Current status and influencing factors of disability in the elderly in Heshan District, Hunan Province
LIU Yi1, YIN Zhao-xue2, ZHONG Bin3, ZHU Xiao-lei2, JIN Dong-hui1
1. Hunan Provincial Center for Disease Control and Prevention, Changsha, Hunan 410005, China; 2. Division of Non-communicable Disease and Geriatric Health Management, Chinese Center for Disease Control and Prevention, Beijing 102206, China; 3. Heshan District Center for Disease Control and Prevention, Yiyang, Hunan 413000, China
Abstract:Objective To investigate the status quo of activities of daily living and its influencing factors among the elderly aged above 65 years in Heshan District, Hunan Province, and to provide a theoretical basis for the formulation of intervention measures and service planning for elderly care. Methods Using the principle of multi-stage random sampling, we selected a total of 460 senior citizens aged above 65 years from 2 streets (villages) in Heshan District to conduct a questionnaire survey. Their basic activities of daily living (BADL) and instrumental activities of daily living (IADL) were evaluated. χ2 test was used to analyze the difference in the disability rates of the elderly with different characteristics. Multivariate logistic regression model was employed to analyze the factors influencing BADL and IADL disability in the elderly. Results The overall disability rates of BADL and IADL in the elderly aged above 65 years in Heshan District were 13.76% and 47.82%, respectively. The top 3 items in the BADL loss rate were bathing, dressing, and toilet use. As for IADL loss, the loss rate of taking public transportation was the highest (34.06%), followed by telephone use and food cooking. The results of multivariate analysis showed that older age was more likely to have BADL and IADL loss. Having no fall in one recent year (OR=0.429, 95%CI:0.182-1.010) and having no chronic diseases (OR=0.136,95%CI:0.056-0.332) were protective factors for the occurrence of BADL, while educational background of junior high school and above (OR=0.418,95%CI:0.217-0.806), having no fall in one recent year (OR=0.313, 95%CI:0.137-0.717) and having no chronic diseases (OR=0.250,95%CI:0.141-0.443) were protective factors for IADL disability. Conclusion The disability rate of the elderly aged above 65 years in Heshan District of Yiyang City, Hunan Province was high.Older age, fall and suffering from chronic diseases were risk factors for the occurrence of BADL loss. Older age, less-educated background, fall and suffering from chronic diseases were risk factors for IADL loss. It is necessary to carry out targeted interventions on activities of daily living of the elderly in this district.
刘意, 殷召雪, 钟彬, 朱晓磊, 金东辉. 湖南省赫山区老年人失能现况及影响因素分析[J]. 实用预防医学, 2022, 29(7): 792-795.
LIU Yi, YIN Zhao-xue, ZHONG Bin, ZHU Xiao-lei, JIN Dong-hui. Current status and influencing factors of disability in the elderly in Heshan District, Hunan Province. , 2022, 29(7): 792-795.