OBJECTIVE: To examine the cross-sectional associations between activity of daily living (ADL) limitation stage and specific physical and mental conditions, global perceived health, and unmet needs for home accessibility features of community-dwelling adults aged 70 and older. DESIGN: Cross-sectional. SETTING: Community. PARTICIPANTS: Nine thousand four hundred forty-seven community-dwelling persons interviewed through the Second Longitudinal Study of Aging (LSOA II). MEASUREMENTS: Six ADLs organized into five stages ranging from no difficulty (0) to unable (IV). RESULTS: ADL stage showed strong ordered associations with perceived health, dementia severe enough to require proxy use, and history of stroke. For example, the relative risks (RRs) defined as risk of being at Stages I, II, III, or IV divided by risk of being at Stage 0 for those with dementia ranged from 3.2 (95% confidence interval (CI)=2.4-4.4) to 41.9 (95% CI=19.6-89.6) times the RRs for those without dementia. The RR ratios (RRR) comparing respondents who perceived unmet need for accessibility features in the home to those without these perceptions peaked at Stage III (RRR=17.8, 95% CI=13.0-24.5) and then declined at Stage IV. All models were adjusted for age, sex, and race. CONCLUSIONS: ADL stages showed clinically logical associations with other health-related concepts, supporting external validity. Findings suggest that specificity of chronic conditions will be important in developing strategies for disability reduction. People with partial rather than complete ADL limitation appeared most vulnerable to unmet needs for home accessibility features.
OBJECTIVE: To examine the cross-sectional associations between activity of daily living (ADL) limitation stage and specific physical and mental conditions, global perceived health, and unmet needs for home accessibility features of community-dwelling adults aged 70 and older. DESIGN: Cross-sectional. SETTING: Community. PARTICIPANTS: Nine thousand four hundred forty-seven community-dwelling persons interviewed through the Second Longitudinal Study of Aging (LSOA II). MEASUREMENTS: Six ADLs organized into five stages ranging from no difficulty (0) to unable (IV). RESULTS: ADL stage showed strong ordered associations with perceived health, dementia severe enough to require proxy use, and history of stroke. For example, the relative risks (RRs) defined as risk of being at Stages I, II, III, or IV divided by risk of being at Stage 0 for those with dementia ranged from 3.2 (95% confidence interval (CI)=2.4-4.4) to 41.9 (95% CI=19.6-89.6) times the RRs for those without dementia. The RR ratios (RRR) comparing respondents who perceived unmet need for accessibility features in the home to those without these perceptions peaked at Stage III (RRR=17.8, 95% CI=13.0-24.5) and then declined at Stage IV. All models were adjusted for age, sex, and race. CONCLUSIONS: ADL stages showed clinically logical associations with other health-related concepts, supporting external validity. Findings suggest that specificity of chronic conditions will be important in developing strategies for disability reduction. People with partial rather than complete ADL limitation appeared most vulnerable to unmet needs for home accessibility features.
Authors: Margaret G Stineman; Richard N Ross; Roger Fiedler; Carl V Granger; Greg Maislin Journal: Arch Phys Med Rehabil Date: 2003-01 Impact factor: 3.966
Authors: Sean Hennessy; Jibby E Kurichi; Qiang Pan; Joel E Streim; Hillary R Bogner; Dawei Xie; Margaret G Stineman Journal: PM R Date: 2015-05-21 Impact factor: 2.298
Authors: Margaret G Stineman; Joel E Streim; Qiang Pan; Jibby E Kurichi; Sophia Miryam Schüssler-Fiorenza Rose; Dawei Xie Journal: PM R Date: 2014-05-02 Impact factor: 2.298
Authors: Sila Bal; Jibby E Kurichi; Pui L Kwong; Dawei Xie; Sean Hennessy; Ling Na; Liliana E Pezzin; Joel E Streim; Hillary R Bogner Journal: Ophthalmic Epidemiol Date: 2017-03-27 Impact factor: 1.648
Authors: Sophia Miryam Schüssler-Fiorenza Rose; Margaret G Stineman; Qiang Pan; Hillary Bogner; Jibby E Kurichi; Joel E Streim; Dawei Xie Journal: Health Serv Res Date: 2016-03-17 Impact factor: 3.402
Authors: Margaret G Stineman; John T Henry-Sánchez; Jibby E Kurichi; Qiang Pan; Dawei Xie; Debra Saliba; Zi Zhang; Joel E Streim Journal: Am J Phys Med Rehabil Date: 2012-02 Impact factor: 2.159
Authors: Stephen P Gulley; Elizabeth K Rasch; Christina D Bethell; Adam C Carle; Benjamin G Druss; Amy J Houtrow; Amanda Reichard; Leighton Chan Journal: Disabil Health J Date: 2018-01-10 Impact factor: 2.554
Authors: Ling Na; Qiang Pan; Dawei Xie; Jibby E Kurichi; Joel E Streim; Hillary R Bogner; Debra Saliba; Sean Hennessy Journal: PM R Date: 2016-09-21 Impact factor: 2.298