Literaturnachweis - Detailanzeige
Autor/inn/en | Laditka, James N.; Laditka, Sarah B.; Olatosi, Bankole; Elder, Keith T. |
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Titel | The Health Trade-Off of Rural Residence for Impaired Older Adults: Longer Life, More Impairment |
Quelle | In: Journal of Rural Health, 23 (2007) 2, S.124-132 (9 Seiten)
PDF als Volltext |
Sprache | englisch |
Dokumenttyp | gedruckt; online; Zeitschriftenaufsatz |
ISSN | 0890-765X |
DOI | 10.1111/j.1748-0361.2007.00079.x |
Schlagwörter | Public Health; Markov Processes; Rural Areas; Older Adults; Sex; Race; Educational Attainment; Surveys; Physical Health; Health Services; Quality of Life; Disabilities |
Abstract | Context: 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). |
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Erfasst von | ERIC (Education Resources Information Center), Washington, DC |
Update | 2017/4/10 |