Factors associated with mental health well-being of urban community-dwelling elders in Japan: Comparison between subjects with and without long-term care insurance certification

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  • Ito Kae
    Research Team for Promoting Independence of the Elderly, Tokyo Metropolitan Institute of Gerontology Department of Vascular Medicine, Tokyo Medical and Dental University
  • Inagaki Hiroki
    Research Team for Promoting Independence of the Elderly, Tokyo Metropolitan Institute of Gerontology
  • Okamura Tsuyoshi
    Research Team for Promoting Independence of the Elderly, Tokyo Metropolitan Institute of Gerontology Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo Department of Psychiatry, Tokyo Metropolitan Geriatric Hospital
  • Shimokado Kentaro
    Department of Vascular Medicine, Tokyo Medical and Dental University
  • Awata Shuichi
    Research Team for Promoting Independence of the Elderly, Tokyo Metropolitan Institute of Gerontology

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  • 大都市在住高齢者の精神的健康度の分布と関連要因の検討．要介護要支援認定群と非認定群との比較
  • ダイトシ ザイジュウ コウレイシャ ノ セイシンテキ ケンコウド ノ ブンプ ト カンレン ヨウイン ノ ケントウ : ヨウカイゴヨウ シエン ニンテイグン ト ヒニンテイグン ト ノ ヒカク

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Abstract

Aim: The present study aimed to (1) examine the mental health well-being of urban community-dwelling elderly individuals; and (2) examine factors related to mental health well-being of those with long-term care insurance certification (LTCI+) and those without LTCI certification (LTCI-).<br> Methods: We conducted a community-based, cross-sectional study that included 3,905 subjects aged 65 years or older living in Tokyo, Japan. A self-administered questionnaire was mailed to each participant. Mental health well-being was assessed using the Japanese version of the World Health Organization Mental Health Wellbeing Index - five items (WHO-5).<br> Results: Of the 2,431 respondents (response rate, 63.5%), 1,954 who completed WHO-5 were analyzed (241 LTCI+; 1,713 LTCI-). The total score of WHO-5 was 15.61±6.08 among all subjects; when a cut-off criterion of 12/13 was used, the frequency of low mental health well-being was 29.5% among all subjects. In a stratified analysis according to LTCI certification using multivariate logistic regression analysis, small social support network, heart disease, and daytime sleepiness were independently associated with low mental health well-being for the LTCI+ group; low education level, small social support network, low subjective health, daytime sleepiness, and worries about forgetfulness were independently associated with low mental health well-being for the LTCI- group.<br> Conclusion: To improve mental health well-being of community-dwelling elderly individuals with LTCI certification, attention should be focused on those with small social network or daytime sleepiness. To improve mental health well-being of community-dwelling elderly individuals without LTCI certification, attention should be focused on those with small social network, low subjective health, or worries about forgetfulness.<br>

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