许琦,燕铁斌,李泰标,等.中国老年人群CHARLS数据库对接ICF功能分类的纵向研究[J].中华物理医学与康复杂志,2025,47(8):754-758
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| 中国老年人群CHARLS数据库对接ICF功能分类的纵向研究 |
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| DOI：10.3760/cma.j.cn421666-20250127-00090 |
| 中文关键词: 国际功能、残疾与健康分类-康复组合 中国健康与养老追踪调查 组基多轨迹模型 中国老年人群 |
| 英文关键词: International Classification of Functioning, Disability and Health China Health and Retirement Longitudinal Study Group-based multi-trajectory modeling Chinese elderly |
| 基金项目:国家自然科学基金（82272614） |
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| 中文摘要: |
| 目的 探讨中国健康与养老追踪调查（CHARLS）数据库对接国际功能、残疾与健康分类-康复组合（ICF-RS）功能分类的可行性，构建中国老年人群不同功能维度的发展轨迹。 方法 从CHARLS中选取2013年、2015年、2018年这3个时间段的60岁及以上中国老年人数据，映射到ICF-RS分类结构中，通过建立组基多轨迹模型（GBMTM）进而分析3个功能维度（身体功能、日常活动、社会参与）的亚型发展轨迹。 结果 CHARLS数据能较好地揭示中国老年人ICF-RS功能维度的不同亚型发展轨迹。具体表现为：在研究期间内身体功能维度逐渐衰退；日常活动功能维度先改善后衰退；社会参与功能维度持续衰退。不同亚型组的初始功能水平、衰退程度及衰退逆转程度均存在明显差异。 结论 中国老年人的功能整体上呈下降趋势，但在CHARLS中的特定时期，某些功能维度随时间进展而发生改善。建议将ICF-RS整合到CHARLS中，从而全面评估中国老年人的功能分类及发展轨迹。 |
| 英文摘要: |
| Objective Based on the functional classification structure of the International Classification of Functioning, Disability and Health′s rehabilitation set (ICF-RS), the data available in the open database of the China Health and Retirement Longitudinal Study (CHARLS) were analyzed longitudinally to construct the development trajectories of different functional dimensions among China′s elderly population. Methods The CHARLS data for 2013, 2015 and 2018 describing persons aged 60 and older were distributed using the ICF-RS′s classification structure. Group-based multi-trajectory modeling (GBMTM) was then applied to analyze the characteristics of the development trajectories of physical functioning, daily activities and social participation. Results Different development trajectory subtypes emerged from the data. A gradual decline in physical functioning was evident throughout the study period, while daily activities first improved and then declined. Social participation was in decline throughout the period. There were, however, significant differences in the initial functional level, the degree of decline and the degree of decline reversal among the different subtype groups. Conclusions The overall functional performance of the elderly in China shows a downward trend, but some functional dimensions can still improve with time, at least during the specific period covered in this open database. It is recommended that the ICF-RS be integrated into the CHARLS to comprehensively assess the classification of function and developmental changes among China′s elderly. |
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