Charité-Universitätsmedizin Berlin, Germany.
Universitätsklinikum Tübingen, Baden-Württemberg, Germany.
J Aging Health. 2020 Jun/Jul;32(5-6):352-360. doi: 10.1177/0898264318822364. Epub 2019 Jan 18.
Rising life expectancy in Western societies is accompanied by a rising incidence of care dependency (CD) among older people. The aim of the study was to examine which health-related and social determinants were associated with CD. We used cross-sectional data from the first follow-up ( = 1,699) of a prospective, population-based cohort study of older participants (≥70 years). CD was assessed if participants required substantial assistance in at least two activities of daily living for 90+ minutes daily. Multivariate logistic regressions were applied. Participants' mean age was 82 years; 18.9% were care-dependent. CD was significantly associated with older age, urinary incontinence, stroke, falls, cancer, diabetes, education level, having no partner, limited mobility, and limited physical activity. Our research highlights the importance of promoting mobility, even in care-dependent people. Further research should investigate the role of partnership in terms of the prevention and delay of CD.
在西方社会,预期寿命的上升伴随着老年人对护理的依赖(CD)的发生率上升。本研究的目的是探讨哪些与健康相关的和社会决定因素与 CD 相关。我们使用了一项前瞻性、基于人群的老年参与者(≥70 岁)队列研究的第一次随访(n=1699)的横断面数据。如果参与者每天需要至少 90 分钟的大量帮助才能完成至少两项日常生活活动,则评估其是否存在 CD。我们应用了多变量逻辑回归。参与者的平均年龄为 82 岁,18.9%的人需要护理。CD 与年龄较大、尿失禁、中风、跌倒、癌症、糖尿病、教育程度、没有伴侣、行动不便和体力活动受限显著相关。我们的研究强调了促进流动性的重要性,即使在依赖护理的人群中也是如此。进一步的研究应该调查伙伴关系在预防和延迟 CD 方面的作用。