Center for the Study of Aging and Human Development, Box 3003, Duke University Medical Center, Durham, NC 27710, USA.
J Aging Health. 2010 Apr;22(3):362-83. doi: 10.1177/0898264309359307. Epub 2010 Feb 10.
Information on dependency level of elderly in rapidly aging developing countries is limited, but this is needed to ascertain the extent of need for help with activities of daily living (ADLs).
In-person information was obtained in 1995 from a statewide survey of representative community residents >/=60 years of age in the state of Rio Grande do Sul, Brazil (N = 7,040), on demographic characteristics, health conditions, social ties, health behaviors, and ADL performance.
Nearly 40% needed help with one or more ADLs. In controlled analyses, need for help approximately doubled with each succeeding decade. Increased education and income and regular physical activity reduced risk. Selected health conditions (stroke, depression, poor self-rated health) were consistently associated with need for help.
A large proportion of noninstitutionalized elderly have ADL problems. In addition to health care, interventions promoting equity of access to education and economic opportunity could reduce ADL dependency in coming generations.
有关快速老龄化发展中国家老年人依赖程度的信息有限，但这是确定日常生活活动（ADL）帮助需求程度所必需的。
1995 年，在巴西南里奥格兰德州对全州代表性社区 60 岁及以上居民（N=7040）进行了一项全州范围的调查，获取了有关人口统计学特征、健康状况、社会关系、健康行为和 ADL 表现的信息。
近 40%的人需要帮助才能完成一项或多项 ADL。在控制分析中，每增加十年，需要帮助的人数几乎翻了一番。较高的教育和收入水平以及定期的体育锻炼降低了风险。一些健康状况（中风、抑郁、自我健康评估差）与需要帮助始终相关。
很大一部分非住院老年人存在 ADL 问题。除了医疗保健，促进教育和经济机会公平获取的干预措施可以减少未来几代人的 ADL 依赖。
