Schure Marc B, Conte Kathleen P, Goins R Turner
Health Services Research and Development, VA Puget Sound Health Care System, Seattle, Washington.
School of Social and Behavioral Health Sciences, Oregon State University, Corvallis.
Gerontologist. 2015 Dec;55(6):920-8. doi: 10.1093/geront/gnt211. Epub 2014 Jan 22.
We examined the prevalence and correlates of unmet assistance need with respect to activities of daily living (ADLs) and instrumental activities of daily living (IADLs) among older American Indians.
Data for our analyses were collected in 2006-2008 as part of the Native Elder Care Study, a cross-sectional study of community-dwelling American Indians aged ≥55 years. In-person interviewer-administered surveys were used to collect data on demographic characteristics, physical functioning, mental and physical health, personal assistance needs, and psychosocial resources.
Among those with an assistance need, 47.8% reported an unmet need with one or more ADLs or IADLs. Significant adjusted correlates of unmet assistance need included greater number of ADL and IADL difficulties and lower levels of social support.
Initiatives and programs aimed at increasing social support and augmenting informal care networks can support efforts to meet American Indian adults' personal assistance needs.
我们研究了美国印第安老年人在日常生活活动（ADL）和工具性日常生活活动（IADL）方面未得到满足的援助需求的患病率及其相关因素。
我们分析的数据于2006 - 2008年收集，作为美国原住民老年护理研究的一部分，这是一项对年龄≥55岁的社区居住美国印第安人的横断面研究。通过面对面访谈由访员管理的调查问卷来收集有关人口统计学特征、身体功能、心理和身体健康、个人援助需求以及社会心理资源的数据。
在有援助需求的人群中，47.8%报告在一项或多项ADL或IADL方面存在未得到满足的需求。未得到满足的援助需求的显著校正相关因素包括更多的ADL和IADL困难以及更低水平的社会支持。
旨在增加社会支持和扩大非正式护理网络的倡议和项目可以支持满足美国印第安成年人个人援助需求的努力。
