Functional disability trajectories at the end of life among Japanese older adults: findings from the Japan Gerontological Evaluation Study (JAGES).
Background this study aimed to identify distinct subgroups of trajectories of disability over time before 3 years of death and examine the factors associated with trajectory group membership probabilities among community-dwelling Japanese older adults aged 65 years and above. Methods participants in...
| Publicado en: | Age & Ageing Vol. 51; no. 11; pp. 1 - 11 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Nov2022
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=160583021&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 160583021 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Nov2022 vid: 51 iid: 11 pid: 622 pub: Oxford University Press / USA artinfo: ui: 160583021 10.1093/ageing/afac260 ppf: 1 ppct: 10 formats: tig: atl: Functional disability trajectories at the end of life among Japanese older adults: findings from the Japan Gerontological Evaluation Study (JAGES). aug: au: Saito, Junko Murayama, Hiroshi Ueno, Takayuki Saito, Masashige Haseda, Maho Saito, Tami Kondo, Katsunori Kondo, Naoki affil: Division of Behavioral Sciences, National Cancer Center Institute for Cancer Control , Tokyo , Japan Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology , Tokyo , Japan Center for Preventive Medical Sciences, Chiba University , Chiba , Japan Faculty of Social Welfare, Nihon Fukushi University , Aichi , Japan Center for Well-being and Society, Nihon Fukushi University , Aichi , Japan Department of Social Epidemiology , Graduate School of Medicine and School of Public Health, Kyoto University , Kyoto , Japan Department of Social Science, Research Institute, National Center for Geriatrics and Gerontology , Aichi , Japan Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology , Aichi , Japan su: Japan Terminal care Health status indicators Disabilities Health attitudes Elder care Educational attainment Disability determination Geriatric assessment Independent living Descriptive statistics Logistic regression analysis Long-term health care sug: subj: Terminal care Health status indicators Disabilities Health attitudes Elder care Educational attainment Japan Continuing Care Retirement Communities Disability determination Geriatric assessment Independent living Descriptive statistics Logistic regression analysis Long-term health care keyword: disability older people trajectory disability older people trajectory ab: Background this study aimed to identify distinct subgroups of trajectories of disability over time before 3 years of death and examine the factors associated with trajectory group membership probabilities among community-dwelling Japanese older adults aged 65 years and above. Methods participants included 4,875 decedents from among community-dwelling Japanese older adults, aged ≥ 65 years at baseline (men: 3,020; women: 1,855). The certified long-term care levels of the national long-term care insurance (LTCI) system were used as an index of functional disability. We combined data from the 2010 Japan Gerontological Evaluation Study and data from the 2010 to 2016 LTCI system. Group-based mixture models and multinominal logistic regression models were used for data analysis. Results five distinct trajectories of functional disability in the last 3 years of life were identified: 'persistently severe disability' (10.3%), 'persistently mild disability' (13.0%), 'accelerated disability' (12.6%), 'catastrophic disability' (18.8%) and 'minimum disability' (45.2%). Multinominal logistic regression analysis found several factors associated with trajectory membership; self-rated health was a common predictor regardless of age and gender. The analysis also showed a paradoxical association; higher education was associated with trajectory group membership probabilities of more severe functional decline in men over 85 years at death. Conclusions individual perception of health was a strong predictor of trajectories, independent of demographic factors and socio-economic status. Our findings contribute to the development of policies for the long-term care system, particularly for end-of-life care, in Asian countries. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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