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越南池林镇老年人健康相关生活质量的决定因素:证据

Determinants of Health-Related Quality of Life Among Elderly: Evidence From Chi Linh Town, Vietnam.

作者信息

Huong Nguyen Thanh, Ha Le Thi Hai, Tien Truong Quang

机构信息

1 Hanoi University of Public Health, Hanoi, Vietnam.

出版信息

Asia Pac J Public Health. 2017 Jul;29(5_suppl):84S-93S. doi: 10.1177/1010539517704041. Epub 2017 Apr 20.

Abstract

As Vietnam confronts with the challenge of an aging population, the importance of quality of life for elderly people becomes apparent. This article aims to assess health-related quality of life (HRQoL) and its correlates for the elderly, using a cross-sectional study design. A total of 1599 adults, aged 60 years and older, were drawn from the 2016 baseline survey of Chi Linh Health and Demographic Surveillance System (CHILILAB HDSS), which incorporated the EQ-5D, to measure HRQoL. Data were analyzed using multivariate linear regression analyses. The EQ-5D index of the elderly was found to be 0.871 (95% confidence interval = 0.862-0.880). After controlling for covariates, there were statistically significant associations between lower HRQoL and older age (≥80 years), lower education, no pension, chronic disease(s), and health insurance schemes targeting poor/near poor/priority groups. Current and future policies for improving HRQoL in old age should be extended to cover the most vulnerable groups.

摘要

随着越南面临人口老龄化挑战,老年人生活质量的重要性日益凸显。本文旨在采用横断面研究设计,评估老年人与健康相关的生活质量(HRQoL)及其相关因素。共有1599名60岁及以上的成年人参与了2016年芝林健康与人口监测系统(CHILILAB HDSS)基线调查,该调查纳入了EQ-5D量表,用于测量HRQoL。数据采用多元线性回归分析进行分析。研究发现,老年人的EQ-5D指数为0.871(95%置信区间=0.862-0.880)。在控制协变量后,较低的HRQoL与高龄(≥80岁)、低教育水平、无养老金、慢性病以及针对贫困/接近贫困/优先群体的健康保险计划之间存在统计学上的显著关联。当前和未来改善老年人HRQoL的政策应扩大覆盖范围,涵盖最脆弱群体。

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