ハマノ　ツヨシ   HAMANO TSUYOSHI
  濱野　強
   所属   京都産業大学  現代社会学部 健康スポーツ社会学科
   職種   教授
言語種別 英語
発行・発表の年月 2015/07
形態種別 研究論文
査読 査読あり
標題 Accessible Transportation, Geographic Elevation, and Masticatory Ability Among Elderly Residents of a Rural Area
執筆形態 その他
掲載誌名 INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
出版社・発行元 MDPI AG
巻・号・頁 12(7),pp.7199-7207
著者・共著者 Tsuyoshi Hamano,Kazumichi Tominaga,Miwako Takeda,Kristina Sundquist,Toru Nabika
概要 Given that public transportation networks are often worse in rural areas than in urban areas, rural residents who do not drive can find it difficult to access health-promoting goods, services, and resources related to masticatory ability. Moreover, geographical location, assessed by elevation, could modify this association. The aim of this study was to test whether the association between access to transportation and masticatory ability varied by elevation. Data were collected from a cross-sectional study conducted in Mizuho and Iwami counties, Japan. Objective masticatory ability was evaluated using a test gummy jelly and elevation was estimated by the geographic information systems according to the participant's address. After excluding subjects with missing data, 672 subjects (Mizuho = 401 and Iwami = 271) were analyzed. After adjustment for potential confounders, being a driver was not significantly associated with masticatory ability among elderly people living at low elevation (313 m) in Mizuho county. However, after the same adjustment, being a driver remained significantly associated with increased masticatory ability among elderly at high elevations. Similar findings were observed in Iwami county. Accessible transportation was significantly associated with increased mastication ability in elderly people living at high elevations, but not in those living at low elevations.
DOI 10.3390/ijerph120707199
ISSN 1660-4601