Title Prevalence of Disability among the Chinese Older Population: A Systematic Review and Meta-Analysis
Authors Zheng, Pian-Pian
Guo, Zi-Le
Du, Xiao-Jing
Yang, Han-Mo
Wang, Zhen-Jie
Affiliation Peking Univ, Inst Populat Res, Beijing 100871, Peoples R China
Xi An Jiao Tong Univ, Sch Humanities & Social Sci, Xian 710049, Peoples R China
Peking Univ, Natl Sch Dev, Beijing 100871, Peoples R China
Keywords BODY-MASS INDEX
INSTRUMENTAL ACTIVITIES
FUNCTIONAL DISABILITY
ASSOCIATION
ADULTS
CARE
Issue Date Feb-2022
Publisher INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Abstract Background: Disability is an important problem in aging societies globally. However, the research findings of the prevalence of disability have been inconsistent. This study aims to estimate the prevalence of disability and its influencing factors among the Chinese older population from 1979 to 31 July 2021. Methods: A systematic review and meta-analysis were conducted using both international (PubMed, Web of Science, CBMdisc, PsycINFO, the Cochrane Library, and EMBASE) and Chinese (CNKI, CQVIP, and WanFang) databases. Meta-analysis was performed using a random-effects model to account for heterogeneity. Subgroup analyses were also done. Results: The pooled prevalence of disability across all 97 studies was 26.2% (95% CI: 23.7-28.6%). The estimates varied according to the types of activities of daily living (ADL), gender, age, and region. Studies based on the identification of cases by using the complete ADL scale showed a higher prevalence than those using the basic ADL scale. The prevalence was slightly higher among female older individuals than among male older individuals. The highest rates were seen in older individuals aged 80 years or older. Elders in central China, southwest China, and northwest China were more likely to be BADL-disabled. Conclusion: Prevalence of disability among the Chinese older population is high, around 26%. Using standardized diagnostic systems to correctly estimate the prevalence of disability would be helpful for public health professionals in China.
URI http://hdl.handle.net/20.500.11897/638096
DOI 10.3390/ijerph19031656
Indexed SCI(E)
SSCI
Appears in Collections: 人口研究所
国家发展研究院

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