Associations between diagnoses, impairments, disability and handicap in a population of elderly people.
Background'Handicap'is the disadvantage for an individual that results from ill-health.
It represents an important outcome in chronic disabling disease, but has proved difficult to measure until recently.
The strength of association between handicap and other health status measures, and the relative contributions of health and socioeconomic variables to handicap have not been studied previously.
Methods We undertook a cross-sectional survey of all people>65 years old in a defined geographical area of North London.
The interview was based on the short-CARE psychiatric survey tool, and in addition included measures of physical health and disability, the London Handicap Scale, income, social support and housing.
In all, 654 residents (74%) from a register of 889 were interviewed.
A random sample of 225 had additional data collected which are reported in this analysis.
Results Strength of association with handicap scores increased progressively from diagnosis to impairment to disability.
Variation in handicap with diagnosis was explained by impairment, and variation with impairment was mostly explained by disability.
Age, housing quality, social support and income were associated with handicap score, but confounding by these did not explain the association between handicap and other aspects of disablement.
Disease-associated variables explained quantitatively much more variation in handicap than socioeconomic variables. (...)
Mots-clés Pascal : Handicap, Incapacité, Santé, Statut socioéconomique, Méthode mesure, Echelle évaluation, Vieillard, Homme, Angleterre, Grande Bretagne, Royaume Uni, Europe, Epidémiologie, Santé physique
Mots-clés Pascal anglais : Handicap, Disability, Health, Socioeconomic status, Measurement method, Evaluation scale, Elderly, Human, England, Great Britain, United Kingdom, Europe, Epidemiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0252634
Code Inist : 002B30A01A2. Création : 11/09/1998.