Rong Jian, Ding Hong, Chen Guimei, Ge Yanhong, Xie Tingting, Meng Nana
School of Health Management, Anhui Medical University, Hefei 230032, Anhui, China.
Medicine (Baltimore). 2020 Feb;99(6):e19105. doi: 10.1097/MD.0000000000019105.
This study is to explore the quality of life (QoL) of the rural poor elderly in central China (Anhui province) and the influencing factors.A multi-stage random sampling method was used to extract 3352 effective samples of the rural elderly in Anhui, including 1206 poor and 2146 non-poor elderly subjects. Euro QoL 5-dimension questionnaire (EQ-5D) was used for the measurement of QoL. Descriptive statistics and χ test were used to compare and analyze the sociodemographic characteristics and QoL scores between poor and non-poor elderly. Multiple linear regression was used to assess the influencing factors of QoL.There were significant differences in gender, age, education levels, professions, chronic diseases, physical discomfort within 2 weeks, hospitalization within 1 year, economic sources, and migrant workers between the rural poor and non-poor elderly groups. The QoL of rural poor elderly scored significantly higher than the non-poor elderly, in all these five dimensions. The average EuroQol Visual Analogue Scale (EQ-VAS) of poor elderly was 65.689, lower than the non-poor elderly (71.039). After controlling the confounding factors, there was a significant statistical difference in the total utility score of EQ-5D between the poor and non-poor elderly groups.The QoL of poor elderly in central China is lower than non-poor elderly, with the worst dimension of pain/discomfort. The QoL of rural poor elderly in this area could be affected by many factors, to which more attention should be paid.
本研究旨在探讨中国中部地区(安徽省)农村贫困老年人的生活质量(QoL)及其影响因素。采用多阶段随机抽样方法,抽取了3352例安徽省农村老年人有效样本,其中贫困老年人1206例,非贫困老年人2146例。采用欧洲五维健康量表(EQ-5D)对生活质量进行测量。运用描述性统计和χ检验对贫困和非贫困老年人的社会人口学特征及生活质量得分进行比较分析。采用多元线性回归评估生活质量的影响因素。农村贫困老年人与非贫困老年人在性别、年龄、教育程度、职业、慢性病、两周内身体不适、一年内住院情况、经济来源及外出务工情况等方面存在显著差异。在所有这五个维度上,农村贫困老年人的生活质量得分均显著高于非贫困老年人。贫困老年人的欧洲五维健康量表视觉模拟量表(EQ-VAS)平均分为65.689,低于非贫困老年人(71.039)。在控制混杂因素后,贫困和非贫困老年人组EQ-5D的总效用得分存在显著统计学差异。中国中部地区贫困老年人的生活质量低于非贫困老年人,其中疼痛/不适维度最差。该地区农村贫困老年人的生活质量可能受多种因素影响,应予以更多关注。