Gender and rural-urban differences in reported health status by older people in Bangladesh
Gender and rural-urban differences in reported health status by older people in Bangladesh
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DOI：
10.1016/s0167-4943(03)00019-0
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发表时间：
2003-07-01
影响因子：
4
通讯作者：
Höjer, B
中科院分区：
文献类型：
--
作者：
Kabir, ZN;Tishelman, C;Höjer, B
这项研究旨在(I)描述孟加拉国老年人(60岁及以上)健康状况的区域差异和性别差异，以自我报告的健康问题和功能能力为标志；(Ii)探讨社会经济因素对老年人健康状况的影响。在孟加拉国农村和城市的一项横断面研究中，696名老年人被问及他们的健康问题和管理日常生活活动的能力。超过95%的老年人报告健康问题。在这两个地区，大约80%的老年妇女报告有四个或四个以上的健康问题，而城市和农村地区的老年男子分别为42%和63%。也有更多的女性(城市：55%；农村：36%)比男性(城市：32%；农村：22%)报告有ADL困难。无论年龄、性别和居住地区，那些报告更多数量的健康问题的人更有可能报告在至少一项ADL任务中遇到困难。具体健康问题的报告模式在城市和农村之间存在差异。社会经济指标对健康问题的报告几乎没有影响，特别是在农村地区。观察到的地区差异可能与社会和环境因素的影响以及对某些健康状况的认识水平有关。(C)2003爱思唯尔爱尔兰科学有限公司。保留所有权利。
The study aims to (i) describe regional variation and gender differences in health status of older people (60 years and older) in Bangladesh, indicated by self-reported health problems and functional ability; (ii) explore influence of socio-economic factors on health status of older people. In a cross-sectional study in rural and urban Bangladesh, 696 older persons were asked about their health problems and ability to manage activities of daily living (ADL). More than 95% of older people reported health problems. Approximately 80% of elderly women in both the regions reported having four or more health problems compared with 42% and 63% elderly men in the urban and rural regions, respectively. More women (urban: 55%; rural: 36%) than men (urban: 32%; rural: 22%) also reported difficulties with ADL. Irrespective of age, sex and area of residence, those reporting greater number of health problems were more likely to report difficulty with at least one ADL task. Reporting pattern of specific health problems varied between urban and rural regions. Socio-economic indicators were found to have little influence on reporting of health problems, particularly in the rural region. Observed regional difference may be related to the influence of social and environmental factors, and level of awareness concerning certain health conditions. (C) 2003 Elsevier Science Ireland Ltd. All rights reserved.