Journal article
Community environmental factors are associated with disability in older adults with functional limitations: the MOST study
The journals of gerontology. Series A, Biological sciences and medical sciences, Vol.65(4), pp.393-399
04/2010
DOI: 10.1093/gerona/glp182
PMCID: PMC2905834
PMID: 19995830
Abstract
There is limited evidence supporting the hypothesized environment-disability link. The objectives of this study were to (a) identify the prevalence of community mobility barriers and transportation facilitators and (b) examine whether barriers and facilitators were associated with disability among older adults with functional limitations.
Four hundred and thirty-five participants aged 65+ years old with functional limitations were recruited from the Multicenter Osteoarthritis Study, a prospective study of community-dwelling adults with or at risk of developing symptomatic knee osteoarthritis. Presence of community barriers and facilitators was ascertained by the Home and Community Environment survey. Two domains of disability, (a) daily activity limitation (DAL) and (b) daily activity frequency (DAF), were assessed with the Late-Life Disability Instrument. Covariates included age, gender, education, race, comorbidity, body mass index, knee pain, and functional limitation. Multivariable logistic regression was used to examine adjusted associations of community factors with presence of DAL and DAF.
Approximately one third of the participants lived in a community with high mobility barriers and low transportation facilitators. High mobility barriers was associated with greater odds of DAL (odds ratio [OR] = 2.0, 95% confidence interval [CI] 1.2-3.1) after adjusting for covariates, and high transportation facilitators was associated with lower odds of DAL (OR = 0.5, 95% CI 0.3-0.8) but not with DAF in adjusted models.
People with functional limitations who live in communities that were more restrictive felt more limited in doing daily activities but did not perform these daily activities any less frequently.
Details
- Title: Subtitle
- Community environmental factors are associated with disability in older adults with functional limitations: the MOST study
- Creators
- Julie J Keysor - Department of Physical Therapy and Athletic Training, College of Health and Rehabilitation Sciences, Boston University, MA 02215, USA. jkeysor@bu.eduAlan M JetteMichael P LaValleyCora E LewisJames C TornerMichael C NevittDave T FelsonMulticenter Osteoarthritis (MOST) group
- Resource Type
- Journal article
- Publication Details
- The journals of gerontology. Series A, Biological sciences and medical sciences, Vol.65(4), pp.393-399
- DOI
- 10.1093/gerona/glp182
- PMID
- 19995830
- PMCID
- PMC2905834
- NLM abbreviation
- J Gerontol A Biol Sci Med Sci
- ISSN
- 1079-5006
- eISSN
- 1758-535X
- Publisher
- United States
- Grant note
- U01 AG018947 / NIA NIH HHS U01 AG018832 / NIA NIH HHS U01 AG18947 / NIA NIH HHS U01 AG18832 / NIA NIH HHS U01 AG019069 / NIA NIH HHS U01 AG18820 / NIA NIH HHS P60 AR047785 / NIAMS NIH HHS U01 AG19069 / NIA NIH HHS K12 HD043444-02 / NICHD NIH HHS U01 AG018820 / NIA NIH HHS
- Language
- English
- Date published
- 04/2010
- Academic Unit
- Epidemiology; Surgery; Injury Prevention Research Center; Neurosurgery
- Record Identifier
- 9983995022302771
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