Self‐reported dual sensory impairment, dementia, and functional limitations in Medicare beneficiaries
| العنوان: | |
|---|---|
| المؤلفون: | Michael McKee, Judith D. Kasper, Bonnielin K. Swenor, Lama Assi, Alison Huang, Jennifer A. Deal, Nicholas S. Reed, Joshua R. Ehrlich, Frank R. Lin, Yunshu Zhou |
| المصدر: | J Am Geriatr Soc |
| بيانات النشر: | Wiley, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Activities of daily living, medicine.medical_treatment, Population, Audiology, Medicare, Article, symbols.namesake, Prevalence, medicine, Humans, Dementia, Multiple Chronic Conditions, Poisson Distribution, Poisson regression, Mobility Limitation, Association (psychology), education, Aged, Aged, 80 and over, education.field_of_study, Rehabilitation, business.industry, Dual sensory impairment, medicine.disease, United States, Cross-Sectional Studies, Functional Status, Sensation Disorders, Cohort, symbols, Regression Analysis, Female, Self Report, Geriatrics and Gerontology, business |
| الوصف: | BACKGROUND Vision and hearing impairments often co-exist with dementia, and all are independently associated with limitations in daily activities. Our aim was to examine the association of dual sensory impairment with functional limitations, and further examine the combined estimated association of sensory impairment and dementia with these functional limitations. METHODS Cross-sectional analysis of the National Health and Aging Trends Study (NHATS), a population-based cohort of Medicare beneficiaries, was performed. Participants were selected from the 2015 round. Survey weighted Poisson regression models adjusted for dementia, demographics, and health status variables examined the association of self-reported dual sensory impairment (no sensory impairment, single sensory impairment, dual sensory impairment) with scores of limitations in mobility, self-care, and household activities. Models were repeated to take into account the combined effects of dual sensory impairment and dementia. RESULTS Overall, 7124 participants representative of Medicare beneficiaries 65 years or older were included. Of them, 43.9% were 75 years or older and 55.3% were female. Older adults with dual sensory impairment had greater limitations with mobility (prevalence rate ratio [PRR] = 1.45, 95% CI = 1.28-1.63), self-care (PRR = 1.41, 95% CI = 1.25-1.59), and household activities (PRR = 1.54, 95% CI = 1.37-1.72) compared with those without sensory impairment. They also had greater limitations than those with a single sensory impairment across the different activity categories. In models taking into account the combined estimated effect of both sensory impairment and dementia, those with dual sensory impairment and dementia had greater limitations than those without sensory impairment or dementia in each category (mobility: PRR = 1.85, 95% CI = 1.59-2.14, self-care: PRR = 1.86, 95% CI = 1.59-2.18, household: PRR = 2.41, 95% CI = 2.09-2.77). CONCLUSIONS Older adults with dual sensory impairment had greater functional limitations compared with those without sensory impairment and those with a single sensory impairment. Strategies to improve visual and/or hearing function (e.g., sensory aids, rehabilitation) could potentially help prevent or minimize disability, even among those with dementia. |
| تدمد: | 1532-5415 0002-8614 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b048b821778c1323d072f9b3388938c1 https://doi.org/10.1111/jgs.17448 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....b048b821778c1323d072f9b3388938c1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15325415 00028614 |
|---|