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Assessment of Disability among the Elderly in Xiamen of China: A Representative Sample Survey of 14,292 Older Adults

Author

Listed:
  • Wei Chen
  • Ya Fang
  • Fanzhen Mao
  • Shichao Hao
  • Junze Chen
  • Manqiong Yuan
  • Yaofeng Han
  • Y Alicia Hong

Abstract

Background: The unprecedented number of elderly individuals in China presents a serious public health challenge. Limited data are available on the prevalence of disability or factors resulting in disability among the elderly in China. Objective: We aimed to assess the prevalence of disability and related risk factors among the elderly of Xiamen, China. Methods: A cross-sectional study was performed on individuals who were ≥60 years of age. The subjects were recruited by multi-stage sampling; a total of 14,292 valid questionnaires were received. Study measurements included activities of daily living (ADL), demographics, and health status. The ADL was assessed by the Katz Index Scale to evaluate disability. Chi-square tests and binary logistic regression were used to identify factors associated with disabilities. Results: Among the valid participants, 4.27% had at least one disability. Bathing was the most frequently reported disability and feeding was the least frequently reported disability. Disabilities were significantly associated with female gender, older age, unmarried status, living with family, urban residence, illiteracy, poor economic status, self-rated bad health, chronic illnesses, lower life satisfaction, bad mood, and feelings of loneliness. Conclusion: Functional disability among the elderly requires more public attention. Culturally appropriate policies and programs are also needed to address the care for the disabled elderly.

Suggested Citation

  • 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.
    • Handle: RePEc:plo:pone00:0131014
    DOI: 10.1371/journal.pone.0131014
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    References listed on IDEAS

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    1. Hui Wang & Kun Chen & Yifeng Pan & Fangyuan Jing & He Liu, 2013. "Associations and Impact Factors between Living Arrangements and Functional Disability among Older Chinese Adults," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-7, January.
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    1. Liangwen Zhang & Yanbing Zeng & Lixia Wang & Ya Fang, 2020. "Urban–Rural Differences in Long-Term Care Service Status and Needs Among Home-Based Elderly People in China," IJERPH, MDPI, vol. 17(5), pages 1-18, March.
    2. 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.
    3. Liangwen Zhang & Yanbing Zeng & Ya Fang, 2017. "The effect of health status and living arrangements on long term care models among older Chinese: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-15, September.

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