THE RELATIONSHIP OF VISUAL AND HEARING IMPAIRMENTS TO DISABILITY - AN ANALYSIS USING THE LONGITUDINAL-STUDY OF AGING
THE RELATIONSHIP OF VISUAL AND HEARING IMPAIRMENTS TO DISABILITY - AN ANALYSIS USING THE LONGITUDINAL-STUDY OF AGING
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DOI：
10.1093/geronj/48.6.m261
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发表时间：
1993-11-01
期刊：
影响因子：
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通讯作者：
CASSEL, CK
中科院分区：
文献类型：
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作者：
RUDBERG, MA;FURNER, SE;CASSEL, CK
背景资料。视力障碍和听力障碍与身体残疾的关系知之甚少。这项工作的目的是确定与没有这些残疾的人相比，70岁及以上有这些残疾的人在基本日常生活体力活动(ADL)中是否面临更高的残疾风险。我们使用了基线(1984)和1988年来自老龄化纵向研究的重访作为数据来源，这是一项具有全国代表性的调查，对象是70岁及以上的非住院老人。为了确定视力损害和听力损害与未来四年残疾的关系，我们使用了多变量建模，控制了人口统计学变量、选定的慢性病和基线残疾。有视力障碍的人比无视力障碍的人ADL障碍增加的可能性高1.37倍(95%CI：1.20-1.57)。听力障碍与ADL障碍的增加并不独立相关。视力损害本身是未来ADL残疾的一个独立危险因素。鉴于老年人口的不断增加，改善视力障碍的措施可能有助于将残疾人数量的增长降至最低。
Background. Little is known about the relationships of visual impairment and hearing impairments to physical disability. The purpose of this work is to determine if persons 70 years of age and over with these impairments are at risk for increased disability in basic physical activities of daily living (ADLs) compared to persons without these impairments.Methods. We used as our data source the baseline (1984) and the 1988 reinterview from the Longitudinal Study of Aging, a nationally representative survey of noninstitutionalized persons 70 years of age and older. To determine the relationships of visual impairment and hearing impairment to future four-year disability, we used multiple variable modeling, controlling for demographic variables, selected chronic conditions, and baseline disability.Results. Persons with visual impairment were 1.37 (95%CI: 1.20-1.57) times more likely to have increased disability in ADLs than those without visual impairment. Hearing impairment was not independently related to increased ADL disability.Conclusions. Visual impairment by itself is an independent risk factor for future ADL disability. In light of the enlarging older population, maneuvers to ameliorate visual impairment may help to minimize the increase in numbers of disabled persons.