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  1. Difficulty and dependence : Two components of the disability continuum among community-living older persons.

    Article - En anglais

    Background 

    Although most epidemiologic studies have defined disability in basic activities of daily living (BADLs) as dependence, some investigators have argued that BADL disability should be defined as degree of difficulty.

    Objective 

    To determine whether the responses to questions about difficulty and dependence provide complementary information that together can depict the continuum of disability more fully than the response to either question alone.

    Setting 

    General community.

    Participants 

    1065 persons 72 years of age and older.

    Measurements 

    On the basis of self-reported information collected at baseline, participants were categorized into three BADL groups : independent without difficulty, independent with difficulty, and dependent.

    Additional baseline information was collected on several measures of higher-level function and physical performance.

    Follow-up information was collected on regular home care visits and BADL function at 1 and 3 years and on hospitalizations, admissions to skilled-nursing facilities, and deaths over a 4-year period.

    Results 

    In a cross-sectional analysis, the proportion of participants with poor higher-level function and physical performance increased substantially across the three BADL groups.

    In a longitudinal analysis, the rates of hospitalization and regular home care visits for the independent without difficulty group, the independent with difficulty group, and the dependent group were 46%, 57%, and 72% (P<0. (...)

    Mots-clés Pascal : Incapacité, Continuum, Epidémiologie, Difficulté psychologique, Dépendance, Evolution, Base donnée, Etude transversale, Vieillard, Homme, Communauté, Enquête sur terrain, Etiologie, Système nerveux pathologie, Psychopathologie, Système ostéoarticulaire pathologie, Organisation santé

    Mots-clés Pascal anglais : Disability, Continuum, Epidemiology, Psychological difficulty, Dependence, Evolution, Database, Cross sectional study, Elderly, Human, Community, Field inquiry, Etiology, Nervous system diseases, Psychopathology, Diseases of the osteoarticular system, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0095147

    Code Inist : 002B30A03B. Création : 14/05/1998.