Education level and physical functional limitations among Japanese community residents-gender difference in prognosis from strokeReportar como inadecuado




Education level and physical functional limitations among Japanese community residents-gender difference in prognosis from stroke - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Public Health

, 9:131

First Online: 09 May 2009Received: 10 October 2008Accepted: 09 May 2009DOI: 10.1186-1471-2458-9-131

Cite this article as: Honjo, K., Iso, H., Ikeda, A. et al. BMC Public Health 2009 9: 131. doi:10.1186-1471-2458-9-131

Abstract

BackgroundLittle research has been conducted to examine the relationship between education level and functional limitations among Japanese community residents. We sought to examine the association between education level and physical functional limitations among Japanese men and women, and whether that association was modified by gender and history of stroke.

MethodsWe examined prevalence of physical functional limitation by educational level using the data from a total of 29,134 Japanese men and women aged 50–69 years living in communities in 2000. The information of educational level junior high school graduates, senior high school graduates, college and-or higher education and physical functional limitations no need for assistance, need for assistance when going outdoors, and need for assistance to carry out indoor activities were obtained by self-administrated questionnaire.

ResultsThe proportions of the subjects reported their highest level of schooling were 48% for junior high school, 39% for high school, and 13% for college. Three hundred and twenty eight subjects 1% of total subjects reported having some physical functional limitations. Multinomial logistic regression analyses showed that the odds ratio of needing assistance to carry out indoor activities were 4.8495%CI:3.61,6.50 for lowest education level group and 2.2195%CI:1.00,4.86 for middle education level group compared to highest education level group. The corresponding odds ratios of needing assistance when going outdoors were 2.3695%CI: 2.03,2.72 and 1.0895%CI:0.73,1.60, respectively. Further, the significant excess prevalence of having functional limitations associated with the low education level was identified for men regardless of history of stroke and for women without history of stroke.

ConclusionLow education level was associated with the higher prevalence of physical functional limitations for both genders. That association among persons with history of stroke was observed for men but not for women probably due to gender differences in stroke subtypes and social support.

AbbreviationsORsodds ratios

95%CI95% Confidence interval.

Download fulltext PDF



Autor: Kaori Honjo - Hiroyasu Iso - Ai Ikeda - Manami Inoue - Shoichiro Tsugane - The JPHC Study Group

Fuente: https://link.springer.com/







Documentos relacionados