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老年人生活质量感知的相关因素:巴西ELSI研究。

Factors associated with perceived quality of life in older adults: ELSI-Brazil.

作者信息

Neri Anita Liberalesso, Borim Flávia Silva Arbex, Fontes Arlete Portella, Rabello Dóris Firmino, Cachioni Meire, Batistoni Samila Sathler Tavares, Yassuda Mônica Sanches, Souza Júnior Paulo Roberto Borges de, Andrade Fabiola Bof de, Lima-Costa Maria Fernanda

机构信息

Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de Pós-Graduação em Gerontologia. Campinas, SP, Brasil.

Universidade do Recôncavo da Bahia. Centro de Ciências da Saúde. Santo Antônio de Jesus, BA, Brasil.

出版信息

Rev Saude Publica. 2018 Oct 25;52Suppl 2(Suppl 2):16s. doi: 10.11606/S1518-8787.2018052000613.

Abstract

OBJECTIVE

To identify factors associated with perceived quality of life in a representative national sample of the population aged 50 or over.

METHODS

Data from 7,651 participants of the baseline ELSI-Brazil (Brazilian Longitudinal Study of Aging), conducted between 2015 and 2016, were used. The perceived quality of life was measured by the CASP-19 scale - (CASP - control, autonomy, self-fulfillment and pleasure), considering the highest tertile as good quality of life. The independent variables included socio-demographic characteristics, mobility, loneliness, and indicators of sociability (social network, social support and social participation). The associations were tested using multivariate Poisson regression.

RESULTS

The best perceived quality of life showed a positive and independent association with the frequency of contacts with friends (PR = 1.25 for at least once every 2-3 months and PR = 1.36 for at least once a week), instrumental support from spouse or partner in the household (PR = 1.69), and emotional support from other relatives (PR = 1.45), children or children in law (PR = 1.41) and spouse or partner (PR = 1.33). Negative associations were observed for participants aged 80 and over (RP = 0.77), with 4 to 7 or 8 or more years of schooling (PR = 0.78 and 0.75, respectively) and with difficulty in mobility (PR = 0.83).

CONCLUSIONS

In addition to age and schooling, mobility, sociability and instrumental and emotional support are associated with perceived quality of life among older Brazilian adults. These characteristics must be considered when actions are taken, aiming to promote quality of life in this population.

摘要

目的

在全国具有代表性的50岁及以上人群样本中,确定与生活质量认知相关的因素。

方法

使用了2015年至2016年进行的巴西老年纵向研究(ELSI-Brazil)基线调查中7651名参与者的数据。生活质量认知通过CASP-19量表(CASP-控制、自主、自我实现和愉悦)进行测量,将最高三分位数视为良好的生活质量。自变量包括社会人口学特征、行动能力、孤独感以及社交性指标(社交网络、社会支持和社会参与)。使用多变量泊松回归检验相关性。

结果

生活质量认知最佳与以下因素呈正向独立关联:与朋友的联系频率(每2 - 3个月至少一次,PR = 1.25;每周至少一次,PR = 1.36)、配偶或伴侣在家庭中的工具性支持(PR = 1.69)、其他亲属的情感支持(PR = 1.45)、子女或儿媳/女婿的情感支持(PR = 1.41)以及配偶或伴侣的情感支持(PR = 1.33)。80岁及以上的参与者(RP = 0.77)、接受4至7年或8年及以上教育的参与者(PR分别为0.78和0.75)以及行动困难的参与者(PR = 0.83)存在负向关联。

结论

除了年龄和教育程度外,行动能力、社交性以及工具性和情感支持与巴西老年成年人的生活质量认知相关。在采取旨在提高该人群生活质量的行动时,必须考虑这些特征。

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