Prevalence and correlates of functional disability in multiethnic elderly Singaporeans
Prevalence and correlates of functional disability in multiethnic elderly Singaporeans
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DOI：
10.1111/j.1532-5415.2005.00533.x
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发表时间：
2006-01-01
影响因子：
6.3
通讯作者：
Kua, EH
中科院分区：
文献类型：
--
作者：
Ng, TP;Niti, M;Kua, EH
目的：对晚年功能性残疾的患病率进行比较估计，检查社会人口学和健康相关因素，调查性别和种族差异，并估计可改变的危险因素的人口归因风险。设计：基于人口的调查。设定：新加坡多民族人口(300万居民)。部分：60岁及以上的非制度化华裔、马来人和印度人(N=1,079)测量：功能性残疾被定义为在Barthel指数的10个项目中至少需要一项基本日常生活活动(ADL)任务的帮助。用五项基本ADL(吃、洗、穿、转、如厕)与其他国家调查报告的ADL患病率和国内报告的ADL患病率进行比较。结果：五项ADL中至少有一项的残疾患病率(65岁人群中的6.6%)似乎低于包括中国在内的其他地方，但高于国内既往报告的患病率。在10个ADL项目中，至少有一个项目的功能障碍与女性、印度种族、年龄、自评健康状况差、特定的慢性病、认知障碍、感觉障碍和与他人生活有关。主要可改变因素的人群归因风险为关节炎(12%)和认知障碍(14%)。结论：新加坡伴随快速老龄化和健康转型的功能性残疾患病率低于其他国家，但高于该国过去报告的患病率。与社会人口和健康相关因素的关联与西方研究一致，包括无法解释的性别和种族差异。
OBJECTIVES: To make comparative estimates of prevalence of late-life functional disability, examine sociodemographic and health correlates, investigate sex and ethnic differences, and estimate population attributable risk of modifiable risk factors.DESIGN: Population-based survey.SETTING: Multiethnic population of Singapore (3 million residents).PARTICIPANTS: Noninstitutionalized Chinese, Malay, and Indian people aged 60 and older (N=1,079)MEASUREMENTS: Functional disability was defined as needing help in at least one basic activity of daily living (ADL) task in the 10 items of the Barthel Index. Five basic ADLs (eating, bathing, dressing, transferring, toileting) were used to compare prevalence with those reported from other national surveys and with reported past prevalence within the country.RESULTS: The prevalence of disability in at least one of five ADL items (6.6% in those aged >= 65) appeared lower than elsewhere, including China, but higher than reported past prevalence within the country. Functional disability on at least one of the 10 ADL items was independently associated with female sex, Indian ethnicity, older age, poor self-rated health, specific chronic diseases, cognitive impairment, sensory impairment, and living with others. The population attributable risks for leading modifiable factors were arthritis (12%) and cognitive impairment (14%).CONCLUSION: Lower prevalence of functional disability accompanies rapid aging and health transition in Singapore than in other countries but higher prevalence than reported past prevalence within the country. Associations with sociodemographic and health-related factors were consistent with Western studies, including unexplained sex and ethnic differences.