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Disability and Its Influencing Factors among the Elderly in a County, Guangxi Province, China

Author

Listed:
  • Shiyi Chen

    (Department of Occupational and Environmental Health, School of Public Health, Guangxi Medical University, Shuangyong Road No.22, Nanning 530021, China
    These authors contributed equally to this work.)

  • Jian Qin

    (Department of Occupational and Environmental Health, School of Public Health, Guangxi Medical University, Shuangyong Road No.22, Nanning 530021, China
    These authors contributed equally to this work.)

  • You Li

    (Department of Occupational and Environmental Health, Faculty of Public Health, Dali University, Dali 671000, China)

  • Yi Wei

    (Department of Occupational and Environmental Health, School of Public Health, Guangxi Medical University, Shuangyong Road No.22, Nanning 530021, China)

  • Bingshuang Long

    (Department of Occupational and Environmental Health, School of Public Health, Guangxi Medical University, Shuangyong Road No.22, Nanning 530021, China)

  • Jiansheng Cai

    (Department of Occupational and Environmental Health, School of Public Health, Guangxi Medical University, Shuangyong Road No.22, Nanning 530021, China)

  • Jiexia Tang

    (Department of Occupational and Environmental Health, School of Public Health, Guangxi Medical University, Shuangyong Road No.22, Nanning 530021, China)

  • Xia Xu

    (Department of Occupational and Environmental Health, School of Public Health, Guangxi Medical University, Shuangyong Road No.22, Nanning 530021, China)

  • Guoqi Yu

    (Department of Occupational and Environmental Health, School of Public Health, Guangxi Medical University, Shuangyong Road No.22, Nanning 530021, China)

  • Zhiyong Zhang

    (Department of Occupational and Environmental Health, School of Public Health, Guangxi Medical University, Shuangyong Road No.22, Nanning 530021, China)

Abstract

Objectives : This study aims to understand the disability status of the elderly residents of a County (Guangxi Province, China) and explore its influencing factors. Methods : Respondents consisted of 2300 elderly people aged 60 and above from three townships in the county we studied. The Activities of Daily Living (ADL) Scale was used to assess the disability of the elderly sample. Chi-square test was applied to compare the disability rate among the elderly with different demographic characteristics. The graph showed the disability rates of ADL, six items of Physical Activities of Daily Living (PADL) and eight items of Instrumental Activities of Daily Living (IADL) at different ages. Binary logistic regression was used to analyze the influencing factors of disability rate among the elderly. Results : The disability rates of ADL, PADL, and IADL in the elderly were 43.4%, 11.6%, and 42.4%, respectively. As with the increase in age, the disability rates of ADL, IADL, PADL, and their 14 items gradually increased ( p < 0.05), with walking, using the telephone, and using public vehicles having higher disability rates than other items. The influencing factors of ADL disability were gender (OR = 0.579, 95%CI = 0.441–0.759), age (OR = 2.270, 95%CI = 1.867–2.759; OR = 4.719, 95%CI = 2.998–7.429; OR = 6.249, 95%CI = 3.667–10.648), educational level (OR = 2.844, 95%CI = 2.076–3.897; OR = 1.677, 95%CI = 1.246–2.230), and having metabolic syndrome (MetS) (OR = 1.298, 95%CI = 1.044–1.613). Compared with ADL, the influencing factor of PADL disability was gender, whereas that of IADL disability was whether someone had MetS. Conclusions : With age, the possibility of ADL, PADL, and IADL damage in the elderly is higher. Gender, age, educational level, the number of chronic diseases, and whether someone has MetS might be the influencing factors of disability. Interventions should be taken from a variety of sources specific to the content of each entry.

Suggested Citation

  • Shiyi Chen & Jian Qin & You Li & Yi Wei & Bingshuang Long & Jiansheng Cai & Jiexia Tang & Xia Xu & Guoqi Yu & Zhiyong Zhang, 2018. "Disability and Its Influencing Factors among the Elderly in a County, Guangxi Province, China," IJERPH, MDPI, vol. 15(9), pages 1-16, September.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:9:p:1967-:d:168733
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    References listed on IDEAS

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    1. Reynolds, Sandra L. & Silverstein, Merril, 2003. "Observing the onset of disability in older adults," Social Science & Medicine, Elsevier, vol. 57(10), pages 1875-1889, November.
    2. Wei Chen & Ya Fang & Fanzhen Mao & Shichao Hao & Junze Chen & Manqiong Yuan & Yaofeng Han & Y Alicia Hong, 2015. "Assessment of Disability among the Elderly in Xiamen of China: A Representative Sample Survey of 14,292 Older Adults," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-12, June.
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    Cited by:

    1. Boqin Xie & Chenjuan Ma & Junqiao Wang, 2020. "Independent and Combined Relationships of Perceived Neighborhood Social Cohesion and Physical Frailty on Functional Disability in Community-Dwelling Older Adults," IJERPH, MDPI, vol. 17(16), pages 1-12, August.
    2. Zhongliang Bai & Zijing Wang & Tiantai Shao & Xia Qin & Zhi Hu, 2020. "Relationship between Individual Social Capital and Functional Ability among Older People in Anhui Province, China," IJERPH, MDPI, vol. 17(8), pages 1-13, April.
    3. Pian-Pian Zheng & Zi-Le Guo & Xiao-Jing Du & Han-Mo Yang & Zhen-Jie Wang, 2022. "Prevalence of Disability among the Chinese Older Population: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(3), pages 1-17, January.
    4. Rudan Xu & Xueqing Zhou & Shiling Cao & Boshu Huang & Chiyu Wu & Xiaojun Zhou & Yuanan Lu, 2019. "Health Status of the Elderly and Its Influence on Their Activities of Daily Living in Shangrao, Jiangxi Province," IJERPH, MDPI, vol. 16(10), pages 1-10, May.
    5. Dai Su & Zhifang Chen & Jingjing Chang & Guangwen Gong & Dandan Guo & Min Tan & Yunfan Zhang & Yanchen Liu & Xinlan Chen & Xinlin Chen & Yingchun Chen, 2020. "Effect of Social Participation on the Physical Functioning and Depression of Empty-Nest Elderly in China: Evidence from the China Health and Retirement Longitudinal Survey (CHARLS)," IJERPH, MDPI, vol. 17(24), pages 1-15, December.

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