The Association between Family Caregiver Burden and Subjective Well-Being and the Moderating Effect of Social Participation among Japanese Adults: A Cross-Sectional Study
Taiji Noguchi,
Hiroko Nakagawa-Senda,
Yuya Tamai,
Takeshi Nishiyama,
Miki Watanabe,
Mayumi Kamiya,
Ryozo Wakabayashi,
Akihiro Hosono,
Kiyoshi Shibata,
Mari Ichikawa,
Kanae Ema,
Kenji Nagaya,
Naoko Okamoto,
Shoko Tsujimura,
Hitomi Fujita,
Fumi Kondo,
Tamaki Yamada,
Sadao Suzuki
Affiliations
Taiji Noguchi
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Hiroko Nakagawa-Senda
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Yuya Tamai
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Takeshi Nishiyama
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Miki Watanabe
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Mayumi Kamiya
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Ryozo Wakabayashi
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Akihiro Hosono
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Kiyoshi Shibata
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Mari Ichikawa
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Kanae Ema
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Kenji Nagaya
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Naoko Okamoto
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Shoko Tsujimura
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Hitomi Fujita
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Fumi Kondo
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
Tamaki Yamada
Okazaki City Medical Association, Public Health Center, Aichi 444-0875, Japan
Sadao Suzuki
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Aichi 467-8601, Japan
We examined the association between family caregiver burden and subjective well-being with social participation’s moderating effect among Japanese adults. Data were obtained from a cross-sectional survey by the Japan Multi-Institutional Collaborative Cohort Study in the Okazaki area between 2013 and 2017. Study participants included 5321 adults who visited the Public Health Center for annual health check-ups and answered a questionnaire regarding health status and lifestyle. Subjective well-being was assessed by a single item, out of 10 points, and analyzed with multivariable linear regression analysis models by subjective family caregiver burden (“none”, “mild”, “severe”), stratified by gender. Ultimately, 2857 men and 2223 women were included. Mean participant age (standard deviation) in years was 64.7 (10.4) for men and 61.3 (10.0) for women. Multivariable analysis revealed that, among women, higher caregiver burden was inversely associated with subjective well-being (p for trend p for interaction < 0.05). High family caregiver burden was inversely associated with subjective well-being among Japanese women, but moderated by the caregiver’s social participation, suggesting the importance of community development that enables family caregivers’ social participation to protect their subjective well-being.