Department of Epidemiology and Biostatistics, Dongguan Key Laboratory of Environmental Medicine, School of Public Health, Guangdong Medical University, Dongguan, China.
Da Lang Community Health Service Center, Dongguan, China.
BMC Geriatr. 2018 Jul 6;18(1):158. doi: 10.1186/s12877-018-0852-x.
No previous study has evaluated disability in older persons according to the International Classification of Functioning, Disability and Health Framework guidelines. We conducted a more comprehensive investigation of disability and associated factors among older adults receiving home-based care in rural Dongguan, a city in the central Guangdong Province of Southern China.
A total of 819 individuals aged ≥60 years were recruited from Dongguan home-based care system of via a two-stage selection process. We interviewed participants and assessed their ability level using the Ability Assessment for Older Adults, which defined by a combination of activity of daily living, sensory perception, mental status and social involvement. Conditional probability and Logistic regression approaches were used to assess the strength of association between each pair of conditions. Factors significantly associated with disability were identified via χ tests and multinomial ordinal logistic regression.
Of the 819 included participants (mean age 87 ±4.7 years), 75.5% were female, 76.7% had any disability, and 62.3% had a mild disability. The occurrence of any deficits significantly increased the likelihood of the co-occurrence of other deficits (odds ratio [OR] > 1, P < 0.05), with the lowest prevalence odds ratio observed among individuals with sensory and communication deficiency (OR: 2.99; 95% confidence interval [CI]: 2.21-4.05). Multivariable ordinal logistic regression analysis indicated that physical activity (OR: 0.96; 95% CI: 0.93-0.99), sedentary behavior (OR: 1.25; 95% CI: 1.13-1.38), not watching television (OR: 1.7; 95% CI: 1.07-2.72) and age (OR: 1.09; 95% CI: 1.02-1.17) were significantly associated with disability.
Impairment of ADL, sensory perception, mental status or social involvement increased the likelihood of risk of the co-occurrence of other deficits. Comprehensive disability among older adults receiving home-based care is associated with age, sedentariness, physical activity and TV viewing.
以前没有研究根据国际功能、残疾和健康分类框架指南评估老年人的残疾情况。我们对中国南部广东省中部城市东莞的居家养老老年人进行了更全面的残疾和相关因素调查。
采用两阶段抽样法，从东莞居家养老系统中招募了 819 名年龄≥60 岁的个体。我们通过日常生活活动、感觉知觉、精神状态和社会参与相结合的方式对参与者进行了访谈和能力评估。使用条件概率和 Logistic 回归方法评估每对条件之间关联的强度。通过 χ 检验和多项有序逻辑回归识别与残疾显著相关的因素。
在纳入的 819 名参与者中（平均年龄 87 ±4.7 岁），75.5%为女性，76.7%有任何残疾，62.3%有轻度残疾。任何缺陷的发生显著增加了其他缺陷同时发生的可能性（优势比[OR]＞1，P＜0.05），在感觉和沟通缺陷个体中观察到的最低患病率优势比（OR：2.99；95%置信区间[CI]：2.21-4.05）。多变量有序逻辑回归分析表明，体育活动（OR：0.96；95% CI：0.93-0.99）、久坐行为（OR：1.25；95% CI：1.13-1.38）、不看电视（OR：1.7；95% CI：1.07-2.72）和年龄（OR：1.09；95% CI：1.02-1.17）与残疾显著相关。
日常生活活动、感觉知觉、精神状态或社会参与的损伤增加了其他损伤同时发生的风险。接受居家养老的老年人的综合残疾与年龄、久坐行为、体育活动和看电视有关。
