奄美諸島と八重山諸島における高齢者の生活と福祉ニーズ : 調査対象者の健康状態、家族の状況、社会とのかかわり状況（１）

本研究の目的は、琉球弧の北に位歴する鹿児島県の奄美諸島と南に位歴する沖縄県の八重山諸島における島嘆地域の高齢者の生活の現状と福祉ニーズを把握することである。調査対象地は、奄美諸島の中心である奄美市(島嘆都市部)および瀬戸内町の加計呂麻島、請島、与路島(島嘆集落部)、八重山諸島の中心である石垣市(島填都市部)、および竹富町西表島西部および鳩間島(島喚集落部)であった。鹿児島県の場合、特に島填集落は過疎高齢化が進行し、集落機能の低下を余儀なくされている。沖縄県の場合、鹿児島県ほどの過疎高齢化は進んでいない状況であるが、島填地域のもつ生活上の課題を共有している。いずれも、相互扶助の伝統等の地域文化あるいはその精神が残っているという共通点を持つ地域である。本稿では、調査対象者の属性、健康状態、家族の状況、社会参加状況および社会関連性指標についての分析結果を示す。居住地域と年齢の両方に回答した対象者は714人(男性284人、女性430人)であった。健康状態では、すべての調査対象地で健康な人の割合が高かった。家族の状況では、対象地ごとに特徴がみられた。集落行事への参加は島嘆集落部の方が高かったが、社会とのかかわり状況全般では島喚集落部の方が低かった。The purpose of the study was to investigate the life styles and the social welfare needs of the elderly who live on the Amami islands and the Yaeyama islands through a questionnaire survey. The regions surveyed were the urban area of the Amami Ohshima (Amami City) and the rural area of the Kakeroma islands (Setouchi Town) in Kagoshima prefecture, and the urban area of Ishigaki island (Ishigaki City) and the rural area of Iriomote island and Hatoma island (Taketomi Town) in Okinawa Prefecture. The people who dwell on these remote islands are usually under unfavorable conditions geographically and economically and the communities there are under dysfunctional state by depopulation and aging. On the other hand, these islands keep the spirit of mutual helping and the traditional cultures. From the data of 714 respondents (284 males and 430 females) , we analyzed the health states, the family situations and the social involvements. Almost 90 percent of the elderly reported that they were healthy. There was no difference in the self-rated health condition among these islands. The number of the single elderly people was higher in Setouchi Town and the number of the multigenerational households was higher in Ishigaki City. Although the percentage of the elderly who participate in community events was higher in the rural area of Setouchi Town and Taketomi Town than in the urban area of Amami City and Ishigaki City, the index of social interaction was lower in the rural area than in the urban area

奄美諸島と八重山諸島における地域住民の生活と福祉ニーズ : 奄美諸島と八重山諸島における一般成人調査より紐解く(2)

本研究は、奄美諸島と八重山諸島における、地域住民の生活と福祉ニーズを一般成人調査 より紐解こうとするものである。調査対象地として、島喚都市部からは奄美市と石垣市を、島喚集落 部としては瀬戸内町の加計呂麻島、請島、与路島と、竹富町からは西表島、鳩間島を選出した。両諸島とも相互扶助としての「結い」の精神の色濃く残る集落群であるが､鹿児島県と沖縄県の諸島では、集落の有り様に差異があることが明らかになった。本稿では食生活、保健・医療福祉サービス、地域の課題等についての分析結果を示す。飲酒に関しては、「毎日飲む」と答えた人は、都市部より、集落部において高かった。「生活習慣病に関する催しへの参加」では、「参加したことが無い」と回答した人は､都市部の方が高かった。地域で感じている問題点については、奄美市と瀬戸内町では「ハブ」の問題、集落部である瀬戸内町と竹富町では日常の買い物の不便があがっていた。総じて、集落部における地域問題の指摘が多かった。国や自治体に望む重点施策について、４地区とも「在宅介護のための、自宅を訪問するサービスの充実」を第１位にあげていた。The purpose of this study was to analyze the life styles and the social welfare needs of the adults who live on the Amami islands and the Yaeyama islands. The regions surveyed were the urban areas of Amami City and Ishigaki City, and the rural areas of the Kakeroma island, Uke island, Yoro island (Setouchi Town) and the rural areas of Iriomote island and Hatoma island (Taketomi Town). Both islands have kept the spirit of mutual helping and the traditional cultures. But it is clear that the conditions of the rural areas in Kagoshima Prefecture and Okinawa Prefecture are different. In this paper we report analyses of the eating habits, the evaluation of health-care services, welfare services, and other regional subjects. The number of the respondents who drink every day was larger in the rural areas of the island than in the urban areas. The number of people who participate in the events concerning life-style rerated diseases was larger in the urban areas. Regional issues in the Amami City and in the Setouchi Town were "habu", inconvenience of daily shopping in Setouchi Town and Taketomi Town, which are in the rural areas of the island. In general, there were many regional issues in the rural areas of the island. The four areas want the national and local governments to "improve the visiting service for homecare" in the first place

奄美諸島と八重山諸島における高齢者の生活と福祉ニーズ : 将来の生活の不安と生きがい感、食生活、保健医療・福祉サービス、地域の問題(2)

本研究の目的は、琉球弧の北に位世する鹿児島県の奄美諸励と南に位置する沖縄県の八重山諸島における島嘆地域の高齢者の生活の現状と福祉ニーズを把握することである。調査対象地は、奄美諸島の中心である奄美市(島嶼都市部)および瀬戸内町の加計呂麻島、請島、与路島(島嶼集落部)、八重山諸島の中心である石垣市(島嶼都市部)、竹富町西表島西部および鳩間島(島嶼集落部)であった。鹿児島県の場合、特に島嘆集落は過疎高齢化が進行し、集落機能の低下を余儀なくされている。沖細県の場合、鹿児島県ほどの過疎高齢化は進んでいない状況であるが、島嶼地域のもつ生活上の課題を共有している。いずれも、相互扶助の伝統等の地域文化あるいはその精神が残っているという共通点を持つ地域である。本稿では、前稿に引き続き、日常生活の不安と生きがい感､食生活､保健医療･福祉サービス、暮らし向きと地域の問題等についての分析結果とそのまとめを示す。将来の生活不安は島喚集落部の方が島嶼都市部よりも不安を感じる人が多かった。一方、生きがい感は、島嶼都市部の方が高かった。食生活では、栄養面のバランスを欠きやすい環境下にあった。保健医療では、島嶼集落部は医療サービスの地域格差への不満や問題が見られると同時に、健康に対するセルフケア意識の高さが伺えた。福祉サービスでは、島嶼集落部では天候や交通手段によるサービスの中止や困難性などが生じていた。暮らし向きと地域の問題では地域差はなく、共通して台風､交際費､老後の生活の不安があげられ、特に瀬戸内町で地域の問題を感じている人が多かった。The purpose of the study was to investigate the life styles and the social welfare needs of the　elderly who live on the Amami Islands and the Yaeyama Islands through a questionnaire survey. The regions surveyed were the urban area of the Amami Ohshima (Amami City) and the rural area of the Kakeroma Islands (Setouchi Town) in Kagoshima prefecture, and the urban area of Ishigaki Island (Ishigaki City) and the rural area of Iriomote Island and Hatoma Island (Taketomi Town) in Okinawa Prefecture. The people who dwell on these remote islands are usually under unfavorable conditions geographically and economically and the communities there are under functional decline due to depopulation and aging. On the other hand, these islands keep the spirit of mutual helping and the traditional cultures. In this paper we report analyses of the anxiety about future life, the feeling that life is worth living, the eating habits, the evaluation of health-care services and welfare services, the family finances, and other regional issues. The anxiety about future life was higher in the rural areas of the islands than in the urban areas. On the other hand, the feeling that life is worth living was higher in the urban areas of the islands than in the rural areas. Respondents were prone to eat poor-balanced meals. In the rural areas of the islands, while they expressed their dissatisfaction with regional gaps of health-care services, they showed high awareness of self-care about their own health. In the rural areas of the islands, welfare services at home were sometimes cancelled by bad weather or transportation trouble by sea. There was no difference in the family finances and regional issues between areas. Regional issues shared by all islands were the vulnerability to typhoons, high social expenses, and the anxiety about life in the future, and especially the elderly in the Setouchi Town listed more regional issues than those in other areas.area of the Kakeroma Islands (Setouchi Town) in Kagoshima prefecture, and the urban area of Ishigaki Island (Ishigaki City) and the rural area of Iriomote Island and Hatoma Island (Taketomi Town) in Okinawa Prefecture. The people who dwell on these remote islands are usually under unfavorable conditions geographically and economically and the communities there are underfunctional decline due to depopulation and aging. On the other hand, these islands keep the spirit of mutual helping and the traditional cultures.In this paper we report analyses of the anxiety about future life, the feeling that life is worth living, the eating habits, the evaluation of health-care services and welfare services, the family finances, and other regional issues. The anxiety about future life was higher in the rural areas ofthe islands than in the urban areas. On the other hand, the feeling that life is worth living was higher in the urban areas of the islands than in the rural areas. Respondents were prone to eat poor-balanced meals. In the rural areas of the islands, while they expressed their dissatisfaction with regional gaps of health-care services, they showed high awareness of self-care about their own health. In the rural areas of the islands, welfare services at home were sometimes cancelled by bad weather or transportation trouble by sea. There was no difference in the family finances and regional issues between areas. Regional issues shared by all islands were the vulnerability to typhoons, high social expenses, and the anxiety about life in the future, and especially the elderly in the Setouchi Town listed more regional issues than those in other areas