Factors Related to Older and Non-Older People's Sense of Security Toward Community Medicine at the Time of Illness in Depopulated Areas in Japan : A Cross-Sectional Study

ニホン　ノ　カソチイキ　ニ　オケル　シッペイ　リカンジ　ノ　チイキ　イリョウ　ニ　タイスル　コウレイシャ　ト　ヒコウレイシャ　ノ　アンシンカン　ニ　カンスル　ヨウイン　オウダンテキ　ケンキュウ

モリキ, ユキ

Moriki, Yuki

福井, 小紀子

フクイ, サキコ

Fukui, Sakiko

竹屋, 泰

タケヤ, ヤスシ

Takeya, Yasushi

オオサカ　ダイガク　ダイガクイン　イガクケイ　ケンキュウカ　ホケンガク　センコウ

老年看護

地域医療

安心感

older people

geriatric nursing

community medicine

security

Original Articles

In depopulated areas, residents experience anxiety, and community maintenance is difficult owing to the deterioration of local medical and welfare systems. Providing adequate support and security until the end of people’s lives is necessary. This study aimed to identify the factors associated with sense of security of health care in two depopulated areas of Japan. We also examined the factors differ by age, and administered a cross-sectional survey; demographics; physical, mental, and social factors. We received 2462 responses（response rate 53.0%）. Study variables were compared by age group（˂ 65 and ≥ 65） using the Wilcoxon rank-sum test for continuous variables and the chi-square test. A multivariate linear regression analysis revealed different correlations differ by age. Occupation and life satisfaction were essential for the younger group, while warm relationships between residents and accessibility of medical care were important for the older group. Strengthening confidence in the administration and community attachment can contribute to increased such feelings for residents in depopulated areas. These agebased differences in depopulated areas of Japan, relating to such feelings should be considered when developing interventions to promote health care by community health nurses.

福井, 小紀子

竹屋, 泰