Basic ADL Disability and Functional Limitation Rates Among Older Americans From 2000-2005: The End of the Decline?

被引：104

作者：

Fuller-Thomson, E. ^{[1
,2
]}

Yu, B. ^{[3
]}

Nuru-Jeter, A. ^{[4
]}

Guralnik, J. M. ^{[3
]}

Minkler, M. ^{[4
]}

机构：

[1] Univ Toronto, Factor Inwentash Fac Social Work, Sandra Rotman Chair Social Work, Toronto, ON M5S 1A1, Canada

[2] Univ Toronto, Dept Family & Community Med, Toronto, ON M5S 1A1, Canada

[3] NIA, Lab Epidemiol Demog & Biometry, Bethesda, MD 20892 USA

[4] Univ Calif Berkeley, Div Community Hlth & Human Dev, Berkeley, CA 94720 USA

来源：

JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES | 2009年 / 64卷 / 12期

基金：

美国国家卫生研究院;

关键词：

Disability; Activities of daily living; Functional limitations; American Community Survey; National Nursing Home Survey; RECENT TRENDS; UNITED-STATES; PREVALENCE;

D O I：

10.1093/gerona/glp130

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Background. This study sought to determine whether the rates of basic activities of daily living (ADL) disabilities and functional limitations declined, remained the same, or increased between 2000 and 2005 when (a) only community-dwelling Americans aged 65 and older were examined and (b) when institutionalized older adults were included. Method. Using data from the American Community Survey and the National Nursing Home Survey, we calculated annual prevalence rates of basic ADL disabilities and functional limitations and fitted regression lines to examine trends over time. Results. The rates of basic ADL disabilities among community-dwelling adults aged 65 and older increased 9% between 2000 and 2005. When institutionalized elders were included, basic ADL disability rates were stable among men but increased among women. Functional limitation rates did not significantly change between 2000 and 2005. Conclusion. These findings suggest an end of the decline in disability rates among older Americans, which, if confirmed, could have important implications for health care.

引用

页码：1333 / 1336

页数：4

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