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伊朗老年人健康相关生活质量及其社会人口学决定因素:一项基于人群的横断面研究。

Health Related Quality of Life and Its Socio-Demographic Determinants among Iranian Elderly People: a Population Based Cross-Sectional Study.

作者信息

Hajian-Tilaki Karimollah, Heidari Behzad, Hajian-Tilaki Arefeh

机构信息

Department of Biostatistics and Epidemiology, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran.

Department of Internal Medicine, Ayatollah Rohani Hospital, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran.

出版信息

J Caring Sci. 2017 Mar 1;6(1):39-47. doi: 10.15171/jcs.2017.005. eCollection 2017 Mar.

Abstract

In the stage of demographic transition, the rate of elderly is increasing and their health condition is a matter of concern. Thus, the objective of this study was to investigate the health related quality of life (QoL) and the associated socio-demographic determinants among Iranian elderly people. We conducted a cross-sectional study with a representative samples of 750 elderly people whom community dwelling in urban area of Babol, in the north of Iran. In a household survey, the demographic data were collected and the health related QoL was assessed with a validated standard short form questionnaire (SF-36). The multiple linear regression analysis was performed to determine the demographic characteristics in predicting QoL using SPSS ver 13. The overall mean (SD) scores of QoL was 62.4(17.2) for men and 51.2 (17.9) for women. The mean scores of QoL in all dimensions in men had significantly higher than women. The adjusted regression coefficient of gender, age, educational level, being couple were significant on overall scores of QoL. Aging is inversely associated while male gender and education at high school or higher and being couple are positively associated in prediction of overall scores of QoL. The findings indicate that the health related QoL is rather poor in old people particular in women, elderly with low education level and being single. Therefore, healthcare policy makers should consider an urgent health interventional program among elderly people at present stage of demographic transition with emphasis on high risk demographic profiles.

摘要

在人口转型阶段,老年人比例不断增加,其健康状况备受关注。因此,本研究的目的是调查伊朗老年人的健康相关生活质量(QoL)及其相关的社会人口学决定因素。我们对伊朗北部巴博勒市区750名社区居住的老年人进行了具有代表性的横断面研究。在一项家庭调查中,收集了人口数据,并使用经过验证的标准简短问卷(SF - 36)评估了健康相关生活质量。使用SPSS 13版进行多元线性回归分析,以确定预测生活质量的人口统计学特征。男性生活质量的总体平均(标准差)得分为62.4(17.2),女性为51.2(17.9)。男性所有维度的生活质量平均得分显著高于女性。性别、年龄、教育水平、婚姻状况的调整回归系数对生活质量总分有显著影响。在预测生活质量总分时,衰老呈负相关,而男性、高中及以上学历和已婚呈正相关。研究结果表明,老年人尤其是女性、低教育水平老年人和单身老年人的健康相关生活质量相当差。因此,医疗保健政策制定者应在人口转型现阶段考虑针对老年人的紧急健康干预计划,重点关注高风险人口特征。

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