Functional Limitations, Social Integration, and Daily Activities in Late Life.

Autor:	Fingerman KL; Department of Human Development and Family Sciences, University of Texas at Austin, Austin, Texas, USA., Ng YT; Department of Human Development and Family Sciences, University of Texas at Austin, Austin, Texas, USA., Huo M; Department of Human Ecology, University of California, Davis, California, USA., Birditt KS; Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA., Charles ST; Department of Psychological Science, University of California Irvine, California, USA., Zarit S; Department of Human Development and Family Studies, Pennsylvania State University, University Park, Pennsylvania, USA.
Jazyk:	angličtina
Zdroj:	The journals of gerontology. Series B, Psychological sciences and social sciences [J Gerontol B Psychol Sci Soc Sci] 2021 Nov 15; Vol. 76 (10), pp. 1937-1947.
DOI:	10.1093/geronb/gbab014
Abstrakt:	Objectives: Disability in late life has been associated with increases in receiving care and loss of autonomy. The Disablement Process Model suggests that physical impairments lead to functional limitations that contribute to disabilities in managing household, job, or other demands. Yet, we know surprisingly little about how functional limitations are related to activities throughout the day among community-dwelling adults or the possible moderating role of social integration on these associations. Methods: Community-dwelling adults (N = 313) aged 65 and older completed a baseline interview assessing their functional limitations, social ties, and background characteristics. Over 5-6 days, they answered questions about daily activities and encounters with social partners every 3 h on handheld Android devices. Results: Multilevel logistic models revealed that functional limitations are associated with an increased likelihood of activities associated with poor health (e.g., TV watching, medical appointments) and reduced likelihood of social activities, or physical activities, chores, or leaving the home. Most moderation analyses were not significant; family and friends did not mitigate associations between functional limitations and daily activities, with the exception of medical appointments. Individuals with functional limitations were more likely to attend medical appointments when with their social partners than when alone. Discussion: This study provided a modest indication that functional limitations in community-dwelling older adults are associated with patterns of activity that may lead to further limitations, disability, or loss of autonomy. Findings warrant longitudinal follow-up to establish subsequent patterns of decline or stability. (© The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu