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Journal of Aging and Health
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Influence of Sociocultural and Structural Factors on Functional Ability

The Case of Elderly People in Bangladesh

Zarina Nahar Kabir, MA

Karolinska Institutet

Marti G. Parker, PhD

Marta Szebehely, PhD

Stockholm University

Carol Tishelman, PhD

Karolinska Institutet

Objective:To describe and contextualize functional status of elderly people (= 60 years) in Bangladesh by relating it to gender, region, and socioeconomic status. Methods:In this community-based study (N= 696), functional status was described through assessment of activities of daily living (ADL) and instrumental activities of daily living (IADL). Information was obtained on type of help used for ADLs and IADLs and reason for nonperformance of IADLs. Results:Findings indicate differential performance in ADLs and IADLs by gender and region. Socioeconomic status is found to influence IADLs only. Empirical evidence regarding type of help used and reason for not performing a task enables understanding of sociocultural and structural influence on functional ability. Discussion:The underlying assumption of ADL and IADL instruments that an individual will perform an activity given physical or cognitive ability is questioned. It is suggested that sociocultural and structural factors are strong determinants of task performance.

Journal of Aging and Health, Vol. 13, No. 3, 355-378 (2001)
DOI: 10.1177/089826430101300303
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