Differences in cumulative long-term care costs by community activities and employment: A prospective follow-up study of older japanese adults

Masashige Saito, Naoki Kondo, Jun Aida, Junko Saito, Hisataka Anezaki, Toshiyuki Ojima, Katsunori Kondo

Research output: Contribution to journalArticlepeer-review

Abstract

We evaluated differences in the cumulative benefit costs of public long-term care (LTC) insurance services by employment status and frequency of community activities. A baseline survey was conducted on functionally independent older people from 12 municipalities as a nationwide survey from 2010 to 2011. Employment status was dichotomized, and community activity was assessed based on the frequency of participation in hobbies, sports clubs, or volunteering. We followed the respondents’ LTC service costs over a period of 6 years using public LTC claim records (n = 46,616). We adopted a classical linear regression analysis and an inverse probability weighting estimation with multiple imputation for missing values. Compared with non-participation in each community activity, the cumulative LTC costs among individuals who participated in hobbies or sports group activities at least twice a week were 1.23 (95% confidence interval: 0.73–1.72) to 1.18 (0.68–1.67) thousand USD lower per person over the 6-year period (28.7% to 30.1% lower, respectively). Similarly, the costs for employed persons were 0.55 (0.20–0.90) to 0.64 (0.29–0.99) thousand USD per person lower than among retirees (14.5% to 16.9% lower). Promoting employment opportunities and frequent participation in community activities among older adults may help reduce future LTC costs by around 20% as a result of extending healthy longevity.

Original languageEnglish
Article number5414
JournalInternational journal of environmental research and public health
Volume18
Issue number10
DOIs
Publication statusPublished - 2021 May 2
Externally publishedYes

Keywords

  • Community activities
  • Cumulative cost
  • Employment
  • Older adults
  • Public long-term care insurance

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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