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J Prev Med Public Health > Volume 44(1); 2011 > Article
Journal of Preventive Medicine and Public Health 2011;44(1): 32-40. doi: https://doi.org/10.3961/jpmph.2011.44.1.32
Age and Gender Differences in the Relation of Chronic Diseases to Activity of Daily Living (ADL) Disability for Elderly South Koreans: Based on Representative Data.
Il Ho Kim
Social Aetiology of Mental Illness (SAMI) CIHR Training Program, Social Equity and Health Research Center for Addition and Mental Health, Toronto, Canada. il-ho_kim@camh.net
OBJECTIVES: This study investigated the gender and age differential effect of major chronic diseases on activity of daily living (ADL) disability. METHODS: Surveyfreq and Surveylogistic regression analyses were employed on the 2005 Korean National Health and Nutrition Examination Survey (KNHANES) with a sample of 3,609 persons aged 65 - 89. RESULTS: After adjusting for potential covariates, stroke, among elderly men more so than women, had a 2-3 times greater odds of engendering ADL disability in the 65-69 (p < 0.05) and 70-79 age groups (p < 0.01). In comparison to elderly women, cancer, diabetes, and incontinence in elderly men was associated with a higher risk of ADL disability in the 70 - 79 age group (p < 0.05), and this association was also observed for pulmonary disease in the 80-89 age group. Among elderly women, however, a significant association between incontinence and ADL disability was identified in all three age groups. In addition, this association was found in pulmonary disease and diabetes in elderly women aged 70 - 79 years. Significant gender differences were observed in the association between stroke in the 60 - 79 age group and cancer in the 70 - 79 age group. CONCLUSIONS: Age and gender differences were observed in the effect of chronic diseases on ADL disability.
Key words: Elderly; Gender; Chronic diseases; ADL disability
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