在家中支持性环境特征作为老年人残疾和死亡状况的积极/反应性关联者
Daniel Barbakoff1, Kristen Glennie2, Mengzhao Yan3
1Weill Cornell Medical College, New York, NY, USA.
概括
房屋中的支持性环境特征 (SEF) 可以帮助现场老化. 然而,残疾往往阻碍了SEF的采用,凸显了需要更多的认识和实施支持的需要.
科学领域:
- 老年学是指老年学的学科.
- 环境老年学 环境老年学
- 公共卫生 公共卫生
背景情况:
- 支持性环境特征 (SEFs) 是家庭属性,有助于活动限制的个人.
- SEF显示了促进现场老化的潜力,但现实世界的实施模式需要进一步调查.
- 了解SEF,残疾和死亡率之间的关系对于有效的现场衰老策略至关重要.
研究的目的:
- 检查SEF与老年人残疾和死亡状况的变化之间的联系.
- 调查残疾负担如何影响SEF实施的可能性.
- 为了确定预测未来SEF补充的因素.
主要方法:
- 分析国家健康与衰老趋势研究的第一个队列.
- 利用多项逻辑回归来评估关联.
- 使用诸如浴室家居改造 (BHM) 和支持性住房特征 (SHF) 等指标运行SEF.
- 使用日常生活的基本活动 (ADL) 和工具性ADL (IADL) 的量化残疾.
主要成果:
- 基线BHM/SHF没有预测残疾的后续变化.
- 较高的残疾负担与较低的SEF增加的可能性有关.
- 较大的基线SEF所有权预测了未来的SEF增加.
- 在SEF状态和死亡率之间没有发现显著的关联.
结论:
- 障碍的进展可能会阻碍对支持性环境特征的采用.
- 促进SEF的实施需要提高老年人面临越来越多的ADL/IADL限制的认识.
- 未来的研究应该探索克服SEF采用障碍的干预措施.
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