Gender differences in physical disability among an elderly cohort
Gender differences in physical disability among an elderly cohort
复制标题
DOI：
10.2105/ajph.94.8.1406
复制
发表时间：
2004-08-01
影响因子：
12.7
通讯作者：
Hubert, HB
中科院分区：
文献类型：
--
作者：
Murtagh, KN;Hubert, HB
目标。我们分析了社会人口学因素、慢性病危险因素和健康状况在解释老年人残疾性别差异中的作用。我们比较了1348名男性和女性(平均年龄=79岁)的总体残疾情况，并比较了他们特定的日常生活活动、日常生活工具性活动(IADL)和行动受限。对可能的解释因素进行调整的协方差分析。妇女更有可能报告受限、使用援助和更严重的残疾，特别是在IADL类别中。然而，这些性别差异在很大程度上是由残疾相关健康状况的差异解释的。与男性相比，非致命性残疾疾病，包括骨折、骨质疏松症、背部问题、骨关节炎和抑郁症的更普遍，在很大程度上导致老年女性的残疾程度更高，生活质量下降。
Objectives. We analyzed the role of sociodemographic factors, chronic-disease risk factors, and health conditions in explaining gender differences in disability among senior citizens.Methods. We compared 1348 men and women (mean age = 79 years) on overall disability and compared their specific activities of daily living, instrumental activities of daily living (IADL), and mobility limitations. Analysis of covariance adjusted for possible explanatory factors.Results. Women were more likely to report limitations, use of assistance, and a greater degree of disability, particularly among IADL categories. However, these gender differences were largely explained by differences in disability-related health conditions.Conclusions. Greater prevalence of nonfatal disabling conditions, including fractures, osteoporosis, back problems, osteoarthritis and depression, contributes substantially to greater disability and diminished quality of life among aging women compared with men.