George Pradeep P, Heng Bee Hoon, Wong Lai Yin, Ng Charis W L
Health Services & Outcomes Research (HSOR), National Healthcare Group HQ, Singapore.
Ann Acad Med Singap. 2014 Jan;43(1):3-10.
This study determines the associations between self-reported chronic conditions, limitations in activities of daily living and health-related quality of life (HRQoL) among community dwelling elderly in Singapore.
A population-based cross-sectional survey was conducted among a random sample of 4200 residents from 58 blocks of dwellings in Marine Parade housing estate between April and May 2011. A structured questionnaire was used to collect data on demographic characteristics; chronic disease profile, health screenings, healthcare utilisation, physical activity, activities of daily living (ADL) and functional ability and health related quality of life. Quality of life was assessed using European Quality of life 5 Domain (EQ-5D). Ordinary least squares (OLS) regression was used to identify independent predictors of health related quality of life.
A total of 2454 respondents for included for analysis. Most of the respondents were females (57.2%) and aged between 65 and 74 years (48.5%). Among them, 79.1% of the respondents were Chinese. Approximately three-fourth (77.5%) of the survey respondents reported having at least one of the 13 chronic medical conditions; high blood pressure (57.7%), high blood cholesterol (51.6%), diabetes (22.9%) were the most commonly reported conditions. Independent predictors of HRQoL with greatest decrements in EQ-5D index and visual analog scores (VAS) were unemployment, self-reported depression, arthritis and osteoporosis and ADL limitations for activities such as "unable to shower", "unable to do housework" and elderly with depressive symptoms (GDS score≥5).
The study had identified predictors of HRQoL in elderly Singapore residents and also provides community-based EQ-5D index and VAS scores associated with a wide variety of chronic conditions and ADL limitations.
本研究确定了新加坡社区居住老年人自我报告的慢性病、日常生活活动受限与健康相关生活质量（HRQoL）之间的关联。
2011年4月至5月间，对来自马林百列住宅区58个街区的4200名居民进行了随机抽样的基于人群的横断面调查。使用结构化问卷收集有关人口统计学特征、慢性病概况、健康筛查、医疗保健利用、身体活动、日常生活活动（ADL）和功能能力以及健康相关生活质量的数据。生活质量使用欧洲生活质量五维度量表（EQ-5D）进行评估。采用普通最小二乘法（OLS）回归来确定健康相关生活质量的独立预测因素。
共有2454名受访者纳入分析。大多数受访者为女性（57.2%），年龄在65至74岁之间（48.5%）。其中，79.1%的受访者为华人。约四分之三（77.5%）的调查受访者报告患有13种慢性疾病中的至少一种；高血压（57.7%）、高胆固醇血症（51.6%）、糖尿病（22.9%）是最常报告的疾病。EQ-5D指数和视觉模拟评分（VAS）下降幅度最大的HRQoL独立预测因素是失业、自我报告的抑郁症、关节炎和骨质疏松症以及“无法洗澡”“无法做家务”等ADL受限情况以及有抑郁症状的老年人（老年抑郁量表评分≥5）。
该研究确定了新加坡老年居民HRQoL的预测因素，并提供了与多种慢性病和ADL受限相关的基于社区的EQ-5D指数和VAS评分。
