Department of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 157, 221 00 Lund, Sweden.
Parkinsons Dis. 2013;2013:710839. doi: 10.1155/2013/710839. Epub 2013 Mar 26.
Objectives. To explore whether aspects of housing and health among very old people with self-reported Parkinson's disease (PD) differ from matched controls. Methods. Data from the ENABLE-AGE Survey Study were used to identify people with self-reported PD (n = 20) and three matched controls/individual (n = 60). The matching criteria were age (mean = 82 years), sex, country, and type of housing. The analyses targeted problems in activities of daily living, objective and perceived aspects of housing, for example, number of environmental barriers, accessibility (i.e., person-environment fit), and usability. Results. The number of physical environmental barriers did not differ (P = 0.727) between the samples. The PD sample had more (P < 0.001) accessibility problems than controls and perceived their homes as less (P = 0.003) usable in relation to activities. They were less independent and had more functional limitations (median 5 versus 2; P < 0.001), and 70% experienced loss of stamina or poor balance. Conclusions. Due to the fact that they have more functional limitations than very old people in general, those with self-reported PD live in housing with more accessibility problems. This explorative study has implications for rehabilitation as well as societal planning, but larger studies including people with a confirmed PD diagnosis are needed.
目的。探讨自我报告患有帕金森病（PD）的非常老年人的住房和健康状况是否与匹配对照存在差异。
方法。使用ENABLE-AGE 调查研究的数据，确定自我报告患有 PD（n=20）的人群和 3 名匹配对照/个体（n=60）。匹配标准为年龄（平均值=82 岁）、性别、国家和住房类型。分析的目标是日常生活活动方面的问题、住房的客观和主观方面，例如环境障碍的数量、可达性（即人与环境的匹配）和可用性。
结果。物理环境障碍的数量在样本之间没有差异（P=0.727）。PD 样本的可达性问题比对照组更多（P<0.001），并且他们认为自己的家在与活动相关的方面更难使用（P=0.003）。他们的独立性较差，功能限制更多（中位数 5 比 2；P<0.001），70%的人出现体力不支或平衡不良。
结论。由于他们的功能限制比一般非常老年人更多，因此自我报告患有 PD 的人居住在可达性问题更多的住房中。这项探索性研究对康复以及社会规划具有重要意义，但需要更大规模的研究，包括确诊的 PD 患者。
