社会关系与健康相关生活质量：一项针对意大利老年成年人的横断面调查。
Social relationships and HRQL: a cross-sectional survey among older Italian adults.
作者信息
de Belvis Antonio Giulio, Avolio Maria, Sicuro Lorella, Rosano Aldo, Latini Elide, Damiani Gianfranco, Ricciardi Walter
机构信息
Department of Public Health and Preventive Medicine, Catholic University Sacro Cuore, Rome, Italy.
出版信息
BMC Public Health. 2008 Oct 3;8:348. doi: 10.1186/1471-2458-8-348.
BACKGROUND
The aim of this study is to investigate the association between social relationships and Health Related Quality of Life (HRQL) among the elderly in Italy.
METHODS
A sample of 33,744 Italian residents, representing the non-institutionalised population aged 60 years and over was extracted from the national ISTAT cross-sectional survey during 1999-2000. HRQL was measured with the SF-12, from which the Physical Component Score (PCS) and Mental Component Score (MCS) were obtained. Data were subjected to descriptive analysis and multiple logistic regression models with adjustment for the main confounders.
RESULTS
Our analysis shows a gradient in PCS and MCS among the terziles in seeing/meeting "friends" and "family" and, for PCS, a North-South gradient among the Italian regions. Females, the elderly who reported a lower household income, those who spent less time in recreational and religious activities, who lived too far from their relatives and had few relationships with friends and relatives, were significantly less likely to have an MCS above the median value. For PCS, an increase in HRQL was likely to be associated with a higher educational level, while lower PCS scores were associated with: age 75+, inadequate household income, unmarried status, infrequency of seeing/meeting friends, too high a mean distance from own home to relatives' homes, lack of leisure time spent in recreational activities, living in the Centre-South of Italy, chronic diseases, reduced autonomy, and use of drugs during the previous two days. Significant interactions between suffering from one chronic disease and the use of drugs were also found for both MCS and PCS.
CONCLUSION
Some dimensions of social relationships were significantly associated with HRQL. These findings are crucial for devising welfare strategies at both the regional and the European level, i.e. in countries such as Italy where the primacy of family support of the elderly has declined in recent years.
背景
本研究旨在调查意大利老年人的社会关系与健康相关生活质量（HRQL）之间的关联。
方法
从1999 - 2000年意大利国家统计局的横断面调查中抽取了33744名意大利居民作为样本，代表60岁及以上的非机构化人口。使用SF - 12量表测量HRQL，并从中获得身体成分得分（PCS）和心理成分得分（MCS）。对数据进行描述性分析，并建立多元逻辑回归模型，对主要混杂因素进行调整。
结果
我们的分析表明，在看望/会见“朋友”和“家人”的三分位数中，PCS和MCS存在梯度差异，并且就PCS而言，意大利各地区存在南北梯度差异。女性、报告家庭收入较低的老年人、在娱乐和宗教活动中花费时间较少的老年人、居住距离亲属过远且与朋友和亲属关系较少的老年人，其MCS高于中位数的可能性显著降低。对于PCS，HRQL的提高可能与较高的教育水平相关，而较低的PCS得分与以下因素相关：75岁及以上、家庭收入不足、未婚状态、看望/会见朋友的频率较低、自己家到亲属家的平均距离过高、缺乏用于娱乐活动的休闲时间、居住在意大利中南部、患有慢性病、自主性降低以及在前两天使用药物。在MCS和PCS方面，还发现患有一种慢性病与使用药物之间存在显著的交互作用。
结论
社会关系的某些维度与HRQL显著相关。这些发现对于制定地区和欧洲层面的福利策略至关重要，即在像意大利这样近年来老年人家庭支持的首要地位有所下降的国家。
Zotero 插件