Prevalence and correlates of disability in a late middle-aged population of women.

Prevalence and correlates of disability in a late middle-aged population of women.
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DOI:
10.1177/0898264313488165
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发表时间:
2013-06
影响因子:
2.8
通讯作者:
Ylitalo KR
Ylitalo KR
中科院分区:
医学3区
文献类型:
--
作者:
Karvonen-Gutierrez CA;Ylitalo KR

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这项研究估计了中年妇女中残疾的患病率,并确定了这一人群中残疾的重要相关因素。在2011年随访时,使用世界卫生组织残疾评估量表对密歇根州全国妇女健康研究队列的376名参与者进行了残疾评估。使用逻辑回归模型将人口统计和健康指标与残疾状态相关(无或轻度残疾与中度、重度或极度残疾)。近25%的妇女报告中度至极度全球残疾。非裔美国人种族/民族、经济压力、周围神经病变和抑郁性神经病与总体残疾相关。肥胖、膝关节骨关节炎和高血压仅与活动领域(走动)的残疾相关。在这一中年妇女群体中,残疾发生率相对较高。预防或预防残疾的努力应扩大到包括中年人口,因为他们可能最容易接受干预。
This study estimates the prevalence of disability among late middle-aged women and identifies important correlates of disability among this population. Disability was assessed among 376 participants of the Michigan Study of Women’s Health Across the Nation cohort at the 2011 follow-up using the World Health Organization Disability Assessment Scale. Demographic and health measures were related to disability status using logistic regression models (none or mild vs. moderate, severe or extreme disability). Nearly 25% of women reported moderate to extreme global disability. African-American race/ethnicity, economic strain, peripheral neuropathy and depressive symptomatology was associated with global disability. Obesity, knee osteoarthritis and hypertension were only associated with disability for the mobility domain (getting around). The prevalence of disability is relatively high among this population of late middle-aged women. Efforts to prevent or forestall disability should be extended to include mid-aged populations as they may be most amenable to intervention.
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