Dataset Information

Living on the edge of the community: factors associated with discontinuation of community living among people with cognitive impairment.

ABSTRACT:

Background

As Japanese society continues to age, the isolation of older people is increasing, and community living for people with cognitive impairment is becoming more difficult. However, the challenges faced by people with cognitive impairment living in the community have not been fully explored because of methodological difficulties. This study re-accessed people with cognitive impairment identified in a previous epidemiological survey to explore their current situation and the risk factors associated with all-cause discontinuation of community living.

Methods

Under a community-based participatory framework, we examined a high-risk approach for people with cognitive impairment and a community action approach in parallel, to build a dementia-friendly community. For the high-risk approach, we achieved stepwise access to 7614 older residents, which enabled us to select and visit the homes of 198 participants with a Mini-Mental State Examination score?ResultsWe found that 126 (63.6%) participants had continued living in the same community, but 58 (29.3%) had discontinued community living. Of these, 18 (9.1%) had died, 18 (9.1%) were institutionalized, 9 (4.5%) were hospitalized, and 13 (6.6%) had moved out of the community. A multiple logistic regression analysis identified the following risk factors associated with discontinuation of community living: being certified under long-term care insurance, needing housing support, and needing rights protection.

Conclusions

Three years after the baseline survey, 29.3% of people with cognitive impairment had discontinued community living. Despite having cognitive impairment or living alone, older people were able to continue living in the community if their needs for housing support and rights protection were met. Both social interventions and medical interventions are important to build age-friendly communities.

Trial registration

UMIN, UMIN000038189, Registered 3 October 2019, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000043521.

SUBMITTER: Ura C

PROVIDER: S-EPMC7893898 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Living on the edge of the community: factors associated with discontinuation of community living among people with cognitive impairment.

Ura Chiaki C Okamura Tsuyoshi T Sugiyama Mika M Miyamae Fumiko F Yamashita Mari M Nakayama Riko R Edahiro Ayako A Taga Tsutomu T Inagaki Hiroki H Ogawa Madoka M Awata Shuichi S

BMC geriatrics 20210219 1

<h4>Background</h4>As Japanese society continues to age, the isolation of older people is increasing, and community living for people with cognitive impairment is becoming more difficult. However, the challenges faced by people with cognitive impairment living in the community have not been fully explored because of methodological difficulties. This study re-accessed people with cognitive impairment identified in a previous epidemiological survey to explore their current situation and the risk f ...[more]

PMID: 33607947

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Dataset Information

Living on the edge of the community: factors associated with discontinuation of community living among people with cognitive impairment.

Background

Methods

Conclusions

Trial registration

Publications

Living on the edge of the community: factors associated with discontinuation of community living among people with cognitive impairment.

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