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Cited by 43Aging, Health, and DisabilityHealth disparities and outcomesHealth and Wellbeing Research

Association of health behavior and social role with total mortality among Japanese elders in Okinawa, Japan

Goto, Aya, Yasumura, Seiji, Nishise, Yuko, Sakihara, Seizo·2003·Aging Clinical and Experimental Research
DOI 10.1007/bf03327366
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Abstract

Background and aims Longitudinal studies on the relationship of life-style factors and social networking with mortality have been only slightly conducted in a comprehensive manner among the Japanese elderly. This study aims at examining associations of health behavior and social role with total mortality among Japanese elders in Okinawa.Methods All residents aged 65 years or older were recruited in 1987 from the village of Ohgimi, and 724 subjects were followed for 12 years. A comprehensive health assessment questionnaire was used, and the resulting data were analyzed by the Cox proportional hazards model.Results The number of deaths during the study period was 139 (55.4%) for men and 166 (35.1%) for women. The standardized mortality rates of malignancy, cerebrovascular disease, heart disease and pneumonia were higher for men. In the final model of multivariate analysis for women, less than 6 hours of sleep [Hazard ratio (HR)=2.62] and lower social role (HR=1.88) significantly increased the risk of mortality. As for men, neither health behavioral items nor social role showed a significant association with mortality.Conclusions Our study results suggest that having sufficient hours of sleep and enhancing social role could greatly help elderly women in Okinawa to maintain good health. Moreover, our study provides direction for future research to explore the difference in adequate health promotion measures between women and men.

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  • As globalization and technology penetrate society, sleep-related beliefs and practices can change, including longer working hours, shift work, and discouraging naps.

    “As globalization and technology penetrate society, sleep-related beliefs and practices can change, including the provision of longer working hours,113–120 shift work,121–124 and discouraging otherwise culturally appropriate naps.125–127”

    From Sleep, Health, and Society (2017) · cites this paper as [114]

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Authors
Goto, A., Yasumura, S., Nishise, Y., & Sakihara, S.
Affiliations
  • Fukushima Medical University (JP)
  • Yamagata University (JP)
  • Okinawa International University (JP)
Corresponding author
Goto, Aya
ORCID
Venue
Aging Clinical and Experimental Research
Publisher
Springer Science and Business Media LLC
Published
2003-12
Volume
15
Issue
6
Pages
443-450
ISSN
  • 1594-0667 (ISSN-L)
  • 1720-8319
DOI
10.1007/bf03327366
OpenAlex
W1968205045
Cited by
43
References
38
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 4 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 1 · 2013: 1 · 2012: 2
FWCI
2.37
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Aging Clinical and Experimental Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
Keywords
all-cause mortality, health behavior, social roles, sleep duration, older adults, sex differences, lifestyle factors, social networking, Okinawa, mortality risk factors
MeSH terms
Aged, Aged, 80 and over, Aging, Female, Health Status, Humans, Interpersonal Relations, Japan, Longevity, Male, Surveys and Questionnaires, Sleep, Time Factors, Health Behavior, Multivariate Analysis, Proportional Hazards Models, Sex Distribution

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