School of Health Sciences, Wuhan University, Wuhan 430071, China.
Global Health Institute, Wuhan University, Wuhan 430072, China.
Int J Environ Res Public Health. 2020 Jul 17;17(14):5150. doi: 10.3390/ijerph17145150.
China has the largest population of older adults, most of whom suffer from one or more noncommunicable diseases (NCDs). The harm of the number of NCDs on the health-related quality of life (HRQOL) of older adults should be taken seriously. A sample of 5166 adults, aged 60 years and older, was included in this study. The Chinese version of the World Health Organization Quality of Life-Old (WHOQOL-OLD) instrument was used to assess the HRQOL. Multiple linear regression models were established to determine the relationship between the number of NCDs and the total score and scores of each dimension of the WHOQOL-OLD scale. After adjusting for confounding factors, suffering from one NCD (B = -0.87, 95% CI = -1.67 to -0.08, < 0.05), two NCDs (B = -2.89, 95% CI = -3.87 to -1.90, < 0.001), and three or more NCDs (B = -4.20, 95% CI = -5.36 to -3.05, < 0.001), all had negative impacts on the HRQOL of older adults. NCDs had significant negative impacts on the HRQOL of older adults, and as the number of NCDs increased, the HRQOL of older adults deteriorated. Therefore, we should pay attention to the prevention and management of NCDs of older adults to prevent the occurrence of multiple NCDs.
中国拥有世界上数量最多的老年人口，其中大多数人患有一种或多种非传染性疾病（NCDs）。NCDs 的数量对老年人健康相关生活质量（HRQOL）的危害应引起重视。本研究纳入了 5166 名 60 岁及以上的成年人作为样本。采用世界卫生组织老年生活质量量表（WHOQOL-OLD）中文版评估 HRQOL。建立多元线性回归模型，确定 NCD 数量与 WHOQOL-OLD 量表总分及各维度得分之间的关系。在调整混杂因素后，患有 1 种 NCD（B = -0.87，95%CI = -1.67 至 -0.08，<0.05）、2 种 NCD（B = -2.89，95%CI = -3.87 至 -1.90，<0.001）和 3 种或更多 NCD（B = -4.20，95%CI = -5.36 至 -3.05，<0.001）均对老年人的 HRQOL 产生负面影响。NCDs 对老年人的 HRQOL 有显著的负面影响，且随着 NCD 数量的增加，老年人的 HRQOL 恶化。因此，我们应重视老年人 NCD 的预防和管理，防止多种 NCD 的发生。
