| 王德文.老年人躯体机能受损现状及其影响因素分析[J].Chinese journal of Epidemiology,2008,29(11):1090-1094 |
| 老年人躯体机能受损现状及其影响因素分析 |
| Study on the declining physical functions and its influencing factors among the Chinese elderly aged 65 years and over |
| Received:March 21, 2008 |
| DOI： |
| KeyWord: 躯体机能受损 老年人 影响因素 |
| English Key Word: Declining physical functions Elderly Influencing factors |
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| Abstract: |
| 目的 了解老年人躯体性日常生活能力(PADL)以及工具性日常生活能力(IADL)的受损现况及其影响因素.方法 利用中国老年健康长寿跟踪调查数据,对其中2002年PADL和IADL完全自理的6761人和3556人进行跟踪分析.结果 2002年1ADL(或PADL)完全自理的老年人到2005年时保持IADL(或PADL)完全自理的男女比例分别为59.3%和51.8%(或87.1%和81.5%).65～74、75～84、85～94以及95～105岁组的老年人,从2002年IADL或PADL完全自理到2005年时分别只有70.0%、47.0%、24.0%和15.0%保持IADL完全自理,约有95.0%、87.0%、74.0%和55.0%保持PADL完全自理.在控制性别、社会经济等变量后,老年人年龄越大、过去2年内患重大疾病的次数越多以及认知能力越低其IADL或PADL受损的可能性越大.结论 老年人躯体机能受损程度随着年龄增大加重.IADL受损程度严重于PADL.老年女性受损程度均比男性严重;老年人的年龄、过去2年内息重大疾病的次数以及认知能力对其躯体机能受损具有预测性作用. |
| English Abstract: |
| Objective To understand the declining pattern of physical activities on daily living (PADL) and instrumental activities of daily living (IADL) and its influencing factors among the Chinese elderly aged 65 years and over. Methods Using data from 2002 and 2005 of the Chinese Longitudinal Health Longevity Study (CLHLS), 6761 Chinese elderly with fully independent PADL in 2002 and 3556 Chinese elderly with fully independent IADL in 2002 were studied. Results Data showed that the male elderly with fully dependent IADL at baseline in 2002 declined to 59.3% but kept the IADL in full independent in 2005, while that of female elderly were 51.8 % still keeping the IADL full independent in2005. Male elderly who at baseline with the PADL fully dependent in 2002 declined to 87.1% but kept the PADL full independent in 2005, while that of female elderly were 81.5% keeping the PADL full independent in 2005.There were only 70.0%,47.0%,24.0% and 15.0% elderly keeping the IADL fullindependent among the age groups of 65-74,75-84,85-94 and 95-105, respectively, from 2002 to 2005;while there were 95.0 %, 87.0 %, 74.0 % and 55.0 % elderly keeping the PADL full independent amongthe above age groups of 65-74,75-84,85-94 and 95-105, from 2002 to 2005. Age, numbers of episodes that suffering from serious illness in the past two years and cognitive ability were significantly associated with IADL or PADL had a decline after controlling for sex, socioeconomic factors in the multinomial logistical regression analysis among the Chinese elderly aged 65 years and older,during the period from 2002 to 2005.Conclusion The declining physical functional status among the 65 and older elderly went severe with age in China,with IADL more severe than that of PADL. Chinese female elderly suffered more in PADL or IADL than that of male elderly. Age, numbers of episode that suffering from serious illness in the past two years and cognitive ability were considered as predictive factors of functional status among the Chinese elderly. However,gender,living conditions, education background and marital status that appearring to be the significant predictors only seen in partial IADL/PADL declining models. |
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