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1

Sasaki, H. "Geriatrics and Older People in Japan." Journals of Gerontology Series A: Biological Sciences and Medical Sciences 59, no. 11 (November 1, 2004): 1167–68. http://dx.doi.org/10.1093/gerona/59.11.1167.

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2

KENDIG, HAL, WATARU KOYANO, TATSUTO ASAKAWA, and TAKATOSHI ANDO. "Social support of older people in Australia and Japan." Ageing and Society 19, no. 2 (March 1999): 185–207. http://dx.doi.org/10.1017/s0144686x99007278.

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Comparable networks surveys identified the informal relationships which provide social support to older people in urban Japan, provincial Japan, and urban Australia. Spouses, daughters, and sons were major providers of expressive support in all areas. Older Australians had more expressive support from friends while older Japanese had more instrumental support from daughters-in-law. The gender of the older people and their close ties were highly significant in all areas. The many similarities in the social support patterns contrast sharply with East and West differences in cultural prescripts and living arrangements. In these two advanced countries with long life expectancies and high living standards, older people's interpersonal relationships may be converging on the basis of selective affection and choice, rather than obligation, with individuals in and beyond the household and family.
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Gondo, Yasuyuki. "Technology and old age in Japan." Angewandte GERONTOLOGIE Appliquée 1, no. 1 (January 2016): 28–30. http://dx.doi.org/10.1024/2297-5160/a000017.

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Abstract. The population of older people has been increasing in the last few decades in Japan. This larger demographical shift provided new business opportunities to companies. Innovative technologies and services for older people have been developing. Some of these are already at work; further technological revolution seems to promise “successful” aging for the future super-aging society. This report provides an overview of technologies currently applied with older people and introduces some examples of new technologies developing in Japan.
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4

Shirahase, Sawako. "Income inequality among older people in rapidly aging Japan." Research in Social Stratification and Mobility 41 (September 2015): 1–10. http://dx.doi.org/10.1016/j.rssm.2015.03.001.

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5

WADA, YOSHIMI. "Older people's exercising of choice in long-term care: a comparative analysis of England and Japan." Ageing and Society 36, no. 06 (April 16, 2015): 1185–210. http://dx.doi.org/10.1017/s0144686x15000264.

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ABSTRACTThere has been an increasing emphasis on choice for older people in long-term care in both England and Japan. However, despite the emphasis on the importance of choice, the perspectives of older people have been given little attention. Considering national and local policies in Bristol, England and Kyoto, Japan, the article explores how older people are exercising (and not exercising) choice in care practice through examining the perspectives of the older people themselves, as well as key informants in the field. Empirical data were collected from interviews with older people and key informants in the two countries, and were analysed using qualitative and comparative approaches. Choice in policy is regarded as a mechanism of the market with an assumption of the independent autonomous individual who can exercise ‘rational choice’. However, the findings have reflected older people's relational decision-making, which does not conform to the rational model of decision-making, and illustrates the value of ‘interdependence’. The findings from care practice have shown that choice was considered an important value in involving older people's views and ensuring their needs are met sensitively and respectfully. The findings also suggested that consideration of the psychological aspects of choice is an important aspect of ‘care’, facilitating the inclusion of older people's views in the process of making judgements, in order to meet their needs.
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6

Khan, Mostafa Saidur Rahim, and Yoshihiko Kadoya. "Loneliness during the COVID-19 Pandemic: A Comparison between Older and Younger People." International Journal of Environmental Research and Public Health 18, no. 15 (July 25, 2021): 7871. http://dx.doi.org/10.3390/ijerph18157871.

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The precautionary measures and uncertainties surrounding the COVID-19 pandemic have serious psychological impacts on peoples’ mental health. We used longitudinal data from Hiroshima University to investigate loneliness before and during the pandemic among older and younger people in Japan. We provide evidence that loneliness among both older and younger people increased considerably during the pandemic. Although loneliness among younger people is more pervasive, the magnitude of increase in loneliness during the pandemic is higher among older people. Our logit regression analysis shows that age, subjective health status, and feelings of depression are strongly associated with loneliness before and during the pandemic. Moreover, household income and financial satisfaction are associated with loneliness among older people during the pandemic while gender, marital status, living condition, and depression are associated with loneliness among younger people during the pandemic. The evidence of increasing loneliness during the pandemic is concerning for a traditionally well-connected and culturally collectivist society such as Japan. As loneliness has a proven connection with both physical and mental health, we suggest immediate policy interventions to provide mental health support for lonely people so they feel more cared for, secure, and socially connected.
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7

Watts, Jonathan. "TOKYO Japan makes older people contribute towards their health care." Lancet 356, no. 9247 (December 2000): 2075. http://dx.doi.org/10.1016/s0140-6736(05)74293-8.

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Ikeda, Takaaki, Jun Aida, Toru Tsuboya, Kemmyo Sugiyama, Katsunori Kondo, and Ken Osaka. "Psychosocial Factors and Knee Pain Among Older People in Japan." Clinical Journal of Pain 35, no. 12 (December 2019): 983–88. http://dx.doi.org/10.1097/ajp.0000000000000761.

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9

Casey, Bernard H. "The Employment of Older People: Can We Learn from Japan?" Geneva Papers on Risk and Insurance - Issues and Practice 30, no. 4 (October 2005): 620–37. http://dx.doi.org/10.1057/palgrave.gpp.2510051.

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10

Saunders, Peter, Kuriko Watanabe, and Melissa Wong. "Poverty and Housing Among Older People: Comparing Australia and Japan." Poverty & Public Policy 7, no. 3 (September 2015): 223–39. http://dx.doi.org/10.1002/pop4.110.

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11

Higuchi, Michiyo, Kayo Suzuki, Toyo Ashida, Naoki Kondo, and Katsunori Kondo. "Social Support and Access to Health Care Among Older People in Japan: Japan Gerontological Evaluation Study (JAGES)." Asia Pacific Journal of Public Health 30, no. 5 (July 2018): 425–36. http://dx.doi.org/10.1177/1010539518786516.

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We investigated cross-sectional associations between social support and access to health care among older Japanese people. From larger cohort datasets of community-dwelling people aged 65 years or older, 23 079 respondents were extracted. We summarized patterns of social support by gender and age group, then analyzed associations between social support and the experience of unmet health care needs, as a negative indicator of access. Adjusting for socioeconomic factors, multiple logistic regression identified that respondents who received instrumental support were less likely to experience unmet health care needs except males aged 65 to 69 years. The effect of receiving instrumental social support was larger than for household income and similar to anxiety about unexpected expenses. In the low-income group, these findings were highlighted among females aged 65 to 69 years and males aged 70 years and older. In addition to redistribution of financial resources, facilitating suitable social support may contribute to alleviating the access gap among older people.
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Ohta, Ryuichi, Yoshinori Ryu, and Chiaki Sano. "Fears Related to COVID-19 among Rural Older People in Japan." Healthcare 9, no. 5 (April 29, 2021): 524. http://dx.doi.org/10.3390/healthcare9050524.

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Coronavirus disease 2019 (COVID-19) has affected people’s social lives by inhibiting their movement; this seriously impacts the lives of older people in particular. Rural older people may have been particularly affected because they live dispersedly and in isolation. This study explored rural older people’s perceptions of how COVID-19 has impacted their social lives. This qualitative study assessed participants who were 65 years and older and residing in rural Japanese communities. Five focus group discussions were conducted with 53 participants to explore their perceptions and challenges during COVID-19. Data were analyzed using thematic analysis, and four themes were developed: the beginning of suffering, social cognitive suppression, reflection on rural contexts, and critical approaches to the pandemic based on rural standards. The daily activities of rural older people were suppressed due to social norms and pandemic-related standard precautionary measures based on urban areas. Specific infection control standards for rural areas and the provision of direct information to individuals in the community to sustain social support are needed. To effectively maintain rural social support, as well as the trust and accountability of rural citizens, constant dialog among local governments and rural citizens is required.
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PRIELER, MICHAEL, FLORIAN KOHLBACHER, SHIGERU HAGIWARA, and AKIE ARIMA. "The representation of older people in television advertisements and social change: the case of Japan." Ageing and Society 35, no. 4 (February 5, 2014): 865–87. http://dx.doi.org/10.1017/s0144686x1400004x.

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ABSTRACTThe representation of social groups in advertising has been a major concern in academia. However, research focusing on older people has been scant and mainly conducted in Western countries. In Japan, the country that has been most affected by demographic change, this research area has received little attention. Through a content analysis of a systematic sample of 2,972 television advertisements broadcast on the five major commercial television stations in Japan in 1997 and 2007, this paper tries to fill this research gap, examining changes in the representation of older people in Japanese television advertising. When comparing 2007 to 1997, we found that older people appeared more often, were increasingly alone and in major roles, and were portrayed in more favourable ways, which suggests that their status changed. These changes appear to be related to the fact that older people have become more important within Japanese society. However, some aspects have remained unchanged; older people continue to be under-represented, which does not reflect demographic reality, and are used in advertisements for foods and beverages, confirming findings from previous studies. Our findings indicate that the representation of older people in Japanese television advertising has changed but remains unrealistic.
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14

Prieler, Michael, Alex Ivanov, and Shigeru Hagiwara. "The Representation of Older People in East Asian Television Advertisements." International Journal of Aging and Human Development 85, no. 1 (November 15, 2016): 67–89. http://dx.doi.org/10.1177/0091415016677972.

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In this study, 432 television advertisements from Hong Kong, Japan, and South Korea were analyzed to determine their representations of older people. Findings demonstrate that in East Asian advertisements, older people are highly underrepresented, appear in major roles, mostly alongside younger people, and older men clearly outnumber older women. The other variables investigated (i.e., setting and product categories) led to no conclusive findings for the three societies. In short, our study, employing ethnolinguistic vitality theory to analyze television advertisements, demonstrates how East Asian societies greatly marginalize older people. Potential effects of such representations are discussed using social cognitive theory and cultivation theory.
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15

Minagawa, Yuka, and Yasuhiko Saito. "Active Social Participation and Mortality Risk Among Older People in Japan." Research on Aging 37, no. 5 (August 2014): 481–99. http://dx.doi.org/10.1177/0164027514545238.

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16

Sugisawa, H., J. Liang, and X. Liu. "Social Networks, Social Support, and Mortality Among Older People in Japan." Journal of Gerontology 49, no. 1 (January 1, 1994): S3—S13. http://dx.doi.org/10.1093/geronj/49.1.s3.

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17

Hayashi, Kei, Ichiro Kawachi, Tetsuya Ohira, Katsunori Kondo, Kokoro Shirai, and Naoki Kondo. "Laughter and Subjective Health Among Community-Dwelling Older People in Japan." Journal of Nervous and Mental Disease 203, no. 12 (December 2015): 934–42. http://dx.doi.org/10.1097/nmd.0000000000000399.

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18

Hirano, M., K. Ogura, D. Sakamoto, M. Nakano, T. Tsuchida, Y. Iwano, and H. Shimoyama. "Robotic utterance style to promote conversation with older people in Japan." Gerontechnology 18, no. 2 (June 30, 2019): 89–96. http://dx.doi.org/10.4017/gt.2019.18.2.003.0.

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Hirano, M., K. Ogura, D. Sakamoto, M. Nakano, T. Tsuchida, Y. Iwano, and H. Shimoyama. "Robotic utterance style to promote conversation with older people in Japan." Gerontechnology 18, no. 2 (June 30, 2019): 89–96. http://dx.doi.org/10.4017/gt.2019.18.2.003.00.

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20

Crane, Maureen, and Louise Joly. "Older homeless people: increasing numbers and changing needs." Reviews in Clinical Gerontology 24, no. 4 (October 31, 2014): 255–68. http://dx.doi.org/10.1017/s095925981400015x.

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SummaryEvidence from England, Australia, Canada, Japan and the USA indicates that the single homeless population is ageing, and that increasing numbers of older people are homeless. This paper reviews evidence of changes in the age structure of the single homeless population, and the factors that are likely to have had an influence on the growth of the older homeless population. In many Western cities, the housing situation of older people is changing and there is a growing reliance on the private rented sector. Unemployment is also having an impact on older people who are under the official retirement age. An increasing number of older people are experiencing problems linked to alcohol, drugs, gambling and criminality, and these are all behaviours that can contribute to homelessness. Despite high levels of morbidity and disability among older homeless people, they are a relatively neglected group and receive little attention from policy makers and mainstream aged care services.
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Yamamoto, Miwa, and Yoko Aso. "Placing Physical Restraints on Older People with Dementia." Nursing Ethics 16, no. 2 (March 2009): 192–202. http://dx.doi.org/10.1177/0969733008100079.

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This study aimed to clarify the coping strategies of nurses working in general wards who face the ethical dilemma of restraining older people with dementia. The participants were 272 nurses working in general wards in the Kansai region of Japan. Coping strategies were measured using a questionnaire consisting of 16 items. A low score of 1—4 points suggested good coping strategies. Factors were difficult to interpret for three of the 16 coping items identified; these items were therefore deleted. Eleven of the remaining 13 items were used for analysis. An explanatory factor analysis revealed three factors concerning coping with ethical dilemma: (1) self-initiated positive cognition and action; (2) negative cognition and action; and (3) choosing not to act, or maintaining the status quo. These findings highlight the need for programs that could disseminate effective coping strategies among nurses faced with the ethical dilemma of restraining older people with dementia.
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22

KRAUSE, NEAL, JERSEY LIANG, JOAN BENNETT, ERIKA KOBAYASHI, HIROKO AKIYAMA, and TARO FUKAYA. "A descriptive analysis of religious involvement among older adults in Japan." Ageing and Society 30, no. 4 (March 17, 2010): 671–96. http://dx.doi.org/10.1017/s0144686x09990766.

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ABSTRACTThe purpose of this study was to conduct a descriptive analysis of multiple dimensions of religious belief and practice among older people in Japan with data from a nationwide sample. Six dimensions were evaluated: religious affiliation, involvement in formal religious organisations, private religious practices, the functions of prayer, belief in punishment by supernatural forces, and beliefs about the afterlife. In addition to describing these dimensions for the sample as a whole, tests were performed to see if they varied by age, sex, marital status, education and for those living in rural or urban areas. The findings suggest that even though older people in Japan are not highly involved in formal religious institutions, they engage frequently in private religious practices, and that while many older people in Japan do not endorse some religious beliefs (e.g. about the quality of the afterlife), there is strong adherence to others (e.g. beliefs about punishment by supernatural forces). It was found that older women are more deeply involved in religion than older men, and that levels of religious involvement appear to be higher in rural than in urban areas. Less pronounced differences were found with respect to age, but compared to the ‘young-old’, the ‘oldest-old’ aged 75 or more years were more deeply involved in those aspects of religion that take place outside formal institutions.
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Watkins, Paige M., Elissa Burton, and Anne-Marie Hill. "The Peer Experience for Older People Encouraging Other Older People to Engage in Resistance Training: A Qualitative Study." Journal of Aging and Physical Activity 27, no. 4 (August 1, 2019): 529–37. http://dx.doi.org/10.1123/japa.2018-0039.

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Resistance training (RT) can maintain and improve physical and mental health in older adults, but this population has low levels of RT participation. Linking older people participating in RT (i.e., peers) with those who have not may promote and maintain adherence. This qualitative study explored the experience of peers in encouraging RT participation among older adults. Data were collected using focus groups, researcher observations, and semistructured interviews. Thematic analysis was conducted. Older people (n = 8) who engaged in RT prior to recruitment, participated as peers. Each provided peer support for between one and four RT participants for 6 weeks. The peer role was perceived by peers as potentially leading to a relationship which benefitted both parties. Peers reported that helping and supporting others was a positive experience and raised their self-efficacy. Difficulty initiating contact and differing expectations of peers and RT participants were viewed as challenges. Peer mentoring could help promote RT participation among older adults.
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Kato, Yuki, Ken Muramatsu, Yoshinori Yamamoto, Yoshie Suzuki, and Ryo Momosaki. "Strategies for Effective Home Modification in Older Adults." Geriatric Orthopaedic Surgery & Rehabilitation 12 (January 1, 2021): 215145932110207. http://dx.doi.org/10.1177/21514593211020704.

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There are various barriers to home modifications to prevent falls among the older population. Several strategies may be necessary to overcome these barriers and implement effective home modifications. The need for home modification should be assessed, which requires a home evaluation by a specialist. In Japan, welfare housing environment coordinators have been trained to provide advice on home modifications suitable for people with disabilities. In addition, in Japan, home assessment and advice on home modification before discharge from acute care hospitals for older people is allowed as a medical reimbursement, and a system for effective home modification is well established. Human resource training and medical policy arrangements on home modifications could improve the cost-effectiveness. In Japan, a system has been established to support the costs of home modification and environmental maintenance. Financial support has reduced the barrier to home modification. Fixed grab bars or shower chairs can be rented, which may be more cost-effective than purchasing them and may shorten the time required for installation. There may be psychological barriers to home modification for older population. Since many older people do not recognize the importance of home modification, promotion to convey the value of home modification may be necessary. Training of staff to engage in home modification, public financial support for modification, and ideas for reducing psychological hesitation may help to reduce the barriers for home modification and to enable effective home modification.
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Vaupel, James W. "The remarkable improvements in survival at older ages." Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences 352, no. 1363 (December 29, 1997): 1799–804. http://dx.doi.org/10.1098/rstb.1997.0164.

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The belief that old–age mortality is intractable remains deeply held by many people. Remarkable progress, however, has been made since 1950, and especially since 1970, in substantially improving survival at older ages, even the most advanced ages. The pace of mortality improvement at older ages continues to be particularly rapid in Japan, even though mortality levels in Japan are lower than elsewhere. The progress in improving survival has accelerated the growth of the population of older people and has advanced the frontier of human survival substantially beyond the extremes of longevity attained in pre–industrial times. Little, however, is known about why mortality among the oldest–old has been so plastic since 1950. The little that is known has largely been learned within the past few years. New findings, especially concerning genetic factors that influence longevity, are emerging at accelerating rate.
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Nishi, Mariko, Shoji Shinkai, Hiroto Yoshida, Yoshinori Fujiwara, Taro Fukaya, Hidenori Amano, Kishiko Ogawa, Mi-Ji Kim, and Naoki Watanabe. "Prevalence and characteristics of frailty among community-dwelling older people in Japan." Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 49, no. 3 (2012): 344–54. http://dx.doi.org/10.3143/geriatrics.49.344.

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27

Izuhara, Misa. "Changing Family Tradition: Housing Choices and Constraints for Older People in Japan." Housing Studies 15, no. 1 (January 2000): 89–110. http://dx.doi.org/10.1080/02673030082496.

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Yamaji, Yumiko, Shuhei Ichikawa, and Yousuke Takemura. "Review of Medication Administration Support for Community-dwelling Older People in Japan." An Official Journal of the Japan Primary Care Association 40, no. 3 (2017): 136–42. http://dx.doi.org/10.14442/generalist.40.136.

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Ishine, Masayuki, Taizo Wada, Katsuhiro Akamatsu, Matheus Roriz Cruz, Teiji Sakagami, Toru Kita, Kozo Matsubayashi, and Kiyohito Okumiya. "NO POSITIVE CORRELATION BETWEEN ANEMIA AND DISABILITY IN OLDER PEOPLE IN JAPAN." Journal of the American Geriatrics Society 53, no. 4 (April 2005): 733–34. http://dx.doi.org/10.1111/j.1532-5415.2005.53228_6.x.

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Kako, Mayumi, and Lidia Mayner. "The experience of older people in Japan four years after the tsunami." Collegian 26, no. 1 (February 2019): 125–31. http://dx.doi.org/10.1016/j.colegn.2018.06.001.

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31

YOTSUI, MIHOKO, CATHERINE CAMPBELL, and TERUO HONMA. "Collective action by older people in natural disasters: the Great East Japan Earthquake." Ageing and Society 36, no. 5 (May 11, 2015): 1052–82. http://dx.doi.org/10.1017/s0144686x15000136.

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ABSTRACTHow can social participation by older people support their wellbeing? We explore the elder-focused community support system developed in Minamisanriku town after the Great East Japan Earthquake of 2011. Many elderly people lost all their material possessions and were moved from their devastated home communities to temporary housing. We conducted semi-structured interviews with 17 participants including 14 community workers and three members in the Minamisanriku Council of Social Welfare (MCSW) in a programme framed by the MCSW's disaster-response model. Thematic analysis highlighted how older people's involvement in the visiting programme of their temporary community, and conducting twice-daily visits to other vulnerable elders, enabled them to provide valued social support to isolated and homebound peers. It also helped reconstruct their own social identities shattered by the dissolution of former communities, the shock of displacement and loss of possessions. This positive social participation was heavily influenced by strong bridges between their temporary community and MCSW support staff and infrastructure that promoted and supported their visits. Our study highlights how strong and empowering relationships amongst older people can be facilitated by an active government-funded support agency that is immediately responsive to the needs and deeply respectful of the world-views of vulnerable groups.
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Ide, Kazushige, Taishi Tsuji, Satoru Kanamori, Seungwon Jeong, Yuiko Nagamine, and Katsunori Kondo. "Social Participation and Functional Decline: A Comparative Study of Rural and Urban Older People, Using Japan Gerontological Evaluation Study Longitudinal Data." International Journal of Environmental Research and Public Health 17, no. 2 (January 18, 2020): 617. http://dx.doi.org/10.3390/ijerph17020617.

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This study compared the relationship between social participation, including work, and incidence of functional decline in rural and urban older people in Japan, by focusing on the number and types of organizations older people participated in. The longitudinal data of the Japan Gerontological Evaluation Study (JAGES) that followed 55,243 individuals aged 65 years or older for six years were used. The Cox proportional hazards model was employed to calculate the hazard ratio (HR) of the incidence of functional decline over six years and the stratification of rural and urban settings. In this model, we adjusted 13 variables as behavioral, psychosocial, and functional confounders. The more rural and urban older people participated in various organizations, the more they were protected from functional decline. Participation in sports (HR: rural = 0.79; urban = 0.83), hobby groups (HR: rural = 0.76; urban = 0.90), and work (HR: rural = 0.83; urban = 0.80) significantly protected against the incidence of decline in both rural and urban areas. For both rural and urban older people, promoting social participation, such as sports and hobby groups and employment support, seemed to be an important aspect of public health policies that would prevent functional decline.
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Costantini, Hiroko, Misato Nihei, and Tomoyuki Ueno. "‘Care literacy’ in super aging Japan." Open Research Europe 1 (July 27, 2021): 85. http://dx.doi.org/10.12688/openreseurope.13853.1.

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Accentuated by the ongoing coronavirus disease (COVID-19) pandemic, the change in Japan to community-based health and care services for older adults indicates an urgent need to enhance and spread citizens’ understanding of care. This is a broader notion of care that incorporates conditions within the community to support the inclusion of older adults, involving not only those older adults receiving care and their direct providers of care, but also others in the community who are involved in the daily lives of these older adults. To underpin such a broader notion of care across citizens, this paper proposes ‘care literacy’ as a novel analytical concept, defined as the knowledge and capabilities that enable people in need of care to live their daily lives in the community and facilitate potential health and care solutions. Reflecting the interconnection of health and care and rooted in the local context, care literacy underpins aging by enabling this involvement of the broader community, and is disseminated through media and grassroot activities.
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Okuno, Shigeyo, Akira Tagaya, Masae Tamura, and Anne J. Davis. "Elderly Japanese People Living in Small Towns Reflect on End-Of-Life Issues." Nursing Ethics 6, no. 4 (July 1999): 308–15. http://dx.doi.org/10.1177/096973309900600406.

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This article, reporting on selected data from a larger study, discusses some responses to end-of-life questions that elderly Japanese people who were living in small towns gave in a questionnaire survey. Japan is now the country with the largest number of elderly people in the world and confronts numerous social and economic questions concerning how best to cope with its older population. Although it is a highly urbanized society, Japan also has large semirural areas. The focus here is on the questions in the survey that sought responses to ethical dimensions of end-of-life issues. The findings demonstrate the strength of traditional values that still exist throughout small towns in Japan.
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Sugiyama, Mika, Tsuyoshi Okamura, Fumiko Miyamae, Ayako Edahiro, Madoka Ogawa, Hiroki Inagaki, Chiaki Ura, and Shuichi Awata. "Building Community Space for Supporting Residents Living With Dementia in a Housing Complex District in Tokyo, Japan." Innovation in Aging 4, Supplement_1 (December 1, 2020): 56. http://dx.doi.org/10.1093/geroni/igaa057.182.

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Abstract It is estimated that by 2025 the number of people with dementia will reach around 600 thousand, approximately one out of five in the older population in Tokyo, Japan. At the same time, the number of older people living in a single, couple household is expected to increase. We built a community space for older people in the largest housing complex district in Tokyo, and with the goal of creating a dementia friendly community (DFCs). In this study, we used the community-based participatory research approach to create a model of an inclusive community space with a human-rights-based approach, which is embodied in the PANEL framework by the Alzheimer Scotland organization. The community space where everyone, regardless of with or without dementia, can freely spend their time, and seek consultation on healthcare and older care. It also serves as a Dementia Café, where people with dementia can get together and chat. Places open 3 days a week. Those users can casually seek consultation by physicians, health nurses and psychologists. From April 1, 2017 to March 30, 2018, the average number of visitors was 11.6. Number of consultation was 182 times (female 81.3%, 80s’ =31.3%; 70s’ =23.1%). Historically, service delivery for the people with dementia was hospital-based in japan, but our community space established a new method to provide consultation to people with dementia, from a professional perspective, and to cooperate with appropriate social resources and related organizations as needed.
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Matsumoto, Hiroshige, Ayumi Igarashi, Miho Suzuki, and Noriko Yamamoto‐Mitani. "Association between neighbourhood convenience stores and independent living in older people in Japan." Australasian Journal on Ageing 38, no. 2 (January 30, 2019): 116–23. http://dx.doi.org/10.1111/ajag.12607.

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37

Gorsky, M. "Mayumi Hayashi, The Care of Older People: England and Japan, a Comparative Study." Social History of Medicine 27, no. 3 (May 5, 2014): 599–601. http://dx.doi.org/10.1093/shm/hku015.

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Moriya, Shingo, Ayumi Murata, Shinji Kimura, Nobuo Inoue, and Hiroko Miura. "Predictors of eligibility for long-term care funding for older people in Japan." Australasian Journal on Ageing 32, no. 2 (May 18, 2012): 79–85. http://dx.doi.org/10.1111/j.1741-6612.2012.00601.x.

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39

Liu, X., J. Liang, N. Muramatsu, and H. Sugisawa. "Transitions in Functional Status and Active Life Expectancy among Older People in Japan." Journals of Gerontology Series B: Psychological Sciences and Social Sciences 50B, no. 6 (November 1, 1995): S383—S394. http://dx.doi.org/10.1093/geronb/50b.6.s383.

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40

Borovoy, Amy. "Health Inequalities in Japan: An Empirical Study of Older People (review)." Journal of Japanese Studies 38, no. 2 (2012): 502–7. http://dx.doi.org/10.1353/jjs.2012.0069.

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41

Matsui, Kenji, Yusuke Inoue, and Keiichiro Yamamoto. "Rethinking the Current Older-people-first Policy for COVID-19 Vaccination in Japan." Journal of Epidemiology 31, no. 9 (September 5, 2021): 518–19. http://dx.doi.org/10.2188/jea.je20210263.

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42

Evans, Eric J., Keith E. Naugle, Tyler Owen, and Kelly M. Naugle. "Active Gaming: It Is Not Just for Young People." Journal of Aging and Physical Activity 28, no. 5 (October 1, 2020): 731–39. http://dx.doi.org/10.1123/japa.2019-0303.

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Whether active gaming is an appropriate method to facilitate moderate-intensity physical activity in older adults remains unclear. The purpose of this study was to evaluate the intensity of physical activity and enjoyment while playing three active video games in older adults compared with younger adults. Ten younger and 10 older adults played three active games on separate days. Participants played two 15-min periods per game: one period at a self-selected intensity and one period with structured instructions to maximize the movement. Physical activity intensity and enjoyment were measured during gameplay. The results indicated that older adults played games at significantly higher intensities (5.3 + 1.8 vs. 3.6 + 1.8 metabolic equivalents), spent less time in whole-body sedentary activity, and rated games more enjoyable compared with younger adults. With physical activity intensity being consistent with moderate-to-vigorous intensity for older adults during gameplay, the results suggest that active video games could be used as a cardiovascular tool for older adults.
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43

Yasuzato, Chiharu, and Keiko Katagiri. "FACTORS PROMOTING CONTINUED LIFELONG LEARNING: FOCUS ON THE PERSON-ENVIRONMENT FIT IN JAPAN." Innovation in Aging 3, Supplement_1 (November 2019): S661—S662. http://dx.doi.org/10.1093/geroni/igz038.2450.

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Abstract Lifelong learning of older people is categorized as social participation. Most studies on social participation have examined the motivation to start; however, those on continuing participation are few. This study aimed to identify the factors promoting continued lifelong learning among older adults, focusing on both personal and socio-relational factors. To do this, in-depth semi-structured interviews were conducted with 20 Japanese citizens, aged 60-75, with a learning experience of more than 3 years. Results showed that both personal and socio-relational factors matter. First, personal factors include older adults’ past learning experience, access to learning in the present, and work status. Past learning experience relates to their perception as students and their memories of learning during school age. Regarding accessibility, classes within walking distance, for example, would help in continuation of learning, especially for people with health problems. People may choose to become involved in learning activities after retiring from the workforce and they have time to spend. Second, the importance of socio-relational factors was evident in how family supported older people by accepting how important learning was for them and offering them rides to the classes. Within the class, they can share information about the happenings and activities in their community, become mentors, and stimulate each other. The instructor enhances their enthusiasm to learn and provides a comfortable learning space. Therefore, the findings of this study suggest that while there is no single condition, a person-environment fit promotes older adults continued learning.
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Yazaki, Hiroshi, and Hiroshi Nishiura. "Ambulance Transport of Patients with Mild Conditions in Hokkaido, Japan." International Journal of Environmental Research and Public Health 17, no. 3 (February 2, 2020): 919. http://dx.doi.org/10.3390/ijerph17030919.

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Understanding the epidemiological distributions of ambulance transport for patients with mild conditions according to age, disease, and geographic region could help in achieving optimal use of ambulance services. In the present study, we explored the descriptive epidemiology of ambulance transports in Hokkaido, the northernmost prefecture of Japan, identifying potential factors that determine the frequency of transports for mild diseases. Of the total 153,667 ambulance transports in Hokkaido during 2016, we found that two-thirds were for older people, of which about 60% resulted in hospital admission. There were 74,485 transports for mild cases, which were most commonly for psychiatric disorders among working-age adults (n = 4805), heart diseases among older people (n = 4246), and sensory organ diseases among older people (n = 3589). Examining the ecological correlations over 58 geographic units of ambulance services, the total unemployment rate and distance to the nearest tertiary care hospital were, respectively, positively and negatively correlated with the standardized transport ratio for multiple mild diseases. The proportion of working-age adults was uniquely identified as a possible positive predictor in mild cases of psychiatric disorders. As the identified potential predictors could be helpful in considering countermeasures, the causal links should be examined in future studies.
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Yamamoto, Fuyo (Jenny), and Junyi Zhang. "The Kindness of Strangers: Exploring Interdependencies and Shared Mobilities of Elderly People in Rural Japan." Social Inclusion 5, no. 4 (December 28, 2017): 183–95. http://dx.doi.org/10.17645/si.v5i4.1125.

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For over forty years, most residents in rural areas of Japan have relied on private vehicles to meet their mobility needs. Today, however, the rapid ageing of the population, coupled with low birth rates and migration of young people to urban areas, is posing a variety of new transport challenges. Most notably, the proportion of drivers to non-drivers is getting smaller. This means that non-drivers who relied on family and neighbours for trips in the past, as well as elderly residents who give up their licenses, have fewer people to drive them. Current policy debates tend to focus on technological “solutions”, and underestimate the complex social, cultural and inter-personal relationships which underlie transport dependencies in these environments. Using a qualitative semi-structured survey, the current study explores the current mobilities of older people living in a small rural district in Shimane Prefecture, Japan. The resulting analysis reveals how cultural attitudes and social norms affect the ways in which older people manage their mobilities.
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Nakamura, Tsuneo, Taishi Tsuji, Yuiko Nagamine, Kazushige Ide, Seungwon Jeong, Yasuhiro Miyaguni, and Katsunori Kondo. "Suicide Rates, Social Capital, and Depressive Symptoms among Older Adults in Japan: An Ecological Study." International Journal of Environmental Research and Public Health 16, no. 24 (December 6, 2019): 4942. http://dx.doi.org/10.3390/ijerph16244942.

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Depression is considered the primary risk factor for older people’s suicide. When considering suicide measures, it is necessary to clarify the relationship between depressive symptoms, social capital, and suicide rates. Therefore, we aimed to clarify the relationship between community-level social capital, depressive symptoms, and suicide rates among older people in Japan. We analyzed the data gathered from 63,026 men and 72,268 women aged 65 years and older, totaling 135,294 subjects in 81 municipalities with a population of over 100,000 participants in the 2013 Sixth Long-Term Care Needs Survey and another survey conducted by Japan Gerontological Evaluation Study (JAGES) in 2013 including the same question items as the survey in Japan. Multiple regression analysis revealed that the male suicide standardized mortality ratio (SMR) was positively correlated with depressive symptoms (B = 2.318, p = 0.002), and received emotional support (B = −2.622, p = 0.014) had a negative correlation with the male suicide SMR. In older males particularly, the received emotional support in the community was independently associated with the suicide rate. Therefore, fostering social support in a community could act as a countermeasure to suicide among older males in Japan.
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Endo, Chikako. "Creating a common world through action: what participation in community activities means to older people." Ageing and Society 40, no. 6 (December 5, 2018): 1175–94. http://dx.doi.org/10.1017/s0144686x18001587.

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AbstractAs a response to demographic ageing, various governments have been promoting social policies that promote older people's participation in productive activities, including those outside the formal labour market. Nevertheless, older people's behaviours do not simply reflect government policies and intentions. This paper explores how older people themselves interpret their social roles within a policy context that seeks to position them as providers of welfare through their participation in community activities. For this purpose, this paper draws on a qualitative case study of older people in Japan engaging in health promotion and mutual aid among local residents. By employing Hannah Arendt's distinction between the human activities of labour, work and action as a conceptual framework, it finds that although the purported purpose of community activities was to substitute decreasing pensions and family care or to create a better community, participants in this study valued their activities as a process of creating new relations and new realities through action. The paper argues that while labour has occupied a predominant position in the post-war welfare paradigm, community activities by an expanding population of older people may offer opportunities for action, which were not always available through paid work or care-giving in the household.
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Yasumoto, Saori, and Yasuyuki Gondo. "CBSI as a Social Innovation to Promote the Health of Older People in Japan." International Journal of Environmental Research and Public Health 18, no. 9 (May 7, 2021): 4970. http://dx.doi.org/10.3390/ijerph18094970.

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In this paper, we introduce a concept called community-based social innovation (CBSI). CBSI programs have been introduced to improve the physical and psychological well-being of older people. CBSI programs encourage older people to (1) take care of themselves and their peers, (2) sustain their well-being, and (3) create a cohesive and inclusive community. Although the emergence of CBSI programs is a global phenomenon, the variations, effectiveness, and sustainability of these programs are unknown. To uncover information about the Japanese version of CBSI programs, we conducted observations and face-to-face interviews with related personnel at two CBSI programs in rural areas of Japan in 2018. We found both positive and negative aspects in the current form of CBSI programs. As for the positives, these programs promote older people’s physical and psychological well-being and enhance community cohesiveness. However, CBSI programs face challenges, including that groups tend to be gender and age specific: men and the younger-old are less likely to show interest. A group-specific approach to CBSI programs could cause future community division, which would be contrary to the goal. Given the continued advancement of the aging population, a new approach to participant recruitment is needed.
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Amemiya, A., N. Kondo, and K. Kondo. "Community social capital and the improvement of functional ability among older people in Japan." Revue d'Épidémiologie et de Santé Publique 66 (July 2018): S277. http://dx.doi.org/10.1016/j.respe.2018.05.104.

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50

Tanihara, Shinichi, Chinami Akashi, Junichi Yamaguchi, and Hiroshi Une. "Effects of family structure on risk of institutionalisation of disabled older people in Japan." Australasian Journal on Ageing 33, no. 4 (September 24, 2013): E12—E17. http://dx.doi.org/10.1111/ajag.12071.

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