Abstract:
BACKGROUND AND AIMS:In order to investigate the relation between personal functional capacity and the physical housing environment during the aging process, the aim of this study was to give a long-term description of person-environmental fit (P-E fit) problems in terms of housing accessibility and ADL dependence among older adults, and to study their relationships at three points in time. METHODS:A 10- year longitudinal design was used: baseline (1994), follow- up 1 (2000) and follow-up 2 (2004). Using the Swedish national population register, a baseline sample of persons aged 75-84 years was identified. Of the 133 participants at baseline, the 31 participants still available at follow-up 2 were included in this study. Data on housing accessibility, functional limitations and dependence in ADL were collected by means of interviews and observations at home visits. RESULTS:P-E fit problems increased significantly between baseline and follow-up 1 and between follow-ups 1 and 2. No significant changes in overall ADL dependence were recorded. The total number of functional limitations, dependence on walking aids and P-E fit were significantly correlated to ADL dependence, at both follow-up 1 and follow-up 2, but not at baseline. CONCLUSIONS:Results confirm that functional decline is a major driver toward increased ADL dependence during the aging process, whereas environmental barriers per se are not related to such disability. Instead, P-E fit is significantly related to ADL dependence, and the relationship grows stronger with advancing age.
journal_name
Aging Clin Exp Resjournal_title
Aging clinical and experimental researchauthors
Werngren-Elgström M,Carlsson G,Iwarsson Sdoi
10.1007/BF03325154subject
Has Abstractpub_date
2008-10-01 00:00:00pages
469-78issue
5eissn
1594-0667issn
1720-8319pii
4987journal_volume
20pub_type
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journal_title:Aging clinical and experimental research
pub_type: 杂志文章,评审
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journal_title:Aging clinical and experimental research
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journal_title:Aging clinical and experimental research
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journal_title:Aging clinical and experimental research
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pub_type: 杂志文章,评审
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