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Factors associated with participation restriction in community-dwelling adults aged 50 years and over

机译：与50岁及以上社区居住成年人参与限制相关的因素

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In the World Health Organization’s International Classification of Functioning, Disability and Health, participation restriction—the social and personal consequences of health conditions and their environment—is an important component of the concept of disability. The cross-sectional associations between perceived participation restriction and health, demographic and socio-economic factors were examined in 7,878 community-dwelling adults aged 50 years and over in North Staffordshire, UK who responded to a postal survey. All health conditions, impairments, activity limitations, demographic and socio-economic factors were associated with participation restriction, after adjusting for age and gender in a logistic regression analysis. Health and disability factors most strongly and independently associated with participation restriction in a multivariate analysis were the number of peripheral joint pains, the number of health conditions, cognitive impairment, anxiety, depression, and activity limitation. Perceived adequacy of income, employment status and occupational class were also significantly associated with participation restriction after adjusting for health and disability factors. In conclusion, perceived participation restriction is associated with a range of health and socio-economic factors. Although further prospective research is needed to identify the direction of causal association, these factors represent potential targets for intervention to prevent or reduce participation restriction in older adults in the community.
机译：在世界卫生组织的《功能，残疾与健康国际分类》中，参与限制-健康状况及其环境对社会和个人造成的后果-​​是残疾概念的重要组成部分。在英国北部斯塔福德郡，接受邮政调查的7,878名年龄在50岁及以上的社区居民中，检查了感知的参与限制与健康，人口统计和社会经济因素之间的横断面关联。在逻辑回归分析中调整了年龄和性别后，所有健康状况，障碍，活动受限，人口统计学和社会经济因素均与参与限制相关。在多变量分析中，与参与限制最密切独立相关的健康和残疾因素是周围关节痛的数量，健康状况的数量，认知障碍，焦虑，抑郁和活动受限。在调整了健康和残疾因素之后，收入，就业状况和职业等级的适当感知也与参与限制显着相关。总之，知觉参与限制与一系列健康和社会经济因素有关。尽管需要进一步的前瞻性研究来确定因果关联的方向，但这些因素代表了预防或减少社区中老年人参与限制的干预措施的潜在目标。

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