title: Determinants of self-rated health among community-dwelling women aged 40 years and over in Japan.
abstract: In developed countries, the elderly population is growing rapidly. Self-rated health is an important indicator of health and has been the focus of a number of aging studies. However, little is known about the possible differences in determinants of self-rated health according to age. Self-rated health and its possible determinants were examined in 542 community-dwelling Japanese women aged 40 to 91 years. The proportion of women with poor self-rated health increased with age. Approximately half of the women had poor self-rated health among women aged 80 years and over. We used multiple logistic regression analysis to examine the association with poor self-rated health in women aged 40 to 64 years (n = 248) and 65 years and over (n = 294). Lower physical activity and a greater number of comorbidities were associated with poor self-rated health for ages 40 to 64 and 65 years and over. Furthermore, the risk of poor self-rated health increased by 1.5-fold with every increase in the number of painful joints in the lower extremities for the 40- to 64-year-old age group, and increased by 2-fold with back pain for those 65 years and over. The determinants of self-rated health were similar in both middle-aged and elderly Japanese women. Our results could contribute to effective interventions to improve quality of life among Japanese women.
authors.affiliation: Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Japan.
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Kanagae
authors.forename: Yasuyo
authors.initials: Y
authors.lastname: Abe
authors.forename: Sumihisa
authors.initials: S
authors.lastname: Honda
authors.forename: Noboru
authors.initials: N
authors.lastname: Takamura
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Kusano
authors.forename: Tai-ichiro
authors.initials: T
authors.lastname: Takemoto
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Aoyagi
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000453:epidemiology; D018771:Arthralgia / Q000453:epidemiology; D001416:Back Pain / Q000453:epidemiology; D001837:Body Weights and Measures; D015897:Comorbidity; D005260:Female; D018737:Hand Strength / Q000502:physiology; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology; D012907:Smoking / Q000453:epidemiology; D011795:Surveys and Questionnaires; D016387:Women's Health