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中国广西某县老年人的残疾及其影响因素。

Disability and Its Influencing Factors among the Elderly in a County, Guangxi Province, China.

机构信息

Department of Occupational and Environmental Health, School of Public Health, Guangxi Medical University, Shuangyong Road No.22, Nanning 530021, China.

Department of Occupational and Environmental Health, Faculty of Public Health, Dali University, Dali 671000, China.

出版信息

Int J Environ Res Public Health. 2018 Sep 9;15(9):1967. doi: 10.3390/ijerph15091967.

Abstract

: This study aims to understand the disability status of the elderly residents of a County (Guangxi Province, China) and explore its influencing factors. : Respondents consisted of 2300 elderly people aged 60 and above from three townships in the county we studied. The Activities of Daily Living (ADL) Scale was used to assess the disability of the elderly sample. Chi-square test was applied to compare the disability rate among the elderly with different demographic characteristics. The graph showed the disability rates of ADL, six items of Physical Activities of Daily Living (PADL) and eight items of Instrumental Activities of Daily Living (IADL) at different ages. Binary logistic regression was used to analyze the influencing factors of disability rate among the elderly. : The disability rates of ADL, PADL, and IADL in the elderly were 43.4%, 11.6%, and 42.4%, respectively. As with the increase in age, the disability rates of ADL, IADL, PADL, and their 14 items gradually increased ( < 0.05), with walking, using the telephone, and using public vehicles having higher disability rates than other items. The influencing factors of ADL disability were gender (OR = 0.579, 95%CI = 0.441⁻0.759), age (OR = 2.270, 95%CI = 1.867⁻2.759; OR = 4.719, 95%CI = 2.998⁻7.429; OR = 6.249, 95%CI = 3.667⁻10.648), educational level (OR = 2.844, 95%CI = 2.076⁻3.897; OR = 1.677, 95%CI = 1.246⁻2.230), and having metabolic syndrome (MetS) (OR = 1.298, 95%CI = 1.044⁻1.613). Compared with ADL, the influencing factor of PADL disability was gender, whereas that of IADL disability was whether someone had MetS. : With age, the possibility of ADL, PADL, and IADL damage in the elderly is higher. Gender, age, educational level, the number of chronic diseases, and whether someone has MetS might be the influencing factors of disability. Interventions should be taken from a variety of sources specific to the content of each entry.

摘要

本研究旨在了解中国广西某县(区)老年居民的残疾状况,并探讨其影响因素。

调查对象为该县三个乡镇的 2300 名 60 岁及以上的老年人。采用日常生活活动量表(ADL)评估老年人的残疾状况。采用卡方检验比较不同人口统计学特征老年人的残疾率。图显示了不同年龄的 ADL、六项日常生活活动(PADL)和八项工具性日常生活活动(IADL)的残疾率。采用二项逻辑回归分析老年人残疾率的影响因素。

结果显示,老年人 ADL、PADL 和 IADL 的残疾率分别为 43.4%、11.6%和 42.4%。随着年龄的增长,ADL、IADL、PADL 及其 14 项的残疾率逐渐升高(<0.05),步行、使用电话和使用公共交通工具的残疾率高于其他项目。ADL 残疾的影响因素为性别(OR=0.579,95%CI=0.441⁻0.759)、年龄(OR=2.270,95%CI=1.867⁻2.759;OR=4.719,95%CI=2.998⁻7.429;OR=6.249,95%CI=3.667⁻10.648)、文化程度(OR=2.844,95%CI=2.076⁻3.897;OR=1.677,95%CI=1.246⁻2.230)和代谢综合征(MetS)(OR=1.298,95%CI=1.044⁻1.613)。与 ADL 相比,PADL 残疾的影响因素为性别,而 IADL 残疾的影响因素为是否患有 MetS。

随着年龄的增长,老年人发生 ADL、PADL 和 IADL 损伤的可能性更高。性别、年龄、文化程度、患慢性病的数量以及是否患有 MetS 可能是残疾的影响因素。应根据每个条目的具体内容,从多种来源采取干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f0/6163965/ea2213a5a257/ijerph-15-01967-g001.jpg

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