Analysis of the Status of Daily Living Performance and Influence Factors of the Elderly in Urban Areas in China: Focusing on Jiujiang City in Jiangxi Province

2021 ◽  
Vol 6 (4) ◽  
pp. 33-38
Author(s):  
Xiaowen Gao ◽  
Ok-ja Kim ◽  
Jae-eun Lee
2021 ◽  
Vol 43 ◽  
pp. e51421
Author(s):  
Roberta Dayanny Soares ◽  
Aíla Maropô Araújo

Population aging in Brazil increases on a large scale due to declining fertility and mortality. This phenomenon can be influenced by several factors (demographic, biological and social), making them determinants for the health conditions of the elderly populations residing in different geographic areas. The present study aims to identify the functional limitation in elderly residents of urban and rural areas of Brazil. This is a descriptive epidemiological study with a quantitative approach. It was evidenced that the functional limitation for activities of daily living   and instrumental activities of daily living are concentrated in the northeast region, mainly in the urban area. The following states presented the highest proportions of daily life activity limitation in urban areas: Alagoas (11.60%), Rio Grande do Norte (10.95%), Pernambuco (10.36%) and Paraíba (9.62%). For activities of daily living in the rural area were found in the states of Paraíba (12.19%), Maranhão (8.93%), Piauí (8.85%) and then Pernambuco (7.24%). Data from the functional limitation for instrumental activities of daily living again highlighted the Northeast region, with the states of Rio Grande do Norte (26.01%), Paraíba (25.96%), Maranhão (25.72%) and Alagoas (24.57%). Lastly, it was verified that the elderly woman exhibits greater proportions of functional limitation in relation to the elderly of the masculine sex, standing out again the northeastern region of the country.


2021 ◽  
Author(s):  
Yaofeng Han ◽  
Jihui Xue ◽  
Wei Pei ◽  
Ya Fang

Abstract Background: The global burden of disability is rising. Understanding the hierarchical structure of activities of daily living (ADL) and the disability trajectory of elderly people is pivotal to developing early interventions. Purpose: We aimed to determine the hierarchical structure of the ability to perform ADL and further describe the disability trajectory of the elderly before death. Methods: A longitudinal item response theory model (LIRT) was constructed from 28 345 elderly participants in the Chinese Longitudinal Healthy Longevity Survey, in which ADL were measured by the Katz scale for up to 20 years from 1998 to 2018, until the participants' death. The disability values estimated from the LIRT were fitted to a mixed-effects model to examine how the disability trajectories varied with different demographic characteristics. Results: The difficulty parameters showed that ADL losses began with bathing-partial (B=-1.396, SE=0.003), then toileting-partial, bathing-total, dressing-partial, transferring-partial, dressing-total, feeding-partial, continence-partial, toileting-total, feeding-total, transferring-total, and ended with continence-total (a=3.647, SE=0.013). Disability trajectories varied with sex (β=0.041, SE=0.001), place of residence (β=0.010, SE=0.001), and marital status (β=0.144, SE=0.001). Females, people who lived in urban areas, and those who lived without a spouse had poorer disability status. Conclusion: Losses in the ability to perform ADL have a hierarchical structure. Demographic characteristics affect disability trajectories among the elderly Chinese population.


2019 ◽  
pp. 77-88 ◽  
Author(s):  
Carmen Lucia Curcio ◽  
Claudia Payán Villamizar ◽  
Abelardo Jiménez ◽  
Fernando Gómez

Abstract Objective: To describe the presence of abuse in elderly people in Colombia and its association with socio-demographic and functional conditions. Methods: Cross-sectional and descriptive research. Data were taken from the SABE Colombia Survey, a population study, with a national representative sample of 23,694 adults aged over 60 years. Presence and type of abuse by partners or family members, members were investigated. Generalized linear models with Poisson link function were used to estimate the causes of the prevalence of abuse by area of residence, region, age, sex, dependence on activities of daily living and living arrangements. Results: 15.1% of the elderly in Colombia reported some type of abuse, and over 50% reported more than one form of abuse. Abuse proportion is greater in people who are aged 60-69, in women, people with lower levels of education, people who belong to lower socioeconomic status, people who live alone, people who live with children, and people in urban areas. The most frequent abuse form is psychological, followed by neglect and physical abuse. Dependence on basic and instrumental daily living activities increases the probabilities of suffering abuse. Conclusions: Home is a risky place for the elderly people, especially for those with functional dependence, those who belong to low socioeconomic strata and women. Results should encourage debate among researchers, professionals and decision makers on public policy about necessary actions and means to change violent family dynamics in homes with elderly people.


2011 ◽  
Vol 281 ◽  
pp. 84-89
Author(s):  
Xiao Hong Li ◽  
Yang Gang Yu

In this paper, we attempt to inspect the status of Foreign Direct Investment (FDI) and its spillover effect on self-reliant innovation capability in Jiangxi province. Based on production function calculation, correlation coefficient between logarithm FDI and logarithm self-reliant innovation (sales revenue of new products) is -0.080. It indicates that the growth of FDI plays no or even negative effect on the growth of self-reliant innovation empirically. The reasons are mainly: (1) too many influence factors which affect the growth of self-reliant innovation disturb the model explanatory ability; (2) the influence of FDI is much less than of R&D labors and expenditures inputs. According to empirical research, the reasons for inefficiency FDI are mainly from two aspects: (1) FDI inward Jiangxi is mainly sourcing from undeveloped and developing countries (or regions) but not developed countries. (2) Technical spillover effect of FDI is performing under capacity for economic complexity and/or development threshold.


2021 ◽  
Author(s):  
Shekhar Chauhan ◽  
Shubham Kumar ◽  
Rupam Bharti ◽  
Ratna Patel

Abstract Background: The increase in life expectancy has proliferated the number of elderly and subsequently increased the prevalence of disability among the elderly. This study assesses the prevalence of Activity of Daily Living (ADL) and Instrumental Activity of Daily Living (IADL) and analyzed determinants of ADL and IADL among elderly aged 60 and over living in India.Methods: The study utilized the Longitudinal Ageing Study in India (LASI, 2017-18) data, and information was sought from 31,464 elderly aged 60 years and above. An index of ADL and IADL was created on a scale of three levels, exhibiting no, moderate, or severe levels of ADL/IADL disability. Multinomial logistic regression was used to determine the effect of sociodemographic parameters on ADL and IADL disability among the elderly.Results: Around 3 percent of the elderly reported severe ADL disability, and 6 percent elderly reported severe IADL disability. Elderly who were not involved in any physical activity than their counterparts were more likely to report severe ADL (RRR=2.68, C.I.=1.66-4.32) and severe IADL (RRR=2.70, C.I.=1.98-3.67) than no ADL and no IADL, respectively. Conclusion: Amidst the study finding, the study emphasizes the importance of setting-up of geriatric care centres in rural and urban areas. It would be feasible to provide geriatric care under the umbrella of already functioning government health facilities in different parts of the country. Community interventions earmarking the elderly with a focus on physical activity, specifically when they are based in group physical exercise and implemented through existing networks, are rewarding for the elderly.


2021 ◽  
Vol 4 (2) ◽  
pp. 78-85
Author(s):  
Mojirola Martina Fasiku ◽  
Kabir Adekunle Durowade ◽  
Matthew Olumuyiwa Bojuwoye ◽  
Abdullahi Ahmed ◽  
Medinat Omobola Osinubi ◽  
...  

Objective: The elderly usually require assistance and sometimes have unmet needs for assistance with activities of daily living. This study assessed the unmet needs for assistance with activities of daily living among the elderly in rural and urban areas in Kwara Central Senatorial District, Nigeria.  Methods:  Cross-sectional data were collected using pre-tested semi-structured interviewer-administered questionnaires from 300 elderly using the multistage sampling technique. The Statistical Package for Social Sciences 20 was used to analyze data, and the level of significance was predetermined at a p-value less than 0.05.  Results: Overall, 60% of the elderly in the urban than rural group (46%) had unmet needs for assistance with activities of daily living. The prevalence of unmet needs for assistance with basic activities of daily living in the rural areas ranged from 0.0% (eating) to 70.8 % (bathing) and 0.0% (eating) to 68.8 % (transferring) in the urban areas. The prevalence of unmet needs for instrumental activities of daily living ranged from 16.7% (handling finances) to 59.3 % (cooking) for those in the rural areas. However, the range was from 33.3% (transportation) to 75.0% (taking medications) in the urban areas. The urban respondents had higher unmet needs for assistance with telephone use than rural respondents. (p=0.004*).  Conclusion: The elderly in the urban areas had a higher prevalence of unmet needs for assistance with activities of daily living. The government must address the needs of the elderly through a policy to prevent unmet needs for assistance with activities of daily living.


2017 ◽  
Vol 1 (1) ◽  
pp. 119
Author(s):  
Zhonglei Zhang ◽  
Yu Jin

In recent years, under the background that the country actively promotes population urbanization, a large number of young people migrate to cities and towns through employment or schooling and take root in the urban construction. However, the left-behind elderly people in rural areas are in a dilemma, and they will face many problems in their lives whether living in cities or staying behind, the quality of life is lowered generally. After going into the city, many elderly people in rural areas, due to their own physiological and psychological characteristics, do not adapt to living in urban areas, and the qualities of lives are not improved. By investigating the status quo of the elderly in rural areas migrating to urban areas, this paper analyses the reasons for and existing problems of migrating to urban areas and puts forward suggestions for improving community adaptability from the perspective of social work.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yaofeng Han ◽  
Jihui Xue ◽  
Wei Pei ◽  
Ya Fang

Abstract Background The global burden of disability continues to increase. Understanding the hierarchical structure of activities of daily living (ADL) and the trajectories of disability of elderly individuals is pivotal to developing early interventions. Purpose To determine the hierarchical structure of the ability of Chinese elderly individuals to perform ADL and further describe the trajectories of disability prior to death. Methods Longitudinal item response theory model (LIRT) was constructed for 28,345 elderly participants in the Chinese Longitudinal Healthy Longevity Survey, in which ADL were measured using the Katz scale from 1998 to 2018, until the participants’ death. Two difficulty parameters (κ−partial and κ−total) were used in the LIRT defining the thresholds for hierarchical structure in ADL (κ−partial: no limitation to partial limitation, κ−total: partial limitation to totally limited). Disability values estimated from the LIRT were fitted to a mixed-effects model to examine the manner in which the trajectories of disability varied with different subject characteristics. Results The findings confirmed the earliest loss in the capability to perform ADL (bathing(κ-partial = − 1.396), toileting(κ-partial = − 0.904)) at the level of partial limitation, with an overlap of partial and totally limited (total bathing, partial dressing, partial transferring, total dressing, partial feeding, partial continence), and finally a total loss of capability for toileting, feeding, transferring, and continence (κ-total = 3.647). Disability trajectories varied with sex (β = 0.041, SE = 0.001), place of residence (β = 0.010, SE = 0.001), and marital status (β = 0.144, SE = 0.001). Females, individuals living in urban areas, and those who lived without a spouse had a poorer disability status. Conclusion The loss in the ability to perform ADL has a hierarchical structure. Subject characteristics affect trajectories of disability in the elderly Chinese population.


Author(s):  
Yuhang Wu ◽  
Huilie Zheng ◽  
Zhitao Liu ◽  
Shengwei Wang ◽  
Yong Liu ◽  
...  

Objective: To estimate and compare the dementia-free life expectancy (DemFLE) and age trends of the population over 60 in 2018 in Jiangxi Province, China, by sex and urban–rural areas. Methods: Based on the Summary of Health Statistics of Jiangxi Province in 2018 and the Sixth National Health Service survey of Jiangxi Province, the model life table is used to estimate the age-specific mortality rate by sex and urban–rural areas. DemFLE and its ratio to life expectancy (LE) were calculated using the Sullivan method. Results: In 2018, the DemFLE at age 60 was 18.48 years for men and 21.31 years for women, accounting for 96.62% and 96.67% of their LE. LE and DemFLE were higher for those in urban areas than in rural areas, except for men aged 90 and above; higher in women than in men, except for people in rural areas aged 90 and above. In urban areas, DemFLE/LE was higher for women than for men; the opposite was observed in rural areas. Urban women had a higher DemFLE/LE than rural women did, urban men had a lower DemFLE/LE than rural men did. Conclusions: With increased LE, DemFLE also increases, but with older age and over time, DemFLE/LE gradually decreases. The effect of dementia on elderly adults becomes more serious. It is necessary for the government to implement a series of prevention strategies to improve the quality of life and health awareness of the elderly. Elderly urban men and elderly rural women need more attention and health care.


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