Health Promotion Behavior, Daily Activities, and Perceived Transportation Problems of Elderly People Living in a Small Town for from the Nearest Train Station

We examined sex and age differences in health promotion behavior, participation in social activities, and perceived transportation problems of elderly people living in a small town far from the nearest train station. A questionnaire was sent to 567 men and women aged 60 years old and over living in...

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Published inNihon Rōnen Igakkai zasshi Vol. 35; no. 8; pp. 619 - 625
Main Authors Yoshimoto, Teruko, Kawata, Chieko
Format Journal Article
LanguageJapanese
Published The Japan Geriatrics Society 1998
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ISSN0300-9173
DOI10.3143/geriatrics.35.619

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Abstract We examined sex and age differences in health promotion behavior, participation in social activities, and perceived transportation problems of elderly people living in a small town far from the nearest train station. A questionnaire was sent to 567 men and women aged 60 years old and over living in a small town in Kanagawa prefecture. A total of 397 people responded. The questionnaire consisted of 42 questions concerning their health, daily activities (including their desire to participate in social activities), the frequency with which they went out, their attitude toward health promotion behavior, and their perceived transportation problems. They were also asked why they acted in ways that promote their health. The reliability of the data was examined with the coefficient κ and with Cronbach's alpha. Chisquared tests were used to examine sex and age differences. Women reported more health problems and more transportation problems, and said that they were less active in social activities than did men. Women become inactive in daily life with increasing age earlier than do men. Contrary to our hypothesis, women tended to have medical examinations more often than did men. More women under 75 years old than men answered that they acted in ways that promote their health because they did not want to give others trouble when they became ill, fewer women than men said that they wanted to enjoy their intended activities. These results seem to show that women lead less active social lives than do men and have less motivation for promoting their health because of a desire to lead an active life.
AbstractList We examined sex and age differences in health promotion behavior, participation in social activities, and perceived transportation problems of elderly people living in a small town far from the nearest train station. A questionnaire was sent to 567 men and women aged 60 years old and over living in a small town in Kanagawa prefecture. A total of 397 people responded. The questionnaire consisted of 42 questions concerning their health, daily activities (including their desire to participate in social activities), the frequency with which they went out, their attitude toward health promotion behavior, and their perceived transportation problems. They were also asked why they acted in ways that promote their health. The reliability of the data was examined with the coefficient κ and with Cronbach's alpha. Chisquared tests were used to examine sex and age differences. Women reported more health problems and more transportation problems, and said that they were less active in social activities than did men. Women become inactive in daily life with increasing age earlier than do men. Contrary to our hypothesis, women tended to have medical examinations more often than did men. More women under 75 years old than men answered that they acted in ways that promote their health because they did not want to give others trouble when they became ill, fewer women than men said that they wanted to enjoy their intended activities. These results seem to show that women lead less active social lives than do men and have less motivation for promoting their health because of a desire to lead an active life.
Author Kawata, Chieko
Yoshimoto, Teruko
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References 2) 吉本照子, 川田智恵子: 公共交通の不便な地域の在宅高齢者における交通環境が生活の質におよぼす影響. 日老医誌 1996; 33: 928-934.
4) Berkman LF, Breslow L: Health and Way of Living-The Alameda County Study. Oxford University Press, New York, 1983. 生活習慣と健康 (森本・星編訳) HBJ出版局, 東京, 1991.
8) Reuben DB, Laliberte L, Hiris J, Mor V: A Hierarchial Exercise Scale to Measure Function at the Advanced Activities of Daily Living (AADL) Level. J Am Geriatr Soc 1990; 38: 855-861.
10) 小笹晃太郎: 地域住民の保健行動モデル指標の特性. 体力研究 1995; 88: 18-25.
14) 野崎昭彦: 信楽町における循環器疾患および骨関節疾患に関する疫学的研究第4報. 成人病健康受診率からみた重点地区活動の有効性. 日本公衛誌 1993; 40: 609.
7) 小谷野亘, 柴田博:, 中里克治, 芳賀博, 須山靖男: 地域老人における活動能力の測定. 日本公衛誌 1987; 34: 109-114.
3) Lawton MP: Assesing the Competence of Older People, Research Planning and Action for the Elderly, In: The Power and Potential of Social Science, Kent DP, Kastenbaum R, Sherwood S (eds), Behavioral Publications, New York, 1972.
20) 中井里史, 橋本修二, 村上義孝, 林正幸, 真鍋馨, 野田広: 再調査による回収率の向上と回答の偏り. 日本公衛誌 1997; 44: 184-191.
11) 小笹晃太郎, 東あかね, 渡辺能行, 下内昭, 林恭平, 八田宏之ほか: 喫煙, 飲酒, 食習慣, および運動習慣の保健行動モデル特性. 日本公衛誌 1995; 42: 1029-1040.
6) 杉澤秀博, 朝倉木綿子, 前田大作, 園田恭一: 中高年齢者の保健行動にかかわる要因に関する研究. 日本公衛誌 1991; 38: 163-172.
9) Landis JR, Koch GG: The Measurement of Observer Agreement for Categorical Data. Biometrics 1977; 33: 159-174.
16) 芳賀博, 松崎俊久: 中・高年者の保健行動. 社会老年学 1980; 13: 80-87.
1) 吉本照子, 川田智恵子: 交通の不便な地域に居住する高齢者の外出実態と交通環境に対する意識. 日老医誌 1996; 33: 430-439.
12) 交通安全白書平成7年版 (総務庁編) p149.
13) 吉岡正子: 成人病予防健康受診率の推移-低下傾向とその原因について. 日本公衛誌 1992; 39: 451.
19) 平野裕一, 野口秋実, 宮下充正: 加齢にともなう脚伸展パワー値の変化とその評価. 体力科学 1994; 43: 113-120.
5) 岩崎清, 芳賀博, 中村洋一, 小川裕, 安村誠司, 生地新ほか: 高齢者の日常生活行動と健康. 社会老年学 1989; 29: 86-92.
18) 山川正信, 上島広嗣, 岡山明, 喜多義邦, 辻橋幹恵, 三上房江ほか: 訪問悉皆調査における在宅高齢者のADL (日常生活動作能力) の実態: 日本公衛誌 1994; 41: 987-995.
17) 安梅勅江: 高齢者の社会関連性評価と3年後の機能低下との関連性に関する保健福祉学的研究. 日本公衛誌 1997; 44: 159-166.
15) 山川正信, 上島広嗣, 嘉村里美, 角野文彦, 岡山明, 喜多義郎: 健診受診率と未受診率の日常生活動作能力, 受療状況, 血圧値の比較. 日本公衛誌 1994; 42: 769-776.
References_xml – reference: 16) 芳賀博, 松崎俊久: 中・高年者の保健行動. 社会老年学 1980; 13: 80-87.
– reference: 3) Lawton MP: Assesing the Competence of Older People, Research Planning and Action for the Elderly, In: The Power and Potential of Social Science, Kent DP, Kastenbaum R, Sherwood S (eds), Behavioral Publications, New York, 1972.
– reference: 5) 岩崎清, 芳賀博, 中村洋一, 小川裕, 安村誠司, 生地新ほか: 高齢者の日常生活行動と健康. 社会老年学 1989; 29: 86-92.
– reference: 8) Reuben DB, Laliberte L, Hiris J, Mor V: A Hierarchial Exercise Scale to Measure Function at the Advanced Activities of Daily Living (AADL) Level. J Am Geriatr Soc 1990; 38: 855-861.
– reference: 19) 平野裕一, 野口秋実, 宮下充正: 加齢にともなう脚伸展パワー値の変化とその評価. 体力科学 1994; 43: 113-120.
– reference: 9) Landis JR, Koch GG: The Measurement of Observer Agreement for Categorical Data. Biometrics 1977; 33: 159-174.
– reference: 17) 安梅勅江: 高齢者の社会関連性評価と3年後の機能低下との関連性に関する保健福祉学的研究. 日本公衛誌 1997; 44: 159-166.
– reference: 2) 吉本照子, 川田智恵子: 公共交通の不便な地域の在宅高齢者における交通環境が生活の質におよぼす影響. 日老医誌 1996; 33: 928-934.
– reference: 7) 小谷野亘, 柴田博:, 中里克治, 芳賀博, 須山靖男: 地域老人における活動能力の測定. 日本公衛誌 1987; 34: 109-114.
– reference: 4) Berkman LF, Breslow L: Health and Way of Living-The Alameda County Study. Oxford University Press, New York, 1983. 生活習慣と健康 (森本・星編訳) HBJ出版局, 東京, 1991.
– reference: 20) 中井里史, 橋本修二, 村上義孝, 林正幸, 真鍋馨, 野田広: 再調査による回収率の向上と回答の偏り. 日本公衛誌 1997; 44: 184-191.
– reference: 13) 吉岡正子: 成人病予防健康受診率の推移-低下傾向とその原因について. 日本公衛誌 1992; 39: 451.
– reference: 11) 小笹晃太郎, 東あかね, 渡辺能行, 下内昭, 林恭平, 八田宏之ほか: 喫煙, 飲酒, 食習慣, および運動習慣の保健行動モデル特性. 日本公衛誌 1995; 42: 1029-1040.
– reference: 18) 山川正信, 上島広嗣, 岡山明, 喜多義邦, 辻橋幹恵, 三上房江ほか: 訪問悉皆調査における在宅高齢者のADL (日常生活動作能力) の実態: 日本公衛誌 1994; 41: 987-995.
– reference: 10) 小笹晃太郎: 地域住民の保健行動モデル指標の特性. 体力研究 1995; 88: 18-25.
– reference: 15) 山川正信, 上島広嗣, 嘉村里美, 角野文彦, 岡山明, 喜多義郎: 健診受診率と未受診率の日常生活動作能力, 受療状況, 血圧値の比較. 日本公衛誌 1994; 42: 769-776.
– reference: 1) 吉本照子, 川田智恵子: 交通の不便な地域に居住する高齢者の外出実態と交通環境に対する意識. 日老医誌 1996; 33: 430-439.
– reference: 14) 野崎昭彦: 信楽町における循環器疾患および骨関節疾患に関する疫学的研究第4報. 成人病健康受診率からみた重点地区活動の有効性. 日本公衛誌 1993; 40: 609.
– reference: 6) 杉澤秀博, 朝倉木綿子, 前田大作, 園田恭一: 中高年齢者の保健行動にかかわる要因に関する研究. 日本公衛誌 1991; 38: 163-172.
– reference: 12) 交通安全白書平成7年版 (総務庁編) p149.
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SubjectTerms Elderly people living in a small town
Health promotion behavior
Participation in social activities
Perceived transportation problems
Sex and age differences
Title Health Promotion Behavior, Daily Activities, and Perceived Transportation Problems of Elderly People Living in a Small Town for from the Nearest Train Station
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