{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:32:59Z","timestamp":1747193579543,"version":"3.40.5"},"reference-count":21,"publisher":"S. Karger AG","issue":"10","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gerontology"],"published-print":{"date-parts":[[2022]]},"abstract":"<b><i>Background:<\/i><\/b> Evidence for what diseases occur more commonly in older people from a poor residential environment (PRE) is limited. <b><i>Objective:<\/i><\/b> We investigated characteristics, especially the underlying reason (disease) for visiting an emergency department (ED), of older people from a PRE in ED settings. <b><i>Methods:<\/i><\/b> A cross-sectional study was conducted on people aged \u226565 years who presented to the EDs of 2 hospitals in Okinawa, Japan, between 2015 and 2019. PRE cases were identified by searching relevant words, such as a house overflowing with garbage from hoarding or housing squalor (<i>gomi-yashiki<\/i> in Japanese), in electric medical records. Controls (2 controls per case) were randomly selected from those without a PRE, with both living at home and matching each PRE case for age and sex. Characteristics of interest between cases and controls were compared using a \u03c7<sup>2<\/sup> test. <b><i>Results:<\/i><\/b> PRE cases (<i>n<\/i> = 67), compared with controls (<i>n<\/i> = 134), were more often transported by ambulance (79.1% vs. 61.9%; <i>p<\/i> = 0.01). A family member or relative (43.4%) or professional supporter (20.8%) called an ambulance for most PRE cases. PRE cases were more likely to visit the ED due to injury\/fracture (16.4% vs. 8.2%), rhabdomyolysis (11.9% vs. 1.5%), undernutrition\/dehydration (10.4% vs. 1.5%), and cancer (9.0% vs. 5.2%) than controls (<i>p<\/i> &#x3c; 0.001). PRE cases had a higher prevalence of being underweight (35.4% vs. 14.9%), dementia (41.8% vs. 16.4%), decubitus ulcer (29.9% vs. 8.2%), living alone (73.1% vs. 23.1%), and receiving public welfare assistance (35.8% vs. 9.0%) than controls (all <i>p<\/i> \u2264 0.001). <b><i>Conclusion:<\/i><\/b> In EDs, older people from a PRE exhibited certain diseases and characteristics. <\/jats:p>","DOI":"10.1159\/000520809","type":"journal-article","created":{"date-parts":[[2022,1,10]],"date-time":"2022-01-10T22:00:34Z","timestamp":1641852034000},"page":"1111-1120","source":"Crossref","is-referenced-by-count":0,"title":["Characteristics of Older People from a Poor Residential Environment in Okinawa, Japan: An Emergency Department-Based Cross-Sectional Study"],"prefix":"10.1159","volume":"68","author":[{"given":"Ayako","family":"Takaesu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiko","family":"Hanashiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8141-7614","authenticated-orcid":false,"given":"Koshi","family":"Nakamura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2022,1,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.18773\/austprescr.2021.020"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S103359"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2013.01.028"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2013.814105"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1159\/000243164"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1109"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2017.04.021"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3985\/mcwmr.28.194"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1253\/circj.66.987"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1038\/s41440-019-0284-9"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s13340-018-0345-3"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13280"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2011.02.008"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.159.10.1724"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2019.02.002"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.2190\/AG.78.2.b"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1590\/1516-4446-2020-0846"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1159\/000334256"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13140"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.10m06380"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2020.1821168"}],"container-title":["Gerontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/520809","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/520809","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:33:06Z","timestamp":1745422386000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000520809"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":21,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,10,3]]},"published-print":{"date-parts":[[2022,10,4]]}},"URL":"https:\/\/doi.org\/10.1159\/000520809","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.18096029","asserted-by":"subject"}]},"ISSN":["0304-324X","1423-0003"],"issn-type":[{"type":"print","value":"0304-324X"},{"type":"electronic","value":"1423-0003"}],"subject":[],"published":{"date-parts":[[2022]]}}}