Nagarkar Aarti, Gadkari Rashmi, Kulkarni Snehal
Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, Maharashtra, India.
J Midlife Health. 2020 Jul-Sep;11(3):144-148. doi: 10.4103/jmh.JMH_79_19. Epub 2020 Sep 29.
The present article aims to determine the correlates of functional limitation in middle-aged men (45-59 years age) in the slums of Pune, India.
A total of 553 community-dwelling middle-aged men were randomly selected from the study area. Data on demographic characteristics, health-related conditions, and social and psychological determinants of health were collected using a pretested, structured questionnaire. Functional ability was assessed using the Pune-Functional Ability Assessment Tool. Univariate analyses and bivariate logistic regression analyses were carried out to examine the associations between various correlates and functional limitations.
A total of 55.2% of the respondents displayed functional limitations. Univariate analysis identified significant correlates of functional limitations, which were increasing age, nature of the occupation, presence of chronic diseases, self-reported aches and pains, vision problems, previous hospital admission, and stress. Binary logistic regression displayed the higher odds of having functional decline in men with age above 55 years (odds ratio [OR] = 2.592; 95% confidence interval [CI] = 1.597-4.207), unskilled occupation (OR = 1.681; 95% CI = 1.050-2.692), chronic disease (OR = 2.608; 95% CI = 1.553-4.378), and reporting aches and pains (OR = 6.605; 95% CI = 3.732-11.689) as compared to their counterparts.
This study has identified the magnitude of functional decline and its risk factors for midlife men. These study findings suggest that men having several risk factors should be monitored to protect against accelerated functional loss. These findings are important because functional decline has implications on older adult's health and disease conditions. A better understanding of these factors will help to develop health promotion interventions for men in midlife.
本文旨在确定印度浦那贫民窟中年男性（45 - 59岁）功能受限的相关因素。
从研究区域随机选取553名居住在社区的中年男性。使用经过预测试的结构化问卷收集有关人口统计学特征、健康相关状况以及健康的社会和心理决定因素的数据。使用浦那功能能力评估工具评估功能能力。进行单因素分析和双因素逻辑回归分析，以检验各种相关因素与功能受限之间的关联。
共有55.2%的受访者存在功能受限。单因素分析确定了功能受限的显著相关因素，包括年龄增长、职业性质、慢性病的存在、自我报告的疼痛、视力问题、既往住院史和压力。二元逻辑回归显示，55岁以上男性（优势比[OR]=2.592；95%置信区间[CI]=1.597 - 4.207）、非熟练职业（OR = 1.681；95% CI = 1.050 - 2.692）、慢性病（OR = 2.608；95% CI = 1.553 - 4.378）以及报告有疼痛（OR = 6.605；95% CI = 3.732 - 11.689）的男性相比其同龄人，功能下降的几率更高。
本研究确定了中年男性功能下降的程度及其风险因素。这些研究结果表明，应对有多种风险因素的男性进行监测，以防止功能加速丧失。这些发现很重要，因为功能下降会影响老年人的健康和疾病状况。更好地了解这些因素将有助于为中年男性制定健康促进干预措施。
