The Red Cross University College, Stockholm, Sweden.
Asia Pac J Public Health. 2012 Jul;24(4):610-9. doi: 10.1177/1010539510396699. Epub 2011 Apr 13.
This study compares health-related quality of life (HRQoL) and its determinants among older people (≥60 years) in rural Bangladesh and Vietnam. Cross-sectional studies among older people were conducted in Bangladesh (n = 1031) and Vietnam (n = 870). Data on HRQoL were collected using an instrument that includes 24 items distributed into 6 dimensions. Older people in Vietnam reported more favorable HRQoL outcomes than those in Bangladesh, reporting better HRQoL on physical, psychological, social, and financial dimensions. Hierarchical linear regression analyses show that advanced age, being a woman, belonging to a poor household, and reporting poor health were significantly associated with lower HRQoL scores in both Bangladesh and Vietnam. In Bangladesh, being illiterate was additionally associated with lower HRQoL scores. The results of this explorative study underline the importance of a cross-cultural understanding of HRQoL of older people and the influence of the socioecological context.
本研究比较了孟加拉国和越南农村老年人(≥60 岁)的健康相关生活质量(HRQoL)及其决定因素。在孟加拉国(n=1031)和越南(n=870)进行了老年人的横断面研究。使用包括 24 个项目分布在 6 个维度的工具收集 HRQoL 数据。越南的老年人报告了比孟加拉国老年人更有利的 HRQoL 结果,在身体、心理、社会和经济维度上报告了更好的 HRQoL。层次线性回归分析表明,在孟加拉国和越南,高龄、女性、贫困家庭和健康状况不佳与较低的 HRQoL 评分显著相关。在孟加拉国,不识字也与较低的 HRQoL 评分相关。这项探索性研究的结果强调了跨文化理解老年人 HRQoL 的重要性以及社会生态背景的影响。