Urban-Rural Disparities in Activities of Daily Living Among Older Adults in Sichuan Province and the Influencing Factors
Abstract
To investigate the disparities in the activities of daily living (ADL) among older adults living in urban and rural areas of Sichuan Province, China and the influencing factors, and to provide a basis for promoting the health of older adults and formulating relevant policies.
Methods
Using data from the Seventh Health Services Survey of Sichuan Province, we enrolled 7369 older adults from urban and rural areas and analyzed their ability to perform ADL and the relevant influencing factors. All participants were aged 60 years or older. Chi-square tests and logistic regression were performed to identify the influencing factors.
Results
The ADL impairment rate among older adults living in urban areas of Sichuan Province was 17.7%, which was higher than the rate of 13.8% among older adults living in rural areas. According to the results of logistic regression analysis, age ≥ 80 years (odds ratio [OR] = 3.725; 95% CI, 2.460-5.639), accidental injuries (OR = 2.375; 95% CI, 1.597-3.532), and good sleep quality (OR = 0.420, 95% CI: 0.289-0.612) were factors influencing ADL among older adults living in urban areas, while age ≥ 80 years (OR = 1.867; 95% CI, 1.459-2.390), being married (OR = 0.805; 95% CI, 0.664-0.976), accidental injuries (OR = 1.936; 95% CI, 1.564-2.397), and participation in social activities (OR = 0.417; 95% CI, 0.352-0.495) were factors influencing ADL among older adults living in rural areas.
Conclusion
There are differences in ADL impairment rates and the relevant influencing factors between urban and rural older adults in Sichuan Province. These findings underscore the need to consider urban-rural differences when adopting relevant policies and measures.
Keywords: Older adults, Activities of daily living, Influencing factors
Full Text:
PDFReferences
DU P, LI L. Long-term trends projection of China's population aging in the new era. J Renmin Uni China, 2021, 35(1): 96-109. doi: 10.3969/j.issn. 1000-5420.2021.01.010.
FANG E F, SCHEIBYE-KNUDSEN M, JAHN H J, et al. A research agenda for aging in China in the 21st century. Ageing Res Rev, 2015, 24(Pt B): 197-205. doi: 10.1016/j.arr.2015.08.003.
RAN G Q, WANG Y, LIU S, et al. Multidimensional social deprivation impacts on frailty in the elderly: the mediating effect of depression. J Sichuan Univ ( Med Sci ), 2024, 55(4): 925-931. doi: 10.12182/ 20240760601.
REN Q M, REN X H. Effect of intergenerational support from children on older adults' healthcare seeking behaviors. J Sichuan Univ ( Med Sci ), 2023, 54(3): 614-619. doi: 10.12182/20230560505.
ZHANG L W, LU Q C, ZHAO Y. Association of multimorbidity with health outcomes in the Chinese middle-aged and elderly population. Journal of Sun Yat-Sen University (Medical Sciences), 2023, 44(1): 159-168. doi: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).20221215.001.
LIU M, WANG J H, YANG S S, et al. Evaluation of activities of daily living and related factors in community elderly people in urban and rural areas of Beijing. Chinese Journal of Epidemiology, 2018, 39(3): 268-272. doi: 10.3760/cma.j.issn.0254-6450.2018.03.004.
ZHANG X, LI W, DAI J, et al. An analysis of urban-rural difference of self-care ability of seniors-an empirical analysis based on CHARLS (2018) data. Population and Development, 2022, 28(4): 129-142.
ZHAO Y, YANG J Y, YANG X, et al. The relationship between multi-dimensional frailty and impairment of activities of daily living in rural elderly. Chin Gen Prac, 2024, 27(1): 79-84. doi: 10.12114/j.issn.1007-9572. 2023.0428.
REN X H, WU D P, HE P, et al. Analysis of functional status and impacting factors of the elderly in western Sichuan area. China Medicine and Pharmacy, 2023, 13(14): 129-132. doi: 10.20116/j.issn2095-0616.2023.14.31. The role of physical activity and community engagement in understanding mental health among community-dwelling seniors. Comput Inform Nurs, 2023, 41(8): 628. doi: 10.1097/CIN. 0000000000001067.
KANG J J, WU F W. The impact of steady flow of rural labor force in China on rural aging: empirical analysis based on the data from 2009-2021 thousand-village survey. Journal of Finance and Economics, 2024, 50(2): 78-92. doi: 10.16538/j.cnki.jfe.20231120.401.
XIE Y T, ZHONG M Z, ZHU F. Comparatively studying on the death anxiety between the elderly and the middle-aged under the background of aging. Chinese Health Service Management, 2019, 36(3): 215-218.
ZOU Y M, Hao Y T. Analysis on years of life lost and economic burden caused by injury in China. Chinese Journal of Disease Control Prevention, 2016, 20(5): 495-499. doi: 10.16462/j.cnki.zhjbkz.2016.05.016.
YOUNOSSI Z, AGGARWAL P, SHRESTHA I, et al. The burden of non-alcoholic steatohepatitis: a systematic review of health-related quality of life and patient-reported outcomes. JHEP Rep, 2022, 4(9):100525. doi: 10. 1016/j.jhepr.2022.100525.
CUI L Y, DING D, WANG M H, et al. The relationship between different types of daily living abilities and depression among older adults. Chinese Journal of Disease Control Prevention, 2023, 27(6): 717-721. doi: 10. 16462/j.cnki.zhjbkz.2023.06.017.
WANG X H, PENG C. Study on the impact mechanism of elderly socioeconomic status on health: the mediating effects of lifestyle, public service and social psychology. Chinese Journal of Health Policy, 2020, 13(3): 21-30. doi: 10.3969/j.issn.1674-2982.2020.03.004.
LI J F, LU L M, YU L W. Analysis of self-assessment of health status by Chinese labor force and its influencing factors. Chinese Journal of Health Statistics, 2019, 36(6): 901-902.
BARANWAL N, YU P K, SIEGEL N S . Sleep physiology, pathophysiology, and sleep hygiene. Prog Cardiovasc Dis, 2023, 77: 59-69. doi: 10.1016/j.pcad.2023.02.005.
SHI T, PAN C P, WU S Q, et al. Gender differences in disability of the oldest-old in China. Medicine and Society, 2022, 35(11): 44-49. doi: 10. 13723 /j.yxysh.2022.11.009.
ZHAO Z R, LI F. Study on the current situation and influencing factors of the elderly disability in rural China. Chinese Health Service Management, 2024, 41(3): 300-306.
NG Y T, FINGERMAN K. Older adult's marital status, support exchanges and psychological well-being in everyday life. Innovation in Aging, 2021, 5(Supplement_1): 919-919. doi: 10.1093/geroni/igab046.3330.
SCAFATO E, GALLUZZO L, GANDIN C, et al. Marital and cohabitation status as predictors of mortality: a 10-year follow-up of an Italian elderly cohort. Soc Sci Med, 2008, 67(9): 1456-1464. doi: 10.1016/j.socscimed. 2008.06.026.
KEMPERMAN A, TIMMERMANS H. Green spaces in the direct living environment and social contacts of the aging population. Landscape and Urban Planning, 2014, 129: 44-54.
MU Y X, DU B F. The effect of neighborhood outdoor activity space on depression among Chinese older adults. Chinese Journal of Health Statistics, 2024, 41(5): 667-670. doi: 10.11783/j.issn.1002-3674.2024.05.007.
KERAMAT S A, ALAM K, SATHI N J, et al. Self-reported disability and its association with obesity and physical activity in Australian adults: results from a longitudinal study. SSM Popul Health, 2021, 14: 100765. doi: 10.1016/j.ssmph.2021.100765.
Refbacks
- There are currently no refbacks.
