Effects of welfare receipt on well-being: Evidence from older people in Japan

Insurance literacy has received little attention in academic research despite its role in risk management, particularly among older people, a population most in need of a secure income and coverage for health care expenses after retirement. Using data from the Survey on the Economic Status of the Japanese Elderly conducted by Hiroshima University, we examined how the socio‐economic status of older people in Japan was related to the attainment of insurance literacy. We found that the overall level of insurance literacy was quite low among older people in Japan, particularly among the oldest subgroup and women. Our regression results show that older people who are men, married, relatively younger, moderately educated, have a higher balance of financial assets, and those who have work experience in management, business, or finance are more likely to be insurance literate. Our results indicate that social learning plays an important role in insurance literacy.

Minimizing the overuse of prescribed drugs among older people is a goal of geriatricians and healthcare policy makers. Indirect evidence indicates that use of prescribed drugs is more common in Japan than in some Western countries, but the actual situation in Japan is unknown. The first aim of this study was to clarify the use of prescribed drugs among older people in Japan. We also tested the hypothesis that using five or more prescribed drugs is associated with a situation that is modifiable and is relatively common in Japan: not having a regular physician. A cross-sectional survey. Subjects representing the Japanese general population aged 65 years and older were selected by two-stage stratified sampling; 617 persons were eligible for the study. Each subject was given a self-report questionnaire about current medications, sociodemographic characteristics, current state of health, health-related quality of life, and whether they had a regular physician. Among users of prescribed drugs, the association between using five or more prescribed drugs and not having a regular physician was assessed by univariate analysis and by stepwise logistic regression. The questionnaire was returned by 491 (80%) of the eligible subjects, 299 (61%) of whom were taking at least one prescribed drug. Nearly 30% of those subjects were taking at least five prescribed drugs. The distribution of the number of prescribed drugs being taken was positively skewed; the minimum was one and the maximum was 17, the middle 50% of the values ranged from two to five, and the median was three. About half of those who were taking at least five prescribed drugs did not have a regular physician. Compared with those who had a regular physician, those who did not were 2.5 times more likely to be taking at least five prescribed drugs (95% confidence interval, 1.4 - 4.6). Older people in Japan are less likely to be taking many prescribed drugs if they have the continuity of care provided by a regular physician.

The purpose of this study was to conduct a descriptive analysis of multiple dimensions of religion with data provided by a nationwide sample of older people in Japan. Six dimensions of religion were evaluated: Religious affiliation, involvement in formal religious organizations, private religious practices, the functions of prayer, belief in punishment by supernatural forces, and beliefs about the afterlife. In addition to describing these facets of religion for the sample as a whole, tests were also performed to see if they vary by age, sex, marital status, education, and whether older Japanese people live in rural or urban areas. The findings suggest that even though older people in Japan are not highly involved in formal religious institutions, they frequently engage in private religious practices. Moreover, the data reveal that while older people in Japan do not often endorse some religious beliefs (e.g., beliefs about the quality of the afterlife), they strongly adhere to others (e.g., beliefs about punishment by supernatural forces). Significant and fairly consistent variations by gender and rural versus urban residence were also observed across the measures of religiousness.

As the population ages, the question of how to prevent isolation among older people and increase their well-being becomes a social issue. It has often been argued that Information and Communication Technology (ICT) usage can be a solution to these challenges, but empirical studies have not shown consistent results. Moreover, there are even fewer studies targeting older people in Japan, which is the most aging country in the world. Therefore, using the psychological comprehensive data of Japanese people aged 60 and over recorded in World Values Survey Wave 7, we conducted a study to clarify the relationship between the ICT usage, social capital, and well-being of older people to make a meaningful contribution to policymakers and the scientific community. As a result of the analysis, it was shown that ICT usage indirectly enhances well-being by increasing social capital. This indicates that for older people, ICT usage does not have a large effect on enhancing well-being, but becomes sufficiently large only through the improvement of social capital. The pros and cons of such modern communication means should be utilized as a reference when considering the development of future communication means and a human coach—a person who supports the use of communication means by older people. In other words, to think about the spread of communication means to community-dwelling older people in the future, it is always necessary to think about technology usage emphasizing the relationship between older people and society.

Association between improved adherence to the Japanese diet and incident functional disability in older people: The Ohsaki Cohort 2006 Study.

Objectives: Preventing the onset of depression among older people in Japan requires clarifying the social determinants of depression by using longitudinal data, while also taking biological and psychological factors into account. Identification of such determinants may enable more active intervention through social policy. We aimed to reveal the social factors related to depression in Japan’s older people and consider associated policy implications.Method: Panel data obtained from a longitudinal survey (Wave 1 to Wave 2) of 3464 elderly subjects, aged 65 years or more, as part of the Aichi Gerontological Evaluation Study (AGES) project was employed. The outcome variable was depression, as evaluated by the Geriatric Depression Scale. Frequency of meeting with friends, social support, hobbies, participation in organizations, life events, illness, self-rated health, instrumental activities of daily living, and sense of coherence were entered as explanatory variables within a logit model for each gender.Results: Of the subjects without mental illness or depression at Wave 1, 14% had become depressed by Wave 2. In both men and women, life events predicted increased odds of depression, while sense of coherence predicted reduced odds. The frequency of meeting with friends, hobbies, and self-rated health predicted reduced odds of depression in men, while age predicted increased odds in women.Conclusion: Overall, social interaction is important for preventing depression in Japan, and that the establishment of a system capable of promoting social interaction and providing care to the elderly during life events may be a useful social policy approach to preventing depression.

Community social capital and the improvement of functional ability among older people in Japan

Association between adverse childhood experiences and social integration among older people in Japan: Results from the JAGES study

The primary objective of this paper is to provide a qualitative analysis of the transformations in the housing choices and living arrangements of older people in Japan. The underlying causes and issues of changing intergenerational linkages were explored in the context of the development of the Japanese welfare state. The fieldwork was conducted in Kitakyushu, Japan, through a series of interviews with older women. The informants were selected from three different welfare sectors - the state, the market, and the family - in order to make a clear distinction among people in terms of their socio-economic status, housing and living arrangements, and degree of family relations. The results of the analysis highlight older people's preference for more independent living with changing family patterns and ideology. It is, however, still constrained by the limited housing alternatives and underdeveloped social services. The paper also reveals the extent of poverty among single women in old age.

Social disorganization/social fragmentation and risk of depression among older people in Japan: Multilevel investigation of indices of social distance

Previous studies have found an association between neighborhood characteristics (i.e., aspects of the physical and social environment) and the incidence of cardiovascular disease (CVD) and elevated CVD risk. This study investigated the relationship between neighborhood characteristics and CVD risk among older people in Japan where research on this association is scarce. Data came from the Japan Gerontological Evaluation Study project; questionnaire data collected from 3,810 people aged 65 years or older living in 20 primary school districts in Aichi prefecture, Japan, was linked to a computed composite CVD risk score based on biomarker data (i.e., hemoglobin A1c, systolic blood pressure, diastolic blood pressure, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and estimated glomerular filtration rate). A sex-stratified multilevel linear regression analysis revealed that for male participants, living in neighborhoods with a higher perceived occurrence of traffic accidents and reduced personal safety was associated with an elevated CVD risk (coefficient = 1.08 per interquartile range increase, 95% confidence interval [CI] = 0.30 to 1.86) whereas males living in neighborhoods with a higher perceived proximity of exercise facilities had a lower risk (coefficient = −1.00, 95% CI = −1.78 to −0.21). For females, there was no statistically significant association between neighborhood characteristics and CVD risk. This study suggests that aspects of the neighborhood environment might be important for CVD morbidity and mortality in Japan, particularly among men.

Background Study is limited on the association between childhood socioeconomic status (SES) and social integration, which is important for health among elderly. The purpose of this study is to investigate the association between childhood SES and social integration among older people in Japan. Methods We used data from the Japan Gerontological Evaluation Study (JAGES) 2010. …

Hypertension is an important risk factor for cardiovascular disease, the leading cause of mortality in the world. Although previous studies have focused on individual-level behavioral risk factors associated with hypertension, there has been little research on how interacting with others, that is social participation, affects hypertension. To address this research gap, this study examined the association between social participation and hypertension in Japan, a country with a high prevalence of hypertension possibly linked to rapid population aging. Data were used from 4582 participants aged more than 65 years who participated in the Japan Gerontological Evaluation Survey (JAGES) with blood pressure data collected during a health check-up. The frequency of participation in vertical organizations (characterized by hierarchical relationships) and horizontal organizations (characterized by non-hierarchical, egalitarian relationships) was measured by a questionnaire. In a Poisson regression analysis, participation in vertical organizations was not associated with hypertension, whereas participation in horizontal organizations at least once a month was inversely associated with hypertension (prevalence ratio: 0.941). This association remained significant after adjusting for social support variables, although further adjustment for health behaviors attenuated the association. As the frequency of going out and average time spent walking were both associated with hypertension, physical activity may be a possible pathway that connects social participation and hypertension. The results of this study suggest that expanding social participation programs, especially those involving horizontal organizations, may be one way to promote better health among older people in Japan.

Implication of frailty and disability prevention measures during the COVID-19 pandemic.

The frequency of job participation and well-being of older people in Japan: Results from JAGES study