Prevalence of functional limitations in older remote-living Aboriginal Australians.
Aust J Rural Health
; 32(2): 311-319, 2024 Apr.
Article
em En
| MEDLINE
| ID: mdl-38345200
ABSTRACT
INTRODUCTION:
To better tailor prevention and care strategies, there is a need to identify modifiable factors associated with functional impairment in older Aboriginal people, and related service needs.OBJECTIVE:
To investigate the prevalence and associated factors for functional impairment in older Aboriginal people, and related service needs.DESIGN:
Cross-sectional survey of 289 Aboriginal people aged ≥45 years living in the remote Kimberley region of Western Australia. Factors associated with functional impairment were explored with logistic regression.FINDINGS:
41.2% (95% CI 35.6%-47.0%) of participants required assistance with at least one I/ADL, and 26.0% (95% CI 21.2%-31.3%) required assistance with two or more I/ADLs. A core activity limitation (required assistance with showering, dressing or cooking) was reported by 15.9% (95% CI 12.1%-20.6%). In multivariable logistic regression analyses, older age, diabetes, difficulty walking, head injury, higher depression score and worse cognition were associated with needing help with two or more I/ADLs, while older age, history of stroke, higher depression score and worse cognition were associated with the presence of a core activity limitation. The proportion of participants receiving support with I/ADLs ranged from 71.2% to 97.6%. Support was generally provided by family and friends rather than service providers.DISCUSSION:
The key modifiable factors associated with functional impairment in older Aboriginal people living in remote regions are diabetes, depression and cognitive impairment. Services required are transport and socio-cultural activities, and ensuring support for family providing the majority of care.CONCLUSIONS:
This study highlights the need for holistic prevention strategies and care for older Aboriginal people with functional limitations and their families.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atividades Cotidianas
/
Povos Aborígenes Australianos e Ilhéus do Estreito de Torres
Tipo de estudo:
Prevalence_studies
/
Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Aged80
/
Female
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Humans
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Male
/
Middle aged
País/Região como assunto:
Oceania
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article