The authors declare that they have no competing interests.
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.
To identify the relationship between perceived environmental barriers and disability in community-dwelling elderly.
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.
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).
Perceived environmental barriers are related to disability in community-dwelling elderly.
Ministry of Interior: The Physically and Mentally Disabled Population by Aged and Grade, 2003–2012. 2013, Taipei, Taiwan: Department of Statistics
Nagi SZ: Sociology and Rehabilitation. 1965, Washington DC: American Sociological Association
Lewin K: Field Theory in Social Science. 1951, New York: Harper & Brothers
Lawton MP: Competence, Environmental Press, and the Adaptation of Older People. Aging and the Environment. Edited by: Lawton MP, Windley PG, Byerts TO. 1982, New York, NY: Springer, 33-59.
Oswald F, Hieber A, Wahl H, Mollenkopf H: Ageing and person-environment fit in different urban neighbourhoods. Eur J Ageing. 2005, 2 (2): 88-97. 10.1007/s10433-005-0026-5. CrossRef
World Health Organization: International Classification of Functioning, Disability and Health: ICF. 2001, Geneva: WHO
Lowry KA, Vallejo AN, Studenski SA: Successful aging as a continuum of functional independence: Lessons from physical disability models of aging. Aging Dis. 2012, 3 (1): 5-15. PubMed
Chang KH, Lin YN, Liao HF, Yen CF, Escorpizo R, Yen TH, Liou TH: Environmental effects on WHODAS 2.0 among patients with stroke with a focus on ICF category e120. Qual Life Res. 2014, doi:10.1007/s11136-014-0624-9
Demura S, Yamada T, Uchiyama M, Sugiura H, Hamazaki H: Selection of useful items for fall risk screening for community dwelling Japanese elderly from the perspective of fall experience, physical function, and age level differences. Arch Gerontol Geriatr. 2011, 53 (2): 123-130. 10.1016/j.archger.2010.11.012. CrossRefPubMed
Yen TH, Lin LF, Wei TS, Chang KH, Wang YH, Liou TH: Delphi-based assessment of fall-related risk factors in acute rehabilitation settings according to the international classification of functioning, disability and health. Arch Phys Med Rehabil. 2014, 95 (1): 50-57. 10.1016/j.apmr.2013.09.006. CrossRefPubMed
Ministry of Education: Education in Taiwan 2013–2014. 2013, Taipei, Taiwan: Department of Statistics
Chen HT, Liu CK, Chen SI, Guo NW, Lin JH, Yeh SH, Chang JJ, Yu PW: The development of the Hierarchy of the Care Required. 2000, Taipei, Taiwan: Ministry of Health and Welfare
Lin YH, Yen CH, Kuo MS, Hu MH, Wang CY: The cutoff values of performance tests to separate community-dwelling older adults with and without physical disability. Taiwan Geriatr Gerontol. 2012, 7 (3): 160-174.
Yeh TL, Liao IC, Yang YK, Ko HC, Chang CJ, Lu FH: Geriatric Depression Scale (Taiwanese and Mandarin Translations). Clin Gerontol. 1995, 15 (3): 58-60.
Femia EE, Zarit SH, Johansson B: The disablement process in very late life: A study of the oldest-old in Sweden. J Gerontol B Psychol Sci Soc Sci. 2001, 56B (1): 12-P23. CrossRef
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