Patterns of elderly people's long-term care risks and determinants: A methodological study in a Japanese city
概要
㧗㱋⪅ࡢせㆤ⛣⾜ࣜࢫࢡỴᐃせᅉࡢࣃࢱ࣮ࣥ㸸᪥ᮏࡢ㒔ᕷ࠾ࡅࡿ᪉ἲㄽⓗ◊✲
బ⸨ᯝⱑ㸯㸧ࠊॠሷ̐ʥࠊຍ⃝ెዉ㸯㸧ࠊ᳃ᒣ⨾▱Ꮚ㸯㸧
㸯㸧ᗈᓥᏛᏛ㝔་ṑ⸆ಖᏛ◊✲⛉
㸰㸧ᗈᓥᏛᏛ㝔ඛ㐍⌮ᕤ⣔⛉Ꮫ◊✲⛉
᪥ᮏࡢㆤಖ㝤ࡢᨭฟࡣ㸪⥅⥆ⓗቑຍࡋ࡚࠸ࡿࠋࡇࢀࡣ㧗㱋⪅ẚ⋡ࡀ㧗࠸ࡇࡀ㛵㐃ࡋ
࡚࠾ࡾ㸪ᗣᑑࢆᘏࡤࡋᙅ࡞㧗㱋⪅ᩘࢆῶࡽࡍࡇࡀ㔜せ࡛࠶ࡿ࠸࠼ࡿࠋࡑࡇ࡛ཌ⏕ປാ
┬ࡣ㸪65 ṓ௨ୖࡢ㧗㱋⪅ࡢ୰ࡽ㏆࠸ᑗ᮶ㆤࡀᚲせ࡞ࡿྍ⬟ᛶࡢ࠶ࡿࣁࣜࢫࢡ⪅ࢆࢫ
ࢡ࣮ࣜࢽࣥࢢࡍࡿࡓࡵࡢ㸪25 㡯┠ 7 㡿ᇦࡽ࡞ࡿᇶᮏࢳ࢙ࢵࢡࣜࢫࢺ㸦KCL㸧ࢆ㛤Ⓨࡋࡓࠋࡇ
ࢀࡣ㸪2015 ᖺࡲ࡛⮬య࡛ࢫࢡ࣮ࣜࢽࣥࢢࢶ࣮ࣝࡋ࡚⏝ࡉࢀ࡚࠸ࡓࡀ㸪⌧ᅾࡣᕷ⏫ᮧࡀ
ᥦ౪ࡍࡿ᪥ᖖ⏕άᨭࢧ࣮ࣅࢫࡢᥦ࠾ࡼࡧࢧ࣮ࣅࢫㄪᩚࡢホ౯ࢶ࣮ࣝࡋ࡚⏝ࡉࢀ࡚࠸
ࡿࠋ
KCL ࢆ⏝࠸ࡓ◊✲࡛ࡣ㸪KCL 㡿ᇦࡢ㐠ືᶵ⬟పୗ㸪పᰤ㣴㸪࠺ࡘഴྥ㸪᪥ᖖ⏕ά㛵㐃ືస
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ࢱ࣮ࣥࢆ≉ᐃࡍࡿࡇࢆᮏ◊✲ࡢ┠ⓗࡋࡓࠋࡇࡢ᪉ἲࢆ⏝࠸ࡿࡇ࡛㸪ࡇࢀࡲ࡛ࡢゎᯒ᪉ἲࡀ
ᣢࡘ┤⥺ᛶ㸪ᆒ୍ᛶ㸪⊂❧ᛶࡢၥ㢟ࢆඞ᭹ࡍࡿࡇࡀ࡛ࡁ㸪⛣⾜ࣜࢫࢡࡢ≉ᚩࢆࣃࢱ࣮ࣥࡋ࡚
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ᑐ㇟⪅ࡣ㸪 2014 ᖺ 6 ᭶ᗈᓥ┴࿋ᕷᅾఫࡍࡿ 65 ṓ௨ୖࡢ㧗㱋⪅࡛㸪㐣ཤ KCL ᅇ⟅ࡋ
ࡓࡇࡀ࡞ࡃせㆤㄆᐃࢆཷࡅ࡚࠸࡞࠸⪅ 43,630 ேࡢ࠺ࡕ㸪࿋ᕷࡀ KCL ࢆ㒑㏦ࡋ㸪㏉ಙࡀ࠶ࡗ
ࡓ⪅࡛࠶ࡿࠋྠᖺ 8 ᭶ࡲ࡛ 28,958 ேࡀᅇ⟅ࢆ㏉ಙ㸦ᅇ⋡ࡣ 66.4%㸧ࡋ㸪ࡇࡢ࠺ࡕ 2016 ᖺ 3
᭶ࡲ࡛Ṛஸ㸪㌿ฟࡋࡓ⪅ࢆ㝖࠸ࡓ 26,357 ேࢆศᯒᑐ㇟ࡋࡓࠋ
ኚᩘࡢタᐃ࡛ࡣ㸪ᚑᒓኚᩘࢆᑐ㇟⪅ࡢ 2016 ᖺ 3 ᭶Ⅼࡢせㆤࣞ࣋ࣝ㸦ᗣ㸦せㆤㄆᐃ࡞
ࡋ㸧
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㸪୰➼ᗘせㆤࣞ࣋ࣝ㸦せㆤ 1, 2㸧
㸪㔜ᗘせㆤࣞ࣋ࣝ㸦せ
ㆤ 3-5㸧㸧ࡋ㸪⊂❧ኚᩘࡣ 2014 ᖺ 8 ᭶Ⅼࡢ KCL ࡢ⤖ᯝ㸦7 㡿ᇦ㸧㸪ᖺ㱋㸪ᛶู㸪ᒃఫ༊ᇦ
ࡋࡓࠋ
⤖ᯝ㸪2014 ᖺ࡛ࡣᑐ㇟⪅ࡢ 56.1㸣ࡀ KCL ࡢ࠸ࡎࢀࡢ㡿ᇦヱᙜࡋ࡚࠸ࡓࡀ㸪2016 ᖺせ
ㆤㄆᐃࢆཷࡅࡓ⪅ࡢྜࡣ㸪3.7㸣࡛࠶ࡗࡓࠋศᯒࡢ⤖ᯝ㸪16 ࡢࣃࢱ࣮ࣥࢆᑟฟࡋࡓࠋせㆤࣞ
࣋ࣝ᭱ࡶᙉࡃ㛵㐃ࡋ࡚࠸ࡓࡢࡣᖺ㱋࡛࠶ࡾ㸪ࡘ㐃⥆ኚᩘ࡛࠶ࡿࡇࡢኚᩘࡣ㸪⮬ືⓗ 74 ṓ
௨ୗ㸪75–78 ṓ㸪79–82 ṓ㸪83–85 ṓ㸪86 ṓ௨ୖࡢ 5 ࡘᒙูࡉࢀࡓࠋḟከࡃࡢኚᩘࡢ୰࡛㸪
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ㄆᐃ㛵㐃ࡋ࡚࠸ࡓࠋ16 ࣃࢱ࣮ࣥࡢ࠺ࡕ㸪᭱ࡶ㧗ࣜࢫࢡࡣࣃࢱ࣮ࣥ 4 ࡛㸪86 ṓ௨ୖ㸪㛢ࡌࡇࡶ
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ࡿࡀ㸪㛢ࡌࡇࡶࡾࡣ࡞࠸㸦ྠ 17.4㸣㸧⥆࠸ࡓࠋ 3 ␒┠ࣜࢫࢡࡀ㧗࠸ࡢࡣࣃࢱ࣮ࣥ 12 ࡛㸪79
ࠥ82 ṓ㸪㐠ື࣭ㄆ▱ᶵ⬟పୗࡀ࠶ࡿ㸦ྠ 11.9㸣㸧㸪⥆࠸࡚ࣃࢱ࣮ࣥ 3 ࡛㸪83ࠥ85 ṓ㸪㐠ືᶵ⬟ప
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ࡲࡓࠊ㐠ືᶵ⬟పୗࡢ࡞࠸ 75 ṓᮍ‶ࡢࣃࢱ࣮࡛ࣥࡣ㸪ࣀ࣮ࢻࡢୗ᪉࡛㹖ᆅ༊ᒃఫࡍࡿࡇ
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