Tajvar Maryam, Yaseri Mehdi, Mahmoudi Roya, Zaidi Asghar
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Int J Prev Med. 2022 Jan 19;13:2. doi: 10.4103/ijpvm.IJPVM_358_20. eCollection 2022.
Iran is one of the fastest ageing countries in the world. The model of Active Ageing (AA) could be a strategy contributing in addressing the problem of population ageing in Iran. This study measured the status of AA in Iran and examined its associations with the health-related quality of life of older people.
A quantitative cross-sectional survey of a random sample of 623 people aged 55 + years resident in Tehran was conducted. In total, 590 people responded. The AA was measured using the Active Ageing Index (AAI) questionnaire and the health-related quality of life was measured using SF-36 questionnaire. Associations between the domains and the overall AAI scores with the quality of life were examined by MANCOVA analysis in four models using the STATA software.
The score of overall AAI was calculated at 26.8 (men 33.9 vs. women 20.6) out of 100. We found a stronger association of the AAI with the physical component than the mental component of the SF-36. Generally the 1 (employment) and the 2 (participation in society) domains of the AAI showed little or no association with SF-36, but there was an association between the 3 domain (enabling environment for active ageing) and the SF-36 and a particularly strong associations with the 4 domain (independent, healthy and secure living capacity).
Iranian elderly, particularly women, are experiencing relatively inactive life, which negatively influence on their health-related quality of life. To improve the AAI status in Iran, some aspects including "enabling environment" and "independent, healthy and secure living capacity" need special attention.
伊朗是世界上老龄化速度最快的国家之一。积极老龄化模式可能是有助于解决伊朗人口老龄化问题的一项战略。本研究测量了伊朗积极老龄化的状况，并考察了其与老年人健康相关生活质量的关联。
对德黑兰623名55岁及以上居民的随机样本进行了定量横断面调查。共有590人做出回应。使用积极老龄化指数（AAI）问卷测量积极老龄化情况，使用SF - 36问卷测量健康相关生活质量。使用STATA软件，通过四个模型的多变量协方差分析来考察各领域及AAI总分与生活质量之间的关联。
AAI总分在满分100分中为26.8分（男性为33.9分，女性为20.6分）。我们发现AAI与SF - 36身体部分的关联比与心理部分的关联更强。总体而言，AAI的第1个领域（就业）和第2个领域（社会参与）与SF - 36几乎没有关联，但第3个领域（积极老龄化的促成环境）与SF - 36存在关联，并且与第4个领域（独立、健康和有保障的生活能力）有特别强的关联。
伊朗老年人，尤其是女性，生活相对不活跃，这对他们的健康相关生活质量产生负面影响。为提高伊朗的AAI水平，包括“促成环境”和“独立、健康和有保障的生活能力”等方面需要特别关注。
