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Instrumental Activities of Daily Living (iADL) Limitations in Europe: An Assessment of SHARE Data

Author

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  • Diana Portela

    (Agrupamento de Centros de Saúde (ACES) Entre Douro e Vouga I—Feira Arouca, Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal)

  • Marta Almada

    (Applied Molecular Biosciences Unit (UCIBIO) Requimte (Rede de Química e Tecnologia), Porto4Ageing, Faculdade de Farmácia da Universidade do Porto, 4050-047 Porto, Portugal)

  • Luís Midão

    (Applied Molecular Biosciences Unit (UCIBIO) Requimte (Rede de Química e Tecnologia), Porto4Ageing, Faculdade de Farmácia da Universidade do Porto, 4050-047 Porto, Portugal)

  • Elísio Costa

    (Applied Molecular Biosciences Unit (UCIBIO) Requimte (Rede de Química e Tecnologia), Porto4Ageing, Faculdade de Farmácia da Universidade do Porto, 4050-047 Porto, Portugal
    Laboratory of Biochemistry, Department of Biological Sciences, University of Porto, 4050-313 Porto, Portugal)

Abstract

This study aims to evaluate the instrumental activities of daily living (iADLs) limitations in Europe and its association with socio-demographic characteristics, economic parameters and physical and mental health status. We used data from the wave 6 of SHARE database. Individuals were classified as having either none or one or more limitations on iADLs. Participants aged 65 or more years who answered all questions for the variables included in this work were selected. A total of 54.8% of participants were female and had a mean age of 74.37 (SD = 7.08) years. A global prevalence of 1 or more iADLs in Europe was shown to be 23.8% and more prevalent in women than in men (27.1% vs. 17.6%) and in people aged 85 years or more (51.5%). Older age, female gender, lower education, physical inactivity, frailty, having two or more chronic diseases, presence of depression, polypharmacy, poor self-perception of health and lower network satisfaction were found to be factors associated with the presence of 1 or more iADLs limitation. This study highlights the burden of iADLs limitations at the European level. These are based on a multidimensional biopsychosocial model and are associated with both health conditions and environmental factors. This intersection between the physical and social world underscores its potential as a health indicator and can, to some extent, explain some of the pronounced differences seen among European countries. Different inter-tasks can also stress different dimensions of health indicators in distinct and specific groups of individuals. Minimizing the impact of iADL limitations can improve the quality and sustainability of public health systems.

Suggested Citation

  • Diana Portela & Marta Almada & Luís Midão & Elísio Costa, 2020. "Instrumental Activities of Daily Living (iADL) Limitations in Europe: An Assessment of SHARE Data," IJERPH, MDPI, vol. 17(20), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7387-:d:425875
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    References listed on IDEAS

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    Cited by:

    1. Qian, Yuting & Chen, Shanquan & Lin, Zhuoer & Yu, Zexuan & Wang, Mengxiao & Hou, Xiaohui & Chen, Xi, 2023. "The Growing Gap of Unmet Need: Assessing the Demand for, and Supply of, Home-Based Support for Older Adults with Disabilities in 31 Countries," IZA Discussion Papers 16411, Institute of Labor Economics (IZA).
    2. Giovanni Cerullo & Teodora Figueiredo & Constantino Coelho & Cláudia Silva Campos & António Videira-Silva & Joana Carrilho & Luís Midão & Elísio Costa, 2024. "Palliative Care in the Ageing European Population: A Cross-Country Comparison," IJERPH, MDPI, vol. 21(1), pages 1-23, January.
    3. Lara Lusa & Marianne Huebner, 2021. "Organizing and Analyzing Data from the SHARE Study with an Application to Age and Sex Differences in Depressive Symptoms," IJERPH, MDPI, vol. 18(18), pages 1-20, September.
    4. Urška Smrke & Nejc Plohl & Izidor Mlakar, 2022. "Aging Adults’ Motivation to Use Embodied Conversational Agents in Instrumental Activities of Daily Living: Results of Latent Profile Analysis," IJERPH, MDPI, vol. 19(4), pages 1-11, February.

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    Keywords

    iADLs; SHARE; ageing; public health;
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