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老年人持续参与上门送餐计划。

Continuance of elderly on home-delivered meals programs.

作者信息

Frongillo E A, Williamson D F, Roe D A, Scholes J E

出版信息

Am J Public Health. 1987 Sep;77(9):1176-9. doi: 10.2105/ajph.77.9.1176.

DOI:10.2105/ajph.77.9.1176
PMID:3618848
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1647007/
Abstract

Data from 2,002 elderly receiving home-delivered meals in 23 counties of New York State in 1984-85 were analyzed using a baseline survey and a six-month follow-up survey. Survival analysis estimated that 37.4 per cent of the clients left the program by the follow-up. The initial drop-out rate was estimated to be 14.2 per cent per month; by six months the rate fell to 3.3 per cent. Whites left the program at a rate 2.6 times (95% CI = 1.9, 3.8) that of minorities. Recent discharge from hospital was associated with the highest relative probability of program discontinuance (2.7, 95% CI = 2.2, 3.4), followed by having cancer (2.1, 95% CI = 1.6, 2.8), and having a non-hip fracture (2.0, 95% CI = 1.3, 2.9). Many of those with cancer died, while those recently discharged and those with non-hip fractures were more likely to leave the program because they were again able to cook for themselves.

摘要

1984年至1985年期间,对纽约州23个县2002名接受上门送餐服务的老年人的数据进行了分析,采用了基线调查和为期六个月的随访调查。生存分析估计,到随访时,37.4%的客户退出了该项目。最初的退出率估计为每月14.2%;到六个月时,该比率降至3.3%。白人退出该项目的比率是少数族裔的2.6倍(95%置信区间 = 1.9, 3.8)。近期出院与项目终止的相对概率最高相关(2.7, 95%置信区间 = 2.2, 3.4),其次是患有癌症(2.1, 95%置信区间 = 1.6, 2.8),以及发生非髋部骨折(2.0, 95%置信区间 = 1.3, 2.9)。许多患有癌症的人去世了,而近期出院的人和患有非髋部骨折的人更有可能退出该项目,因为他们又能够自己做饭了。

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引用本文的文献

1
Does Participation in Home-Delivered Meals Programs Improve Outcomes for Older Adults? Results of a Systematic Review.参与上门送餐计划能否改善老年人的状况?一项系统评价的结果
J Nutr Gerontol Geriatr. 2015;34(2):124-67. doi: 10.1080/21551197.2015.1038463.
2
Development of the New York State Nutrition Surveillance Program.纽约州营养监测项目的发展
Public Health Rep. 1993 Mar-Apr;108(2):230-40.
3
Home-delivered meals programs for the elderly: distribution of services in New York State.针对老年人的上门送餐服务项目:纽约州的服务分布情况
Am J Public Health. 1993 Jul;83(7):1034-6. doi: 10.2105/ajph.83.7.1034.