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.
BMC Public Health. 2022 Aug 6;22(1):1505. doi: 10.1186/s12889-022-13843-0.
With the accelerated urbanization and aging population in China, more and more migrant older with children (MOC) moved to new cities. Previous studies mainly explored the acculturation of MOC, yet few focused on the health conditions of this vulnerable group. This study aimed to investigate the effects of oral health and social support on health-related quality of life (HRQOL) of MOC in Weifang, China.
This study was a cross-sectional study and participants were selected by multi-stage cluster random sampling in Weifang, China. The HRQOL was assessed via the 12-item Short-Form Health Survey (SF-12) which included the mental component summary (MCS) and the physical component summary (PCS). The oral health was evaluated by the Geriatric Oral Health Assessment Index (GOHAI). The social support was administered using the Social Support Rating Scale (SSRS). Descriptive analysis was used to describe participants' sociodemographic variables, oral health and social support. Univariate analysis and binary logistic regression analysis was used to investigate the association between the social support, oral health and HRQOL.
It was found that 25.0% of MOC were defined as MCS poor and PCS poor, respectively. Those participants with average and low monthly household income compared to those around them, average and poor oral health, and low levels of social support were more likely to have poor PCS. Those with temporary residence permits, fair and poor oral health, and medium and low levels of social support were more likely to report poor MCS.
Results indicated that better social support and oral health led to higher HRQOL of MOC. Implications for the government, communities and families of MOC were given to improve their HRQOL.
随着中国城市化和人口老龄化进程的加快,越来越多有子女的流动老年人(MOC)迁移到新的城市。先前的研究主要探讨了 MOC 的文化适应,但很少关注这个弱势群体的健康状况。本研究旨在探讨口腔健康和社会支持对中国潍坊 MOC 的健康相关生活质量(HRQOL)的影响。
这是一项横断面研究,参与者通过多阶段聚类随机抽样在中国潍坊选取。通过 12 项简短健康调查(SF-12)评估 HRQOL,其中包括心理成分综合评分(MCS)和生理成分综合评分(PCS)。口腔健康通过老年人口腔健康评估指数(GOHAI)进行评估。社会支持采用社会支持评定量表(SSRS)进行评估。描述性分析用于描述参与者的社会人口统计学变量、口腔健康和社会支持。单变量分析和二元逻辑回归分析用于调查社会支持、口腔健康与 HRQOL 之间的关系。
结果发现,25.0%的 MOC 分别被定义为 MCS 较差和 PCS 较差。与周围人相比,月家庭收入中等或较低的参与者、口腔健康平均或较差、社会支持水平较低的参与者更有可能 PCS 较差。有临时居留证、口腔健康一般或较差、社会支持水平中等或较低的参与者更有可能报告 MCS 较差。
结果表明,更好的社会支持和口腔健康导致 MOC 的 HRQOL 更高。本研究结果为改善 MOC 的政府、社区和家庭提出了一些启示。