Prevalence and correlates of disability among urban–rural older adults in Southwest China: a large, population-based study

Qiao, Runjuan; Jia, Shuli; Zhao, Wenchuan; Xia, Xin; Su, Qiaoli; Hou, Lisha; Li, Daiping; Hu, Fayun; Dong, Birong

doi:10.1186/s12877-022-03193-2

Cited by 19 publications

(12 citation statements)

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“…A large number of healthcare professionals are needed for the identification of high‐risk groups, disability evaluation and nursing care (Bai et al, 2021 ). However, the limited nursing staff and medical resources in some poverty‐stricken areas prevent people with disability from being assessed and cared for (Qiao et al, 2022 ). Informal caregivers represent the most abundant personnel resource in looking after people with disabilities (Ranhoff, 1997 ).…”

Section: Discussionmentioning

confidence: 99%

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Reliability of pictorial Longshi Scale for informal caregivers to evaluate the functional independence and disability

et al. 2022

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Background: Numerous instruments to evaluate the functional independence and disability are available for healthcare professionals, making it di cult for patients and their families to evaluate and explain the results. Longshi Scale is the rst pictorial-based disability assessment tool and it may allow a much simply and inclusive assessment across all population. The objective of this study was to test the reliability of the Longshi Scale for informal caregivers to assess functional independence and disability.Methods: This study was conducted at the inpatient rehabilitation departments from 24 hospitals in 11 cities across China. The patients who were more than 18 years old and diagnosed with cerebral infarction, cerebral hemorrhage, brain trauma, spinal cord injury, postoperative brain tumors, and other disorders causing physical functional disabilities were recruited. Then the Longshi Scale was used to assess the functional independence and disability of patients by both healthcare professionals and informal caregivers. Descriptive statistics (i.e., frequency, percentage, mean, and standard deviation) were calculated. The Kolmogorov-Smirnov test was used to examine the normal distribution of the data. The chi-square test or McNemar-Bowker test was used to compare the nominal variables of the three groups.T-tests were used to compare the mean of the quantitative variables of the two groups. The agreement between the scores was assessed using Cohen's kappa statistic and the marginal homogeneity test.Results: In total of 947 patients were included. Of these, 419 were in the "bedridden group", 298 in the "domestic group", and 230 in the "community group". The mean scores were 5.00±1.936, 5.37±1.656 and 7.18±2.055 in the bedridden, domestic, and community groups, respectively. The mean score of each item was compared, and there were no signi cant differences between healthcare professionals and informal caregivers (p > 0.05). The Longshi Scale items and the sum score had fair or better agreement (weighted kappa > 0.50) between healthcare professionals and informal caregivers' scores. The reliability of Longshi Scale was found to be acceptable.Conclusions: This study demonstrated fair or better agreement between healthcare professionals' and informal caregivers' scores on Longshi Scale items and their sum scores. The Longshi Scale for the assessment of the functional independence and disability by informal caregivers, is reliable.Trail registration: ChiCTR2000040556. BackgroundApproximately 15% of the world's population suffers from some kind of disability, and every year this number is increasing [1]. Disability is a various condition, owing to many varieties of trauma, aging and acute or chronic diseases [2]. Many medical conditions related to disability expand the healthcare needs and cause loss of working ability, whereas others do not [3]. Functional independence and disability assessment are needed for multiple purposes, including design of rehabilitation plans, eligibility for rehabilitation services, disabil...

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Section: Discussionmentioning

confidence: 99%

“…However, the limited nursing staff and medical resources in some poverty-stricken areas prevent people with disability from being assessed and cared for (Qiao et al, 2022). Informal caregivers represent the most abundant personnel resource in looking after people with disabilities (Ranhoff, 1997).…”

Section: Discussionmentioning

confidence: 99%

Reliability of pictorial Longshi Scale for informal caregivers to evaluate the functional independence and disability

et al. 2022

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Section: Introductionmentioning

confidence: 99%

“…Disability refers to impairments, limitations in activity, and restricted participation (1,2). The prevalence of disability among middle-and old-age individuals ranges from 19.4 to 33.3% (1)(2)(3)(4)(5), and it is positively correlated with age (5,6). Disability significantly increases the rehospitalization risk and frailty, decreases quality of life, and can even lead to death (3,7,8).…”

Section: Introductionmentioning

confidence: 99%

Suitable ultrasound screening method for older adults with disability to identify low muscle mass

Ding,

Lin,

Huang

et al. 2023

Front. Med.

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ObjectiveThis study aimed to investigate the accuracy and consistency of different ultrasound protocols for the measurement of gastrocnemius muscle (GM) thickness and to identify a suitable ultrasound scheme that can be used to detect the low muscle mass in older with disability.Materials and methodsIn this cross-sectional study, each participant underwent three different ultrasound protocols for the measurement of the GM thickness, and each measurement was repeated three times. The three measurement schemes were as follows: method A, lying on the examination bed in a prone position with legs stretched and relaxed and feet hanging outside the examination bed; method B, lateral right side lying position with legs separated (left leg flexed and right leg in a relaxed state); and method C, right side lying position with legs together and lower limb muscles in a relaxed state. The low muscle mass was determined by averaging two or three measurements of the GM thickness determined using different sonographic protocols.ResultsThe study included 489 participants. The difference in the prevalence of low muscle mass identified between two and three replicates of the same measurement protocol ranged from 0 to 1.3%. Considering the three repeated measurements of the method A as the reference, the area under the curve (AUC) in different measurement schemes were 0.977-1 and 0.973-1 in males and females, respectively. Furthermore, male and female Kappa values from low to high were 0.773, 0.801, 0.829, 0.839, and 0.967 and 0.786, 0.794, 0.804, 0.819, and 0.984, respectively.ConclusionDifferent ultrasound measurement protocols showed high accuracy and consistency in identifying low muscle mass. Repeating the measurements two or three times was found to be feasible.

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“…The high burden and cost of disability makes it imperative to understand the age of disability onset and take interventions before then. Existing research on disability of older adults mainly discussed the influencing factors, illustrating that aging, being female, low economic income, low educational level, living alone, absence of health insurance, residence in a rural area, depression, frailty, and higher number of hospitalization were risk factors ( 8 – 11 ). However, these studies just pointed out that the risk of disability increases with aging.…”

Section: Introductionmentioning

confidence: 99%

Gender specific cut-off points of age for disability among rural elderly in Anhui Province, China

Wang

Zhang

et al. 2022

Front. Public Health

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ObjectiveThe purpose of this study was to determine the optimal cut-off values of age for disability in order to predict the risk of disability for older adults in rural areas.MethodsWHO Disability Assessment Schedule 2.0 was used to assess disability. The cut-off values of age for disability were obtained by ROC curve analysis.ResultsThe cut-off points of age for cognition restriction, mobility restriction, self-care restriction, getting along with people restriction, life activities restriction, and social participation restriction for men were 70.5, 68.5, 72.5, 70.5, 71.5, and 68.5 years old, respectively. The cut-off points of age for cognition disability, mobility restriction, self-care disability, getting along with people disability, life activities disability, and social participation disability for women were 72.5, 71.5, 70.5, 70.5, 71.5, and 71.5 years old, respectively. Over the cut-off values of age was an independent risk factor for disability (P < 0.05).ConclusionPresenting first disability symptoms were different between men and women. Preventive efforts to prevent future disability should be different for men and women.

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Prevalence and correlates of disability among urban–rural older adults in Southwest China: a large, population-based study

Cited by 19 publications

References 59 publications

Reliability of pictorial Longshi Scale for informal caregivers to evaluate the functional independence and disability

Reliability of pictorial Longshi Scale for informal caregivers to evaluate the functional independence and disability

Suitable ultrasound screening method for older adults with disability to identify low muscle mass

Gender specific cut-off points of age for disability among rural elderly in Anhui Province, China

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