Table 4. Physical indicators of health and diagnoses of home care clients in Ontario based on the presence of hearing and vision sensory and/or cognitive impairments.
Variables | No Impairment | Vision impairment (VI) | Hearing impairment (HI) | Dual sensory impairment (DSI) | Cognitive impairment (CI) | Cognitive + Sensory Impairment | ||
---|---|---|---|---|---|---|---|---|
CI + Vision impairment | CI + Hearing impairment | CI + DSI | ||||||
N = 59,360 | N = 11,829 | N = 26,495 | N = 10,868 | N = 54,029 | N = 21,903 | N = 57,888 | N = 49,452 | |
% | ||||||||
Bladder incontinence | ||||||||
Continent | 70.5 | 60.8 | 61.0 | 52.7 | 41.7 | 31.4 | 35.8 | 26.1 |
Any degree of incontinence | 29.5 | 39.2 | 39.0 | 47.3 | 58.3 | 68.6 | 64.2 | 73.9 |
Diagnoses | ||||||||
Hypertension | 59.7 | 65.1 | 64.2 | 67.5 | 59.4 | 63.1 | 62.8 | 65.4 |
Diabetes | 26.8 | 33.4 | 25.7 | 28.0 | 24.4 | 29.4 | 23.9 | 26.7 |
Coronary artery disease | 23.6 | 27.6 | 29.6 | 31.2 | 22.8 | 24.7 | 28.8 | 29.6 |
Congestive heart failure | 11.3 | 15.8 | 16.3 | 19.2 | 10.2 | 12.3 | 15.0 | 16.7 |
Stroke | 9.6 | 14.2 | 11.4 | 15.0 | 19.6 | 26.1 | 20.1 | 24.3 |
Parkinsonism | 2.1 | 2.8 | 2.1 | 2.3 | 6.0 | 8.5 | 5.0 | 6.3 |
Alzheimer’s dementia | 0.0 | 0.0 | 0.0 | 0.0 | 20.1 | 15.5 | 15.0 | 11.8 |
Dementia other than Alzheimer’s dementia | 0.0 | 0.0 | 0.0 | 0.0 | 37.1 | 34.1 | 35.7 | 33.5 |
Arthritis | 49.2 | 55.2 | 58.2 | 63.7 | 44.9 | 48.5 | 54.0 | 56.6 |
Cataracts | 10.9 | 23.1 | 13.2 | 22.4 | 9.3 | 19.0 | 10.9 | 20.0 |
Glaucoma | 5.0 | 14.2 | 6.7 | 14.9 | 5.2 | 12.7 | 6.1 | 13.7 |
Any psychiatric diagnosis a | 9.0 | 10.6 | 8.7 | 8.7 | 19.0 | 18.8 | 16.6 | 16.5 |
Cancer | 26.8 | 19.0 | 22.1 | 16.8 | 11.5 | 10.7 | 12.5 | 11.7 |
Activities of Daily Living (ADL) Self-performance Hierarchy Scale | ||||||||
Independent/minor supervision (0–1) | 83.1 | 76.7 | 81.1 | 74.3 | 57.3 | 45.5 | 55.3 | 42.5 |
Impairment (2–6) | 16.9 | 23.3 | 18.9 | 25.7 | 42.7 | 54.5 | 44.7 | 57.5 |
Instrumental Activities of Daily Living (IADL) Involvement Scale | ||||||||
None/minor difficulty (0–13) | 83.1 | 72.4 | 78.2 | 65.2 | 28.7 | 21.1 | 26.2 | 18.0 |
Moderate/major difficulty (14–21) | 16.9 | 27.6 | 21.8 | 34.8 | 71.3 | 78.9 | 73.8 | 82.0 |
a Presence of any type of psychiatric diagnosis (e.g., depression, anxiety disorder, schizophrenia, paranoia)