@article{oai:hsuh.repo.nii.ac.jp:00006941,
 author = {松浦, 智和 and 西, 基 and 三宅, 浩次 and MATSUURA, Tomokazu and NISHI, Motoi and MIYAKE, Hirotsugu},
 issue = {1},
 journal = {北海道医療大学看護福祉学部学会誌, Journal of School of Nursing and Social Services, Health Sciences University of Hokkaido},
 month = {Mar},
 note = {P(論文), 本研究の目的と関心は,1)自立度が高いとされる島嶼地域高齢者の主観的健康感の状況とその関連要因について検討すること,2)島嶼地域のコミュニティについて概観し,健康福祉政策策定の基礎資料を作成することの2つに集約できる.本研究では,島嶼地域に居住する高齢者を対象に,ソーシャル・サポート・ネットワークや社会関連性について訪問面接調査を実施した.その結果,235人から回答を得ることができた(回収率:87.0%).主観的健康感の分布は,一般的な知見と概ね同様であった.主観的健康感の関連要因の検討では,基本属性において「同居家族」,ソーシャル・サポート・ネットワークの状況において,「心配事を聞いてくれる人」「元気づけてくれる人」,社会関連性において,「役割の遂行」「規則的な生活」の計5項目を独立性の高い変数として検出した.本研究の結果から,島嶼地域の高齢者は"生涯現役的"生活・思考を持っていることが示唆された.今後は,それらを尊重しながら島民の健康を支える保健医療福祉施策のあり方を模索する必要があろう., The investigational targets of this study can be summarized as the following two points : 1) Examining self-rated health condition and its associated factors among elderly persons living in island communities whose degree of autonomy is considered to be high. 2) Surveying communities in island regions to gain many accounts of developments there and to produce a basic dataset for health and welfare policy development. Subjects of the study were 270 persons aged 65 years or over living in island communities. After conducting a visitation interview survey, we received 235 responses from them (response rate, 87.0%). Survey contents of the study were items related to : (1) base attributes, (2) social interaction, (3) ADL, (4) social support network situation, and (5) health and living habits. Main results of the study were the following. Distribution of self-rated health : 32 (13.6%) answered "Very healthy" ; 145 (61.7%) answered "Sufficiently healthy" ; 52 (22.1%) answered "Not so healthy" ; and six (2.6%) answered "Not healthy at all". Logistic-regression analyses of factors associated with self-rated health identified the following five items as variables with high influence. In items related to base attributes, the OR of "Yes" was 4.29 as to "family who lives together". In items related to social support network situation, the OR of "Yes" was 6.49 as to "person who hears anxiety". The OR of "Yes" was 6.99 as to "person cheering you up". In items related to social interaction, the OR of "Yes" was 5.96 as to "achieving your roles". The OR of "Yes" was 4.72 as to "regular life". Results of this study indicate that elderly persons in island communities have "lifelong active" way of life and thought. For the future, in that respect, we must seek ideal methods of health, medicine and welfare to support islanders' health.},
 pages = {45--53},
 title = {島嶼地域高齢者の主観的健康感とその関連要因 : ソーシャル・サポート・ネットワークと社会関連性を中心に},
 volume = {2},
 year = {2006}
}