Factors related to a sense of security with medical and long‐term care services among community‐dwelling middle‐aged and older adults in Japan

Aim The aim of this study was to identify factors related to a sense of security with regard to medical and long‐term care services among middle‐aged and older adults. These are for consideration of strategies for the establishment of a community‐based integrated care system. Methods A cross‐sectional survey was conducted in 2400 men and women aged ≥40 years in two cities. Survey items included a scale for sense of security for medical and long‐term care, experience of medical and long‐term care services, and social and demographic factors. Data were analyzed using univariate and multiple regression analyses. Results In total, 945 respondents were included in the analysis. In multiple regression analysis, sense of security was significantly higher with ability to consult with medical professionals on medical and long‐term care, availability of emotional and instrumental support, norm of reciprocity in the community, community attachment, economic comfort, higher age and male gender, and significantly lower with experience of bereavement at a hospital and depression. Conclusions These findings stress the importance of facilitating consultation with medical professionals, support for caregivers of terminally ill patients, and mutual support in the community in a community‐based integrated care system. Geriatr Gerontol Int 2022; 22: 568–574.