https://scholars.lib.ntu.edu.tw/handle/123456789/599011
Title: | Environmental barriers and functional outcomes in patients with schizophrenia in taiwan: The capacity–performance discrepancy | Authors: | Lien W.-C Wang W.-M Wang H.-M.D Lin F.-H Yao F.-Z. Lin, Feng-Huei |
Keywords: | 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 | Issue Date: | 2022 | Journal Volume: | 19 | Journal Issue: | 1 | Source: | International Journal of Environmental Research and Public Health | 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. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85121739348&doi=10.3390%2fijerph19010315&partnerID=40&md5=cf2922f04d01dc82831ceb2e40068f4d https://scholars.lib.ntu.edu.tw/handle/123456789/599011 |
ISSN: | 16617827 | DOI: | 10.3390/ijerph19010315 |
Appears in Collections: | 醫學工程學研究所 |
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