老年人健康指标和功能独立性的现状：来自国际助老会-约旦研究的数据。
The current status of health care indices and functional independence among older adults: data from HelpAge international-jordan study.
机构信息
Division of Urology, Department of Special Surgery, Jordan University Hospital, The University of Jordan, Amman, 11942, Jordan.
Center of strategic studies, The University of Jordan, Amman, Jordan.
出版信息
Aging Clin Exp Res. 2024 May 30;36(1):124. doi: 10.1007/s40520-024-02738-2.
BACKGROUND
Health services should anticipate the changing pattern of illnesses associated with population aging to promote healthy aging.
AIM
We aimed to evaluate health indices and chronic illnesses and their relationship with functional independence in community Syrian refugees & Jordanian elderly.
METHODS
A stratified sample of 1,718 community older adults aged ≥ 60-year-old from four major Jordanian governorates was interviewed in this cross-sectional study. Katz Index of Independence in Activities of Daily Living was utilized to assess functional status. Data were analyzed using STATA 15.
RESULTS
Despite the similarities in baseline function, Syrian refugees had more multimorbidities but less active health insurance, accessibility to healthcare services and availability of medications and medical devices than Jordanians. Two-thirds had multimorbidities; with heart diseases, musculoskeletal conditions, hypertension, and diabetes being the most commonly reported chronic illnesses. Females had significantly more multimorbidities, and functional dependence, yet less education, income and accessibility to healthcare services. The mean Katz Index score was 4.99 ± 1.61. Significant predictors of functional dependence included increasing age, lower level of education, and some chronic illnesses.
CONCLUSION
National inclusive plans to support vulnerable older adults especially refugees and older women, provide health insurance, enhance access to health care facilities, and manage chronic medical illnesses comprehensively are urgently needed to improve independence of community-living older adults and to promote healthy aging.
背景
卫生服务机构应预测与人口老龄化相关的疾病模式变化，以促进健康老龄化。
目的
我们旨在评估健康指标和慢性病及其与社区叙利亚难民和约旦老年人群体功能独立性的关系。
方法
本横断面研究对来自约旦四个主要省份的 1718 名社区≥60 岁的老年人进行分层抽样调查。采用 Katz 日常生活活动独立性指数评估功能状态。使用 STATA 15 分析数据。
结果
尽管基线功能相似，但与约旦人相比，叙利亚难民的多病种情况更多，但积极参加健康保险、获得医疗保健服务、获得药物和医疗设备的机会更少。三分之二的人有多病种情况；心脏病、肌肉骨骼疾病、高血压和糖尿病是最常见的慢性病。女性的多病种情况、功能依赖性显著更高，但教育程度、收入和获得医疗保健服务的机会较少。Katz 指数平均得分为 4.99±1.61。功能依赖性的显著预测因素包括年龄增长、教育程度降低和一些慢性病。
结论
迫切需要制定国家包容性计划，以支持弱势老年人，特别是难民和老年妇女，提供健康保险，增强获得医疗保健设施的机会，并全面管理慢性医疗疾病，以提高社区生活老年人的独立性并促进健康老龄化。
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