Depression among family caregivers of community-dwelling older people who used services under the Long Term Care Insurance program: a large-scale population-based study in Japan

ObjectivesTo assess whether oral self-care (tooth brushing, regular dental visits and use of dentures) affects incident functional disability in elderly individuals with tooth loss.DesignA 5.7-year prospective cohort study.SettingOhsaki City, Japan.Participants12 370 community-dwelling individuals aged 65 years and older.Primary outcome measuresIncident functional disability (new long-term care insurance certification).ResultsThe 5.7-year incidence rate of disability was 18.8%. In comparison with participants who had ≥20 teeth, the HRs (95% CIs) for incident functional disability among participants who had 10–19 and 0–9 teeth were 1.15 (1.01–1.30) and 1.20 (1.07–1.34), respectively (p trend<0.05). However, the corresponding values for those who brushed their teeth ≥2 times per day were not significantly higher in the ‘10–19 teeth’ and ‘0–9 teeth’ groups (HRs (95% CI) 1.05 (0.91–1.21) for participants with 10–19 teeth, and 1.09 (0.96–1.23) for participants with 0–9 teeth), although HRs for those who brushed their teeth <2 times per day were significantly higher (HRs (95% CI) 1.32 (1.12–1.55) for participants with 10–19 teeth, and 1.33 (1.17–1.51) for participants with 0–9 teeth). Such a negating association was not observed for other forms of oral self-care.ConclusionsTooth brushing may partially negate the increased risk of incident functional disability associated with having fewer remaining teeth.

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The Impact of the Partnership Long-Term Care Insurance Program on Private Coverage and Medicaid Expenditures

SSRN Electronic Journal ◽

10.2139/ssrn.2039059 ◽

2012 ◽

Cited By ~ 3

Author(s):

Haizhen Lin ◽

Jeffrey Prince

Keyword(s):

Long Term Care ◽

Term Care ◽

Insurance Program ◽

Long Term Care Insurance ◽

The Impact

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Association between allergic diseases, allergic sensitization and attention-deficit/hyperactivity disorder in children: A large-scale, population-based study

Journal of the Chinese Medical Association ◽

10.1016/j.jcma.2017.07.016 ◽

2018 ◽

Vol 81 (3) ◽

pp. 277-283 ◽

Cited By ~ 17

Author(s):

Chia-Feng Yang ◽

Chen-Chang Yang ◽

I-Jen Wang

Keyword(s):

Attention Deficit Hyperactivity Disorder ◽

Attention Deficit ◽

Large Scale ◽

Allergic Sensitization ◽

Allergic Diseases ◽

Population Based ◽

Population Based Study ◽

Hyperactivity Disorder ◽

Scale Population

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Access to Psychiatrist Services for Older Adults in Long-Term Care: A Population-Based Study

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2019.01.121 ◽

2019 ◽

Vol 20 (5) ◽

pp. 610-616.e2 ◽

Cited By ~ 1

Author(s):

Christopher Perlman ◽

Julia Kirkham ◽

Clive Velkers ◽

Roxanne H. Leung ◽

Marlo Whitehead ◽

...

Keyword(s):

Older Adults ◽

Long Term Care ◽

Population Based ◽

Term Care ◽

Population Based Study

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Determinants of long-term care insurance applications in South Korea

Journal of Public Health ◽

10.1093/pubmed/fdaa094 ◽

2020 ◽

Author(s):

Sunhee Park ◽

Heejung Kim ◽

Chang Gi Park

Keyword(s):

Older Adults ◽

South Korea ◽

Long Term Care ◽

Community Dwelling ◽

Care Needs ◽

Term Care ◽

Factors Affecting ◽

Long Term Care Insurance ◽

The Government

Abstract Background South Korea established universal long-term care insurance (LTCI) in 2008. However, actual requests for LTCI remain lower than government estimates because some eligible candidates never apply despite their strong care needs. This study aimed to examine factors affecting LTCI applications for older, community-dwelling Koreans. Methods Both individual- and community-level data were obtained from a national dataset from the Korea Health Panel Survey and the Korea National Statistical Office (N = 523). Data were analyzed using multilevel modeling. Results Only 16.4% of older adults in need of care applied for LTCI. Those who applied were more likely to be older, report poor self-rated health, receive care from non-family caregivers, and have caregivers experiencing high levels of caregiving burden. Regional differences in LTCI applications existed concerning the financial condition of one’s community. Conclusions Our study findings emphasize that Korean LTCI should implement both individual and community strategies to better assist older adults in properly acquiring LTCI. The government should make comprehensive efforts to increase access to LTCI in terms of availability, quality, cost, and information by collaborating with local centers.

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The impact of C-reactive protein levels on headache frequency in the HUNT study 2006–2008

BMC Neurology ◽

10.1186/s12883-019-1462-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

Author(s):

Knut Hagen ◽

Lars Jacob Stovner ◽

Kristian Bernhard Nilsen ◽

Espen Saxhaug Kristoffersen ◽

Bendik Slagsvold Winsvold

Keyword(s):

Migraine With Aura ◽

Large Scale ◽

Population Based ◽

C Reactive Protein ◽

Cross Sectional ◽

Population Based Study ◽

Reactive Protein ◽

Scale Population ◽

Hs Crp ◽

The Impact

Abstract Background Increased high sensitivity C- reactive protein (hs-CRP) levels have been found in many earlier studies on migraine, and recently also in persons with migraine and insomnia. The aim of this study was to see whether these findings could be reproduced in a large-scale population-based study. Methods A total of 50,807 (54%) out of 94,194 invited aged ≥20 years or older participated in the third wave of the Nord-Trøndelag Health Study study performed in 2006–2008. Among these, 38,807 (41%) had valid measures of hs-CRP and answered questions on headache and insomnia. Elevated hs-CRP was defined as > 3.0 mg/L. The cross-sectional association with headache was estimated by multivariate analyses using multiple logistic regression. The precision of the odds ratio (OR) was assessed with 95% confidence interval (CI). Results In the fully adjusted model, elevated hs-CRP was associated with migraine (OR 1.14, 95% CI 1.04–1.25) and migraine with aura (OR 1.15, 95% CI 1.03–1.29). The association was strongest among individuals with headache ≥15 days/month for any headache (OR 1.26, 95% CI 1.08–1.48), migraine (OR 1.62, 95% CI 1.21–2.17), and migraine with aura (OR 1.84, 95% CI 1.27–2.67). No clear relationship was found between elevated hs-CRP and headache less than 7 days/month or with insomnia. Conclusions Cross-sectional data from this large-scale population-based study showed that elevated hs-CRP was associated with headache ≥7 days/month, especially evident for migraine with aura.

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