Kabir Zarina Nahar, Tishelman Carol, Agüero-Torres Hedda, Chowdhury A M R, Winblad Bengt, Höjer Bengt
Department of Clinical Neuroscience, Occupational Therapy and Elderly Care Research, Division of Geriatric Epidemiology, Karolinska Institutet and Stockholm Gerontology Research Center, Box 6401, S-11382 Stockholm, Sweden.
Arch Gerontol Geriatr. 2003 Jul-Aug;37(1):77-91. doi: 10.1016/s0167-4943(03)00019-0.
The study aims to (i) describe regional variation and gender differences in health status of older people (60 years and older) in Bangladesh, indicated by self-reported health problems and functional ability; (ii) explore influence of socio-economic factors on health status of older people. In a cross-sectional study in rural and urban Bangladesh, 696 older persons were asked about their health problems and ability to manage activities of daily living (ADL). More than 95% of older people reported health problems. Approximately 80% of elderly women in both the regions reported having four or more health problems compared with 42% and 63% elderly men in the urban and rural regions, respectively. More women (urban: 55%; rural: 36%) than men (urban: 32%; rural: 22%) also reported difficulties with ADL. Irrespective of age, sex and area of residence, those reporting greater number of health problems were more likely to report difficulty with at least one ADL task. Reporting pattern of specific health problems varied between urban and rural regions. Socio-economic indicators were found to have little influence on reporting of health problems, particularly in the rural region. Observed regional difference may be related to the influence of social and environmental factors, and level of awareness concerning certain health conditions.
（i）通过自我报告的健康问题和功能能力描述孟加拉国老年人（60岁及以上）健康状况的地区差异和性别差异；（ii）探讨社会经济因素对老年人健康状况的影响。在孟加拉国农村和城市的一项横断面研究中，696名老年人被问及他们的健康问题以及进行日常生活活动（ADL）的能力。超过95%的老年人报告有健康问题。两个地区约80%的老年女性报告有四个或更多健康问题，而城市和农村地区分别有42%和63%的老年男性报告有四个或更多健康问题。报告在ADL方面有困难的女性（城市：55%；农村：36%）也多于男性（城市：32%；农村：22%）。无论年龄、性别和居住地区如何，报告健康问题较多的人更有可能报告至少一项ADL任务有困难。特定健康问题的报告模式在城市和农村地区有所不同。社会经济指标对健康问题报告的影响很小，尤其是在农村地区。观察到的地区差异可能与社会和环境因素的影响以及对某些健康状况的认识水平有关。
