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Autor/inn/enLaditka, James N.; Laditka, Sarah B.; Olatosi, Bankole; Elder, Keith T.
TitelThe Health Trade-Off of Rural Residence for Impaired Older Adults: Longer Life, More Impairment
QuelleIn: Journal of Rural Health, 23 (2007) 2, S.124-132 (9 Seiten)
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Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN0890-765X
DOI10.1111/j.1748-0361.2007.00079.x
SchlagwörterPublic Health; Markov Processes; Rural Areas; Older Adults; Sex; Race; Educational Attainment; Surveys; Physical Health; Health Services; Quality of Life; Disabilities
AbstractContext: Years lived with and without physical impairment are central measures of public health. Purpose: We sought to determine whether these measures differed between rural and urban residents who were impaired at the time of a baseline measurement. We examined 16 subgroups defined by rural/urban residence, gender, race, and education. Methods: This is a 20-year retrospective cohort study, following 2,939 Americans who were aged 65-69 in 1982 and physically impaired at the time of the baseline measurement, with data from the National Long-Term Care Survey. Interpolated Markov chain analysis and microsimulation estimated life expectancy at age 65 and expected number of years with physical impairment. Impairment was defined as requiring help in 1 or more activities of daily living. Findings: Among older individuals with physical impairments at baseline, rural residents lived notably longer than urban residents. In all but 1 group, rural residents lived more years with physical impairment, and they also had a notably larger proportion of remaining life impaired. Conclusions: Results suggest a notable public health impact of rural residence for impaired individuals, a longer expected period of impairment. Needs for services for people with impairments may be greater in rural areas. (Author).
AnmerkungenBlackwell Publishing. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8599; Fax: 781-388-8232; e-mail: customerservices@blackwellpublishing.com; Web site: http://www.blackwellpublishing.com/jnl_default.asp
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2017/4/10
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