@article{ref1,
title="Patterns of home environmental modification use and functional health: the women's health initiative",
journal="Journals of gerontology. Series A: Biological sciences and medical sciences",
year="2019",
author="Welti, Laura M. and Beavers, Kristen M. and Mampieri, Annie and Rapp, Stephen R. and Ip, Edward and Shumaker, Sally A. and Beavers, Daniel P.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: We examined common patterns of home environmental modification (HEM) use and associated major (including disability-, cardiovascular-, and cancer-related) health conditions and events among older women. <br><br>METHODS: Women, age 78.6±6.3 years (n=71,257), self-reported utilization of 9 types of HEMs (hand rails, grab bars, ramps, non-slip surfaces, tacking carpets/rugs, decreasing clutter, increasing lighting, raised sink/counter heights, other). Concurrent history of major health conditions and events was collected. Odds ratios (OR) were estimated based on overall HEM use and four latent classes [low HEM use (56%), rails/grab bars (20%), lighting/decluttering (18%), high HEM use (5%)], adjusted for age, marital status, race/ethnicity, education, depression, and obesity. <br><br>RESULTS: 55% of women reported using any HEM (overall), with strongest associations among disability-related conditions. ADL limitations were strongly associated with high HEM use (OR 8.16, 95% CI 6.62-10.05), railing/grab bar use (OR 4.02, 95% CI 3.26-4.95), and lighting/declutter use (OR 1.87, 95% CI 1.40-2.50) versus low HEM use. Recent falls were positively associated with overall HEM use (OR 1.79, 95% CI 1.72, 1.87); high HEM use (OR 2.89, 95% CI 2.64-3.16), railings/grab bars use (OR 2.32, 95% CI 2.18-2.48), and lighting/declutter use (OR 1.93, 95% CI 1.79-2.08) were positively associated with recent falls. Modest associations were observed between HEM use and select (i.e., atrial fibrillation, heart valve disease, stroke) cardiovascular outcomes. <br><br>CONCLUSIONS: Among older women, disability-related conditions, including functional limitations and recent falls, were strongly associated with overall HEM use, high HEM use, and railings/grab bar use.<br><br>© The Author(s) 2019. 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.<p /> <p>Language: en</p>",
language="en",
issn="1079-5006",
doi="10.1093/gerona/glz290",
url="http://dx.doi.org/10.1093/gerona/glz290"
}