Díaz-Venegas Carlos, Samper-Ternent Rafael, Wong Rebeca
Monterrey, Nuevo Leon, Mexico.
Department of Management, Policy and Community Health, School of Public Health, the University of Texas Health Science Center in Houston, Houston, Texas, USA.
Innov Aging. 2023 Jan 9;7(1):igac081. doi: 10.1093/geroni/igac081. eCollection 2023.
Many older adults face physical limitations to performing activities of daily life (ADLs) and instrumental activities of daily life (IADLs) and seek help performing them. In Mexico, family caregivers, especially spouses and adult children, traditionally take care of older adults. However, a detailed characterization of the care received has not been thoroughly provided. We sought to identify socioeconomic, demographic, and health-related differences in receiving help among older adults reporting physical limitations.
Using the 2012 wave of the Mexican Health and Aging Study, we provided information on adults aged 60 and older who reported one or more physical limitations and whether they received help or not. We estimated 2 logistic regression models to obtain the odds ratios (ORs) of receiving help among individuals with an ADL limitation and those with an IADL limitation.
Adults with ADL limitations received, on average, approximately 10.7 hr of assistance per day, whereas those with at least 1 IADL limitation received around 7.7 hr of help per day. Women were more likely to receive help with ADLs than men (OR = 2.35). Individuals with chronic conditions such as hypertension, diabetes, and arthritis also received more help with both ADLs and IADLs.
Our work suggests that help received does respond to the care needs of older adults, but future research should focus on the burden of care for caregivers and expand this analysis using a longitudinal data approach.
许多老年人在进行日常生活活动（ADL）和工具性日常生活活动（IADL）时面临身体限制，并在进行这些活动时寻求帮助。在墨西哥，家庭照顾者，尤其是配偶和成年子女，传统上负责照顾老年人。然而，尚未充分提供所接受照顾的详细特征描述。我们试图确定报告有身体限制的老年人在接受帮助方面的社会经济、人口统计学和健康相关差异。
利用2012年墨西哥健康与老龄化研究的数据，我们提供了60岁及以上报告有一项或多项身体限制以及他们是否接受帮助的成年人的信息。我们估计了两个逻辑回归模型，以获得ADL受限个体和IADL受限个体接受帮助的优势比（OR）。
ADL受限的成年人平均每天接受约10.7小时的帮助，而至少有一项IADL受限的成年人每天接受约7.7小时的帮助。女性在ADL方面比男性更有可能获得帮助（OR = 2.35）。患有高血压、糖尿病和关节炎等慢性病的个体在ADL和IADL方面也获得了更多帮助。
我们的研究表明，所接受的帮助确实符合老年人的护理需求，但未来的研究应关注照顾者的护理负担，并使用纵向数据方法扩展这一分析。
