Fox P L
Disabil Rehabil. 1995 Jan;17(1):43-9. doi: 10.3109/09638289509166626.
This study was performed to (1) determine if the use of architectural modifications in the homes of the disabled elderly can reduce the level of disability; (2) determine the predictors of the use of architectural modifications; and (3) estimate the degree of need for environmental modifications. The degree of need was estimated using data from 8895 respondents (55 years and older) from the Canadian Health and Disability Survey (1983-84). A subgroup of 1520 respondents who needed architectural modifications was selected to predict: (1) the ability to perform instrumental activities of daily living (IADL) and (2) the use of architectural modifications. These data were analysed using multiple linear regression. Approximately 37.9% of the disabled elderly required at least one modification to their home. About 40% did not have the architectural modification that was needed. Income was found to be a predictor of the use of architectural modifications (p = 0.0273). Users of architectural modifications were more independent in IADL than non-users (p < 0.0312). In conclusion, there is a substantial need for environmental modifications in the homes of the disabled elderly. Furthermore, architectural modifications should be available at a low cost.
（1）确定在残疾老年人家庭中进行建筑改造是否能降低残疾程度；（2）确定建筑改造使用情况的预测因素；（3）估计环境改造的需求程度。使用来自加拿大健康与残疾调查（1983 - 84年）的8895名受访者（55岁及以上）的数据来估计需求程度。选取了1520名需要建筑改造的受访者子群体来预测：（1）进行日常生活工具性活动（IADL）的能力；（2）建筑改造的使用情况。使用多元线性回归分析这些数据。约37.9%的残疾老年人需要对其房屋进行至少一项改造。约40%的人没有所需的建筑改造。发现收入是建筑改造使用情况的一个预测因素（p = 0.0273）。建筑改造使用者在IADL方面比非使用者更独立（p < 0.0312）。总之，残疾老年人家庭对环境改造有很大需求。此外，建筑改造应以低成本提供。
