Liu M, Wang J H, Yang S S, Yao Y, Wang S S, He Y
Department of Epidemiology, Institute of Geriatrics, Chinese People's Liberation Army General Hospital, Beijing 100853, China; Beijing Key Laboratory of Research on Aging and Related Diseases, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Department of Epidemiology, Institute of Geriatrics, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Mar 10;39(3):268-272. doi: 10.3760/cma.j.issn.0254-6450.2018.03.004.
To evaluate the activities of daily living (ADL) and related factors in community elderly people in urban and rural areas of Beijing. A population-based cross-sectional study was conducted in Haidian and Miyun districts of Beijing using two-stage random cluster sampling method between 2011 and 2014. A total of 4 499 community elderly people (1 815 males, 2 684 females) aged 60-95 years were included in the study. The mean age was (70.3±6.7) years. Compared with the participants from urban area, the participants from rural area had lower education level (85.2% had education level primary school), but higher level of smoking (22.8%) and drinking (43.1%). The ADL disability rate was higher in rural area than in urban area (12.4. 11.8%, =0.039). And it increased significantly with age (<0.05). Multivariate logistic regression showed besides urban-rural difference (=0.031), age (=0.013), education level (=0.015), physical activity (=0.001) and stroke (<0.001) were related factors influencing ADL disability. The ADL disability was relatively low in the community elderly people in Beijing, and there was significant difference between rural area and urban area. Older age, lower education level and physical inactivity and stroke were related factors.
评估北京城乡社区老年人的日常生活活动（ADL）及相关因素。2011年至2014年期间，采用两阶段随机整群抽样方法，在北京海淀区和密云区开展了一项基于人群的横断面研究。共纳入4499名年龄在60 - 95岁的社区老年人（男性1815名，女性2684名）。平均年龄为（70.3±6.7）岁。与城区参与者相比，农村参与者教育水平较低（85.2%为小学文化程度），但吸烟率（22.8%）和饮酒率（43.1%）较高。农村地区的ADL残疾率高于城区（12.4%对11.8%，P = 0.039）。且随年龄增长显著增加（P<0.05）。多因素logistic回归显示，除城乡差异（P = 0.031）外，年龄（P = 0.013）、教育水平（P = 0.015）、体力活动（P = 0.001）和中风（P<0.001）是影响ADL残疾的相关因素。北京社区老年人的ADL残疾率相对较低，城乡之间存在显著差异。高龄、低教育水平、缺乏体力活动和中风是相关因素。
