Resolving inconsistencies in trends in old-age disability: Report from a technical working group

Resolving inconsistencies in trends in old-age disability: Report from a technical working group
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DOI:
10.1353/dem.2004.0022
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发表时间:
2004-08-01
期刊:
影响因子:
3.5
通讯作者:
Waidmann, T
Waidmann, T
中科院分区:
法学1区
文献类型:
--
作者:
Freedman, VA;Crimmins, E;Waidmann, T

文献摘要

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2002年9月,一个技术工作组举行了会议,以解决以前公布的关于老年人口活动受限趋势的全国性调查的不一致问题。12人小组根据五个国家数据集编制了估计数,并调查了1980年代初至2001年70岁及以上人口不一致的方法来源。虽然20世纪80年代的证据好坏参半,而且很难确定20世纪90年代的下降何时开始,但在20世纪90年代中期和后期,该小组发现残疾文献中两种常用的措施每年持续下降1%-2.5%:日常活动困难和日常活动帮助。第三项措施的证据参差不齐:在日常活动中使用帮助或设备。该小组还发现,各项调查一致认为,在只使用设备(而不是个人护理)洗澡的老年人比例增加的同时,获得帮助洗澡的老年人比例下降了。在比较各次调查的结果时,小组发现,需要考虑的重要因素包括:时期、残疾的定义、机构人口的待遇以及结果的年龄标准化。政策,国家调查工作,并进一步研究的结果的影响进行了讨论。
In September 2002, a technical working group met to resolve previously published inconsistencies across national surveys in trends in activity limitations among the older population. The 12 person panel prepared estimates from five national data sets and investigated methodological sources of the inconsistencies among the population aged 70 and older from the early 1980s to 2001. Although the evidence was mixed for the 1980s and it is difficult to pinpoint when in the 1990s the decline began, during the mid- and late 1990s, the panel found consistent declines on the order of 1%-2.5% per year for two commonly used measures in the disability literature: difficulty with daily activities and help with daily activities. Mixed evidence was found for a third measure: the use of help or equipment with daily activities. The panel also found agreement across surveys that the proportion of older persons who receive help with bathing has declined at the same time as the proportion who use only equipment (but not personal care) to bathe has increased. In comparing findings across surveys, the panel found that the period, definition of disability, treatment of the institutionalized population, and age standardizing of results were important to consider. The implications of the findings for policy, national survey efforts, and further research are discussed.