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Predictors of Bath Grab-Bar Use among Community-Living Older Adults

Published online by Cambridge University Press:  31 March 2010

Nancy Edwards ,
Donna Lockett ,
Faranak Aminzadeh  and
Rama C. Nair
Nancy Edwards
Affiliation:
Community Health Research Unit, Ottawa, Ontario School of Nursing, University of Ottawa, Ottawa, Ontario
Donna Lockett*
Affiliation:
Community Health Research Unit, Ottawa, Ontario
Faranak Aminzadeh
Affiliation:
Community Health Research Unit, Ottawa, Ontario Regional Geriatric Assessment Program of Ottawa-Carleton, Ottawa, Ontario
Rama C. Nair
Affiliation:
Dept of Epidemiology & Community Medicine, University of Ottawa, Ottawa, Ontario
*
Requests for offprints should be sent to: / Les demandes de tirés-a-part doivent être adressé e s à: Donna Lockett, Ph.D., Community Health Research Unit, University of Ottawa, 451 Smyth Rd, Ottawa, ONK1H 8M5. ([email protected])
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Abstract

Bathrooms are a common location for falls among older adults. Bath grab bars can assist in promoting safe bath transfers. The aim of this study was to identify predictors of bathroom safety-device use among community-living seniors. A two-stage sampling strategy was used to select, first, a random sample of non-universal apartment buildings and a matched sample of universal buildings, from among non-profit apartment buildings in two Canadian regions; and second, a random sample of participants within each building. A total of 550 seniors participated in face-to-face interviews in their apartments. Participants within each building type presented with similar profiles. A logistic regression was used to identify predictors of grab-bar use among participants who had grab bars and entered the bathtub on a regular basis (n = 478). Significant predictors, in order of odds ratios, were bathing difficulties, ease of grab-bar use, living in buildings with policies supporting universal access to grab bars, having a history of falls, and reporting few psychosocial consequences of grab-bar use. Findings of this study emphasize the importance of promoting access as a key strategy for increasing use and have important implications for policy planning and falls-prevention initiatives.

Résumé

Les salles de bains sont des endroits où les adultes plus âgés font souvent des chutes. Les barres d'appui pour baignoire peuvent toutefois contribuer à promouvoir une façon sécuritaire d'entrer dans la baignoire et d'en sortir. La présente étude avait pour but de cerner les prédicteurs de l'utilisation des accessoires de sécurité dans les salles de bains chez les personnes âgées vivant dans la communauté. Dans le cadre de cette étude, 550 personnes âgées habitant dans des immeubles d'habitation sans but lucratif, dans deux régions canadiennes, ont participé à des entrevues de face à face dans leur appartement. Une évaluation de la salle de bains avait également lieu au cours de cette entrevue. Une régression logistique a servi à cerner les prédicteurs de l'utilisation des barres d'appui par les participants qui en possédaient et qui utilisaient leur baignoire de façon régulière (n = 478). Les prédicteurs significatifs étaient les suivants : antécédents de chutes, difficultés au moment du bain, telles que l'ont indiqué les participants, facilité d'utilisation des barres d'appui, appartements situés dans des édifices dont les politiques soutiennent l'accès universel aux barres d'appui, et l'indication du peu de conséquences, sur le plan psychosocial, de l'utilisation des barres d'appui par les participants. Les résultats de cette recherche ont des répercussions importantes sur la planification de politiques et la mise en place d'initiatives visant la prévention des chutes.

Keywords

agingfall preventionassistive-device usegrab barssafe bathingseniorsuniversal accessvieillissementprévention des chutesaccessoires de sécuritébarres d'appuifaçon sécuritaire d'entrer dans la baignoire et d'en sortirpersonnes âgéesaccès universel
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 22 , Issue 2 , Summer/L'été 2003 , pp. 217 - 227
Copyright
Copyright © Canadian Association on Gerontology 2003

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