Relationship of perceived environmental barriers and disability in community-dwelling elderly in Taiwan – a population-based study

BMC Geriatrics

Ta-Shen Kuan⁴  Yu-Ching Lin²  Jer-Hao Chang³  Nai-Wen Guo¹  Wei-Chih Lien⁴ 

[1] Institute of Behavioral Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan;Department of Physical Medicine and Rehabilitation, College of Medicine, National Cheng Kung University, Tainan, Taiwan;Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan;Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan

关键词: Community-dwelling elderly;    Disability;    Perceived environmental barriers;   

Others  :  855079
DOI  :  10.1186/1471-2318-14-59

 received in 2014-01-25, accepted in 2014-04-25,  发布年份 2014

【 摘 要 】

Background

To identify the relationship between perceived environmental barriers and disability in community-dwelling elderly.

Methods

Cross-sectional study in two community service centers in Tainan. We enrolled 200 community-dwelling residents, aged above 65 years, who had resided in the same community for at least 12 months. Basic activity of daily living (BADL) and instrumental activity of daily living (IADL) were assessed using the Hierarchy of Care Required (HCR). There were 59 participants in BADL disability and 109 in IADL disability. Perceived environmental barriers were assessed using the Craig Hospital Inventory of Environmental Factors (CHIEF). We used multinomial logistic regression to examine the relationship of perceived environmental barriers and disability.

Results

The presence of perceived environmental barriers was related to BADL disability (OR = 4.39, 95% CI = 1.01-19.11) and IADL disability (IADL with difficulty in 1–2 tasks: OR = 9.93, 95% CI = 3.22-30.56; IADL with difficulty in more than 2 tasks: OR = 8.40, 95% CI = 1.83-38.51). The presence of physically/structurally perceived environmental barriers was related to BADL disability (OR = 4.90, 95% CI = 1.01-23.86) and IADL disability (IADL with difficulty in 1–2 tasks: OR = 4.61, 95% CI = 1.27-16.76; IADL with difficulty in more than 2 tasks: OR = 17.05, 95% CI = 2.82-103.30).

Conclusions

Perceived environmental barriers are related to disability in community-dwelling elderly.

【 授权许可】

   
2014 Lien et al.; licensee BioMed Central Ltd.

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