Practical Geriatrics ›› 2025, Vol. 39 ›› Issue (9): 915-919.doi: 10.3969/j.issn.1003-9198.2025.09.011

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Study on the current status and influencing factors of activity of daily living in Chinese elderly people from the perspective of health ecology

LYU Wenjun, KANG Jing, MO Fei   

  1. Department of Rehabilitation Medicine, the Affiliated Geriatric Hospital of Nanjing Medical University (Jiangsu Province Official Hospital), Nanjing 210024, China
  • Received:2024-09-19 Online:2025-09-20 Published:2025-09-19
  • Contact: MO Fei, Email: 2060538529@qq.com

Abstract: Objective To explore the current status and influencing factors of activity of daily living (ADL) in the elderly people aged ≥60 years in China, and to provide the oretical support for the development of health promotion measures for the elderly. Methods The data of 2018 China Longitudinal Aging Social Survey (CLASS) were used, including 6283 valid samples. General information questionnaire, Abuse Scale, Basic Activities of Daily Living (BADL), Social Support Rating Scale(SSRS), Center for Epidemiological Studies Depression Scale(CES-D), Mini-Mental State Examination (MMSE) and Social Participation Scale were evaluated. Logistic regression was used to explore the influencing factors for ADL. Results A total of 471(7.5%) older adults were disabled. Logistic regression analysis showed that age, chronic diseases, self-rated health status, smoking, living alone, annual income, cognitive function, physical abuse were the influencing factors for ADL in older adults (P<0.05). Conclusions The ADL level of elderly people in China is relatively high. Old age, living alone, low annual income, multiple illnesses, smoking, cognitive decline, poor self-rated health status, and experiences of physical abuse show significant effects on ADL.

Key words: aged, activity of daily living, health ecology model, China Longitudinal Aging Social Survey

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