The role of the built environment in the disablement process
The role of the built environment in the disablement process
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DOI：
10.2105/ajph.2004.054494
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发表时间：
2005-11-01
影响因子：
12.7
通讯作者：
George, LK
中科院分区：
文献类型：
--
作者：
Clarke, P;George, LK
失能过程模型解释了从健康状况到残疾的转变，并特别强调了加速或减缓病理与残疾之间途径的干预因素的作用。我们对来自北卡罗来纳州中部的老年人的数据进行了分层泊松回归分析，以检验建筑环境在下肢功能限制和日常生活活动之间的通路中作为调节因素的作用。我们发现，尽管老年人的身体功能下降，但当他们生活在土地利用多样性更强的环境中时，他们在工具活动方面的独立性更强。自我照顾活动的独立性受到住房密度的影响，部分是由于住房不合格和不充分的影响。
The Disablement Process model explicates the transition from health conditions to disability and specifically emphasizes the role of intervening factors that speed up or slow down the pathway between pathology and disability.We used hierarchical Poisson regression analyses with data on older adults from central North Carolina to examine the role of the built environment as a modifying factor in the pathway between lower extremity functional limitations and activities of daily living. We found that, despite declining physical function, older adults report greater independence in instrumental activities when they live in environments with more land-use diversity.Independence in self-care activities is modified by housing density, in part through the effect of substandard and inadequate housing.