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Assessment of disability status of community elderly residents in Xi'an, China
Received:November 14, 2023  Revised:February 06, 2024  Click here to download the full text
Citation of this paper:CHANG Wenxing,YUAN Chao,HU Chan,CHU Meiqin,LEI Tao,YANG Huan,WANG Qixia.Assessment of disability status of community elderly residents in Xi'an, China[J].Chinese Journal of Clinical Medicine,2024,31(1):113-120
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Author NameAffiliationE-mail
CHANG Wenxing Department of General Practice, Xi'an Central Hospital, Xi'an 710000, Shaanxi, China  
YUAN Chao Department of Skin and Cosmetic Research, Shanghai Skin Disease Hospital, Shanghai 200443, China  
HU Chan Department of Photomedicine, Shanghai Skin Disease Hospital, Shanghai 200443, China  
CHU Meiqin Department of Dermatology, Institute of Skin Disease Prevention and Treatment, Fengxian District, Shanghai 201499, China  
LEI Tao Department of General Practice, Xi'an Central Hospital, Xi'an 710000, Shaanxi, China  
YANG Huan Department of General Practice, Xi'an Central Hospital, Xi'an 710000, Shaanxi, China  
WANG Qixia Department of General Practice, Xi'an Central Hospital, Xi'an 710000, Shaanxi, China 985828271@qq.com 
Abstract:Objective To assess the disability status of elderly residents of Xi'an and to analyze the influencing factors. Methods Elderly residents aged ≥ 60 years old who had check-ups at community health centers in Xi'an from March 1, 2022 to July 31, 2022 were selected to conduct a face-to-face questionnaire survey. The 12 items of World Health Organization Disability Rating Scale, Version 2 (12-item WHODAS 2.0) was used to assess the status and degree of disability, and a multifactorial logistic regression model was used to analyze the influencing factors of different dimensions of disability in the elderly. Results A total of 1 014 people were included in the survey, of whom 233 (22.98%) were disabled. The results showed that the disability rate and WHODAS 2.0 scores were higher for those who were ≥ 80 years old, were not in a marriage, had less than elementary school education, had income P<0.05). The WHODAS 2.0 score of cognitive level (31.49±41.59) was significantly higher than the physical activity level (20.86±51.25) among the elderly residents in the community (t=5.127, P<0.01). Multivariate analysis showed that ≥ 70 years old (OR=1.54-8.53), less than junior high school education (OR=1.87-4.50), income Conclusions The incidence of disability among elderly residents increases with age and deteriorating health, and low literacy and income levels are also important risk factors for disability. The cognitive level of disability is significantly higher than the physical activity level, so exploring efficient ways to improve the cognitive level of elderly residents will be one of the key tasks in the future to prevent and treat elderly disability.
keywords:community  elderly population  disability  world health organization disability assessment schedule
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