Studies on the occurrence of homebound and the factors influencing it are available. However, the study of community homebound in China is still in its preliminary stage. No previous studies about this issue are available. This study aims to assess the occurrence of and factors influencing homebound elderly in Chinese communities and to provide a basis for effective intervention and prevention of homebound elderly people.One sample community from three provinces was randomly selected. Investigations were performed on the selected communities and 2180 elderly people were chosen as the research subjects. Unified survey scales were used. Home visit and face-to-face interviews were performed to ensure that no single qualified survey respondent was missed.The rate of morbidity in homebound elderly Chinese community was found to be 15.49% and it gradually increased with age, and also with a lower education or poorer Activities of Daily Living (ADL). Single factor analysis showed that general situation, living habits, physical condition, mental condition, society, social support, and other factors affected the occurrence of community homebound elderly. Women were more likely to be homebound than men (P < .05). Having a spouse or high income reduced the rate of morbidity in the homebound elderly (P < .05). Multifactor regression analysis revealed that poor ADL, depression, hearing impairment, being old, no exercise, and low social support are the main influencing factors.Appropriate measures should be taken based on the specific influencing factor to prevent the occurrence of homebound.

译文

关于居家生活的发生及其影响因素的研究是可行的。然而,中国社区住房的研究仍处于初级阶段。以前没有关于这个问题的研究。本研究旨在评估中国社区居家老年人的发生情况及影响因素,为居家老年人的有效干预和预防提供依据。对选定的社区进行了调查,并选择了2180名老年人作为研究对象。使用了统一的调查量表。进行家访和面对面访谈,以确保没有一个合格的调查对象被遗漏。发现在家的中国老年人社区的发病率15.49%,并且随着年龄的增长而逐渐增加,并且受教育程度较低或日常生活活动 (ADL) 较差。单因素分析显示,一般情况、生活习惯、身体状况、精神状况、社会支持等因素影响社区居家老人的发生。女性比男性更有可能回家 (p  < .05)。有配偶或高收入降低了居家老人的发病率 (p < .05)。多因素回归分析显示,ADL差、抑郁、听力障碍、年老、无运动、社会支持低是主要影响因素,应根据具体影响因素采取相应措施,预防居家生活的发生。

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