A cross-national study of quality of life factors associated with patterns of elderly disablement
A cross-national study of quality of life factors associated with patterns of elderly disablement
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DOI：
10.1016/0277-9536(95)00146-8
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发表时间：
1996-02-01
影响因子：
5.4
通讯作者：
Lamb, VL
中科院分区：
文献类型：
--
作者：
Lamb, VL
本研究分析了来自巴林、缅甸、朝鲜、埃及、印度尼西亚、约旦、斯里兰卡、泰国和突尼斯的非机构老年人的个人数据。成员等级多变量程序用于根据功能性残疾和抑郁项目确定残疾概况，并检查与这些概况相关的社会人口统计学和生活质量协变量。分析得出了六种残疾概况或类型：功能和情感健康、功能健康但有一些抑郁症状、一些力量问题、严重抑郁、行动问题和功能虚弱。健康的人更有可能是男性，而非常抑郁、体力受限和行动不便的人更有可能是女性。年龄和功能障碍之间有很强的正相关关系。然而，越抑郁的人往往是年龄更小的人，而且抑郁的人未婚的可能性更高。对生活质量协变量的检查表明，功能和情感限制通常与较低的生活质量相关。功能残疾和抑郁程度越高的人对健康的自我评价越负面，士气得分也越低。非常抑郁的人在可用亲属方面的工具性社会支持较少。此外，功能障碍和情感障碍的人对拜访家人和朋友的满意度较低。老年人残疾的具体国家模式表明可能出现残疾过渡，即随着国家变得更加发达，残疾老年人的流行率可能会增加。然而，这种趋势也有例外，这可能是由于文化因素和数据限制。
This study examines individual-level data of non-institutionalized elderly from Bahrain, Burma, DPR Korea, Egypt, Indonesia, Jordan, Sri Lanka, Thailand and Tunisia. The Grade of Membership multivariate procedure is used to determine profiles of disablement, based upon functional disability and depression items, and to examine socio-demographic and quality of life covariates associated with such profiles. The analysis yielded six profiles or types of disablement: functionally and emotionally healthy, functionally healthy with some depressive symptoms, some strength problems, severely depressed, mobility problems and functionally frail. The healthy profile had higher probabilities associated with males, whereas the very depressed, and those with physical strength limitations, and mobility problems were more likely to be female. There is a strong positive association between age and functional disabilities. The more depressed profiles, however, tended to be among the younger age categories, and the depressed had higher probabilities associated with being not married. The examination of quality of life covariates indicates that the functional and emotional limitations generally are correlated with a lower quality of life. The more functionally disabled and the depressed profiles had more negative self-assessments of health and lower morale scores. The very depressed had less instrumental social support in terms of available kin. Also, the functionally and emotionally disabled profiles expressed less satisfaction of visits with family and friends. Country-specific patterns of elderly disablement indicate a possible disability transition such that as countries become more developed there may be an increase in the prevalence of disabled elderly. However, there are exceptions to this trend, and these may be due to both cultural factors and data limitations.