ArticleBMJ open2016
Trends in activities of daily living disability in a large sample of community-dwelling Chinese older adults in Hong Kong: an age-period-cohort analysis.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Age-period-cohort analysis of multimorbidity prevalence among Chinese older adults: from 2002 to 2022.GeroScience · 2026Article
- A spatiotemporal analysis of administrative emergency hospitalization data (2012-2021) to assess outreach service adequacy to elderly residential care homes in Hong Kong.BMC health services research · 2026Article
- Article
- Differences in the Health Status of Older Adults in Community and Hospital Cohorts.Annals of geriatric medicine and research · 2025Article
- Non-Communicable Diseases, Longevity, and Health Span: A Hong Kong Perspective.International journal of environmental research and public health · 2025Article
- Trends and characteristics of hospitalisation and mortality among centenarians in old-age homes and communities: a territory-wide study in Hong Kong, 2012-2021.BMJ public health · 2025Article
- Association of Drinking Herbal Tea with Activities of Daily Living among Elderly: A Latent Class Analysis.Nutrients · 2023Article
- Age and cohort trends in disability among Chinese older adults.Frontiers in public health · 2023Article
- Trends in activities of daily living disability among Chinese older adults from 1998 to 2018: an age-period-cohort analysis.European journal of ageing · 2022Article
- Cohort-specific disability trajectories among older women and men in Europe 2004-2017.European journal of ageing · 2022Article
- Prevalence and correlates of disability among urban-rural older adults in Southwest China: a large, population-based study.BMC geriatrics · 2022Article
- Sex differences in functional limitations and the role of socioeconomic factors: a multi-cohort analysis.The lancet. Healthy longevity · 2021Article
- Sex differences in the association between latent class of lifestyle and disability among older adults in China.BMC geriatrics · 2021Article
- Implementing Advance Care Planning in 'The Age of Deferred Death'- the Hong Kong Experience over 4 Years.The journal of nutrition, health & aging · 2021Article
- Factors Affecting Trends in Societal Indicators of Ageing Well in Hong Kong: Policies, Politics and Pandemics.The journal of nutrition, health & aging · 2021Article
- Cross-classified multilevel models (CCMM) in health research: A systematic review of published empirical studies and recommendations for best practices.SSM - population health · 2020Review
- The Association between 25-Hydroxyvitamin D Concentration and Disability Trajectories in Very Old Adults: The Newcastle 85+ Study.Nutrients · 2020Article
- Age, Period, and Cohort Effects on Activities of Daily Living, Physical Performance, and Cognitive Functioning Impairment Among the Oldest-Old in China.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020Article
- Residential greenness, activities of daily living, and instrumental activities of daily living: A longitudinal cohort study of older adults in China.Environmental epidemiology (Philadelphia, Pa.) · 2019Article
- A comparison of health expectancies over 10 years: implications for elderly service needs in Hong Kong.International journal of public health · 2019Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo examine the trends in activities of daily living (ADL) disability in older Chinese adults in Hong Kong between 2001 and 2012.
methodsUsing data from the Elderly Health Centres (EHCs) of the Department of Health comprising a total of 54 808 community-dwelling Chinese adults aged ≥65 years in 1 early cohort (1904-1917) and 10 3-year birth cohorts (1918-1920, 1921-1923, 1924-1926, 1927-1929, 1930-1932, 1933-1935, 1936-1938, 1939-1941, 1942-1944, 1945-1947), we examined trends in ADL disability by using age-period-cohort (APC) models. ADL disability was defined as being unable to perform at least 1 of 7 ADL activities (bathing, dressing, toileting, transferring, feeding, grooming, walking) independently. Cross-classified random-effects logistic regressions were performed for each of the APC trends with adjustment for age, period, cohort, sociodemographic, lifestyle, comorbidity and self-rated health.
resultsThe mean age of the cohort was 70.9±4.7 (range 65-99) years. The prevalence rate of ADL disability was 1.6%. ADL disability increased with age (p<0.001) and the gradient of the increase was steeper in the older age groups. At the same age, women (1.7%) were more likely to report ADL disability than men (1.4%, p=0.001). For both genders, there was an increase in ADL disability between 2003 and 2012; adjustment for age, cohort and other covariates has diminished the trends observed among men. There was no cohort effect in ADL disability.
conclusionsADL disability in older adults has increased over the last decade. Further study is required to identify possible causes behind the disability trends.
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