Cross-cultural validation of the London Handicap Scale and comparison of handicap perception between Chinese and UK populations

被引:8
作者
Lo, Raymond See Kit
Kwok, Timothy Chi Yui
Cheng, Joanna Oi Yue
Yang, Hui
Yuan, Hong Jiang
Harwood, Rowan
Woo, Jean
机构
[1] Shatin Hosp, Dept Med, Ma On Shan, Hong Kong, Peoples R China
[2] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Med & Therapeut, Div Geriatr, Shatin, Hong Kong, Peoples R China
[3] Sichuan Univ, Hosp 4th, W China Hlth Promoting & Training Ctr Aging, Chengdu 610041, Peoples R China
[4] Univ Nottingham Hosp, Dept Hlth Care Elderly, Nottingham NG7 2UH, England
关键词
aged; handicapped; London Handicap Scale; cross-cultural comparison; Chinese; elderly;
D O I
10.1093/ageing/afm052
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
Objective to validate the London Handicap Scale on populations from diverse cultures by comparing handicap perceptions in Mainland (Sichuan) Chinese, Hong Kong Chinese and UK subjects. Method utility ratings of 10 real life health scenarios were given by a group of healthy and disabled Sichuan Chinese subjects. The ratings were then correlated with published scale scores of HK and UK subjects on the same scenarios. Setting a university for older persons in Sichuan and the 4th Hospital of Sichuan University. Subjects two hundred and one Sichuan Chinese (mean age: 63.3 years) comprising of healthy (31.8%) and disabled individuals with stroke, fracture, cancer or other chronic conditions (69.2%) were recruited in the study. Results overall ratings for health scenarios were found to be highly correlated between Sichuan Chinese and UK subjects (r=0.85; P <0.0005), and between Sichuan and HK Chinese subjects (r = 0.98; P<0.0005), with the exception of scenario J. Interesting differences in valuation were also observed between Sichuan subgroups in three scenarios. Self-perceived health status of the Sichuan Chinese can be accurately reflected by the severity of their handicap as measured by the London Handicap Scale LHS (r=0.39, P=0.000). For Sichuan Chinese, the economic domain of handicap was rated with poorer scores compared with the other domains. Conclusion the international notion of handicap, or limitation in participation, applies across different cultures and is also valid in mainland Chinese. UK, HK, and Sichuan subjects share similar perception on selected handicap scenarios. The London Handicap Scale is useful for health evaluation and outcome assessment for elderly of different cultures.
引用
收藏
页码:544 / 548
页数:5
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