TY - JOUR
T1 - Association between participation in hospital-led community activities and sense of security in continued community living among older adults in a rural district of Japan
T2 - A cross-sectional study
AU - Anezaki, Saori
AU - Sakka, Mariko
AU - Noguchi-Watanabe, Maiko
AU - Igarashi, Ayumi
AU - Inagaki, Asa
AU - Sumikawa Tsuno, Yoko
AU - Omori, Junko
AU - Ota, Akiko
AU - Yamamoto-Mitani, Noriko
N1 - Funding Information:
This study was supported by a study grant from the Orange Cross General Foundation. I sincerely thank all participants, officers of the city government, chairpersons in district A and staff at hospitals of the city.
Publisher Copyright:
© 2020 John Wiley & Sons Ltd
PY - 2020
Y1 - 2020
N2 - For older adults to continue living in a community, they need to have a certain sense of security, especially in terms of the availability of healthcare in the community. The aim of this cross-sectional study was to explore important factors of the sense of security among older adults in their continued community living, with particular attention to hospital-led community activities. The participants comprised 252 randomly sampled older adults aged 65 years or older, living in a local community in western Japan, and ranging from being independent to physically and cognitively frail. Participants’ sense of security in continued community living was assessed using a modified scale from past research on cancer care. Activities provided by local community organisations and hospitals were examined. The participants’ mean age was 75.0 years, 144 (57.8%) were female and 32 (13.3%) were frail. Hospital-led groups (e.g. health lectures) and individual (e.g. health counselling) activities were used by 73 (30.5%) and 76 (31.9%) participants respectively. Among participants, 174 (73.4%) had participated in activities run by the local community, such as senior day celebrations or senior centre activities. A stronger sense of security was associated with participation in hospital-led individual activities (β = 0.171, p =.036), being a member of a neighbourhood association (β = 0.156, p =.020), frequency of contact with family members (β = 0.145, p =.034) and lower depression (β = −0.269, p <.001). Participation in community hospital-led individual activities may provide older adults opportunities to discuss their health-related concerns in a community setting, and thus might enhance their sense of security. In the aged society, the role of healthcare facilities may need to be expanded to facilitate outreach for older adults in the community to enhance their sense of security and actualise ageing in place.
AB - For older adults to continue living in a community, they need to have a certain sense of security, especially in terms of the availability of healthcare in the community. The aim of this cross-sectional study was to explore important factors of the sense of security among older adults in their continued community living, with particular attention to hospital-led community activities. The participants comprised 252 randomly sampled older adults aged 65 years or older, living in a local community in western Japan, and ranging from being independent to physically and cognitively frail. Participants’ sense of security in continued community living was assessed using a modified scale from past research on cancer care. Activities provided by local community organisations and hospitals were examined. The participants’ mean age was 75.0 years, 144 (57.8%) were female and 32 (13.3%) were frail. Hospital-led groups (e.g. health lectures) and individual (e.g. health counselling) activities were used by 73 (30.5%) and 76 (31.9%) participants respectively. Among participants, 174 (73.4%) had participated in activities run by the local community, such as senior day celebrations or senior centre activities. A stronger sense of security was associated with participation in hospital-led individual activities (β = 0.171, p =.036), being a member of a neighbourhood association (β = 0.156, p =.020), frequency of contact with family members (β = 0.145, p =.034) and lower depression (β = −0.269, p <.001). Participation in community hospital-led individual activities may provide older adults opportunities to discuss their health-related concerns in a community setting, and thus might enhance their sense of security. In the aged society, the role of healthcare facilities may need to be expanded to facilitate outreach for older adults in the community to enhance their sense of security and actualise ageing in place.
KW - community activities
KW - hospital-led community activities
KW - older adults
KW - sense of security
UR - http://www.scopus.com/inward/record.url?scp=85093076011&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85093076011&partnerID=8YFLogxK
U2 - 10.1111/hsc.13191
DO - 10.1111/hsc.13191
M3 - Article
AN - SCOPUS:85093076011
JO - Health and Social Care in the Community
JF - Health and Social Care in the Community
SN - 0966-0410
ER -
