Nursing School of Kunming Medical University, Kunming, Yunnan, China.
Qujing Center for Disease Control and Prevention, Kunming, Yunnan, China.
BMC Geriatr. 2019 Nov 25;19(1):326. doi: 10.1186/s12877-019-1257-1.
The purpose of this research was to assess the health-related quality of life (HRQOL) and functional abilities of Yi and Han elderly who resided in Yi Autonomous prefecture or Counties in Yunnan Province, as well as to compare their differences in HRQOL, functional abilities and other factors.
A total of 1636 older subjects, which included 863 Han and 773 Yi, were recruited from 10 Yi Autonomous regions. Their HRQOL and functional capabilities were assessed by the MOS 36-Item Short Form Health Survey (SF-36), activities of daily living (ADL), and instrumental activities of daily living (IADL) scales.
The Han elderly performed better in every domain of SF-36 than the Yi elderly. Both of the two ethnic groups could perform their ADL independently but the Yi elderly showed greater dependency in IADL abilities. The HRQOL was positively associated with their ADL, IADL, and education levels. Moreover, age, health insurance status, and living arrangement were negatively correlated with HRQOL.
The HRQOL and IADL capabilities of the Han elderly were higher than that of the Yi counterparts in the Yi Autonomous regions. The HRQOL of both the two ethnic groups was positively connected with ADL, IADL abilities as well as education levels, whereas it was negatively correlated with age and health insurance. The elderly-care policy on the Yi autonomous areas should focus more on the HRQOL, ADL improvement, education background, age needs, and health insurance, etc.
本研究旨在评估居住在云南省彝族自治州或县的彝族和汉族老年人的健康相关生活质量（HRQOL）和功能能力，并比较他们在 HRQOL、功能能力和其他因素方面的差异。
共招募了 1636 名老年人，其中汉族 863 人，彝族 773 人，来自 10 个彝族自治地区。他们的 HRQOL 和功能能力由 MOS 36 项简短健康调查（SF-36）、日常生活活动（ADL）和工具性日常生活活动（IADL）量表评估。
汉族老年人在 SF-36 的每个领域的表现都优于彝族老年人。两个民族都可以独立完成 ADL，但彝族老年人在 IADL 能力方面依赖性更大。HRQOL 与他们的 ADL、IADL 和教育水平呈正相关。此外，年龄、医疗保险状况和居住安排与 HRQOL 呈负相关。
在彝族自治地区，汉族老年人的 HRQOL 和 IADL 能力高于彝族老年人。两个民族的 HRQOL 与 ADL、IADL 能力以及教育水平呈正相关，而与年龄和医疗保险呈负相关。彝族自治地区的老年人保健政策应更加注重 HRQOL、ADL 改善、教育背景、年龄需求和医疗保险等方面。
