Covariates of Disability-Profile Transitions in Older People Living at Home

Raı̂che, Michel; Hébert, Réjean; Dubois, Marie-France; Gueye, Ndèye Rokhaya; Dubuc, Nicole

doi:10.4236/jbm.2014.23005

Cited by 6 publications

(4 citation statements)

References 48 publications

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“…We include time-variant and time-invariant covariates that have consistently appeared in the literature as factors linked to disability and that are needed to understand the transitions and trajectories of physical limitations. For a review of the literature linking each covariate to disability, please refer to the work by Raîche and colleagues 37 .…”

Section: Methodsmentioning

confidence: 99%

Trajectories of limitations in activities of daily living among older adults in Mexico, 2001–2012

Díaz-Venegas

Wong

2016

Disability and Health Journal

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Background Trajectories of disability are an essential component to understand the burden of disability at the societal level. Longitudinal studies, compared to cross-national studies, enable a better analysis of the progression of physical limitations among the elderly. However, information on disability dynamics in developing countries is limited. Objectives This paper examines the changes in activities of daily living (ADLs) in an 11-yr. period in the Mexican elderly population aged 60 or older and identifies how sociodemographic variables alter these trajectories. Methods The data come from the Mexican Health and Aging Study (MHAS), a national sample of adults born in 1951 or earlier, including a baseline survey in 2001 and follow-ups in 2003 and 2012. Results The ADL score increased on average by 0.03 for every year respondents aged after 60. In contrast, the ADL score was reduced by 0.06 for every additional year of education. Conclusions Age, gender, and years of education were confirmed to influence the trajectories of ADL limitations. Understanding the patterns of deterioration of functional limitations will help inform public health policies to better serve the population.

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Section: Methodsmentioning

confidence: 99%

Trajectories of limitations in activities of daily living among older adults in Mexico, 2001–2012

Díaz-Venegas

Wong

2016

Disability and Health Journal

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“…Older adults with a limitation in Mexico and in the United States are two heterogeneous groups influenced by different socioeconomic and demographic factors. The knowledge of a clear progression of disability in each country is essential to target the needs of these older adults because they may require more specialized medical attention, along with rehabilitation, and possibly, institutionalization ( Raîche, Hébert, Dubois, Gueye, & Dubuc, 2014 ).…”

Section: Discussionmentioning

confidence: 99%

Differences in the Progression of Disability: A U.S.–Mexico Comparison

Díaz-Venegas

Reistetter

Wong³

2016

GERONB

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ObjectivesThis article seeks to document the progression of disability in a developing country by implementing a model to examine how this process compares to a developed country.MethodsData come from the Mexican Health and Aging Study (MHAS), including a baseline survey in 2001 and a follow-up in 2003, and from the U.S. Health and Retirement Study (HRS), using the 2000 and 2002 waves. An ordinal logistic regression approach is used to examine a progression of disability that considers (a) no disability, (b) mobility problems, (c) mobility plus limitations with instrumental activities of daily living, (d) mobility plus limitations with activities of daily living (ADLs), (e) limitations in all three areas and (f) death.ResultsIn both data sets, approximately 44% of the sample remained in the same level of disability at the 2-year follow-up. However, the progression of limitations with two disabilities differs by gender in the MHAS but is consistent for both men and women in the HRS.DiscussionOur model reflects the importance of ADLs in the disablement process in Mexico. We speculate that the difference in lifetime risk profiles and cultural context might be responsible for the divergence in the progression of disability by gender.

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“…The SMAF is an indicator used to predict the transitions of Iso-SMAF profiles over 4 years with 1500 people over the age of 75 followed annually cohort PRISMA [39]) and examined covariates related to transitions of autonomy [40]. The PRISMA is the research group established to address the problem of lack of continuity to care experienced by older adults with chronic conditions in Quebec.…”

Section: Assessment Of Functional Autonomymentioning

confidence: 99%

Patterns and predictive factors of loss of the independence trajectory among community-dwelling older adults

et al. 2021

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Background Independence is related to the aging process. Loss of independence is defined as the inability to make decisions and participate in activities of daily living (ADLs). Independence is related to physical, psychological, biological, and socioeconomic factors. An enhanced understanding of older people’s independence trajectories and associated risk factors would enable the develop early intervention strategies. Methods Independence trajectory analysis was performed on patients identified in the Unité de Prévention de Suivi et d’Analyse du Vieillissement (UPSAV) database. UPSAV cohort is a prospective observational study. Participants were 221 community-dwelling persons aged ≥75 years followed for 24 months between July 2011–November 2013 and benefits from a prevention strategy. Data were collected prospectively using a questionnaire. Independence was assessed using the “Functional Autonomy Measurement System (Système de Mesure de l’Autonomie Fonctionnelle (SMAF))”. Group-based trajectory modeling (GBTM) was performed to identify independence trajectories, and the results were compared with those of k-means and hierarchical ascending classifications. A multinomial logistic regression was performed to identify predictive factors of the independence trajectory. Results Three distinct trajectories of independence were identified including a “Stable functional autonomy (SFA) trajectory” (53% of patients), a “Stable then decline functional autonomy decline (SDFA) trajectory” (33% of patients) and a “Constantly functional autonomy decline (CFAD) trajectory” (14% of patients). Not being a member of an association, and previous fall were significantly associated of a SDFA trajectory (P < 0.01). Absence of financial and human assistance, no hobbies, and cognitive disorder were significantly associated with a CFAD trajectory (P < 0.01). Previous occupation and multiple pathologies were predictive factors of both declining trajectories SDFA and CFAD. Conclusions Community-living older persons exhibit distinct independence trajectories and the predictive factors. The evidence from this study suggests that the prevention and screening for the loss of independence of the older adults should be anticipated to maintaining autonomy.

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Covariates of Disability-Profile Transitions in Older People Living at Home

Cited by 6 publications

References 48 publications

Trajectories of limitations in activities of daily living among older adults in Mexico, 2001–2012

Trajectories of limitations in activities of daily living among older adults in Mexico, 2001–2012

Differences in the Progression of Disability: A U.S.–Mexico Comparison

Patterns and predictive factors of loss of the independence trajectory among community-dwelling older adults

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