Abdulraheem I S, Oladipo A R, Amodu M O
Department of Epidemiology and Community Health, College of Medicine, University of Ilorin, 240001 Ilorin, Nigeria.
J Aging Res. 2011;2011:369894. doi: 10.4061/2011/369894. Epub 2011 Jun 16.
Background. The number of people surviving into old age is increasing, and it has now become a global phenomenon. Studies on the prevalence and correlates of physical disability and functional limitation among elderly Nigerians are scanty. Methodology. This is a community-based cross-sectional study conducted in 3 local government areas (LGAs) in Nigeria, using a multistage sampling technique. Functional limitations of 1824 elderly persons were tested using Tinetti performance-oriented mobility assessment tool (TPOMAT) and self-reported activities of daily living (ADL). ADL disability of ten, six, and five basic items were compared. Results. The prevalence ratios (PRs) of physical disability using the ten, six, and five basic ADL items were 28.3 (95% CI 25.2-31. 5), 15.7 (95% CI 13.4-19.8), and 12.1 (95% CI 9.8-15.3), respectively, while functional limitation was 22.5 (95% CI 18.1-24.4). Increased risk of disability was independently associated with female gender PR 3.6 (95% CI 1.5-7.4), advanced age ≥75 years; PR 22.2 (95% CI 14.5, 36.8), arthritis PR 3.7 (95% CI 2.6-4.6), stroke PR 4.8 (95% CI 3.7-7.9) and diabetes PR 6.1 (95% CI 4.3-7.1). Conclusions. The findings from this study are pointers to unmet needs of the elderly disabled Nigerians.
背景。活到老年的人数正在增加，这现已成为一种全球现象。关于尼日利亚老年人身体残疾和功能受限的患病率及其相关因素的研究很少。方法。这是一项在尼日利亚3个地方政府辖区采用多阶段抽样技术进行的基于社区的横断面研究。使用Tinetti以性能为导向的移动性评估工具（TPOMAT）和自我报告的日常生活活动（ADL）对1824名老年人的功能受限情况进行了测试。比较了10项、6项和5项基本日常生活活动项目的ADL残疾情况。结果。使用10项、6项和5项基本ADL项目得出的身体残疾患病率分别为28.3（95%置信区间25.2 - 31.5）、15.7（95%置信区间13.4 - 19.8）和12.1（95%置信区间9.8 - 15.3），而功能受限率为22.5（95%置信区间18.1 - 24.4）。残疾风险增加与女性性别（患病率比值3.6，95%置信区间1.5 - 7.4）、高龄（≥75岁；患病率比值22.2，95%置信区间14.5 - 36.8）、关节炎（患病率比值3.7，95%置信区间2.6 - 4.6）、中风（患病率比值4.8，95%置信区间3.7 - 7.9）和糖尿病（患病率比值6.1，95%置信区间4.3 - 7.1）独立相关。结论。本研究结果表明尼日利亚残疾老年人存在未得到满足的需求。
