Clark D O, Stump T E, Wolinsky F D
Indiana University, USA.
J Aging Health. 1997 Feb;9(1):28-42. doi: 10.1177/089826439700900102.
Activity of daily living (ADL) and instrumental ADL (IADL) data from the 1989 National Long-Term Care Survey (NLTCS) are used to replicate two domains of functional status with a total of five dimensions among them. LISREL analysis of the 14,415 Black and White older adults obtained from the 1989 NLTCS screen replicates three ADL disability dimensions (basic, household, and advanced) with few modifications, except among Black males. Similarly, analysis of the 4,297 Black and White disabled older adults replicates five functional status dimensions (3 ADL disability dimensions plus lower- and upper-body functional limitation dimensions) with few modifications, except among Black males. These results suggest that improved understanding of functional status will occur from studies that take into consideration the differences between functional limitation and ADL disability. The results also indicate that further research on the validity of functional reports among Black males is needed.
来自1989年全国长期护理调查（NLTCS）的日常生活活动（ADL）和工具性ADL（IADL）数据被用于复制功能状态的两个领域，其中共有五个维度。对从1989年NLTCS筛查中获得的14415名黑人和白人老年人进行的LISREL分析，几乎没有修改就复制了三个ADL残疾维度（基本、家务和高级），黑人男性除外。同样，对4297名黑人和白人残疾老年人的分析几乎没有修改就复制了五个功能状态维度（3个ADL残疾维度加上上下身功能限制维度），黑人男性除外。这些结果表明，考虑到功能限制和ADL残疾之间的差异的研究将有助于更好地理解功能状态。结果还表明，需要进一步研究黑人男性功能报告的有效性。
