Tian Tingting, Kong Fanlei, Li Shixue
Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China.
NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan 250012, China.
Healthcare (Basel). 2021 Apr 2;9(4):414. doi: 10.3390/healthcare9040414.
With accelerated urbanization in China, an increasing number of the migrant elderly following children (MEFC) have appeared. This study aims to explore the effects of living conditions, subjective integration, and social networks on the health-related quality of life (HRQOL) of MEFC in Jinan, China. HRQOL was assessed by the 12-item Short-Form Health Survey, which included the mental component summary (MCS) and the physical component summary (PCS). Univariate analyses and binary logistic regression were used to investigate the association between the above indicators and HRQOL. A total of 656 MEFC were selected by multi-stage cluster random sampling, 25.2% and 25.0% of whom were defined as poor MCS and poor PCS, respectively. Those who understood the local dialect, could trust others, and connected with friends were more likely to have good MCS; those with a nanny, faulty elevator, and no support from their spouse were the reverse. MEFC who were trans-city, had no elevator or a faulty elevator, and went to the hospital alone were more likely to have poor PCS; those who approved of living conditions in their hometowns were the reverse. Results indicated that better living conditions, stronger subjective integration, and wider social networks led to higher HRQOL of MEFC. Implications of the government, communities, and families of MEFC were given to improve their HRQOL.
随着中国城市化进程的加速,出现了越来越多的随迁老人。本研究旨在探讨生活条件、主观融入和社会网络对中国济南随迁老人健康相关生活质量(HRQOL)的影响。采用12项简明健康调查评估HRQOL,该调查包括心理成分总结(MCS)和生理成分总结(PCS)。采用单因素分析和二元逻辑回归研究上述指标与HRQOL之间的关联。通过多阶段整群随机抽样共选取了656名随迁老人,其中分别有25.2%和25.0%的老人被定义为MCS较差和PCS较差。那些懂当地方言、能够信任他人并与朋友保持联系的老人更有可能拥有良好的MCS;而那些雇有保姆、电梯有故障且配偶不提供支持的老人则相反。跨城市居住、没有电梯或电梯有故障且独自前往医院的随迁老人更有可能拥有较差的PCS;而那些对家乡生活条件满意的老人则相反。结果表明,更好的生活条件、更强的主观融入和更广泛的社会网络会使随迁老人的HRQOL更高。针对政府、社区和随迁老人的家庭提出了相关建议,以改善他们的HRQOL。