日常生活活动受限与体格检查在我国有非正式照护的老年人群中的应用：性别和居住状况是否存在差异？

Activities of daily living limitations and the use of physical examination among older adults with informal care in China: do gender and residence make differences?

机构信息

Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, 44 Wen-hua-xi Road, 250012, Jinan, Shandong, China.

Shandong Health Commission Medical Management Service Center, 250012, Jinan, China.

出版信息

BMC Geriatr. 2024 Jan 23;24(1):87. doi: 10.1186/s12877-024-04673-3.

DOI:10.1186/s12877-024-04673-3

PMID:38262963

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10807140/

Abstract

BACKGROUND

This study investigated the relationship between activities of daily living (ADL) limitations and the use of physical examination among older adults receiving informal care, and to further examine whether this relationship varies by gender and urban-rural areas.

METHODS

The data in this study were obtained from the sixth Health Service of Shandong province, China. In total, 8,358 older adults aged 60 years or older who received informal care were included in the analysis. Binary logistic regression models were conducted to explore the association between ADL limitations and the use of physical examination and examine the differences between gender and urban-rural areas.

RESULTS

The prevalence of limitations in ADL and physical examination utilization rate among older adults receiving informal care in Shandong Province were 14.12% and 72.31%, respectively. After adjusting for confounders, ADL limitations were negatively correlated with the utilization of physical examination services among older adults receiving informal care (OR = 0.74, 95% CI: 0.64, 0.87, P < 0.001), and there were gender and rural-urban differences. The association between ADL limitations and the use of physical examination was statistically significant in older women receiving informal care (OR = 0.65, 95% CI: 0.53, 0.80, P < 0.001). And only among urban older adults receiving informal care, those with ADL limitations had lower utilization of physical examination services than participants without ADL limitations (OR = 0.59, 95% CI: 0.47, 0.74, P < 0.001).

CONCLUSIONS

Our study suggested that the relationship between ADL limitations and the use of physical examination among older adults receiving informal care differed by gender and urban-rural areas in Shandong, China. These findings implied that the government should provide more health resources and personalized physical examination service programs, especially to meet the differential needs of women and urban old adults receiving informal care, to contribute to the implementation of healthy aging strategies.

摘要

背景

本研究调查了日常生活活动（ADL）受限与接受非正式照护的老年人进行体检之间的关系，并进一步探讨了这种关系是否因性别和城乡地区而异。

方法

本研究数据来自中国山东省第六次卫生服务调查。共纳入 8358 名 60 岁及以上接受非正式照护的老年人。采用二项逻辑回归模型探讨 ADL 受限与体检利用之间的关系，并检验性别和城乡地区之间的差异。

结果

山东省接受非正式照护的老年人 ADL 受限和体检利用率的患病率分别为 14.12%和 72.31%。调整混杂因素后，ADL 受限与接受非正式照护的老年人体检服务利用呈负相关（OR=0.74，95%CI：0.64，0.87，P<0.001），且存在性别和城乡差异。在接受非正式照护的老年女性中，ADL 受限与体检利用之间的关联具有统计学意义（OR=0.65，95%CI：0.53，0.80，P<0.001）。仅在城市接受非正式照护的老年人中，ADL 受限者的体检利用率低于无 ADL 受限者（OR=0.59，95%CI：0.47，0.74，P<0.001）。