ArticleBMC geriatrics2021
Factors associated with long-term care certification in older adults: a cross-sectional study based on a nationally representative survey in Japan.
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Association of independent transportation use with life-space and physical activity for community-dwelling older adults using a day-care rehabilitation facility.Journal of physical therapy science · 2026Article
- Variation in the Association between Frailty and Disability over 10 Years: A Cohort Study.Annals of geriatric medicine and research · 2026Article
- Association between cognitive function and smartphone ownership among Japanese very old adults: a cross-sectional and longitudinal study.BMC geriatrics · 2025Article
- A scoring system and seven factors associated with certification for Japanese long-term care insurance in older people.Journal of bone and mineral metabolism · 2025Article
- Coexistence of Nocturia and Frailty and Its Effect on Polypharmacy in Community-Dwelling Older Adults.Cureus · 2025Article
- Functional outcomes in older patients after Parkinson's disease diagnosis in Japan: The LIFE study.Clinical parkinsonism & related disorders · 2025Article
- Preferences of Integrated Care and the Influencing Factors Among Chinese Community-Dwelling Older Adults.Patient preference and adherence · 2025Article
- Perspectives on Aging and Quality of Life.Healthcare (Basel, Switzerland) · 2023Review
- Differential Associations of Frailty with the Incidence of Mild and Severe Disabilities in Older Adults: A 3-Year Cohort Study.Annals of geriatric medicine and research · 2022Article
- Relationship between Knowledge and Attitude toward Oral Function in Middle-Aged and Older Adults.International journal of dentistry · 2022Article
- Escalation on Kihon Checklist Scores Preceding the Certification of Long-Term Care Need in the Older Population in Japan. A 9-Year Retrospective Study.Health services research and managerial epidemiologyArticle
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Authors and funding
10 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundLong-term care (LTC) prevention is a pressing concern in ageing societies. To understand the risk factors of LTC, it is vital to consider psychological and social factors in addition to physical factors. Owing to a lack of relevant data, we aimed to investigate the social, physical and psychological factors associated with LTC using large-scale, nationally representative data to identify a high-risk population for LTC in terms of multidimensional frailty.
methodsWe performed a cross-sectional study using anonymised data from the 2013 Comprehensive Survey of Living Conditions conducted by the Ministry of Health, Labour and Welfare of Japan. Among the 23,730 eligible people aged 65 years or older and those who were not in hospitals or care facilities during the survey, 1718 stated that they had LTC certification. Univariate and multivariate logistic regression analyses were performed to determine the factors associated with LTC certification.
resultsFactors positively associated with LTC certification in the multivariate analyses included older age, the interaction term between sex and age group at age 85-89 years, limb movement difficulties, swollen/heavy feet, incontinence, severe psychological distress (indicated by a Kessler Psychological Distress Scale [K6] score ≥ 13), regular hospital visits for dementia, stroke, Parkinson's disease, chronic obstructive pulmonary disease, fracture, rheumatoid arthritis, kidney disease, diabetes and osteoporosis. Factors negatively associated with LTC certification included the presence of a spouse, regular hospital visits for hypertension and consulting with friends or acquaintances about worries and stress.
conclusionsIn summary, we identified the physical, psychological and social factors associated with LTC certification using nationally representative data. Our findings highlight the importance of the establishment of multidimensional approaches for LTC prevention in older adults.
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