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伊朗阿巴斯港老年人的健康相关生活质量:一项基于人群的研究。

Health related quality of life in elderly people living in Bandar Abbas, Iran: a population-based study.

作者信息

Aghamolaei Teamur, Tavafian Sedigheh Sadat, Zare Shahram

机构信息

Department ofHealth Services, School of Public Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

出版信息

Acta Med Iran. 2010 May-Jun;48(3):185-91.

Abstract

Measuring health related quality of life of old people has become an important public health issue with the aging of population in developing countries. The aim of this study was to examine the health related quality of life of old people living in Bandar Abbas, Iran. This was a population-based study in which a random sample of 1000 individuals of the community aged over 60 years were interviewed using SF-36 questionnaire. Overall health related quality of life and relative differences between men and women and also between different age groups (60-75 years vs. >75 years) was assessed in this study. A total of 1000 elderly individuals completed the SF-36 questionnaire. Of all participants 499 (49.9%) were men, 501 (50.01%) women, 789 (78.9%) aged 60-75 years, and 211 (21.1) aged over 75 years. The logistic regression analysis showed the age over 75 years could increase the risk of lower score of physical [OR: 2.69, CI; (1.96-3.73] and mental [OR: 1.58, CI (1.16-2.15)] component summaries of SF-36 regardless other factors. Additionally, suffering from chronic diseases could decrease physical and mental scores of health related quality of life separately [OR: 8.6, CI; (4.37-16.94) and OR: 1.8, CI (1.1-2.99) respectively]. Women compared to men and illiterate old people compared to literate ones are more likely to perceive worse health related quality of life especially in physical component [OR: 1.35, CI; (1.01-1.81) and OR: 1.59, CI (1.12-2.24) respectively]. The findings of this study suggest that health related quality of life in old people is not only decreased by aging, but each of other factors such as female gender, illiteracy, and chronic diseases could decrease health related quality of life of old people.

摘要

随着发展中国家人口老龄化,测量老年人健康相关生活质量已成为一个重要的公共卫生问题。本研究旨在调查居住在伊朗阿巴斯港的老年人的健康相关生活质量。这是一项基于人群的研究,使用SF - 36问卷对社区中1000名60岁以上的个体进行了随机抽样访谈。本研究评估了总体健康相关生活质量以及男性与女性之间、不同年龄组(60 - 75岁与75岁以上)之间的相对差异。共有1000名老年人完成了SF - 36问卷。所有参与者中,499名(49.9%)为男性,501名(50.01%)为女性,789名(78.9%)年龄在60 - 75岁之间,211名(21.1%)年龄在75岁以上。逻辑回归分析表明,无论其他因素如何,75岁以上的年龄会增加SF - 36身体[比值比:2.69,可信区间;(1.96 - 3.73)]和心理[比值比:1.58,可信区间(1.16 - 2.15)]分量表得分较低的风险。此外,患有慢性病会分别降低健康相关生活质量的身体和心理得分[比值比:8.6,可信区间;(4.37 - 16.94)和比值比:1.8,可信区间(1.1 - 2.99)]。与男性相比,女性以及与识字老人相比,文盲老人更有可能认为健康相关生活质量较差,尤其是在身体方面[比值比:1.35,可信区间;(1.01 - 1.81)和比值比:1.59,可信区间(1.12 - 2.24)]。本研究结果表明,老年人的健康相关生活质量不仅会因衰老而下降,而且女性性别、文盲以及慢性病等其他因素中的每一个都可能降低老年人的健康相关生活质量。

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