Home Environmental Hazards among Community-Dwelling Elderly in Taiwan

台變社區老人之居家環境危害因子

黃子庭(Tzu-Ting Huang)

《The Journal of Nursing Research》 13卷1期 (2005/03) Pp. 49-57

摘要

The purposes of this study were to determine the prevalence and variables that best predict home environmental hazards among the community-dwelling elderly in Taiwan. An assessment was made of the home environments of 1212 people aged 65 years and older, chosen by cluster sampling from registered households in northern Taiwan. Environmental hazards were found in the majority of homes (60.4%) where community-dwelling elderly people lived. The bathroom was the most common site for environmental hazards. Significant predictors of potential home environmental hazards were: living in an urban area (OR = 4.36, 95% confidence interval (CI = 3.29, 5.76), poor awareness of one's health status (OR = 1.86, 95% CI = 1.31, 2.64), family dysfunction (OR = 1.77, 95% CI = 1.21, 2.59), fear of falling (OR=1.65, 95% CI = 1.19, 2.28), being older (≥ 75 years, OR=1.47, 95% CI = 1.11, 1.96), poor gait (OR = 10.76, 95% CI = 4.48, 25.84) and poor balance (OR = 3.03, 95% CI = 1.14, 8.09). Most elderly persons do not live in a risk-free home environment. The recognition and removal of environmental hazards is imperative to the well-being of the elderly.

關鍵字

居家環境危害 ； 老人 ； 跌倒

並列摘要

The purposes of this study were to determine the prevalence and variables that best predict home environmental hazards among the community-dwelling elderly in Taiwan. An assessment was made of the home environments of 1212 people aged 65 years and older, chosen by cluster sampling from registered households in northern Taiwan. Environmental hazards were found in the majority of homes (60.4%) where community-dwelling elderly people lived. The bathroom was the most common site for environmental hazards. Significant predictors of potential home environmental hazards were: living in an urban area (OR = 4.36, 95% confidence interval (CI = 3.29, 5.76), poor awareness of one's health status (OR = 1.86, 95% CI = 1.31, 2.64), family dysfunction (OR = 1.77, 95% CI = 1.21, 2.59), fear of falling (OR=1.65, 95% CI = 1.19, 2.28), being older (≥ 75 years, OR=1.47, 95% CI = 1.11, 1.96), poor gait (OR = 10.76, 95% CI = 4.48, 25.84) and poor balance (OR = 3.03, 95% CI = 1.14, 8.09). Most elderly persons do not live in a risk-free home environment. The recognition and removal of environmental hazards is imperative to the well-being of the elderly.

並列關鍵字

home environmental hazards ； the elderly ； falls

參考文獻

Bakker, R.(1999).Elderdesign: Home modifications for enhanced safety and self-care.The Care Management Journals.1(1),47-54.

Caserta, M. S.(1995).Health promotion and the older population: Expanding our theoretical horizons.Journal of Community Health.20(3),283-292.

Carter, S. E.,Campbell, E. M.,Sanson-Fisher, R. W.,Redman, S.,Gillespie W. J.(1997).Environmental hazards in the homes of older people.Age and Ageing.26(3),195-202.

Connell, B. R.,Wolf, S. L.(1997).Environmental and behavioral circumstances associated with falls at home among healthy elderly individuals.Archives of Physical Medicine & Rehabilitation.78(2),179-186.

The knowledge, attitude, and behavior regarding health promotion in Taiwan