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Wheelchair Use Among Community-Dwelling Older Adults: Prevalence and Risk Factors in a National Sample

Published online by Cambridge University Press:  31 March 2010

Philippa Clarke  and
Angela Colantonio
Philippa Clarke*
Affiliation:
Center for the Study of Aging and Human Development, Duke University
Angela Colantonio
Affiliation:
Department of Occupational Therapy, University of Toronto, Toronto Rehabilitation Institute
*
Requests for offprints should be sent to: / Les demandes de tirés-à-part doivent être addressées à : Dr. Philippa Clarke, Center for the Study of Aging and Human Development, Duke University, Box 3003, Duke University Medical Center, Durham, NC 27710. ([email protected])
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Abstract

Older adults are the largest group of wheelchair users yet there are no peer-reviewed studies on the national profile of older wheelchair users in Canada. We investigated the characteristics of wheelchair users in a national sample of community-dwelling older adults from the Canadian Study of Health and Aging (CSHA-2). Questions on the use of assistive technology were asked of 5395 Canadians (over 64), and 4.6 per cent reported using a wheelchair. Logistic regression was used to model the factors associated with wheelchair use. Controlling for age, gender, and cognitive impairment, older adults who reported greater dependence in basic self-care and instrumental activities of daily living were more likely to use a wheelchair. However, the effects of self-care dependence on wheelchair use varied by gender, with men more likely than women to use wheelchairs with increasing self-care dependence. The number of chronic health conditions and being unmarried also increased the odds of wheelchair use. This paper quantifies the risk of wheelchair use according to critical factors that can be used to project use and plan for services.

The data reported in this paper were collected as part of the Canadian Study of Health and Aging. The core study was funded by the Seniors' Independence Research Program, through the National Health Research and Development Program (NHRDP) of Health Canada (project no. 6606-3954-MC[S]). Additional funding was provided by Pfizer Canada Incorporated through the Medical Research Council/Pharmaceutical Manufacturers Association of Canada Health Activity Program, NHRDP (project no. 6603-1417–302[R]), Bayer Incorporated, and the British Columbia Health Research Foundation (projects no. 38[93-2] and no. 34[96-1]). The study was coordinated through the University of Ottawa and the Division of Aging and Seniors, Health Canada. Additional funds for the preparation of this manuscript were made available from the Opportunities Fund of the M-THAC Research Unit (from Medicare to Home and Community) at the University of Toronto, and from a post-doctoral fellowship awarded to the first author by the Social Sciences and Humanities Research Council of Canada.

Résumé

Les aînés constituent le groupe le plus important d'utilisateurs de fauteuils roulants. Cependant, il n'existe à ce jour aucune étude révisée par des pairs qui dresse un profil national des aînés qui se servent de fauteuils roulants au Canada. Nous avons étudié les caractéristiques d'utilisateurs de fauteuils roulants provenant d'un échantillon national d'aînés vivant dans la collectivité tiré de l'étude sur la santé et le vieillissement au Canada (ESVC-2). Des questions sur l'utilisation des aides fonctionnelles ont été posées à 5 395 Canadiens (âgés de 65 ans et plus) et 4,6 p. 100 d'entre eux ont déclaré utiliser un fauteuil roulant. Un modèle de régression logistique a été utilisé pour représenter les facteurs liés à l'utilisation d'un fauteuil roulant. Si l'on tient compte de l'âge, du sexe et des troubles cognitifs, on constate que les aînés qui ont déclaré dépendre davantage des soins personnels de base et des activités instrumentales de la vie quotidienne ont davantage de chances d'utiliser un fauteuil roulant. Cependant, l'incidence de la dépendance aux soins personnels sur l'utilisation d'un fauteuil roulant varie selon le sexe, les hommes ayant davantage tendance que les femmes à utiliser un fauteuil roulant lorsque leur dépendance aux soins personnels augmente. La quantité de problèmes de santé chroniques ainsi que le célibat ont également tendance à accroître la probabilité d'utiliser un fauteuil roulant. Cet article quantifie les chances d'utiliser un fauteuil roulant en fonction de facteurs critiques dont on peut se servir pour prévoir et pour planifier les services nécessaires.

Keywords

assistive technologywheelchairdisabilitycommunityagingaides fonctionnellesfauteuil roulantincapacitécollectivite
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 24 , Issue 2 , Summer/Été 2005 , pp. 191 - 198
Copyright
Copyright © Canadian Association on Gerontology 2005

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References

Allen, S.M., Foster, A., & Berg, K. (2001). Receiving help at home: The interplay of human and technological assistance. Journal of Gerontology: Social Sciences, 56B, S374–S382.CrossRefGoogle Scholar
Andersen, R.M., & Newman, J. (1973). Societal and individual determinants of medical care utilization in the United States. Milbank Memorial Fund Quarterly, 51, 95–124.CrossRefGoogle ScholarPubMed
Canadian Study of Health and Aging Working Group. (1994). Canadian Study of Health and Aging: Study methods and prevalence of dementia. Canadian Medical Association Journal, 150, 899–913.Google Scholar
Fillenbaum, G.G. (1988). Multidimensional functional assessment of older adults: The Duke older Americans resources and services procedures. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.Google Scholar
Gitlin, L.N., Schemm, R.L., Landsberg, L., & Burgh, D. (1996). Factors predicting assistive device use in the home by older people following rehabilitation. Journal of Aging and Health, 8, 554–575.Google Scholar
Hartke, R.J., Prohaska, T.R., & Furner, S.E. (1998). Older adults and assistive devices: Use, multiple-device use, and need. Journal of Aging and Health, 10, 99–116.CrossRefGoogle ScholarPubMed
Hoenig, H., Pieper, C., Zolkewitz, M., Schenkman, M., & Branch, L.G. (2002). Wheelchair users are not necessarily wheelchair bound. Journal of the American Geriatrics Society, 50, 645–654.CrossRefGoogle Scholar
Hoenig, H., Taylor, D.H., & Sloan, F.A. (2003). Does assistive technology substitute for personal assistance among the disabled elderly? American Journal of Public Health, 93, 330–337.Google Scholar
Kaye, H.S., Kang, T., & LaPlante, M.P. (2000). Mobility device use in the United States. Disability statistics report (No. 14). Washington, D.C.: U.S. Department of Education, National Institute on Disability and Rehabilitation Research.Google Scholar
LaPlante, M.P., Hendershot, G.E., & Moss, A.J. (1992). Assistive technology devices and home accessibility features: Prevalence, payment, need, and trends. Advance data from vital and health statistics (No. 217). Hyattsville, MD: National Center for Health Statistics.Google Scholar
Mathieson, K.M., Kronenfeld, J.J., & Keith, V.M. (2002). Maintaining functional independence in elderly adults: The roles of health status and financial resources in predicting home modifications and use of mobility equipment. Gerontologist, 42, 24–31.Google Scholar
Penning, M.J., & Strain, L.A. (1994). Gender differences in disability, assistance, and subjective well-being in later life. Journal of Gerontology: Social Sciences, 49, S202–S208.CrossRefGoogle ScholarPubMed
Roelands, M., Van Oost, P., Depoorter, A., & Buysse, A. (2002). A social-cognitive model to predict the use of assistive devices for mobility and self-care in elderly people. Gerontologist, 42, 39–50.CrossRefGoogle ScholarPubMed
Russell, J.N., Hendershot, G.E., LeClere, F., Howie, J.F., & Adler, M. (1997). Trends and differential use of assistive technology devices: United States, 1994. Advance data from vital and health statistics (No. 292). Hyattsville, MD: National Centre for Health Statistics.Google Scholar
Shields, M. (2004). Use of wheelchairs and other mobility support devices. Health Reports, 15, 37–41.Google Scholar
Statistics Canada. (2003). Disability supports in Canada, 2001—tables: Participation and activity limitation survey, 2001 (Statistics Canada catalogue no. 89-581-X1E). Ottawa: Minister of Industry, 2003. Retrieved March 20, 2005, from http://www.statcan.ca:8096/bsolc/english/bsolc?catno=89-581-X&CHROPG=1.Google Scholar
Stewart, A.L., Greenfield, S., Hays, R.D., Wells, K., Rogers, W.H., Berry, S.D., McGlynn, E.A., & Ware, J.E. (1989). Functional status and well-being of patients with chronic conditions: Results from the Medical Outcomes Study. Journal of the American Medical Association, 262, 907–913.Google Scholar
Teng, E.L., & Chui, H.C. (1987). The modified mini-mental state (3MS) examination. Journal of Clinical Psychiatry, 48, 314–318.Google Scholar
Tomita, M., Mann, W., Fraas, L., & Burns, L. (1997). Racial difference of frail elders in assistive technology. Assistive Technology, 9, 140–151.Google Scholar
Tomita, M.R., Mann, W.C., Fraas, L.F., & Stanton, K.M. (2004). Predictors of the use of assistive devices that address physical impairments among community based frail elders. Journal of Applied Gerontology, 23, 141–155.CrossRefGoogle Scholar
Verbrugge, L.M., Rennert, C., & Madans, J.H. (1997). The great efficacy of personal and equipment assistance in reducing disability. American Journal of Public Health, 87, 384–392.Google Scholar
Yang, J.J., Mann, W.C., Nochajski, S., & Tomita, M.R. (1997). Use of assistive devices among elders with cognitive impairment: A follow-up study. Topics in Geriatric Rehabilitation, 13, 13–31.CrossRefGoogle Scholar
Zimmer, Z., & Chappell, N. (1994). Mobility restriction and the use of devices among seniors. Journal of Aging and Health, 6, 185–208.Google Scholar