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Access to Bathtub Grab Bars: Evidence of a Policy Gap*

Published online by Cambridge University Press:  31 March 2010

Nancy Edwards ,
Nicholas Birkett ,
Rama Nair ,
Maureen Murphy ,
Ginette Roberge  and
Donna Lockett
Nancy Edwards*
Affiliation:
School of Nursing, University of Ottawa Department of Epidemiology and Community Medicine, University of Ottawa Community Health Research Unit, University of Ottawa
Nicholas Birkett
Affiliation:
Department of Epidemiology and Community Medicine, University of Ottawa
Rama Nair
Affiliation:
Department of Epidemiology and Community Medicine, University of Ottawa Community Health Research Unit, University of Ottawa
Maureen Murphy
Affiliation:
Family and Community Health, Ottawa Public Health Community Health Research Unit, University of Ottawa
Ginette Roberge
Affiliation:
Community Health Research Unit, University of Ottawa
Donna Lockett
Affiliation:
Community Health Research Unit, University of Ottawa
*
Requests for offprints should be sent to: / Les demandes de tirés-à-part doivent être addressées à : Dr. Nancy Edwards, RN, PhD, School of Nursing, University of Ottawa, 451 Smyth Rd., Ottawa, ON K1H 8M5. (nancy.edwards@uottawa.ca)
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Abstract

This paper examines access to bathtub grab bars in privately and publicly owned apartment buildings and explores the profile of seniors who have access to bathtub grab bars. Results indicate that bathtub grab bars were significantly more prevalent in apartments that were publicly owned (91.3%) as compared to privately owned (37.8%) (p < 0.05). Results of a logistic regression for participants residing in non-universal-access buildings indicated that seniors were more likely to have grab bars in their bathtubs if they were older, were in poor health, had had a fall in the previous year, or used a mobility aid. Among those who did not have bathtub grab bars, 33 per cent reported fear of falling while bathing, 20 per cent reported difficulty bathing, and 23 per cent were found to have impaired balance. Findings are discussed in light of policy implications for universal access to grab bars, with apartment buildings being a logical place to start.

Résumé

Le présent article porte sur l'accès aux barres d'appui des baignoires dans les immeubles d'habitation de propriété privée et publique et examine minutieusement le profil des personnes âgées ayant accès à ces barres d'appui. Les résultats indiquent que ces barres étaient plus fréquentes dans les appartements de propriété publique (91,3%) comparativement aux appartements de propriété privée (37,8%) (p < 0,05). Les résultats d'une régression logistique des participants résidant dans des immeubles à accès non universel ont indiqué que davantage de personnes âgées avaient une barre d'appui dans leur baignoire si elles étaient plus âgées et en mauvaise santé, si elles étaient tombées au cours de l'année précédente, ou si elles utilisaient une aide à la mobilité. Chez les personnes qui n'avaient pas de barres d'appui dans leur baignoire, 33 pour cent craignaient de tomber lorsqu'elles prenaient leur bain, 20 pour cent avaient de la difficulté à prendre un bain, et 23 pour cent manquaient d'équilibre. Les résultats font l'objet de discussions quant à l'incidence sur les politiques générales en matière d'accès universel aux barres d'appui, les immeubles d'habitation étant l'endroit logique où commencer.

Keywords

agingseniorsfalls preventiongrab bars, policyuniversal accesssafe bathing practicesvieillissementpersonnes âgéesprévention des chutesbarres d'appuipolitiqueaccès universelsécurité dans la baignoire
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 25 , Issue 3 , Fall/Automne 2006 , pp. 295 - 304
Copyright
Copyright © Canadian Association on Gerontology 2006

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Footnotes

*

This project was funded by the Ontario Ministry of Health (now the Ontario Ministry of Health and Long-Term Care). Dr. Edwards holds a Nursing Chair from the Canadian Health Services Research Foundation, the Canadian Institute of Health Research, and the Ontario Ministry of Health and Long-term Care. The opinions expressed in this publication are those of the authors. Publication does not imply endorsement of these views by the participating partners and funders of the Community Health Research Unit.

References

1.Gill, T, Williams, C, Tinetti, M. Environmental hazards and the risk of nonsyncopal falls in the homes of community-living older persons. Med Care 2000;38:1174–1183.Google Scholar
2.O'Loughlin, J, Robitaille, Y. Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. Am J Epidemiol 1993;137:342–354.CrossRefGoogle ScholarPubMed
3.Aminzadeh, F, Edwards, N, Lockett, D, Nair, R. Utilization of bathroom safety devices, patterns of bathing and toileting, and bathroom falls in a sample of community living older adults. Technology and Disability 2000;13:95–103.Google Scholar
4.Sattin, RW, Rodriguez, JG, DeVito, CA, Wingo, PA. Home environmental hazards and the risk of fall injury events among community dwelling older persons. Study to Assess Falls among the Elderly (SAFE) Group. J Am Geriatr Soc 1998;46:669–676.CrossRefGoogle ScholarPubMed
5.Edwards, N, Jones, D. Ownership and use of assistive devices amongst older people in the community. Age Ageing 1998;27:463–468.Google Scholar
6.George, J, Binns, V, Clayden, A, Mulley, G. Aids and adaptations for the elderly at home: underprovided, underused, and undermaintained. BMJ 1998;296:1365–1366.CrossRefGoogle Scholar
7.Gill, T, Williams, C, Robison, J, Tinetti, MA. Population-based study of environmental hazards in the homes of older persons. Am J Public Health 1999;89:553–556.Google Scholar
8.Gill, T, Robison, J, Williams, C, Tinetti, M. Mismatches between the home environment and physical capabilities among community-living older persons. J Am Geriatr Soc 1999;47:88–92.CrossRefGoogle ScholarPubMed
9.Robitaille, Y, O'Loughlin, J, Boivin, JF. Environmental risk factors for falls in the homes of elderly persons living in urban community: bathrooms and stairways. Paper presented at the Third International Conference in Injury Prevention and Control; 1998 May 17–20. Melbourne, Australia.Google Scholar
10.Edwards, N, Birkett, N, Murphy, M, Nair, R, Corber, S, Coristine, M. A randomized controlled trial of two strategies to prevent falls among seniors—results of baseline interviews: what is aging?. Paper presented at the Canadian Association on Gerontology; 1993 Oct 28–31. Montreal.Google Scholar
11.Edwards, N, Birkett, N, Murphy, M, Nair, R, Coristine, M, Roberge, G. A randomized controlled trial to examine the effectiveness of two strategies to prevent falls among seniors: the impact on fear of falling and selected fall prevention behaviours. Paper presented at the Canadian Public Health Association Conference; 1995 June. Charlottetown, PEI.Google Scholar
12.Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975;23:433–441.Google Scholar
13.Fillenbaum, GG. Comparison of two brief tests of organic brain impairment, the MSQ and the short portable MSQ. J Am Geriatr Soc 1980;28:381–384.CrossRefGoogle ScholarPubMed
14.Duke University Centre for the Study of Aging and Human Development. Multidimensional functional assessment: the OARS methodology. Durham, NC: Duke University; 1978.Google Scholar
15.McDowell, I, Newell, C. Measuring health: a guide to rating scales and questionnaires. New York: Oxford University; 1996.Google Scholar
16.Raymond, D, Patterson, F. New, competitive reimbursement systems put health care cost, use decisions at local level. Mich Med 1981;80:165–166.Google Scholar
17.McWhinnie, JR. Disability assessment in population surveys: results of the OECD Common Development Effort. Revue Epidemiol Santé Publique 1981;29:413–419.Google Scholar
18.Mathias, S, Nayak, U, Isaacs, B. Balance in elderly patients: the Get Up and Go test. Arch Phys Med Rehab 1986;76:387–389.Google Scholar
19.Berg, KO, Maki, BE, Williams, JI, Holliday, PJ. Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehab 1992;73:1073–1080.Google Scholar
20.Tinetti, ME, Richman, D, Powell, L. Falls efficacy as a measure of fear of falling. J Gerontol 1990;45(6):239–243.Google Scholar
21.Tinetti, ME, Baker, DI, McAvay, G, Claus, EB, Garrett, P, Gottschalk, M, Koch, ML, Trainor, K, Horwitz, RI. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. New Engl J Med 1994b;331:821–827.CrossRefGoogle ScholarPubMed
22.Bandura, A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 1977;84:191–215.CrossRefGoogle Scholar
23.Bandura, A. Perceived self-efficacy in cognitive development and functioning. Educational Psychologist 1993;28(2):117–148.Google Scholar
24.Statistics Canada. Special studies on 2001 census data: seniors' housing conditions, Revised. Socio-Economic Series 2002 June;55–8:1–10.Google Scholar
25.Lockett, D, Edwards, N, Sveistrup, H. Stair use as a means of active living or a risky proposition for seniors?. Paper present at the BC Injury Prevention Conference; 2003 April 9–11. Richmond, BC.Google Scholar
26.National Research Council Canada. National building codes. Ottawa: National Research Council Canada; 1995.Google Scholar
27.Edwards, N, Aminzadeh, F. Exploring seniors' views on the use of assistive devices in fall prevention. Public Health Nurs 1998;15(4):297–304.Google Scholar
28.Pippin, K, Fernie, GR. Designing devices that are acceptable to the frail elderly: a new understanding based upon how older people perceive a walker. Technology and Disability 1997;7:93–102.Google Scholar
29.Naik, AD, Gill, TM. Underutilization of environmental adaptations for bathing in community-living older persons. J Am Geriatr Soc 2005; 1497–1503.Google Scholar
30.Committee on Trauma Research. Injury in America: A continuing public health problem. Washington, DC: National Academy Press; 1985.Google Scholar
31.Gillespie, LD, Gillespie, WJ, Robertson, MC, Lamb, SE, Cumming, RG, Rowe, BH. Interventions for preventing falls in elderly people. Cochrane Database of Systematic Reviews 2003;4:CD000340;DOI:10.1002/14651858.CD000340.Google Scholar
32.RAND Report. Draft evidence report and evidence-based recommendations: falls prevention interventions in the medicare community. Baltimore, MD: US Department of Health and Human Services, Centers for Medicare and Medicaid Services; 2003.Google Scholar
33.Scott, V, Dukeshire, S, Gallagher, E, Scanlan, A. A best practice guide for the prevention of falls among senior living in the community. Prepared for the Federal/Provincial/Territorial Ministers of Health and Ministers Responsible for Seniors; 2001.Google Scholar
34.Clemson, L, Cumming, R, Roland, M. Case-control study of hazards in the home and risk of falls hip fractures. Age Ageing 1996;25:97–107.CrossRefGoogle ScholarPubMed
35.Sveistrup, H, Lockett, D, Edwards, N, Aminzadeh, F. Evaluation of bath grab bar placement for older adults. Technology and Disability 2006;18:1–11.Google Scholar
36.Kay, AD, Tideiksaar, R. Falls and gait disorders. In Abrams, WB, Berkow, R (Ed.), Merck manual of geriatrics. Rahway, NJ: Merck Sharp Dohme Research Laboratories; 1990. p. 52–68.Google Scholar