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Differences in Cumulative Long-Term Care Costs by Community Activities and Employment: A Prospective Follow-Up Study of Older Japanese Adults

Author

Listed:
  • Masashige Saito

    (Faculty of Social Welfare, Nihon Fukushi University, Aichi 470-3295, Japan
    Center for Well-Being and Society, Nihon Fukushi University, Aichi 460-0012, Japan)

  • Naoki Kondo

    (Department of Social Epidemiology and Global Health, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto 606-8501, Japan)

  • Jun Aida

    (Department of Oral Health Promotion, Tokyo Medical and Dental University, Tokyo 113-8510, Japan)

  • Junko Saito

    (Center for Public Health Science, National Cancer Center Japan, Tokyo 104-0045, Japan)

  • Hisataka Anezaki

    (National Cerebral and Cardiovascular Center, Osaka 564-8565, Japan)

  • Toshiyuki Ojima

    (Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine, Shizuoka 431-3192, Japan)

  • Katsunori Kondo

    (Center for Preventive Medical Sciences, Chiba University, Chiba 260-0856, Japan
    Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Aichi 474-8511, Japan)

Abstract

We evaluated differences in the cumulative benefit costs of public long-term care (LTC) insurance services by employment status and frequency of community activities. A baseline survey was conducted on functionally independent older people from 12 municipalities as a nationwide survey from 2010 to 2011. Employment status was dichotomized, and community activity was assessed based on the frequency of participation in hobbies, sports clubs, or volunteering. We followed the respondents’ LTC service costs over a period of 6 years using public LTC claim records ( n = 46,616). We adopted a classical linear regression analysis and an inverse probability weighting estimation with multiple imputation for missing values. Compared with non-participation in each community activity, the cumulative LTC costs among individuals who participated in hobbies or sports group activities at least twice a week were 1.23 (95% confidence interval: 0.73–1.72) to 1.18 (0.68–1.67) thousand USD lower per person over the 6-year period (28.7% to 30.1% lower, respectively). Similarly, the costs for employed persons were 0.55 (0.20–0.90) to 0.64 (0.29–0.99) thousand USD per person lower than among retirees (14.5% to 16.9% lower). Promoting employment opportunities and frequent participation in community activities among older adults may help reduce future LTC costs by around 20% as a result of extending healthy longevity.

Suggested Citation

  • Masashige Saito & Naoki Kondo & Jun Aida & Junko Saito & Hisataka Anezaki & Toshiyuki Ojima & Katsunori Kondo, 2021. "Differences in Cumulative Long-Term Care Costs by Community Activities and Employment: A Prospective Follow-Up Study of Older Japanese Adults," IJERPH, MDPI, vol. 18(10), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5414-:d:557494
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    References listed on IDEAS

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    1. Musick, Marc A. & Wilson, John, 2003. "Volunteering and depression: the role of psychological and social resources in different age groups," Social Science & Medicine, Elsevier, vol. 56(2), pages 259-269, January.
    2. Ushio Minami & Mariko Nishi & Taro Fukaya & Masami Hasebe & Kumiko Nonaka & Takashi Koike & Hiroyuki Suzuki & Yoh Murayama & Hayato Uchida & Yoshinori Fujiwara, 2015. "Effects of the Change in Working Status on the Health of Older People in Japan," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-10, December.
    3. Julianne Holt-Lunstad & Timothy B Smith & J Bradley Layton, 2010. "Social Relationships and Mortality Risk: A Meta-analytic Review," PLOS Medicine, Public Library of Science, vol. 7(7), pages 1-1, July.
    4. Hideki Hashimoto & Hiromasa Horiguchi & Shinya Matsuda, 2010. "Micro Data Analysis of Medical and Long-Term Care Utilization Among the Elderly in Japan," IJERPH, MDPI, vol. 7(8), pages 1-16, July.
    5. Stuck, Andreas E. & Walthert, Jutta M. & Nikolaus, Thorsten & Büla, Christophe J. & Hohmann, Christoph & Beck, John C., 1999. "Risk factors for functional status decline in community-living elderly people: a systematic literature review," Social Science & Medicine, Elsevier, vol. 48(4), pages 445-469, February.
    6. Crets, Stefan, 1996. "Determinants of the use of ambulant social care by the elderly," Social Science & Medicine, Elsevier, vol. 43(12), pages 1709-1720, December.
    7. Naomi Akiyama & Takeru Shiroiwa & Takashi Fukuda & Sachiyo Murashima & Kenshi Hayashida, 2018. "Healthcare costs for the elderly in Japan: Analysis of medical care and long-term care claim records," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-15, May.
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    1. Saito, Masashige & Watanabe, Ryota & Tamada, Yudai & Takeuchi, Kenji & Tani, Yukako & Kondo, Katsunori & Ojima, Toshiyuki, 2024. "Social disconnection and suicide mortality among Japanese older adults: A seven-year follow-up study," Social Science & Medicine, Elsevier, vol. 347(C).

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