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. 2004 Oct;88(10):1330-7.
doi: 10.1136/bjo.2003.039180.

Blindness, low vision, and other handicaps as risk factors attached to institutional residence

A P Brézin  1 , A Lafuma, F Fagnani, M Mesbah, G Berdeaux
Affiliations

Blindness, low vision, and other handicaps as risk factors attached to institutional residence

A P Brézin et al. Br J Ophthalmol. 2004 Oct.

Abstract

Aims: To estimate the risk of living in an institution and being visually impaired.

Methods: Two national surveys were pooled: (1) 2075 institutions (for children or adults with handicaps, old people, and psychiatric centres) were selected randomly, in 18 predefined strata, from the French health ministry files. From these institutions, 15 403 subjects were selected randomly and handicap was documented by interview in 14 603 (94.9%) of them; (2) level of handicap was documented in a randomised, stratified sample of 356 208 citizens living in the community; from this sample, 21 760 subjects were further selected at random and 16 945 people were interviewed. Data on handicaps (visual, auditory, speech, brain, visceral, motor, and other) and activities of daily living (ADL) were extracted. The odds ratio (OR) of living in an institution was estimated, using stepwise logistic regressions with age, geographical area, handicaps, and ADL as co-variables.

Results: Subjects in institutions, compared to those living at home, were, respectively, more often female (64.3% v 52.4%) and older (68.7 v 38.0 years); they more often had handicaps (ORs: speech, 6.59; brain, 10.17; motor, 8.86; visceral, 3.49; auditory, 2.66; other, 1.53); and were less often able to perform their ADL (46.2% v 97.1%) without assistance. Below 80 years, blind people were more often in institutions (ORs 0.239 to 0.306); whereas in older people the association was reversed (OR: 3.277). Low vision was always significantly associated with institutional residence (ORs from 0.262 to 0.752).

Conclusion: Visual handicap was associated with institutional residence. The link persisted after adjustment for known confounding factors.

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Figures

Figure 1
Figure 1
Subject section—experimental design. INSEE, Institut National de la Statistique et des Etudes Economiques; ELH, “Everyday Life and Health” survey; HD “Handicap Dependency” survey.
Figure 2
Figure 2
Distribution of handicapped subjects living at home and in institutions.
Figure 3
Figure 3
Prevalence of blindness in institutions and the community according to age by decade.
Figure 4
Figure 4
Prevalence of low vision in institutions and the community according to age by decade.
Figure 5
Figure 5
Prevalence of motor handicaps in institutions and the community according to age by decade.
Figure 6
Figure 6
Prevalence of auditory handicaps in institutions and the community according to age by decade.
Figure 7
Figure 7
Prevalence of speech handicaps in institutions and the community according to age by decade.
Figure 8
Figure 8
Prevalence of visceral handicaps in institutions and the community according to age by decade.
Figure 9
Figure 9
Prevalence of brain handicaps in institutions and the community according to age by decade.
See this image and copyright information in PMC

References

    1. Mullin C, Philipson T. The future of old-age longevity: competitive pricing of mortality contingent claims. NBER working paper No 6042. 1997.
    1. Organisation for Economic Co-operation and Development. Aging in OECD countries. A critical policy challenge. Social Policy study No 20, Paris: OECD, 1997.
    1. Organisation for Economic Co-operation and Development. Maintaining propriety in an Aging Society. Paris: OECD, 1998.
    1. Jacobzone S, Cambois E, Chaplain E, et al.The health of older persons in OECD countries: is it improving fast enough to compensate for population aging? Labour market and social policy occasional papers. Paris: OECD, 1998.
    1. Jacobzone S. Ageing and care for frail elderly persons: an overview of international perspectives. Labour market and social policy—Occasional papers No 38. Paris: OECD, 1999.

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