KITA Yoshikuni Shiga University of Medical Science, Medicine, Assistant, 医学部, 助手 (80161462)
YAMAKAWA Masanobu Shiga University of Medical Science, Medicine, Assistant, 医学部, 助手 (70110567)
OKAYAMA Akira Shiga University of Medical Science, Medicine, Lecturer, 医学部, 講師 (60169159)
|Budget Amount *help
¥6,800,000 (Direct Cost: ¥6,800,000)
Fiscal Year 1992: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 1991: ¥1,900,000 (Direct Cost: ¥1,900,000)
Fiscal Year 1990: ¥4,000,000 (Direct Cost: ¥4,000,000)
To investigate the states of activities of daily living (ADLs) in the elderly, we sttempted to interview all of the non-institutionalized residents aged 65 and over living in Azuchi (population of approximately 12,000). We collected data from 1,289 subjects (511 men and 778 women ; 92.2% of the universe) for the 3years from 1990 to 1992. The differences of difficulties with the 6 basic ADLs (BADLs ; eating, dressing, bathing, using the toilet, incontinence, mobidity) and the 7 instrumental ADLs (IADLs ; cooking, telephoning, cleaning house, walking, shopping, going up and down steps, using transportations) according to gender and age were analyzed.
For the BADLs, only the percentage of those fully independent in the 6 BADLs in men was 87%, which was higher than that in women (77%), but except for with continence there were no significant differences between the sexes. The percentages of disability in BADLs for women and for both sexes combined were higher according to age (p<0.01), but for men, only those of dressing (p<0.05) and of incontinence (p<0.01) were related with age.
Only the disabilty percentage for cooking among the IADLs was significantly higher in mem (p<0.01), but those for walking, going up and down steps, and using transportation were higher in women (p<0.01). The percentage of those who were fully independent was 74% in both sexes. It was higher in women aged 74 or under but it became higher in men aged 75 and over, and went down largely in women aged 80 and over.
Improving the support system of housekeeping or transportation, and the quality of the functional structures of houses of public facilities is very important for the elderly with IADL difficulty.