Homebound status increases death risk within two years in the elderly: Results from a national longitudinal survey
Homebound status increases death risk within two years in the elderly: Results from a national longitudinal survey
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DOI：
10.1016/j.archger.2012.10.006
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发表时间：
2013-01-01
影响因子：
4
通讯作者：
Ankri, Joel
中科院分区：
文献类型：
--
作者：
Herr, Marie;Latouche, Aurelien;Ankri, Joel
居家状态与较差的身心健康以及老年人的残疾有关。我们的目的是在法国非机构人口的代表性样本中检查患病率和回家状态对死亡率的作用。这项研究包括7497名65岁及以上的人，他们在1999年和2001年接受了关于健康问题对日常生活活动的影响的采访。居家状态被定义为永久呆在家里，不包括意外事故或暂时生病。在对主要混杂因素（年龄、性别、夫妻生活、身体和精神障碍）进行调整后的逻辑回归模型中，评估了居家状态对两年死亡率的影响。在本研究中，居家状态的患病率为4.7% （95% CI: 3.9-5.4）。据估计，法国有42.1万名居家老人。居家状态的患病率随着年龄的增长而增加，在95-99岁的人群中达到33.9% （95% CI: 13.1-54.6）。与非居家老人相比，居家老人更有可能是女性、鳏夫、独居以及以前从事过低级别的工作。居家状态与许多身体和精神损伤有关。它增加了两年内死亡的风险，调整后OR为3.45 （95% CI: 2.66-4.46）。应将居家状态视为虚弱的一项指标，并用于确定可能受益于预防性干预措施的老年人。2012爱思唯尔爱尔兰有限公司版权所有。
Homebound status is associated with poorer physical and mental health, as well as disability in the elderly. We aimed to examine the prevalence and the role of homebound status on mortality in a representative sample of the French non-institutionalized population. This study included 7497 people aged 65 and over who were interviewed in 1999 and 2001 about the consequences of health problems on activities of daily living. Homebound status was defined as staying permanently inside the home, excluding an accident or a temporary illness. The influence of the homebound status on two-year mortality was assessed in a logistic regression model adjusted for the main confounders (age, sex, living as a couple, physical and mental impairments). The prevalence of homebound status was 4.7% (95% CI: 3.9-5.4) in this study. The number of homebound elderly was estimated at 421 000 in France. The prevalence of homebound status increases with age and reaches 33.9% in people aged 95-99 years (95% CI: 13.1-54.6). Compared to non-homebound subjects, homebound elderly were more likely to be female, widower, to live alone and to have had a former low level job. Homebound status was associated with a number of physical and mental impairments. It increased the risk of dying within two years with an adjusted OR 3.45 (95% CI: 2.66-4.46). Homebound status should be considered as an indicator of frailty and used in the identification of old people likely to benefit from preventive interventions. (C) 2012 Elsevier Ireland Ltd. All rights reserved.