Harschel Anne K, Schaap Laura A, Iwarsson Susanne, Horstmann Vibeke, Tomsone Signe
VU University Amsterdam, The Netherlands.
Lund University, Sweden.
Gerontol Geriatr Med. 2015 Aug 3;1:2333721415598432. doi: 10.1177/2333721415598432. eCollection 2015 Jan-Dec.
To explore and gain insight into factors related to self-rated health (SRH) among very old people in two European countries. The study was based on Latvian ( = 301) and Swedish ( = 397) data from the baseline of the Enabling Autonomy, Participation, and Well-Being in Old Age: The Home Environment as a Determinant for Healthy Ageing Survey Study. Besides descriptive statistics, ordinal regression analysis was used to analyze demographic, physical and mental health-related, functional and environmental factors related to SRH in each sample. In both samples, participants with worse perceived physical mobility and more symptoms were significantly more likely to have worse SRH. There were more diverse results regarding other factors in terms of opposite relations to SRH, comparing the two samples. Preventive measures and health care should focus on improving and supporting mobility and physical health among older people. Especially in countries with low scores on indicators of health such as Latvia, to minimize health inequalities. More attention should be paid to factors to improve the general health status of the population.
探索并深入了解两个欧洲国家高龄老人自评健康(SRH)的相关因素。该研究基于“老年自主、参与和幸福:家庭环境作为健康老龄化的决定因素调查研究”基线阶段的拉脱维亚(n = 301)和瑞典(n = 397)数据。除描述性统计外,还采用有序回归分析来分析每个样本中与自评健康相关的人口统计学、身心健康、功能和环境因素。在两个样本中,身体活动能力自评较差且症状较多的参与者自评健康状况较差的可能性显著更高。比较两个样本,在与自评健康呈相反关系的其他因素方面,结果更为多样。预防措施和医疗保健应侧重于改善和支持老年人的活动能力和身体健康。特别是在健康指标得分较低的国家,如拉脱维亚,以尽量减少健康不平等。应更加关注改善人口总体健康状况的因素。