Observational studyBMJ open2019
Reduced long-term care cost by social participation among older Japanese adults: a prospective follow-up study in JAGES.
Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed.
- Message framing effects on attitude and intention toward social participation in old age.BMC public health · 2023Trial
- Effectiveness of a community-integrated intermediary care (CIIC) service model to enhance family-based long-term care for Thai older adults in Chiang Mai, Thailand: a cluster-randomized controlled trial TCTR20190412004.Health research policy and systems · 2022Trial
- Korean Medicine for Aging Cohort (KoMAC) study-a prospective multicentre cohort in urban and rural Korea: cohort profile.BMJ open · 2026Article
- Reply to "Reconsidering Cost-Effectiveness Claims of Short-Term Prevention Services in Japan".Geriatrics & gerontology international · 2025Article
- Using women-only fitness club and functional disability: a cross-sectional study using propensity score matching.Archives of public health = Archives belges de sante publique · 2025Article
- Lifetime healthcare expenditures across socioeconomic groups.BMC public health · 2024Article
- Differences in Cumulative Long-Term Care Costs by Dental Visit Pattern Among Japanese Older Adults: The JAGES Cohort Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Content comparison of long-term care instruments based on the international classification of functioning, disability and health (ICF).BMC geriatrics · 2023Article
- Pet ownership-related differences in medical and long-term care costs among community-dwelling older Japanese.PloS one · 2023Article
- Association Between Social Participation and Disability-free Life Expectancy in Japanese Older People: The Ohsaki Cohort 2006 Study.Journal of epidemiology · 2022Article
- Community intervention programs prolong the onset of functional disability among older Japanese.Geriatrics & gerontology international · 2022Article
- Social participation of community-dwelling older adults in western China: A latent profile analysis.Frontiers in public health · 2022Article
- Factors influencing the social participation ability of rural older adults in China: A cross-sectional study.Frontiers in public health · 2022Article
- Differences in Cumulative Long-Term Care Costs by Community Activities and Employment: A Prospective Follow-Up Study of Older Japanese Adults.International journal of environmental research and public health · 2021Article
- Community-Integrated Intermediary Care (CIIC) Service Model to Enhance Family-Based, Long-Term Care for Older People: Protocol for a Cluster Randomized Controlled Trial in Thailand.JMIR research protocols · 2021Article
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- An Overview of Social Participation in Older Adults: Concepts and Assessments.Physical therapy research · 2021Review
- Long-Term Care System in Japan.Annals of geriatric medicine and research · 2020Article
- Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesReducing costs related to functional disabilities and long-term care (LTC) is necessary in ageing societies. We evaluated the differences in the cumulative cost of public LTC insurance (LTCI) services by social participation.
designProspective observational study.
settingOur baseline survey was conducted in March 2006 among people aged 65 or older who were not eligible for public LTCI benefits and were selected using a complete enumeration in Tokoname City, Japan. We followed up with their LTC services costs over a period of 11 years. Social participation was assessed by the frequency of participation in clubs for hobbies, sports or volunteering. We adopted a classical linear regression analysis and an inverse probability weighting (IPW), with multiple imputation of missing values.
participantsFunctionally independent 5377 older adults. PRIMARY OUTCOME MEASURES: The cumulative cost of public LTCI services for 11 years.
resultsEven when adjusting for the confounding variables, social participation at the baseline was negatively associated with the cumulative cost of LTCI services. The IPW model showed that in respondents who participated in hobby activities once a week or more, the cumulative cost of LTCI services for 11 years was lower, approximately US$3500 per person, in comparison to non-participants. Similarly, that in respondents who participated in sports group or clubs was lower, approximately US$6000 than non-participants.
conclusionsOlder adults' participation in community organisations may help reduce future LTC costs. Promoting participation opportunities in the community could ensure the financial stability of LTCI services.
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