Environmental barriers and functional outcomes in patients with schizophrenia in taiwan: The capacity–performance discrepancy
Journal
International Journal of Environmental Research and Public Health
Journal Volume
19
Journal Issue
1
Date Issued
2022
Author(s)
Abstract
Environmental factors are crucial determinants of disability in schizophrenic patients. Using data from the 2014–2018 Certification of Disability and Care Needs dataset, we identified 3882 adult patients (46.78% females; age, 51.01 ± 13.9 years) with schizophrenia. We found that patients with severe schizophrenia had lower capacity and performance than those with moderate schizophrenia. The chances of having an access barrier to environmental chapter 1 (e1) products and technology in moderate schizophrenic patients and in severe schizophrenic patients were 29.5% and 37.8%, respectively. Logistic regression analyses demonstrated that the performance score was related to accessibility barriers in the categories described in e1, with adequate fitness of models in category e110 for personal consumption, e115 for personal usage in daily living activities, and e120 for personal outdoor and indoor mobility and transportation. Furthermore, the capacity–performance discrepancy was higher in moderate schizophrenic patients with accessibility barriers in the e110, e115, and e120 categories than that in moderate schizophrenic patients without accessibility barriers. However, severe schizophrenic patients with category e120 accessibility barriers were prone to a lower discrepancy, with institutional care a potentially decreasing factor. In conclusion, providing an e1 barrier-free environment is necessary for patients with schizophrenia to decrease their disability. ? 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Subjects
Capacity
Environmental barriers
Performance
Schizophrenia
consumption behavior
data set
environmental factor
fitness
mental disorder
mental health
physical activity
regression analysis
adult
age distribution
Article
daily life activity
demography
disease severity
female
functional assessment
functional status
health care need
health care planning
human
major clinical study
male
outcome assessment
schizophrenia
sex difference
social status
social welfare
Taiwan
aged
disabled person
exercise
middle aged
Activities of Daily Living
Adult
Aged
Disabled Persons
Exercise
Female
Humans
Male
Middle Aged
Type
journal article