Survey on Disability in Different Elderly Populations in Sichuan Province_West China Medical Journal

Authors：

 JIANGJiao-jiao ¹ , LUOLi ² ,  YANGMing ² , HAOQiu-kui ² , DONGBi-rong ² , DINGXiang ² , PUHong-shan ²

1. Rehabilitation Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YANGMing, Email: yangmier@126.com

Keywords：

Disability; Elderly people; Function assessment

DOI：

10.7507/1002-0179.20150312

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Objective To compare the disability conditions in different elderly populations in Sichuan province in order to get baseline data for further analyses in the future. Method From October 2011 to August 2012, face-to-face interviews were performed by trained investigators in different elderly populations from urban communities, rural communities, acute care wards and rehabilitation wards. The main content of the investigation was the Elderly Disability Assessment Scale (EDAS). Results Totally, 1406 subjects were interviewed, among which, 1387 subjects completed the questionnaires. The response rate was 98.7%. The mean age of the participants was (73.8±8.2) years old. Elderly people dwelling in rural areas had a highest disability rate (81.4%), while the correspondent rate in subjects in acute care wards, rehabilitation wards, and urban community were 79.2%, 64.5%, and 53.8%, respectively (P<0.001). In each population, the disability rate increased with age. In the whole sample, most disabled subjects were of mild disability (80.5%). However, those in acute care wards or rehabilitation wards were more likely to have severe or profound disability. Conclusions The disability rate and the severity of disability increase with age in different elderly populations in Sichuan province, although most of them are of mild disability. The disability rate is conspicuously higher in the elderly dwelling in rural areas.

Citation： JIANGJiao-jiao, LUOLi, YANGMing, HAOQiu-kui, DONGBi-rong, DINGXiang, PUHong-shan. Survey on Disability in Different Elderly Populations in Sichuan Province. West China Medical Journal, 2015, 30(6): 1087-1091. doi: 10.7507/1002-0179.20150312 Copy

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1. Kampfea CM, Wadsworth JS, Mamboleoa GI, et al. Aging, disability, and employment[J]. Work, 2008, 31(3):337-344.
2. Laditka SB, Jenkins CL. Difficulty or dependency? Effects of measurement scales on disability prevalence among older Americans[J]. J Health Soc Policy, 2001, 13(3):1-15.
3. Pérès K, Helmer C, Letenneur L, et al. Ten-year change in disability prevalence and related factors in two generations of French elderly community dwellers:data from the PAQUID study[J]. Aging Clin Exp Res, 2005, 17(3):229-235.
4. Parahyba MI, Stevens K, Henley W, et al. Reductions in disability prevalence among the highest income groups of older Brazilians[J]. Am J Public Health, 2009, 99(1):81-86.
5. Altman BM, Gulley SP. Convergence and divergence:differences in disability prevalence estimates in the United States and Canada based on four health survey instruments[J]. Soc Sci Med, 2009, 69(4):543-552.
6. Donald IP, Foy C, Jagger C. Trends in disability prevalence over 10 years in older people living in Gloucestershire[J]. Age Ageing, 2010, 39(3):337-342.
7. Cordingley L, Webb C. Independence and aging[J]. Rev Clin Gerontol, 1997:7137-7146.
8. Manini T. Development of physical disability in older adults[J]. Curr Aging Sci, 2011, 4(3):184-191.
9. Dong B, Ding Q. Aging in China:a challenge or an opportunity?[J]. J Am Med Dir Assoc, 2009, 10(7):456-458.
10. Stucki G, Kostanjsek N, Ustün B, et al. ICF-based classification and measurement of functioning[J]. Eur J Phys Rehabil Med, 2008, 44(3):315-328.
11. 杨茗, 罗理, 蒋皎皎, 等. 老年失能评估量表的编制(一):初始量表的建立[J]. 中国康复医学杂志, 2014, 29(2):113-118.
12. 杨茗, 罗理, 蒋皎皎, 等. 老年失能评估量表的编制(二):正式量表的建立[J]. 中国康复医学杂志, 2014, 29(3):212-217.
13. 杨茗, 蒋皎皎, 郝秋奎, 等. 老年失能评估量表的二阶验证性因子分析[J]. 中国康复医学杂志, 2014, 29(7):624-627, 632.
14. 杨茗, 罗理, 蒋皎皎, 等. 老年失能评估量表的质量评价[J]. 中国康复医学杂志, 2014, 29(5):433-436.
15. 杨茗, 蒋皎皎, 罗理, 等. 基于老年人群编制的失能评估量表[J]. 中国康复医学杂志, 2014, 29(4):395-398.
16. United Nations Economic and Social Commission for Asia and the Pacific. Training manual on disability statistics[M]. Bangkok:United Nations, 2009:21-23.
17. WHO. World report on disability[M]. Malta:World Health Orgnization, 2011:33-35.
18. 林延君, 卞鹰. 居民失能相关健康状态评价[J]. 中国卫生经济, 2004, 23(5):37-39.
19. Matthews RJ, Smith LK, Hancock RM, et al. Socioeconomic factors associated with the onset of disability in older age:a longitudinal study of people aged 75 years and over[J]. Soc Sci Med, 2005, 61(7):1567-1575.
20. Gjonça E, Tabassum F, Breeze E. Socioeconomic differences in physical disability at older age[J]. J Epidemiol Community Health, 2009, 63(11):928-935.
21. Espelt A, Font-Ribera L, Rodriguez-Sanz M, et al. Disability among older People in a southern European city in 2006:trends in gender and socioeconomic inequalities[J]. J Womens Health (Larchmt), 2010, 19(5):927-933.

West China Medical Journal

Survey on Disability in Different Elderly Populations in Sichuan Province

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