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缅甸仰光地区城乡老年人生活质量评估。

Assessment of quality of life among elderly in urban and peri-urban areas, Yangon Region, Myanmar.

机构信息

Department of Healthcare Administration, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Department of Preventive and Social Medicine, University of Medicine 1, Yangon, The Republic of the Union of Myanmar.

出版信息

PLoS One. 2020 Oct 29;15(10):e0241211. doi: 10.1371/journal.pone.0241211. eCollection 2020.

Abstract

BACKGROUND

In the context of an aging population, quality of life (QOL) is an important consideration for the well-being of the elderly. However, there is limited information on the QOL of the elderly in Myanmar. This study aimed to explore the risk factors for low QOL among the elderly in urban and peri-urban areas of the Yangon Region, Myanmar.

METHODS

A community-based, cross-sectional study was conducted among the elderly aged 60 years or older in two urban and two peri-urban townships in the Yangon Region from July to September 2019. A multi-stage sampling method was used to recruit study participants using a pre-tested questionnaire. A total of 616 (305 males and 311 females) elderly people were interviewed using a face-to-face interview technique. Multiple linear regression analysis was performed on the four domains (physical health, psychological health, social relationship, and environment) of QOL measured with the WHOQOL-BREF.

RESULTS

Income level and having intimate friends influenced the QOL scores of the elderly in all domains, while education level and marital status influenced psychological health, social relationship, and environment domains. Social interaction with neighbors increased the QOL scores for physical health, social relationship, and environment domains. Living in peri-urban areas was associated with lower QOL scores for physical health, psychological health, and environment, while participation in group activities increased QOL scores in these domains. Having comorbidities affected the QOL for psychological health and environment domains, while the frequency of going out affected physical health, and the frequency of religious performance affected social relationship.

CONCLUSION

Residential location, education level, marital status, income, comorbidities, social interactions with neighbors and friends, participation in group activities, and frequencies of going out and religious activities should be considered in planning and implementing programs for the elderly in Myanmar. Peri-urban development, strengthening healthcare and social security systems, and encouraging social interaction and participation in group activities play critical roles in improving the QOL for elderly residing in Myanmar.

摘要

背景

在人口老龄化的背景下,生活质量(QOL)是老年人福祉的一个重要考虑因素。然而,有关缅甸老年人生活质量的信息有限。本研究旨在探讨仰光地区城乡老年人生活质量较低的危险因素。

方法

本研究采用社区为基础的横断面研究,于 2019 年 7 月至 9 月在仰光地区的两个城市和两个城郊乡镇招募 60 岁或以上的老年人。采用多阶段抽样方法,使用经过预测试的问卷招募研究参与者。共有 616 名(305 名男性和 311 名女性)老年人通过面对面访谈技术进行了访谈。采用 WHOQOL-BREF 量表对生活质量的四个领域(身体健康、心理健康、社会关系和环境)进行了多线性回归分析。

结果

收入水平和有亲密朋友影响了所有领域的老年人生活质量评分,而教育水平和婚姻状况影响了心理健康、社会关系和环境领域。与邻居的社会互动增加了身体健康、社会关系和环境领域的生活质量评分。居住在城郊地区与身体健康、心理健康和环境领域的生活质量评分较低有关,而参加团体活动则增加了这些领域的生活质量评分。患有共病影响了心理健康和环境领域的生活质量,而外出频率影响了身体健康,宗教活动的频率影响了社会关系。

结论

在规划和实施缅甸老年人计划时,应考虑居住地点、教育水平、婚姻状况、收入、共病、与邻居和朋友的社会互动、参加团体活动以及外出和宗教活动的频率。城郊发展、加强医疗保健和社会保障系统以及鼓励社会互动和参加团体活动,对于改善居住在缅甸的老年人的生活质量至关重要。

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