title: Comparison of characteristics and care-needs certification proportion between participants and non-participants in a geriatric health examination over a 3-year follow-up.
abstract: The purpose of this study was to compare the care-needs certification proportion of participants and non-participants in a geriatric health examination targeting community-dwelling seniors aged 70 years and older over 3 years. We implemented a geriatric health examination for 1347 community-dwelling adults aged 70 years and older in a local region of Japan in 2004. We followed the occurrence of new care-needs certification for 3 years in 443 subjects who participated in the health examination and in the 395 non-participants. Among the 838 subjects, there were 94 new certifications (11%) during the observation period. Non-participants had a significantly higher proportion of dependent, required assistance with walking and bathing, a history of stroke, poor self-reported health, tendency for depression and outdoors less than once a week than participants. Non-participants had a significantly lower average score of the motor fitness scale (MFS), their standing time from a long sitting position on the floor and the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG Index of Competence). The proportion of care-needs certification over 3 years was significantly higher for non-participants (63/395, 16%) than for participants (31/443, 7%, p<0.05). Non-participants have a higher risk of care-needs certification. It is necessary to investigate current data gathering methods for seniors who do not undergo these examinations.
authors.affiliation: Department of Nursing Sciences, Graduate School of Human Health Sciences, Tokyo Metropolitan University, 7-2-10, Higashi-ogu, Arakawa City, Tokyo 116-8551, Japan. saito@hs.tmu.ac.jp
authors.forename: Emiko
authors.initials: E
authors.lastname: Saito
authors.forename: Seiji
authors.initials: S
authors.lastname: Yasumura
authors.forename: Chikako
authors.initials: C
authors.lastname: Kaneko
authors.forename: Shouzoh
authors.initials: S
authors.lastname: Ueki
mesh_terms: D000368:Aged; D044466:Asian People / Q000706:statistics & numerical data; D001494:Baths / Q000706:statistics & numerical data; D002567:Certificate of Need / Q000706:statistics & numerical data; D003863:Depression / Q000453:epidemiology; D005260:Female; D015577:Geriatric Assessment; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D057187:Independent Living / Q000706:statistics & numerical data*; D007564:Japan / Q000453:epidemiology; D008297:Male; D010809:Physical Fitness / Q000502:physiology; D016138:Walking / Q000706:statistics & numerical data