斯里兰卡凯格勒地区农村社区居住的老年人群中衰弱的流行情况：一项基于人群的横断面研究。
Prevalence of frailty in rural community-dwelling older adults in Kegalle district of Sri Lanka: a population-based cross-sectional study.
机构信息
Research Department of Primary Care and Population Health, University College London, London, UK.
Department of Disability Studies, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
出版信息
BMJ Open. 2019 Jan 25;9(1):e026314. doi: 10.1136/bmjopen-2018-026314.
OBJECTIVE
Our main objective was to describe the prevalence and associated sociodemographic factors of frailty and pre-frailty in rural community-dwelling older adults in Kegalle district of Sri Lanka.
DESIGN
Community-based cross-sectional study.
SETTING
The study was conducted in rural areas of Kegalle district in Sri Lanka.
PARTICIPANTS
A total of 746 community-dwelling older adults aged ≥60 years were included in the study.
RESULTS
The prevalence of frailty and pre-frailty in rural Kegalle district was 15.2% (95% CI 12.3% to 18.6%) and 48.5% (95% CI 43.8% to 53.2%), respectively. We found a strong association between age and both frailty and pre-frailty. There were strong associations between longest-held occupation and frailty and education level and pre-frailty.
CONCLUSIONS
The prevalence of frailty in this rural Sri Lankan older population was high compared with high-income and upper middle-income countries. The profile of health and social care services in Sri Lanka needs to address frailty and its consequences.
目的
本研究旨在描述斯里兰卡凯格勒区农村社区老年人虚弱和衰弱前期的流行情况及其与社会人口学因素的相关性。
设计
基于社区的横断面研究。
地点
本研究在斯里兰卡凯格勒区的农村地区进行。
参与者
共纳入 746 名年龄≥60 岁的社区居住老年人。
结果
农村凯格勒区虚弱和衰弱前期的患病率分别为 15.2%（95%CI 12.3%至 18.6%）和 48.5%（95%CI 43.8%至 53.2%）。我们发现年龄与虚弱和衰弱前期之间存在很强的关联。最长持有的职业与虚弱以及教育水平与衰弱前期之间存在很强的关联。
结论
与高收入和中上收入国家相比，本研究中斯里兰卡农村老年人群体的虚弱患病率较高。斯里兰卡的卫生和社会保健服务模式需要解决虚弱及其后果问题。
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