Factors influencing utilisation of assistive devices by the elderly in China: a community-based cross-sectional study

作者全名："Yu, S.; Luo, D.; Zhu, Y.; Yang, L.; Li, H.; Luo, J.; Gu, K.; Wu, D.; Zhao, Q.; Bai, D.; Xiao, M."

作者地址："[Xiao, M.] Chongqing Med Univ, Affiliated Hosp 1, Dept Urol, 1 Youyi Rd, Chongqing 400042, Peoples R China; [Yu, S.; Luo, D.; Li, H.; Luo, J.; Zhao, Q.; Xiao, M.] Chongqing Med Univ, Affiliated Hosp 1, Dept Nursing, 1 Youyi Rd, Chongqing 400042, Peoples R China; [Zhu, Y.; Yang, L.; Bai, D.] Chongqing Med Univ, Affiliated Hosp 1, Dept Rehabil Med, 1 Youyi Rd, Chongqing 400042, Peoples R China; [Gu, K.] Serv Ctr Rehabil Assist Technol Sichuan Prov, 26 Longjiang Rd, Chengdu 610021, Sichuan, Peoples R China; [Wu, D.] Inner Mongolia Autonomous Reg Rehabil Assist Devic, 80 Airport Auxiliary Rd, Saihan Dis 0100700471, Inner Mongolia, Peoples R China"

通信作者："Xiao, M (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Urol, 1 Youyi Rd, Chongqing 400042, Peoples R China."

来源：PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:000880026000001

JCR分区：Q1

影响因子：5.2

年份：2022

卷号：213

期号：　

开始页：12

结束页：18

文献类型：Article

关键词：Assistive devices; Elderly; China

摘要："Objectives: The study aimed to gain an insight into the utilisation, self-perceived needs, and attitudes towards and influencing factors of assistive device (AD) usage among community-dwelling older adults in China.Study design: This is a cross-sectional study.Methods: A total of 5790 elderly people from eight communities within three provinces in China were recruited by convenience sampling. Utilisation, needs and attitudes towards ADs were assessed by a questionnaire designed by the authors. Barthel activities of daily living scale was used to determine disability, whereas cognitive function was assessed with the Mini-Mental State Examination. The impact of participant characteristics, enabling factors and demand factors on the utilisation of ADs were assessed by univariate and multifactor analyses.Results: The prevalence of AD ownership among participants was 10.9% (n = 634), whereas the self -perceived need for ADs was 46.1% (n = 2670). Most participants had negative attitudes towards ADs, with only 37.6% (n = 2175) of participants believing that ADs were of significant help. Factors influencing the usage of ADs included participant characteristics (age, occupation, living area, education), enabling factors (economic situation, number of children) and demand factors (activities of daily living score, attitudes, self-perceived needs).Conclusions: Although ADs for the elderly in China have become more affordable and accessible after a series of reforms, there remains a gap in AD services resulting in low AD utilisation, high self-perceived needs and misconceptions of ADs. Certain factors influencing the use of ADs are more significant than others. The findings from this study will be informative for healthcare providers and decision-makers when designing strategies to achieve universal elderly AD usage.(c) 2022 The Author(s). Published by Elsevier Ltd on behalf of The Royal Society for Public Health. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4. 0/)."

基金机构：National Key R&D Program of China; Chongqing Technology Innovation and Application Development special key project; [2020YFC2005900]; [cstc2020jscx-cylhX00 02]

基金资助正文：Funding This research was supported by the National Key R&D Program of China (2020YFC2005900) and Chongqing Technology Innovation and Application Development special key project (cstc2020jscx-cylhX00 02) .