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01.12.2014 | Research article | Ausgabe 1/2014 Open Access

BMC Geriatrics 1/2014

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

Zeitschrift:
BMC Geriatrics > Ausgabe 1/2014
Autoren:
Wei-Chih Lien, Nai-Wen Guo, Jer-Hao Chang, Yu-Ching Lin, Ta-Shen Kuan
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

WCL, NWG, JHC, YCL and TSK designed the present study. WCL and TSK enrolled the subjects, extracted the data, performed the statistical analysis, and wrote the original draft. WCL, NWG, JHC, YCL and TSK revised the draft critically and approved the final manuscript.

Abstract

Background

To identify the relationship between perceived environmental barriers and disability in community-dwelling elderly.

Methods

Cross-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.

Results

The 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).

Conclusions

Perceived environmental barriers are related to disability in community-dwelling elderly.
Literatur
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