Disability and Its Influencing Factors among the Elderly in a County, Guangxi Province, China.
Disability and Its Influencing Factors among the Elderly in a County, Guangxi Province, China.
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广西省某县老年人失能状况及其影响因素
DOI：
10.3390/ijerph15091967
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发表时间：
2018-09-09
影响因子：
--
通讯作者：
Zhang Z
中科院分区：
文献类型：
--
作者：
Chen S;Qin J;Li Y;Wei Y;Long B;Cai J;Tang J;Xu X;Yu G;Zhang Z
目的：本研究旨在了解广西某县老年居民的失能状况，并探讨其影响因素。方法：调查了该县3个乡镇2300名60岁以上的老年人。采用日常生活活动能力（ADL）量表评定老年人的残疾程度。采用卡方检验比较不同人口学特征老年人的残疾率。图表显示了不同年龄段的日常生活活动能力（ADL）、日常生活活动能力（PADL）6项和日常生活工具能力（IADL）8项的残疾率。采用二元Logistic回归分析老年人残疾率的影响因素。结果：老年人ADL、PADL和IADL的失能率分别为43.4%、11.6%和42.4%。随着年龄的增长，ADL、IADL、PADL及其14个项目的残疾率逐渐增高（p < 0.05），其中步行、使用电话和使用公共交通工具的残疾率最高。ADL残疾的影响因素为性别（OR = 0.579，95%CI = 0.441-0.759），年龄（OR = 2.270，95%CI = 1.867-2.759; OR = 4.719，95%CI = 2.998-7.429; OR = 6.249，95%CI = 3.667-10.648），文化程度（OR = 2.844，95%CI = 2.076-3.897; OR = 1.677，95%CI = 1.246-2.230）;代谢综合征（MetS）（OR = 1.298，95%CI = 1.044-1.613）。与ADL相比，PADL残疾的影响因素为性别，而IADL残疾的影响因素为是否患有MetS。结论：随着年龄的增长，老年人ADL、PADL和IADL受损的可能性更高。性别、年龄、文化程度、慢性病史、是否患有代谢综合征可能是残疾的影响因素。应针对每个条目的内容从各种来源采取干预措施。
Objectives: This study aims to understand the disability status of the elderly residents of a County (Guangxi Province, China) and explore its influencing factors. Methods: Respondents consisted of 2300 elderly people aged 60 and above from three townships in the county we studied. The Activities of Daily Living (ADL) Scale was used to assess the disability of the elderly sample. Chi-square test was applied to compare the disability rate among the elderly with different demographic characteristics. The graph showed the disability rates of ADL, six items of Physical Activities of Daily Living (PADL) and eight items of Instrumental Activities of Daily Living (IADL) at different ages. Binary logistic regression was used to analyze the influencing factors of disability rate among the elderly. Results: The disability rates of ADL, PADL, and IADL in the elderly were 43.4%, 11.6%, and 42.4%, respectively. As with the increase in age, the disability rates of ADL, IADL, PADL, and their 14 items gradually increased (p < 0.05), with walking, using the telephone, and using public vehicles having higher disability rates than other items. The influencing factors of ADL disability were gender (OR = 0.579, 95%CI = 0.441–0.759), age (OR = 2.270, 95%CI = 1.867–2.759; OR = 4.719, 95%CI = 2.998–7.429; OR = 6.249, 95%CI = 3.667–10.648), educational level (OR = 2.844, 95%CI = 2.076–3.897; OR = 1.677, 95%CI = 1.246–2.230), and having metabolic syndrome (MetS) (OR = 1.298, 95%CI = 1.044–1.613). Compared with ADL, the influencing factor of PADL disability was gender, whereas that of IADL disability was whether someone had MetS. Conclusions: With age, the possibility of ADL, PADL, and IADL damage in the elderly is higher. Gender, age, educational level, the number of chronic diseases, and whether someone has MetS might be the influencing factors of disability. Interventions should be taken from a variety of sources specific to the content of each entry.
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影响因子：
3.7
作者：
Chen W;Fang Y;Mao F;Hao S;Chen J;Yuan M;Han Y;Hong YA
通讯作者：
Hong YA
影响因子：
2.1
作者：
Hodgkin, Suzanne P.;Warburton, Jeni;Hancock, Shaun
通讯作者：
Hancock, Shaun
影响因子：
39.2
作者：
Brown RT;Diaz-Ramirez LG;Boscardin WJ;Lee SJ;Steinman MA
通讯作者：
Steinman MA
影响因子：
5.8
作者：
Lee, J. S. W.;Auyeung, T. -W.;Woo, J.
通讯作者：
Woo, J.
DOI：
10.1111/j.1532-5415.1997.tb00986.x
发表时间：
1997-01-01
影响因子：
6.3
作者：
Fried, LP;Guralnik, JM
通讯作者：
Guralnik, JM