Aung Thin Nyein Nyein, Moolphate Saiyud, Koyanagi Yuka, Angkurawaranon Chaisiri, Supakankunti Siripen, Yuasa Motoyuki, Aung Myo Nyein
Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand.
Global Health and Chronic Conditions Research Group, Chiang Mai University, Chiang Mai, 50200, Thailand.
Risk Manag Healthc Policy. 2022 Sep 20;15:1761-1774. doi: 10.2147/RMHP.S370353. eCollection 2022.
Population aging has been growing worldwide and Thailand has become an aged society with 20% of its population aged 60 and over. Age-related decline in physical and mental health impacts the health-related quality of life (HRQOL) of older adults.
We aimed to describe the HRQOL of Thai older adults, residing in the community.
This cross-sectional survey was part of a Community-Integrated Intermediary Care project (CIIC), TCTR20190412004. A total of 1509 participants from an intervention arm of a cluster randomized controlled trial were included. A Thai version of the Euro-Qol questionnaire (EQ-5D-5L) was used to determine the HRQOL and associated sociodemographic background, health behaviors and underlying diseases of a representative sample from Maehia, Chiang Mai, Thailand. SPSS version 24 was used to analyze data via descriptive analysis and binary logistic regression.
The mean age of the participants was 69.31±7.10 years, and nearly a quarter (23.8%) was older than 75 years. The mean EQ index score was 0.81±0.23 and older age, lower educational attainment, unemployment, lack of exercise habits, current smokers, having history of a fall in the last 6 months, diabetes, hyperlipidemia, dependency assessed using Barthel's Activity of Daily Living (ADL) Index, and depression using the Geriatric Depression Scale (GDS) were more likely to represent HRQOL-related problems.
Our findings have highlighted the factors affecting the HRQOL of community-dwelling older adults which could be of importance in preparing for active and healthy aging communities. The routine dependency assessment using the ADL index will be useful in estimating the HRQOL of the aging population. Fall prevention programs are also recommended to reduce dependency. Moreover, the association of having diabetes and hyperlipidemia with problems in HRQOL dimensions highlight the need for public health intervention not only to prevent the increasing burden of non-communicable diseases but also to improve the HRQOL of older adults.
全球人口老龄化不断加剧，泰国已成为老年社会，其60岁及以上人口占比达20%。与年龄相关的身心健康衰退会影响老年人的健康相关生活质量（HRQOL）。
我们旨在描述居住在社区的泰国老年人的健康相关生活质量。
这项横断面调查是社区综合中介护理项目（CIIC）（TCTR20190412004）的一部分。共纳入了来自一项整群随机对照试验干预组的1509名参与者。使用泰语版的欧洲五维度健康量表（EQ-5D-5L）来确定健康相关生活质量，并了解泰国清迈湄哈亚代表性样本的社会人口学背景、健康行为和基础疾病。使用SPSS 24版软件通过描述性分析和二元逻辑回归分析数据。
参与者的平均年龄为69.31±7.10岁，近四分之一（23.8%）的人年龄超过75岁。EQ指数平均得分为0.81±0.23，年龄较大、受教育程度较低、失业、缺乏运动习惯、当前吸烟者、过去6个月有跌倒史、患有糖尿病、高脂血症、使用巴氏日常生活活动（ADL）指数评估的依赖性以及使用老年抑郁量表（GDS）评估的抑郁更有可能代表与健康相关生活质量有关的问题。
我们的研究结果突出了影响社区居住老年人健康相关生活质量的因素，这对于建设积极健康的老龄化社区可能具有重要意义。使用ADL指数进行常规依赖性评估将有助于估计老年人口的健康相关生活质量。还建议开展预防跌倒项目以减少依赖性。此外，糖尿病和高脂血症与健康相关生活质量维度问题之间的关联凸显了公共卫生干预的必要性，不仅要预防非传染性疾病负担的增加，还要改善老年人的健康相关生活质量。
