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Institutionalized and the non-institutionalized elderly.

Social Science & Medicine (1982)

|January 1, 1982

Summary

This summary is machine-generated.

This study in rural Japan found that while disability increases institutionalization for seniors, family care capacity is crucial. Many severely disabled elderly remain at home, supported by healthy caregivers, highlighting the need for better institutional care criteria.

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Area of Science:

Gerontology
Sociology
Public Health

Background:

The proportion of elderly individuals (over 65) in a rural Japanese town is 13%, with 53% living alone or with a spouse only, indicating a potential future national trend.
A survey of 3039 residents identified current placement statuses of the elderly, including hospitalization and institutionalization in homes for the aged and nursing homes.

Purpose of the Study:

To investigate physical and socio-psychological factors influencing the placement status of elderly individuals.
To understand the relationship between disability levels, family care capacity, and institutionalization rates among the elderly.

Main Methods:

A comprehensive survey was conducted on all elderly individuals aged 65 and above in a rural Japanese town.
Data collected included physical and socio-psychological factors, current living arrangements (home vs. institution), and disability levels.

Main Results:

Institutionalization rates increased with disability severity, but even severely disabled individuals were institutionalized in only half of the cases.
Elderly individuals living at home were more likely to have a healthy, non-employed family caregiver.
Economic factors were primarily relevant for those in homes for the aged, and families of institutionalized individuals reported higher subjective care burdens.

Conclusions:

Family care capacity significantly influences elderly placement decisions, often enabling severely disabled individuals to remain at home.
A proposed tentative criteria for evaluating institutional care needs integrates disability level and family care capacity.
The findings suggest a need for support systems that consider both individual needs and family resources in elderly care planning.