Gender differences in functioning for older adults in rural Bangladesh. The impact of differential reporting?
Gender differences in functioning for older adults in rural Bangladesh. The impact of differential reporting?
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孟加拉国农村老年人功能的性别差异。
DOI：
10.1093/gerona/55.1.m28
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Liu,J
中科院分区：
文献类型：
--
作者：
Rahman,MO;Liu,J
背景：本研究的目的是研究孟加拉国农村老年人在自我报告的日常生活活动和观察到的身体表现方面的功能能力的性别差异，并评估性别差异报告在多大程度上导致了两种测量方法之间的差异。方法：1996年，Matlab健康和社会经济调查收集了孟加拉国农村地区1,893名年龄在50岁及以上的男性和女性自我报告的日常生活活动（adl）数据，并观察了他们的身体表现。在自我报告的adl和身体表现测量中检查了性别差异。以身体表现为金标准，采用逻辑回归来确定自我报告功能中的性别差异有多少是由控制年龄的身体表现能力来解释的。结果：在本研究人群中，老年女性在自我报告的adl和观察到的身体表现方面始终比男性有更多的局限性。然而，对于观察到的相同水平的身体表现，老年女性比男性更有可能报告更高水平的adl限制。根据所检查的adl的性质和用于adl的评分系统的类型，报告的女性健康劣势有很大的不同。结论：在解释自我报告的ADL限制的性别差异时，人们必须谨慎一些，因为它们受到报告活动的性别特异性和反应类别感知的性别差异的影响。
BACKGROUND: The purpose of this study is to examine gender differencesin functional ability among older adults in rural Bangladesh in terms ofboth self-reported activities of daily living and observed physicalperformance and to evaluate the extent to which differential reporting bygender contributes to disparities between the two measures. METHODS: In1996, the Matlab Health and Socio-Economic Survey collected data onself-reported activities of daily living (ADLs) and observed physicalperformance for 1,893 men and women aged 50 and older in the MatlabSurveillance area in rural Bangladesh. Gender differences were examined inboth self-reported ADLs and physical-performance measures. Withphysical-performance measures as the gold standard, logistic regression wasused to determine how much of the gender difference in the self- reportedfunction was explained by physical-performance ability controlling for age.RESULTS: Older women in this study population consistently had morelimitations than men in both self-reported ADLs and observed physicalperformance. For the same level of observed physical performance, however,older women were more likely than men were to report a higher level of ADLlimitation. This reported female health disadvantage varied considerablydepending on the nature of the ADLs being examined and the type of scoringsystem used for the ADLs. CONCLUSIONS: One has to be somewhat cautious ininterpreting gender differences in self-reported ADL limitations, as theyare affected by the gender-specific nature of the reported activity and bygender differences in the perception of response categories.
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