title: A prospective study of factors associated with risk of turnover among care workers in group homes for elderly individuals with dementia.
abstract: OBJECTIVE
  A prospective study was conducted to assess factors associated with risk of turnover among care workers in group homes (GHs) for elderly individuals with dementia.
  
  
  METHODS
  In January, 2010, 51 out of 238 GHs in Sapporo City responded to our request for participation in a survey. During February and March of 2010, 438 out of 700 care workers (62.6%) in the GHs returned a completed questionnaire to us. They were followed up with until March of 2012, and 395 subjects (90.1%) responded to our survey, which was conducted twice. Over the course of 2 years, 91 subjects left their jobs. Cox's proportional hazards model was used for analysis, adjusting for gender and age.
  
  
  RESULTS
  Less provision of social support by supervisors, colleagues, family or friends was significantly associated with increased risk of turnover. Financial aids for off-the-job training was marginally significantly associated with reduced risk of turnover. Longer duration of working for frail elderly care was significantly associated with decreased risk of turnover. Habitual smoking was significantly associated with increased risk of turnover.
  
  
  CONCLUSIONS
  Social support in the workplace may be important to reduce the risk of turnover in care workers at GHs. Further prospective studies are required in other areas in Japan.
authors.affiliation: Department of Public Health, Sapporo Medical University School of Medicine.
authors.forename: Miwa
authors.initials: M
authors.lastname: Suzumura
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Fushiki
authors.forename: Kota
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Asae
authors.initials: A
authors.lastname: Oura
authors.forename: Shigeo
authors.initials: S
authors.lastname: Suzumura
authors.forename: Masafumi
authors.initials: M
authors.lastname: Yamashita
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Mori
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data; D003704:Dementia / Q000451:nursing*; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D016352:Group Homes; D006707:Homes for the Aged; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology / Q000523:psychology*; D010563:Personnel Turnover / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012307:Risk Factors; D017132:Workplace / Q000523:psychology; D055815:Young Adult