尼日利亚西南部老年医学中心就诊老年人双重感官障碍的相关因素

Abiola O. Obadare, Lawrence A. Adebusoye, Eniola O. Cadmus
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摘要

目的:本研究探讨了老年人中听力障碍、视力障碍和双重感官障碍(DSI)的发生率及风险因素:本研究调查了老年人中听力障碍、视力障碍和双重感官障碍(DSI)的患病率及其风险因素:横断面研究,通过系统随机抽样招募受访者:地点:尼日利亚伊巴丹大学学院医院老年医学中心的一所高等院校:共招募了 388 名 60 岁以上的老年人:主要结果测量:老龄化、低收入、生活质量差、功能性残疾和双重感官障碍之间的关系:受访者的平均年龄为 70.2±6.3 岁。HI、VI 和 DSI 的点患病率分别为 14.9%、8.0% 和 1.5%。根据逻辑回归分析,与 HI 相关的最重要因素是未受过正规教育 OR=2.564(1.091-6.024)和曾入院 OR=3.473(1.856-6.499);对于 VI,年龄越大 OR=1.080(1.022-1.141),收入越低 OR=2.941(1.263-6.897);对于 DSI,年龄越大 OR=1.224(1.054-1.421):结论:在我们的环境中,只有极少数(1.5%)老年人经历过 DSI。感官障碍、年龄、教育程度低和收入低等社会经济因素之间的关联表明,有必要对老年人,尤其是有医疗和社会经济问题的老年人进行视力和听力筛查,以便及早发现。
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Factors associated with dual sensory impairment in older persons attending the Geriatric Centre in Southwest Nigeria
Objective: This study examined the prevalence of hearing impairment, visual impairment and Dual Sensory Impairment (DSI) and the risk factors among older personsDesign: A Cross-sectional study where respondents were recruited by systematic random sampling.Setting: A tertiary institution at the Geriatric Centre, University College Hospital, Ibadan, Nigeria.Participants: A total of 388 older persons aged more than 60 years were recruitedInterventions: A semi-structured pretested questionnaire was used over three months.Main outcome measures: Association between ageing, low income, poor quality of life, functional disability, and dual sensory impairment.Results: The mean age of the respondents was 70.2±6.3 years. The point prevalence of HI, VI and DSI were 14.9%, 8.0%, and 1.5% respectively. On logistic regression analysis, the most significant factors associated with HI were having no formal education OR=2.564(1.091-6.024) and previous hospital admission OR=3.473(1.856-6.499), for VI; increasing age OR=1.080(1.022-1.141) and poor income OR=2.941(1.263-6.897) and DSI; increasing age OR=1.224(1.054-1.421).Conclusion: Few (1.5%) older adults experienced DSI in our setting. The association between sensory impairments, age, and socioeconomic factors of poor education and income suggests the need for visual and hearing screening in older adults, particularly those with medical and socioeconomic issues, for early detection.
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