{Reference Type}: Journal Article
{Title}: Social participation and the combination of future needs for long-term care and mortality among older Japanese people: a prospective cohort study from the Aichi Gerontological Evaluation Study (AGES).
{Author}: Takahashi S;Ojima T;Kondo K;Shimizu S;Fukuhara S;Yamamoto Y;
{Journal}: BMJ Open
{Volume}: 9
{Issue}: 11
{Year}: 11 2019 11
{Factor}: 3.006
{DOI}: 10.1136/bmjopen-2019-030500
{Abstract}: Our study aimed to examine the longitudinal association between social participation and both mortality and the need for long-term care (LTC) simultaneously.<BR>A prospective cohort study with 9.4 years of follow-up.<BR>Six Japanese municipalities.<BR>The participants were 15 313 people who did not qualify to receive LTC insurance at a baseline based on the data from the Aichi Gerontological Evaluation Study (AGES, 2003-2013). They received a questionnaire to measure social participation and other potential confounders. Social participation was defined as participating in at least one organisation from eight categories.<BR>The primary outcomes were classified into three categories at the end of the 9.4 years observational period: living without the need for LTC, living with the need for LTC and death. We estimated the adjusted OR (AOR) using multinomial logistic regression analyses with adjustment for possible confounders.<BR>The primary analysis included 9741 participants. Multinomial logistic regression analysis revealed that social participation was associated with a significantly lower risk of the need for LTC (AOR 0.82, 95% CI 0.69 to 0.97) or death (AOR 0.78, 95% CI 0.70 to 0.88).<BR>Social participation may be associated with a decreased risk of the need for LTC and mortality among elderly patients.