| 武汉市社区老年人生命质量及影响因素分析 |
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| 引用本文： | 丁小婷, 杨晓珊, 王文杰, 李琛, 肖琳琪, 毛宗福. 武汉市社区老年人生命质量及影响因素分析[J]. 中华疾病控制杂志, 2017, 21(10): 1014-1017,1021. doi: 10.16462/j.cnki.zhjbkz.2017.10.011 |
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| 作者姓名： | 丁小婷 杨晓珊 王文杰 李琛 肖琳琪 毛宗福 |
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| 作者单位： | 武汉大学健康学院社会医学系, 湖北 武汉 430072 |
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| 基金项目： | 武汉大学研究生自主科研项目基金 |
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| 摘 要： | 目的 了解武汉市社区老年人的生命质量及其相关影响因素。方法 采用现况研究方法，对抽取的1 272例老年人采用欧洲五维度健康量表（EuroQol five dimensions questionnaire，EQ-5D）进行生命质量评价和问卷调查。数据采用多元线性逐步回归模型分析。结果 武汉市社区老年人生命质量总体评价较好，其EQ-5D指数评分为（0.79±0.25）分，通过视觉模拟量表（visual analogue scale，VAS）的评分为（60.76±23.53）分。在行动能力、自我照顾能力、日常活动能力、身体疼痛或不适、焦虑或沮丧五个维度中没有问题的占比分别为86.00%、91.03%、87.18%、75.53%、90.17%。多因素分析显示与老年人生命质量相关的因素有慢性病、体育锻炼、社会网络规模，标准化偏回归系数β'分别为：慢性病（-0.068 3）、锻炼3~4次/周（0.056 6）、锻炼5~7次/周（0.078 2）、日接触10~19人（0.106 5）、日接触20人及以上（0.099 7）。慢性病中与老年人生命质量有关的主要有高血压、糖尿病、缺血性心脏病、胃肠炎，其标准化偏回归系数β'为：-0.085 5、-0.137 2、-0.144 6、-0.065 7（均有P<0.05）。结论 患有慢性病、缺乏锻炼、社会网络少会导致老年人生命质量得分下降。
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| 关 键 词： | 老年人 生活质量 危险因素 |
| 收稿时间： | 2017-04-29 |
| 修稿时间： | 2017-07-01 |
Health-related quality of life and its risk factors among community-dwelling older adults in Wuhan |
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| DING Xiao-ting, YANG Xiao-shan, WANG Wen-jie, LI Chen, XIAO Lin-qi, MAO Zong-fu. Health-related quality of life and its risk factors among community-dwelling older adults in Wuhan[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2017, 21(10): 1014-1017,1021. doi: 10.16462/j.cnki.zhjbkz.2017.10.011 |
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| Authors: | DING Xiao-ting YANG Xiao-shan WANG Wen-jie LI Chen XIAO Lin-qi MAO Zong-fu |
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| Affiliation: | Department of Social Medicine, School of Heath Science, Wuhan University, Wuhan 430072, China |
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| Abstract: | Objective To investigate the health-related quality of life and examine its associated factors among older adults living in Wuhan.Methods A across-sectional study was conducted among 1 272 participants and EuroQol Five Dimensions Questionnaire (EQ-5D) was used to evaluate quality of life and questionnaire investigation.Multivariate linear stepwise regression was employed to analyze the associated factors with the health-related quality of life.Results Older adults had good quality of life living in Wuhan community-dwelling.Mean scores of the EQ-5D index and the visual analogue scale (VAS) were (0.79 ± 0.25) and (60.76 ± 23.53) respectively.Proportion of older adults reporting a good mobility,self-care,usual activities,pain/discomfort and anxiety/depression were 86.00％,91.03％,87.18％,75.53％,and 90.17％ respectively.Multivariate regression analysis showed that having chronic diseases,doing physical exercise,and the number of persons contacted per day were associated with the quality of life,β'was-0.068 3 (chronic diseases),0.056 6 (training 3-4 times a week),0.078 2 (training 5-7 times a week),0.106 5 (contacting 10-19 people every day),0.099 7 (contacting 20 people every day).In addition,having specific chronic diseases,such as hypertension (-0.085 5),diabetes (-0.137 2),ischemic heart disease (-0.144 6),gastroenteritis (-0.065 7) were associated with their quality of life(all P ＜ 0.05).Conclusions Having chronic diseases,the lack of exercise,and small social networks were associated with lower score of health-related quality of life among older adults in China. |
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| Keywords: | Aged Quality of life : Risk factors |
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