Abstract
BackgroundTo identify the relationship between perceived environmental barriers and disability in community-dwelling elderly.MethodsCross-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.ResultsThe 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).ConclusionsPerceived environmental barriers are related to disability in community-dwelling elderly.
Highlights
To identify the relationship between perceived environmental barriers and disability in communitydwelling elderly
We examined the relationship between perceived environmental barriers and disability
The results indicate that the presence of perceived environmental barriers was related to Basic activity of daily living (BADL) disability
Summary
To identify the relationship between perceived environmental barriers and disability in communitydwelling elderly. The increased prevalence of disabilities was linked to decreased quality of life [2] and increased health care costs [3,4]. It was pointed out by the sociologist Saad Nagi, “disability is the expression of a physical or a mental limitation in a social context” [5]. The PE fit model is composed of two interactive components: the person component and the environment component. In this model, the person component is defined as a set of competencies, including biological health, cognitive function, and sensory and motor skills. The environment component is defined in terms of demands, which are expressed as environmental “press” (i.e. the strength with which the environment demands a response from the person) [10]
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