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Correlates of limitations in activities of daily living and mobility among community-dwelling older Singaporeans
- Authors:
- CHAN Angelique, MALHOTRA Chetna, ØSTBYE Truls
- Journal article citation:
- Ageing and Society, 31(4), May 2011, pp.663-682.
- Publisher:
- Cambridge University Press
This study investigates the extent and predictors of the activities of daily living (ADL) and mobility limitations among Singaporeans aged 55 years and over. In particular, it examines the association between activity limitations with chronic health conditions, social integration, use of services and perceived financial adequacy. Data were taken from the 2005 National Survey of Senior Citizens in Singapore, a nationally-representative survey of community-dwelling citizens aged 55 years and over. This survey includes measures for 6 activities of ADL: bathing, dressing, toileting, transferring, continence, and feeding. Logistic regression models were used to assess predictors of ADL and mobility limitations. Variation in involvement with family, society, work, use of services and perceived financial adequacy, by ADL and mobility status, was studied. The overall weighted prevalence of ADL was found to be 5% and mobility limitation to be 8%. Significant risk factors for ADL and mobility limitation were being older (aged 75 or more years), widowed, having diabetes, joint or bone problems, stroke, cancer and low income. Individuals with ADL and mobility limitations had lower involvement with family, society and work, and perceived financial adequacy, while use of services was higher. The findings underline the importance of improving elderly services for sustained integration of disabled elderly within the community.