Low adoption of mobility device in later life: Insights from the lens of intersectionality

Geriatr Nurs. 2024 May-Jun:57:140-146. doi: 10.1016/j.gerinurse.2024.04.017. Epub 2024 Apr 20.

Abstract

Objectives: To investigate the utilization of mobility device, whether age and gender-related use disparities exist, and whether falls can further explain use disparities over time among Chinese older adults in need of devices.

Methods: Community-dwelling older adults who needed mobility devices and completed four waves of the China Health and Retirement Survey 2011-2018 were included (N = 1,302). A categorical variable was created to represent respondents' intersectionality of age (50-64, 65-74, and ≥75 years) and gender (men vs. women).

Results: The baseline prevalence of device use was 18.2 % (n = 237). Overall, the device use increased over time. Intersectionality-wise, oldest-old women were 1.53 times more likely than youngest-old men to use devices over time. Respondents with falls were more likely to use devices over time.

Conclusions: Older adults with mobility impairment, especially the oldest-old women and those with falls, lag in mobility devices utilization, suggesting future tailored interventions to support these populations.

Keywords: Disparity; Falls; Intersectionality; Mobility device.

MeSH terms

  • Accidental Falls* / prevention & control
  • Accidental Falls* / statistics & numerical data
  • Age Factors
  • Aged
  • Aged, 80 and over
  • China
  • Female
  • Humans
  • Independent Living*
  • Male
  • Middle Aged
  • Mobility Limitation*
  • Self-Help Devices / statistics & numerical data
  • Sex Factors
  • Surveys and Questionnaires