包头市农牧区老年人生活质量的研究

目的了解包头市农、牧区老年人生活质量的现状,分析其可能的影响因素,同时比较农、牧区老年人生活质量上存在的差异.方法采用WHO推荐的生活质量评价量表SF-36(theshort-formhealthsurveyquestionnaire,SF-36)入户访问调查.结果①农、牧区老年人SF-36量表的加权总分分别为64.16±18.76和73.94±17.48,经年龄和性别调整后表现为牧区老年人得分高于农村老年人(F=137.8,P＜0.001).②多元线性回归分析结果表明影响农村老年人生活质量的主要因素有慢性病、年龄、就医情况、文化程度和性别.影响牧区老年人生活质量的因素主要有慢性病、就医情况、婚姻状况、年龄和经济收入.结论从生活质量角度来看,没有文化、丧偶、收入低的老年人是社会的脆弱人群,在制订和实施卫生服务以及社会保障政策时应予以重点考虑.

Study on the quality of life among the elderly in the rural and pastoral districts in Baotou city

OBJECTIVE: In order to explore the situation of QOL of the elderly in the rural and pastoral districts in Baotou city, to compare the differences of QOL between the two districts, and to find out the major factors influencing the QOL of the elderly. METHODS: SF-36, recommended by WHO was adopted to study the QOL of 1 421 old people in the rural and pastoral districts in Baotou city. RESULTS: (1) The average weighted score based on the SF-36 was 64.16 +/- 18.76 in the rural area district and 73.94 +/- 17.48 in the pastoral district (F = 137.8, P < 0.01). The level of QOL of the elderly in the pastoral district was significantly higher than that in the rural district. (2) Results from the multiple liner regression analysis showed that the main factors influencing the QOL of the elderly were chronic disease, age, hospitalization, education and gender in the rural district, but chronic disease, age, hospitalization, income and marital status in the pastoral district. CONCLUSION: Population with older age, low education, no spouse and low income should be viewed as the priority of attention and their special difficulties fully considered when setting up the policy of health care and social security.