Morbidity and Physical Functioning in Old Age: Differences According to Living Area
Identifieur interne : 000639 ( Main/Exploration ); précédent : 000638; suivant : 000640Morbidity and Physical Functioning in Old Age: Differences According to Living Area
Auteurs : Britt-Marie Sjölund [Suède] ; Gunilla Nordberg [Suède] ; Anders Wimo [Suède] ; Eva Von Strauss [Suède]Source :
- Journal of the American Geriatrics Society [ 0002-8614 ] ; 2010-10.
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Abstract
OBJECTIVES: To describe differences in morbidity and functional status according to living area. DESIGN: Community‐based survey. SETTING: A community‐based prospective cohort, the Kungsholmen‐Nordanstig Project. PARTICIPANTS: Adults aged 75 and older living in an urban area of central Stockholm (n=1,222) and in the rural community of Nordanstig in northern Sweden (n=919). MEASUREMENTS: Physicians clinically examined all participants using the same standardized protocols in both living areas; trained nurses directly assessed disability. RESULTS: Cardiovascular disease was the most common disorder in both living areas (39.9% in the urban area and 45.2% in the rural area). There were great area differences in the prevalence of stroke (7.4% and 14.0%), diabetes mellitus 6.3% and 16.1%), and Parkinson's disease (1.0% and 3.7%). It was more common to have two or more diseases than no diseases in the rural area than in the urban area (odds ratio=1.9, 95% confidence interval=1.4–2.4). Significant living area differences (urban vs rural) in population attributable risk (PAR) was found for disability due to stroke (5.6 vs 32.2), diabetes mellitus (1.2 vs 6.1), fractures (1.4 vs 10.7), and hearing impairment (8.7 vs 22.0). CONCLUSION: Differences were found in disability, morbidity, and disease patterns according to living area. The rural elderly population was more disabled and had more diseases than the urban elderly population, despite being slightly younger than the urban cohort. There were significant area differences in the PAR of how specific chronic conditions influenced the risk of disability.
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DOI: 10.1111/j.1532-5415.2010.03085.x
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†Stockholm Gerontology Research Center, Stockholm, Sweden; ‡Alzheimer Disease Research Center, Karolinska Institutet, Stockholm, Sweden; and §Red Cross University College, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Von Strauss, Eva" sort="Von Strauss, Eva" uniqKey="Von Strauss E" first="Eva" last="Von Strauss">Eva Von Strauss</name><affiliation wicri:level="3"><country xml:lang="fr">Suède</country><wicri:regionArea>From the*Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden; †Stockholm Gerontology Research Center, Stockholm, Sweden; ‡Alzheimer Disease Research Center, Karolinska Institutet, Stockholm, Sweden; and §Red Cross University College, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of the American Geriatrics Society</title><idno type="ISSN">0002-8614</idno><idno type="eISSN">1532-5415</idno><imprint><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><date type="published" when="2010-10">2010-10</date><biblScope unit="volume">58</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1855">1855</biblScope><biblScope unit="page" to="1862">1862</biblScope></imprint><idno type="ISSN">0002-8614</idno></series><idno type="istex">886AEA4A7AAD5EA861AFA2A8DDE5B39F0922B203</idno><idno type="DOI">10.1111/j.1532-5415.2010.03085.x</idno><idno type="ArticleID">JGS3085</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-8614</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>elderly</term><term>functioning</term><term>morbidity</term><term>population‐based</term><term>rural vs urban</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">OBJECTIVES: To describe differences in morbidity and functional status according to living area. DESIGN: Community‐based survey. SETTING: A community‐based prospective cohort, the Kungsholmen‐Nordanstig Project. PARTICIPANTS: Adults aged 75 and older living in an urban area of central Stockholm (n=1,222) and in the rural community of Nordanstig in northern Sweden (n=919). MEASUREMENTS: Physicians clinically examined all participants using the same standardized protocols in both living areas; trained nurses directly assessed disability. RESULTS: Cardiovascular disease was the most common disorder in both living areas (39.9% in the urban area and 45.2% in the rural area). There were great area differences in the prevalence of stroke (7.4% and 14.0%), diabetes mellitus 6.3% and 16.1%), and Parkinson's disease (1.0% and 3.7%). It was more common to have two or more diseases than no diseases in the rural area than in the urban area (odds ratio=1.9, 95% confidence interval=1.4–2.4). Significant living area differences (urban vs rural) in population attributable risk (PAR) was found for disability due to stroke (5.6 vs 32.2), diabetes mellitus (1.2 vs 6.1), fractures (1.4 vs 10.7), and hearing impairment (8.7 vs 22.0). CONCLUSION: Differences were found in disability, morbidity, and disease patterns according to living area. The rural elderly population was more disabled and had more diseases than the urban elderly population, despite being slightly younger than the urban cohort. There were significant area differences in the PAR of how specific chronic conditions influenced the risk of disability.</div></front></TEI><affiliations><list><country><li>Suède</li></country><region><li>Svealand</li></region><settlement><li>Stockholm</li></settlement></list><tree><country name="Suède"><region name="Svealand"><name sortKey="Sjolund, Britt Arie" sort="Sjolund, Britt Arie" uniqKey="Sjolund B" first="Britt-Marie" last="Sjölund">Britt-Marie Sjölund</name></region><name sortKey="Nordberg, Gunilla" sort="Nordberg, Gunilla" uniqKey="Nordberg G" first="Gunilla" last="Nordberg">Gunilla Nordberg</name><name sortKey="Von Strauss, Eva" sort="Von Strauss, Eva" uniqKey="Von Strauss E" first="Eva" last="Von Strauss">Eva Von Strauss</name><name sortKey="Wimo, Anders" sort="Wimo, Anders" uniqKey="Wimo A" first="Anders" last="Wimo">Anders Wimo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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