Badley E M, Rothman L M, Wang P P
Arthritis Community Research and Evaluation Unit, Toronto Hospital, Ontario, Canada.
Arthritis Care Res. 1998 Oct;11(5):335-45. doi: 10.1002/art.1790110505.
To explore the relationship between disability and physical dependence handicap, and the mediating effect of personal (demographic) and environmental factors as modeled by the International Classification of Impairments, Disability, and Handicaps.
Data on people with arthritis-associated disabilities were abstracted from a national population survey (n = 16,017). A hierarchical physical dependence variable was formulated. Nominal logistical regression was used to determine predictors of physical dependence related to specific disability, personal characteristics, and environmental adaptation variables.
The risk of physical dependence only increased substantially at age > or = 75 years. Specific types of physical disability differentially predicted different levels of physical dependence. The major predictor of physical dependence was disability alone and in conjunction with environmental factors.
There appears to be a specific and ordered relationship between the level of physical dependence and various types of physical disabilities. The findings could have implications for therapeutic intervention and health status measures.
探讨残疾与身体依赖障碍之间的关系，以及由《国际损伤、残疾和障碍分类》所构建的个人（人口统计学）和环境因素的中介作用。
从一项全国性人口调查中提取有关患有关节炎相关残疾者的数据（n = 16,017）。制定了一个分层身体依赖变量。使用名义逻辑回归来确定与特定残疾、个人特征和环境适应变量相关的身体依赖预测因素。
身体依赖风险仅在年龄≥75岁时大幅增加。特定类型的身体残疾对不同程度的身体依赖有不同的预测作用。身体依赖的主要预测因素是残疾本身以及与环境因素相结合。
身体依赖程度与各种类型的身体残疾之间似乎存在特定且有序的关系。这些发现可能对治疗干预和健康状况测量有影响。
