Factors influencing utilisation of assistive devices by the elderly in China: a community-based cross-sectional study

Yu, Shui; Luo, Di; Zhu, Ying; Yang, Lining; Li, H.; Luo, Jun; Gu, K.; Wu, D.; Zhao, Qinghua; Bai, Dingqun; Xiao, Mingzhao

doi:10.1016/j.puhe.2022.09.002

Cited by 6 publications

(11 citation statements)

References 19 publications

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“…According to this study, the majority of Chinese elderly disabled individuals (79.2%, 95% CI 78.5%-79.9%) possessed one or more assistive devices, and more than half of them were female. The prevalence of possessing and using assistive devices in this study exceeded the rate reported in another Chinese study (10.9%) (Yu et al, 2022). One possible explanation for this discrepancy could be that they included all elderly people in their study while all the participants in our study had a disability and therefore were more likely to expect to possess and use a greater number of assistive devices.…”

Section: Discussioncontrasting

confidence: 75%

Assistive device utilization among disabled elderly in China: A cross‐sectional study

Tang,

Zhang,

Yan

et al. 2024

Public Health Nursing

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ObjectiveThis study aimed to examine the characteristics of assistive device users and influencing factors among disabled elderly in China.MethodsA total of 13,510 disabled elderly in Sichuan Province were surveyed. Disability was assessed using the Barthel Activities of Daily Living Scale, mental status, sensory perception, and social engagement evaluation. Univariate analysis and logistic regression analysis were employed to identify the impact factors.ResultsThe prevalence of assistive device utilization among participants was 79.2% (10,700/13,510, 95% CI 78.5%–79.9%), with the wheelchair being the most commonly used device. Various factors were found to influence the usage of the device, including disability level, somatic disability, age, caregivers, income, caregiver fees, and living situation (p < .05). Additionally, several factors were identified associated with the frequency of device usage, such as somatic disability, education background, income, caregiver fees, living situation, access to acquire assistive devices, duration of assistive device usage, education on assistive devices, and satisfaction level (p < .05).ConclusionsThe use of assistive devices among elderly individuals in China is prevalent. There are many factors that affect the use of assistive devices, which can provide a reference for the formulation of policies in the field of assistive devices.

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Section: Discussioncontrasting

confidence: 75%

Assistive device utilization among disabled elderly in China: A cross‐sectional study

Tang,

Zhang,

Yan

et al. 2024

Public Health Nursing

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“…Results also indicated that 42.58% of the elderly in Shanghai have an unmet need for assistive walking devices, which is slightly lower than the figure in a previous study in northern and southwestern China (the self-perceived need for assistive devices among the elderly was 46.1%) (13).…”

Section: Comparison Of Characteristics Of Elderly With Unmet Needs An...contrasting

confidence: 61%

“…Results indicated that assistive walking devices are underutilized (13.15%) by the elderly in Shanghai, and this figure is slightly higher than that in a previous study in three provinces in China (Sichuan, Chongqing, Inner Mongolia, assistive devices of an unspecified type, 10.9%) (13). This figure is also higher than that in a previous study in elderly with hearing loss (7.62%) (12).…”

Section: Comparison Of Characteristics Of Elderly With Unmet Needs An...mentioning

confidence: 55%

“…On the one hand, the elderly had insufficient self-awareness of their need for assistive devices. On the other hand, only 37.6% of the elderly agreed that "assistive devices are of significant help to the safety and health of the elderly" (13).…”

Section: Self-perceived Needs Of the Elderly The Diversity And Perfor...mentioning

confidence: 99%

“…Studies have indicated that the use of assistive walking devices differs among the elderly (8)(9)(10)(11)(12)(13)(14).…”

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confidence: 99%

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A cross-sectional study on the need for and utilization of assistive walking devices by people age 55 and older in Shanghai

Cheng

Cao

Wang³

et al. 2023

BST

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We conducted a study to analyze the unmet needs of and risk factors for use of assistive walking devices by the elderly based on sample survey data from Shanghai, China from July to October 2019. Among a total sample size of 11,193 people age 55 and older, 1,947 people (17.39%) needed assistive walking devices, 829 (42.58%) of whom needed but did not use those devices. Multivariate analysis indicated that residence, living alone or cohabitating, indoor handrails, the number of diseases, and IADL were factors influencing the unmet need for assistive walking devices (p < 0.05, respectively). People who lived in community health centers (p = 0.0104, OR = 1.956, 95% CI: 1.171-3.267) and those who lived only with their spouse (p = 0.0002, OR = 2.901, 95% CI: 1.641-5.126) were more likely to have an unmet need for assistive walking devices. People without indoor handrails (p = 0.0481, OR = 0.718, 95% CI: 0.517-0.997), those with 3 or more diseases (p = 0.0008, OR = 0.577, 95% CI: 0.418-0.796), and those with severely impaired IADL (p = 0.0002, OR = 0.139, 95% CI: 0.05-0.386) were less likely to have an unmet need for assistive walking devices. Self-perceived needs of the elderly, the diversity and performance of assistive devices, and the accessibility and affordability of assistive walking devices may lead to unmet needs.

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Low adoption of mobility device in later life: Insights from the lens of intersectionality

Nie,

Gao,

et al. 2024

Geriatric Nursing

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Factors influencing utilisation of assistive devices by the elderly in China: a community-based cross-sectional study

Cited by 6 publications

References 19 publications

Assistive device utilization among disabled elderly in China: A cross‐sectional study

Assistive device utilization among disabled elderly in China: A cross‐sectional study

A cross-sectional study on the need for and utilization of assistive walking devices by people age 55 and older in Shanghai

Low adoption of mobility device in later life: Insights from the lens of intersectionality

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