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

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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.

Original languageEnglish
Article number59
JournalBMC geriatrics
Volume14
Issue number1
DOIs
Publication statusPublished - 2014 May 3

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Independent Living
Activities of Daily Living
Taiwan
Population
Hospital Inventories
Social Welfare

All Science Journal Classification (ASJC) codes

  • Geriatrics and Gerontology

Cite this

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title = "Relationship of perceived environmental barriers and disability in community-dwelling elderly in Taiwan - A population-based study",
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.",
author = "Wei-Chih Lien and Nai-Wen Guo and Jer-Hao Chang and Yu-Ching Lin and Da-Shen Kuan",
year = "2014",
month = "5",
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doi = "10.1186/1471-2318-14-59",
language = "English",
volume = "14",
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T1 - Relationship of perceived environmental barriers and disability in community-dwelling elderly in Taiwan - A population-based study

AU - Lien, Wei-Chih

AU - Guo, Nai-Wen

AU - Chang, Jer-Hao

AU - Lin, Yu-Ching

AU - Kuan, Da-Shen

PY - 2014/5/3

Y1 - 2014/5/3

N2 - 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.

AB - 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.

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U2 - 10.1186/1471-2318-14-59

DO - 10.1186/1471-2318-14-59

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VL - 14

JO - BMC Geriatrics

JF - BMC Geriatrics

SN - 1471-2318

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ER -