Population-based study of home accessibility features and the activities of daily living: clinical and policy implications.

Population-based study of home accessibility features and the activities of daily living: clinical and policy implications. Research Abstract Details 

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Population-based study of home accessibility features and the activities of daily living: clinical and policy implications. Abstract Text:

Margaret G Stineman,Richard N Ross,Greg Maislin,David Gray,

PURPOSE: To empirically test a biopsychoecological model referred to as Health Environmental Integration (HEI) by showing associations between the perception of unmet need for home accessibility features and the experience of Activities of Daily Living (ADL) difficulties. METHOD: A USA population-based cross-sectional study of the 1994 and 1995 National Health Interview Survey (NHIS) supplements on Disability (NHIS-D). Estimated likelihood of ADL difficulty, comparing those who perceived unmet needs for home accessibility features to those who did not, were obtained through logistic regression after controlling for severity and socioeconomic differences. ADLs included dressing, eating, getting in and out of chairs, or getting to and using the bathroom. RESULTS: There were 12,743 people with physical limitations, 10.3% of whom perceived an unmet need for at least 1 home accessibility feature. After accounting for severity of physical limitations and socioeconomic differences, the odds of an ADL difficulty were 3.7 times larger (95% confidence interval, 2.9 - 4.6) among people who perceived an unmet need for accessibility feature(s). CONCLUSIONS: Findings support concepts of HEI. When attempting to understand the aetiology of ADL difficulty, it is essential to look beyond biomedical and socioeconomic factors to effects of the environment. Rather than single root causes, disability aetiologies occur through linkages among biological, psychological, socioeconomic, and environmental mechanisms.

Population-based study of home accessibility features and the activities of daily living: clinical and policy implications. Publishing Authors By Initials

MG Stineman,RN Ross,G Maislin,D Gray,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

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Population-based study of home accessibility features and the activities of daily living: clinical and policy implications. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Disability and rehabilitation

VOLUME: 29

Page Numbers: 1165-75

Journal Abbreviation:

ISSN: 0963-8288

DAY: 15

MONTH: Aug

YEAR: 2007

Population-based study of home accessibility features and the activities of daily living: clinical and policy implications. Information

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LANGUAGE: eng

NlmUniqueID: 9207179

Population-based study of home accessibility features and the activities of daily living: clinical and policy implications. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: rehabilitation

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Grant and Affiliation Information for Population-based study of home accessibility features and the activities of daily living: clinical and policy implications.

AFFILIATION: Department of Physical Medicine and Rehabilitation, University of Pennsylvania, Philadelphia, PA, USA. mstinema@mail.med.upenn.edu

Country: England

AGENCY: United States NICHD

GRANT: R01-HD37234

ACRONYM: HD

MEDLINETA: Disabil Rehabil

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