[Study on dilemma and strategy of community support network by community organization for prevention of isolated death in an urban area].

Objectives: Isolated death of elderly is recognized as a severe social problem in public health and it is an urgent requirement that a supportive community network be organized so that its occurrence is minimized. The purpose of this research was to analyze actual issues of a supportive community network for elderly within the community and to obtain clues for useful actions to prevent isolated death of elderly individuals in the future.

Methods: The subjects were 14 representatives of a supportive community network for elderly in A City, B Ward and C District (as a junior high school segment). The research was conducted with a qualitative inductively approach using the Focus Group Interview (FGI). Interviews were focused on difficulties and perspectives within their daily support activities in the community, and were held three times during October 2009 to March 2010. The FGI records were then analyzed with meaningful minimal words and sentences, categorized codes, and then those codes were classified into subcategories or categories.

Results: Three categories, Individual, Neighborhood and Community network for elderly resulted from the analysis. Regarding difficulties, "Refusing supports or indifference", "Isolation or Tojikomori in the youth generation", "Lack of family support", "Relationships among their residents weakening gradually", "Unfamiliar newcomers and residents", "Residence feels burden on association with neighborhood", "Limitation of support activities under personal security", "Lack of resources for persons and places of gathering" were identified. On the other hand, perspectives in the community network for elderly were "Building relationships personally", "Invitation to community meetings as companions", "Development of safety confirmation", "Helping each other in the neighborhood", "Stimulate enforcement of bonding in daily life", "Making arrangements for regional administration and residents for supportive activites", "Fostering the trust and connection of residence".

Conclusion: To further promotion and effective activities for community network for elderly by community residents, it is necessary that information be exchanged among resident organizations regarding their activities in achievement of social cooperation.