elderly Act 1982 provides for six health services including general health checks (Tatara et al, 1991). These services are inexpensive or free for all who reside anywhere in Japan and hold a resident card, who are aged ≥40 years, and who do not have access to other health examinations in the workplace.…”

Section: Introductionmentioning

confidence: 99%

“…Specific cancer screenings are not included in the health check-up examination. After the check-ups, depending on the results, the screenees can receive health education in a group setting or ask for individual health counseling (Tatara et al, 1991).…”

Section: Introductionmentioning

confidence: 99%

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Participation in health check-ups and mortality using propensity score matched cohort analyses

Hozawa

Kuriyama

Watanabe

et al. 2010

Preventive Medicine

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“…The author concluded that the attendance rates for health examinations, as indices for the activity level of the services, must be assessed after adjusting for these factors. ‡T Introduction In Japan, health services have been strengthened to cope with the rapid increase in the proportion of the elderly in the population (Marmot & Smith, 1989;Tatara et al, 1991 (Reischauer, 1988;Honna & Hoffer, 1989). …”

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confidence: 99%

Relationship of Attendance Rates for Health Examinations to Voter Turnout for Prefectural Governor and Socioeconomic Factors in 99 Municipalities of Gifu Prefecture, Japan.

Hioki

1996

Jpn. J. Health Hum. Ecol

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The attendance rates for basic health examinations, tuberculosis screenings and gastric cancer screenings correlated strongly and positively with the voter turnout for prefectural governor elections, although, the rate for uterine cancer screening showed weaker correlation. The attendance rates are generally higher in the smaller municipalities and lower in the larger municipalities. A lower proportion of public debt expense in the municipalities was another determinant of higher attendance rates for health examinations. A higher proportion of elderly people decreased the attendance rates for cancer screening. These results support the hypothesis that attendance at health examinations is influenced chiefly by the civic responsibility of the residents and, to a lesser extent, by socioeconomic factors within the municipalities. Other factors may be important in the attendance rate for uterine cancer screening. The author concluded that the attendance rates for health examinations, as indices for the activity level of the services, must be assessed after adjusting for these factors.

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Relation between use of health check ups starting in middle age and demand for inpatient care by elderly people in Japan.

Abstract: Objective-To find out whether there is any correlation between the use of general health check ups (provided for by the Health Services for the Elderly Act 1982) by insured Japanese residents aged 40

Cited by 31 publications

References 3 publications

Mortality of frail elderly people living at home in relation to housing conditions.

Mortality of frail elderly people living at home in relation to housing conditions.

Participation in health check-ups and mortality using propensity score matched cohort analyses

Relationship of Attendance Rates for Health Examinations to Voter Turnout for Prefectural Governor and Socioeconomic Factors in 99 Municipalities of Gifu Prefecture, Japan.

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