Singh Abhishek, Palaniyandi Subramani, Palaniyandi Anitha, Gupta Vikas
Department of Community Medicine, SHKM Government Medical College, Nalhar, Haryana, India.
Department of Pediatric Medicine, Tagore Medical College, Rathinamangalam, Chennai, Tamil Nadu, India.
J Family Med Prim Care. 2022 Mar;11(3):1162-1168. doi: 10.4103/jfmpc.jfmpc_1073_21. Epub 2022 Mar 10.
In India, the population of above 60 years was approximately 8.2% in 2011, which is expected to rise to 11.6% by 2026. Due to epidemiological transition of diseases, morbidity of chronic nature will increase with increase of elderly population and it will affect the elderly quality of life (QOL).
This study made an attempt to capture health-related quality of life HRQOL and its correlates among elderly subjects in most backward district of India.
This cross-sectional study was conducted in Nagina for a duration of 4 months and included 430 elderly (60 years or above) dwelling in the same place for more than 1 year as participants. The information on sociodemographic details, WHOQOL-BREF scale details and history of chronic diseases or disorders was collected by multipurpose health workers female using a pretested, predesigned, standardized questionnaire. An association between variables and poor quality of life was significant if the value was less than 0.05.
Nearly half of study participants were living in joint families (45.3%) and 67.7% of elderly gave history of chronic morbidity. There were nearly half of participants (48.8%) with poor QoL in physical health domain. Multiple linear regression analysis revealed that older age, male, no schooling, without spouse, lower economic status and chronic disorder were independently associated with low QOL score.
The study reported that nearly half of the elderly (46.7%) had poor health QoL. The family physicians shall provide preventive and promotive measures to reduce the chronic morbidity among elderly to improve QOL.
在印度，2011年60岁及以上人口约占8.2%，预计到2026年将升至11.6%。由于疾病的流行病学转变，随着老年人口的增加，慢性病的发病率将会上升，这将影响老年人的生活质量（QOL）。
本研究试图了解印度最落后地区老年人群与健康相关的生活质量（HRQOL）及其相关因素。
这项横断面研究在纳吉纳进行，为期4个月，纳入430名年龄在60岁及以上、在同一地点居住超过1年的老年人作为参与者。社会人口学细节、世界卫生组织生活质量简表（WHOQOL - BREF）细节以及慢性病或疾病史等信息，由女性多用途卫生工作者使用经过预测试、预先设计的标准化问卷进行收集。如果p值小于0.05，则变量与生活质量差之间的关联具有统计学意义。
近一半的研究参与者生活在大家庭中（45.3%），67.7%的老年人有慢性病发病史。在身体健康领域，近一半的参与者（48.8%）生活质量较差。多元线性回归分析显示，年龄较大、男性、未接受过教育、无配偶、经济地位较低以及患有慢性疾病与生活质量得分低独立相关。
该研究报告称，近一半的老年人（46.7%）健康生活质量较差。家庭医生应提供预防和促进措施，以降低老年人的慢性病发病率，从而改善生活质量。
