Relationship between person, environmental factors, and activities of daily living performance among physically disabled older adults living at home: a structural equation model

BMC Geriatrics

Research

Shuai Fang¹  Yan Liang²  Hong Liang³ 

[1] Institute of Sociology, Shanghai Academy of Social Sciences, 622 Huaihai Middle Rd., Huangpu District, 200020, Shanghai, China;School of Nursing, Fudan University, 305 Fenglin Rd., Xuhui District, 200032, Shanghai, China;School of Social Development and Public Policy, Fudan University, 220 Handan Rd., Yangpu District, 200433, Shanghai, China;

关键词: Disability;    Older adults;    Aging in place;    Environment;    Activities of daily living;   

DOI  :  10.1186/s12877-023-04000-2

 received in 2022-11-22, accepted in 2023-04-25,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundOlder adults with physical disability need long-term services and support, which incur enormous costs. However, supportive environments may reduce disability and promote aging in place. It is unclear how the physical and social environment affect different types of functional impairments and influence the performance of activities of daily living (ADL) in physically disabled older adults.ObjectiveThe purpose of this study was to examine the relationship between person, environmental factors, and ADL performance among physically disabled older adults living at home.MethodsThis was a cross-sectional study. Using long-term care insurance claims data from a pilot city in China, we used a structural equation model to assess the potential paths among person, environmental factors, and ADL performance.ResultsEducation and income had different influences on the social environment and physical environment. The functional impairments had significant effects on ADL performance, either directly or through physical environment (with handrails) and social environment (family support).ConclusionsThe present findings offer crucial evidence for understanding the interactions between a person and the environment, as well as their influence on physical ADLs, suggesting the importance of a supportive environment and a subpopulation-targeting strategy for disabled older adults.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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