Department of Public Health, University of Tartu, Tartu, Estonia.
Eur J Public Health. 2011 Feb;21(1):49-55. doi: 10.1093/eurpub/ckp239. Epub 2010 Feb 3.
Along with population ageing, limitations in activities of daily living constitute a rising health-related burden in demographically advanced countries. The present study aims to assess the prevalence of self-reported activity limitations derived from chronic conditions and social variation of limitations in the subgroups of the population aged 20-79 years in Estonia.
A cross-sectional study employs data from the second round of the Estonian Family and Fertility Survey, a national project in the framework of Gender and Generation Programme. The target population covers age groups of 20-79 years. A nationally representative probability sample was drawn from the 2000 population census. Face-to-face interviews (n = 7855) were conducted in 2004-05.
The estimated prevalence of activity limitations with chronic conditions is 18.5% (95% CI 17.6-19.4) and the prevalence of severe limitations is 10.6% (95% CI 9.9-11.3) among the population. The logistic regression model shows significant differences in activity limitations associated with age, educational attainment and marital status.
Judging from our results and the EU structural indicators on health, the prevalence of activity limitations derived from chronic conditions is comparatively high in Estonia. The measures to prevent activity limitations and disability should receive a higher priority in Estonia.
随着人口老龄化,日常生活活动的限制在人口老龄化国家构成了日益严重的健康相关负担。本研究旨在评估源自慢性病的自我报告活动受限的流行率,并评估人口年龄在 20-79 岁的各亚组人群中受限的社会差异。
一项横断面研究采用了爱沙尼亚家庭和生育调查第二轮的数据,该调查是性别与代际方案框架内的一项国家项目。目标人群涵盖 20-79 岁的年龄组。从 2000 年人口普查中抽取了具有全国代表性的概率样本。2004-05 年进行了面对面访谈(n=7855)。
估计患有慢性病的人群中活动受限的流行率为 18.5%(95%CI 17.6-19.4),严重受限的流行率为 10.6%(95%CI 9.9-11.3)。逻辑回归模型显示,与年龄、教育程度和婚姻状况相关的活动受限存在显著差异。
根据我们的结果和欧盟健康结构指标,爱沙尼亚源自慢性病的活动受限的流行率相对较高。应在爱沙尼亚优先采取措施预防活动受限和残疾。