Assessment of Disability among the Elderly in Xiamen of China: A Representative Sample Survey of 14,292 Older Adults.

Assessment of Disability among the Elderly in Xiamen of China: A Representative Sample Survey of 14,292 Older Adults.
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DOI:
10.1371/journal.pone.0131014
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发表时间:
2015
期刊:
影响因子:
3.7
通讯作者:
Hong YA
Hong YA
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Chen W;Fang Y;Mao F;Hao S;Chen J;Yuan M;Han Y;Hong YA

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中国史无前例的老年人数量对公共卫生构成了严峻的挑战。关于中国老年人的残疾患病率或导致残疾的因素的数据有限。本研究旨在评估厦门市老年人中国的残疾患病率及相关危险因素。对60岁的≥患者进行了一项横断面研究。研究对象采用多阶段抽样,共收回有效问卷14,292份。研究测量包括日常生活能力(ADL)、人口统计学和健康状况。采用Katz指数量表评定日常生活活动能力,评价残疾程度。卡方检验和二元Logistic回归用于识别与残疾相关的因素。在有效参与者中,4.27%的人至少有一项残疾。洗澡是最常见的残疾,而进食是最不常见的残疾。残疾与女性、高龄、未婚状态、与家人同住、城市居住、文盲、经济状况差、自评健康状况差、慢性病、生活满意度低、情绪不佳和孤独感显著相关。老年人的功能障碍需要更多的公众关注。还需要文化上适当的政策和方案来解决对失能老年人的护理问题。
The unprecedented number of elderly individuals in China presents a serious public health challenge. Limited data are available on the prevalence of disability or factors resulting in disability among the elderly in China. We aimed to assess the prevalence of disability and related risk factors among the elderly of Xiamen, China. A cross-sectional study was performed on individuals who were ≥60 years of age. The subjects were recruited by multi-stage sampling; a total of 14,292 valid questionnaires were received. Study measurements included activities of daily living (ADL), demographics, and health status. The ADL was assessed by the Katz Index Scale to evaluate disability. Chi-square tests and binary logistic regression were used to identify factors associated with disabilities. Among the valid participants, 4.27% had at least one disability. Bathing was the most frequently reported disability and feeding was the least frequently reported disability. Disabilities were significantly associated with female gender, older age, unmarried status, living with family, urban residence, illiteracy, poor economic status, self-rated bad health, chronic illnesses, lower life satisfaction, bad mood, and feelings of loneliness. Functional disability among the elderly requires more public attention. Culturally appropriate policies and programs are also needed to address the care for the disabled elderly.
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