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

BMC Geriatrics

Research Article

Jer-Hao Chang¹  Yu-Ching Lin²  Ta-Shen Kuan³  Wei-Chih Lien⁴  Nai-Wen Guo⁵ 

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

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

DOI  :  10.1186/1471-2318-14-59

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

来源: Springer

【 摘 要 】

BackgroundTo identify the relationship between perceived environmental barriers and disability in community-dwelling elderly.MethodsCross-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.ResultsThe 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).ConclusionsPerceived environmental barriers are related to disability in community-dwelling elderly.

【 授权许可】

Unknown   
© Lien et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.