Abstract:
BACKGROUND:The built, social and economic environments are associated with disability, but knowledge of how these environmental characteristics simultaneously influence older adults' ability to shop independently is limited. OBJECTIVE:We investigated cross-sectional associations between the outdoor home, local neighborhood and macrosocioeconomic levels of the environment and shopping difficulty and interactions between environmental factors and shopping difficulty. METHODS:Using nationally representative data from a study of Medicare-eligible adults, we conducted a cross-sectional secondary data analysis to examine associations between the environment and difficulty shopping (N = 5504). RESULTS:Sidewalk conditions, broken steps, neighborhood social cohesion and neighborhood socioeconomic disadvantage were associated with more difficulty shopping, although health factors partially accounted for associations between broken steps and disadvantage and shopping difficulty. The association between social cohesion and shopping difficulty also depended on the degree of socioeconomic disadvantage in the neighborhood. CONCLUSIONS:Overall, results suggest that factors in the outdoor and local neighborhood environment influence the ability to shop independently for older adults, but that it also may depend on the socioeconomic context of the neighborhood. Interventions aimed at improving the built environment directly outside of older adults' homes and helping increase social cohesion among neighbors, has the potential to reduce difficulty in carrying out this important activity. Implications for rehabilitation Built features of the outdoor home environment including sidewalks and broken steps influence whether older adults are able to safely leave their home to conduct daily activities such as shopping, so it is important that clinicians and rehabilitation professionals are aware of these challenges when helping their patients resume daily activities such as shopping. The physical condition and safety of the immediate outdoor home and neighborhood environment is critical for maintaining independence and well-being for older adults, which is critical for physical rehabilitation as well as maintenance of essential activities such as shopping. Living in more socially cohesive neighborhoods may aid in physical rehabilitation efforts by helping older adults feel more comfortable and able to shop independently in neighborhoods with social and economic disadvantages.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Brenner AB,Clarke PJdoi
10.1080/09638288.2017.1398785subject
Has Abstractpub_date
2019-01-01 00:00:00pages
191-200issue
2eissn
0963-8288issn
1464-5165journal_volume
41pub_type
杂志文章abstract:PURPOSE:The present review aimed to summarize and critique existing qualitative studies that have examined typically-developing students' views of inclusive education (i.e. the policy of teaching students with special educational needs in mainstream settings). METHODS:Guidelines from the Centre for Reviews and Dissemi...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638288.2014.993433
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:Pressure mapping systems provide useful information for pressure care assessment. Healthcare professionals tend to rely upon their colour-coded pressure maps to assist clinical decision-making, based on ranking these from best to worst pressure distribution. The current study investigated whether such ranking i...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280701400409
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abstract::Purpose To investigate shoulder function, pain and Health-Related Quality of life (HRQoL) among adults with joint hypermobility syndrome/Ehlers-Danlos syndrome-hypermobility type (JHS/EDS-HT), compared with the general population (controls). Method In a cross-sectional study using postal survey, 110 patients diagnosed...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280801928002
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:To explore how the process of undergoing and recovering from knee replacement surgery alters patients' experiences and use of their support networks. METHODS:Ten patients having knee replacement surgery for osteoarthritis were invited to take part in in-depth interviews prior to surgery and 2-4 weeks, 6 and 12...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
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abstract:PURPOSE:To ascertain how well health services in Lusaka, Zambia currently meet the safe motherhood and reproductive health care needs of women who have physical impairment leading to disability. METHODS:A qualitative study was conducted in Lusaka, Zambia. In-depth tape-recorded interviews were conducted with 24 purpos...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
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journal_title:Disability and rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280701618778
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journal_title:Disability and rehabilitation
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更新日期:2003-10-21 00:00:00
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journal_title:Disability and rehabilitation
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doi:10.1080/09638288.2017.1370498
更新日期:2019-01-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
abstract:PURPOSE:Research has suggested that people with Parkinson's disease (PD) can experience apathy. This study explored the lived experiences of apathy in people with PD. METHOD:Seven participants with Parkinson's disease who were also described as having apathy were interviewed and the data analysed using interpretative ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2014.939771
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abstract:PURPOSE:To explore the long-term functional outcomes of stroke patients with very mild severity at 6 months after stroke. METHODS:This study presents the interim results of the Korean Stroke Cohort for Functioning and Rehabilitation. On day 7, stroke evaluation was performed using the functional assessment battery inc...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,多中心研究
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更新日期:2017-05-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
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更新日期:2013-07-01 00:00:00
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journal_title:Disability and rehabilitation
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doi:10.1080/09638288.2018.1497713
更新日期:2020-01-01 00:00:00
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pub_type: 杂志文章
doi:10.3109/09638288.2014.932442
更新日期:2015-01-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.3109/09638280903177243
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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更新日期:1995-07-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,meta分析
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更新日期:2020-06-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2018-12-01 00:00:00
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2019-11-30 00:00:00
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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更新日期:2018-07-01 00:00:00