RESEARCH PAPER
Analysis of health, functioning and disability of rural inhabitants aged 60–80 living in south-eastern Poland – a cross sectional study
 
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1
Institute of Physiotherapy, Faculty of Medicine, University of Rzeszow, Poland
 
2
Centre for Innovative Research in Medical and Natural Sciences, Medical Faculty, University of Rzeszow, Poland
 
 
Corresponding author
Agnieszka Ćwirlej-Sozańska   

Institute of Physiotherapy, Faculty of Medicine, University of Rzeszow, Poland
 
 
Ann Agric Environ Med. 2018;25(3):388-394
 
KEYWORDS
ABSTRACT
Introduction:
Since the beginning of the 20th century, the aging of the European population has been observed, and the potential long-term social and economic problems have been flagged.

Objective:
The aim of the study was assessment of the level of disability and multidimensional analysis of determining factors among the elderly living in rural areas.

Material and Methods:
The study was conducted in a population of 973 people aged 60–80 living in south-eastern Poland. The research tool used in the study was the WHO Disability Assessment Schedule – WHODAS 2.0.

Results:
As many as 28.26% of the study group had at least a moderate level of disability; severe disability was observed in 11.51 % of the participants, and extreme disability was experienced by 0.21%. The highest average level of disability in the study group was found in performing activities of daily living (mean = 28.94; SD = 30.04), participation in everyday life (mean = 28.40; SD = 23.29) and mobility (mean = 26.04; SD = 27.57). Statistically significant relationships were observed between age, gender, education level, physical activity and number of chronic diseases.

Conclusions:
An increase in the level of education and popularization of physical activity may be helpful in reducing the prevalence of disability among the elderly inhabitants of rural areas. Increasing access to health care, aimed at rapid diagnosis of chronic diseases, treatment and rehabilitation, seems to be a reasonable action preventing the disability in rural areas.

 
REFERENCES (60)
1.
World Health Organization. ICF: International Classification of Functioning, Disability and Health. Geneva, WHO; 2001.
 
2.
Kremers SP, de Bruijn GJ, Visscher TL, van Mechelen W, de Vries NK, Brug J. Environmental influences on energy balance-related behaviors: a dual-process view. Int J BehavNutr Phys Act. 2006; 3: 9.
 
3.
Whiteneck G. Conceptual models of disability: past, present, and future. In: Field MJ, Jette AM, Martin L, editors. Workshop on disability in America: a new look. DC: The National Academies Press, Washington; 2006. p. 50–66.
 
4.
Levasseur M, Richard L, Gauvin L, Raymond E. Inventory and analysis of definitions of social participation found in the aging literature: proposed taxonomy of social activities. SocSci Med. 2010; 71: 2141–2149.
 
5.
Adams KB, Leibbrandt S, Moon H. A critical review of the literature on social and leisure activity and wellbeing in later life. Aging & Society. 2011; 31(4): 683–712.
 
6.
Berkman LF, Glass T, Brissette I, Seeman TE. From social integration to health: Durkheim in the new millennium. SocSci Med. 2000; 51(6): 843–857.
 
7.
Cohen S. Social relationships and health. Am Psychol. 2004; 59(8): 676–84.
 
8.
Smith KP, Christakis NA. Social networks and health. Annu Rev Sociol. 2008; 34: 405–429.
 
9.
Emmons KM, Barbeau EM, Gutheil C, Stryker JE, Stoddard AM. Social influences, social context, and health behaviors among working-class, multi-ethnic adults. Health EducBehav. 2007; 34(2): 315–34.
 
10.
Bot S, Mackenbach J, Nijpels G, Lakerveld J. Association between Social Network Characteristics and Lifestyle Behaviours in Adults at Risk of Diabetes and Cardiovascular Disease. Plos One. 2016; 11(10): e0165041.
 
11.
Dickens AP, Richards SH, Greaves CJ, Campbell JL. Interventions targeting social isolation in older people: a systematic review. BMC Public Health. 2011; 11: 647.
 
12.
Kono A, Kai I, Sakato C. Frequency of going outdoors: a predictor of functional and psychosocial change among ambulatory frail elders living at home. J Gerontol A BiolSci Med Sci. 2004; 59: 275–280.
 
13.
Fiske A, Wetherell JL, Gatz M. Depression in Older Adults. Annu Rev Clin Psychol. 2009; 5: 363–389.
 
14.
Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet. 2011; 380: 37–43.
 
15.
Chatterji S, Byles J, Cutler D, Seeman T, Verdes E. Health, functioning, and disability in older adults--present status and future implications. Lancet. 2015; 385(9967): 563–75.
 
16.
Lally F, Crome P. Understanding frailty. Postgrad Med J. 2007; 83: 16–20.
 
17.
Gupta P, Mani K, Rai SK, Nongkynrih B, Gupta SK. Functional disability among elderly persons in a rural area of Haryana. Indian J Public Health. 2014; 58(1): 11–6.
 
18.
Levasseur M, Gauvin L, Richard L, Kestens Y, Daniel M, Payette H, et al. Associations between perceived proximity to neighborhood resources, disability, and social participation among community-dwelling older adults: results from the VoisiNuAge study. Arch Phys Med Rehabil. 2011; 92: 1979–1986.
 
19.
Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D. Loneliness and social isolation as risk factors for mortality: a meta-analytic review.Perspect Psychol Sci. 2015; 10(2): 227–237.
 
20.
Grosse TG, Hardt Ł. Sektorowa czy zintegrowana, czyli o optymalnej strategii rozwoju polskiej wsi. Pro Oeconomia Fundacja Ewaluacji i Badań Ekonomicznych. KeyText, Warszawa; 2013.
 
21.
Czapiński J, Panek T. Diagnoza społeczna. Warunki i jakość życia Polaków. Rada Monitoringu Społecznego, Warszawa; 2009.
 
22.
Heffner K, Klemens B. Warunki życia i aktywność społeczno-gospodarcza mieszkańców na obszarach wiejskich (na przykładzie województwa opolskiego). Barometr Regionalny. 2012; 4(30): 81–88.
 
23.
Główny Urząd Statystyczny. Wyniki Narodowego Spisu Powszechnego Ludności i Mieszkań 2011. Podstawowe informacje o sytuacji demograficzno – społecznej ludności Polski oraz zasobach mieszkaniowych. GUS, Warszawa; 2012.
 
24.
Marmot M, Friel S, Bell R, Houweling TA, Taylor S, Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Lancet. 2008; 372(9650): 1661–9.
 
25.
Korzeniowska E, Puchalski K. Niskowykształceni pracownicy a zdrowie – wyzwania dla edukacji zdrowotnej. LEECH, RīgaStradiņš University; 2010.
 
26.
Eurostat. People at risk of poverty or social exclusion. http://ec.europa.eu/eurostat/s... (access: 2016.11.26).
 
27.
Główny Urząd Statystyczny. Ubóstwo ekonomiczne w Polsce w 2014r. GUS, Warszawa; 2015.
 
28.
Główny Urząd Statystyczny. Stan zdrowia ludności Polski w 2014r. GUS, Warszawa; 2016.
 
29.
Tyszka S, Solon-Lipiński M. Stan zdrowia ludności wiejskiej w Polsce. Forum Inicjatyw Rozwojowych Fundacji Europejski Fundusz Rozwoju Wsi Polskiej, Warszawa; 2015.
 
30.
Błędowski P, Szatur-Jaworska B, Szweda-Lewandowska Z, Kubic P. Raport na temat sytuacji osób starszych w Polsce. Instytut Pracy i Spraw Socjalnych Warszawa, Warszawa; 2012.
 
31.
Üstün TB, Kostanjsek N, Chatterji S, Rehm J. Measuring Health and Disability Manual for WHO Disability Assessment Schedule WHODAS 2.0. WHO, Geneva; 2010.
 
32.
Üstün TB, Chatterji S, Kostanjsek N, Rehm J, Kennedy C, Epping-Jordan J, et al. Developing the world health organization disability assessment schedule 2.0. WHO. 2010; 88: 815–823.
 
33.
Harttgen K, Kowal P, Strulik H, Chatterji S, Vollmer S. Patterns of frailty in older adults: comparing results from higher and lower income countries using the Survey of Health, Ageing and Retirement in Europe (SHARE) and the Study on global AGEing and adult health (SAGE). PLoS One 2013; 8(10); e75847.
 
34.
Centers for Disease Control and Prevention. Physical activity for everyone: guidelines: older adults. Physical Activity for Everyone Web site. https://www.cdc.gov/physicalac... (access: 2016.12.06).
 
35.
World Health Organization, The World Bank: World Report on Disability. WHO, Geneva; 2011. p. 350.
 
36.
Downing NR, Kim JI, Williams JK, Long JD, Mills JA, Paulsen JS, et al. WHODAS 2.0 in prodromal Huntington disease: measures of functioning in neuropsychiatric disease. Eur J Hum Genet. 2014; 22: 958–963.
 
37.
Silva C, Coleta I, Silva AG, Amaro A, Alvarelhao J, Queiros A, et al. Adaptation and validation of the WHODAS 2.0 in patients with musculoskeletal pain. Rev SaudePublica. 2013; 47: 1–6.
 
38.
Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380(9859): 2197–223.
 
39.
Biritwum RB, Minicuci N, Yawson AE, Theou O, Mensah GP, Naidoo N, et al. Prevalence of and factors associated with frailty and disability in older adults from China, Ghana, India, Mexico, Russia and South Africa. Maturitas. 2016; 91: 8–18.
 
40.
Senior HE, Parsons M, Kerse N, Chen MH, Jacobs S, Hoorn SV, et al. Promoting independence in frail older people: a randomised controlled trial of a restorative care service in New Zealand. Age Ageing. 2014; 43(3): 418–424.
 
41.
Lacovou M, Kaminska O, Levy H. Using EU-SILC data for cross-national analysis: strengths, problems and recommendations. Instytute for Social and Economic Research, Essex University; 2012.
 
42.
Manton KG, Gu X, Lowrimore GR. Cohort changes in active life expectancy in the U.S. elderly population: Experience from the 1982–2004 National Long-Term Care Survey.J Gerontol B Psychol SciSocSci. 2008; 63: 269–281.
 
43.
Christensen K, Doblhammer G, Rau R, Vaupel JW. Ageing populations: The challenges ahead. Lancet. 2009; 374: 1196–1208.
 
44.
Palacios-Ceña D, Jiménez-García R, Hernández-Barrera V, Alonso-Blanco C, Carrasco-Garrido P, Fernández-de-Las-Peñas C. Has the prevalence of disability increased over the past decade (2000–2007) in elderly people? A Spanish population-based survey. J Am Med Dir Assoc. 2012; 13(2): 136–42.
 
45.
Fuller-Thomson E, Yu B, Nuru-Jeter A, Guralnik JM, Minkler M. Basic ADL disability and functional limitation rates among older Americans from 2000–2005: The end of the decline? J Gerontol A BiolSci Med Sci. 2009; 64: 1333–1336.
 
46.
Donmez L, Gokkoca Z, Dedeoglu N. Disability and its effects on quality of life among older people living in Antalya city center, Turkey. Arch Gerontol Geriatr. 2005; 40(2): 213–23.
 
47.
World Health Organization. Active ageing: a policy framework. http://whqlibdoc.who.int/hq/20... (access: 2016.12.08).
 
48.
Loke SC, Abdullah SS, Chai ST, Hamid TA, Yahaya N. Assessment of factors influencing morale in the elderly. PLoS One. 2011; 256(1): e16490.
 
49.
Mahesh M, Abdin E, Vaingankar JA, Picco L, Jeyagurunathan A, Shafie SB, et al. Ann Acad Med Singapore. 2016; 45: 284–96.
 
50.
Guralnik JM, Ferrucci L, Simonsick EM, Salive ME, Wallace RB. Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med. 1995; 332: 556–561.
 
51.
Amaducci L, Maggi S, Langlois J, Minicuci N, Baldereschi M, Di Carlo A, et al. Education and the risk of physical disability and mortality among men and women aged 65 to 84: the Italian Longitudinal Study on Aging. J Gerontol A BiolSci Med Sci. 1998; 53(6): M484–90.
 
52.
Mondal MN, Shitan M. Relative importance of demographic, socioeconomic and health factors on life expectancy in low- and lower-middle-income countries. J Epidemiol. 2014; 24(2): 117–24.
 
53.
McDaid O, Hanly MJ, Richardson K, Kee F, Kenny RA, Savva GM. The effect of multiple chronic conditions on self-rated health, disability and quality of life among the older populations of Northern Ireland and the Republic of Ireland: a comparison of two nationally representative cross-sectional surveys. BMJ. 2013; 3(6): e002571.
 
54.
Tak E, Kuiper R, Chorus A, Hopman-Rock M. Prevention of onset and progression of basic ADL disability by physical activity in community dwelling older adults: a meta-analysis. Ageing Res Rev. 2013; 12(1): 329–38.
 
55.
Vermeulen J, Neyens J. Predicting ADL disability in community-dwelling elderly people using physical frailty indicators: a systematic. BMC Geriatr. 2011; 11: 33.
 
56.
Blas E, Kurup AS. Equity, social determinants and public health programmes. WHO, Geneva; 2010. p. 303.
 
57.
Crimmins EM, Kim JK, Solé-Auró A. Gender differences in health: results from SHARE, ELSA and HRS. The Eur J Public Health. 2011; 21(1): 81–91.
 
58.
Hosseinpoor AR, Williams JS, Jann B, Kowal P, Officer A, Posarac A, et al. Social determinants of sex differences in disability among older adults: a multi-country decomposition analysis using the World Health Survey. Int J Equity Health. 2012; 11: 52.
 
59.
Huisman M, Kunst AE, Mackenbach JP. Socioeconomic inequalities in morbidity among the elderly; a European overview. SocSci Med. 2003; 57: 861–873.
 
60.
World Health Organization. WHO global disability action plan 2014–2021: Better health for all people with disability. http://apps.who.int/iris/bitst... (access: 2016.12.08).
 
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