社会经济因素对斯里兰卡贾夫纳地区老年人生活质量的影响。
The effect of socioeconomic factors on quality of life of elderly in Jaffna district of Sri Lanka.
作者信息
Santhalingam Sathees, Sivagurunathan Sivayogan, Prathapan Shamini, Kanagasabai Sivapalan, Kamalarupan Luxmi
机构信息
Department of Nursing Faculty of Allied Health Sciences, University of Jaffna, Jaffna, Sri Lanka.
Department of Community Medicine Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
出版信息
PLOS Glob Public Health. 2022 Aug 31;2(8):e0000916. doi: 10.1371/journal.pgph.0000916. eCollection 2022.
Globally, the proportion of the elderly is increasing. In comparison to other Southeast Asian countries, Sri Lanka's population is rapidly aging. The elderly are a vulnerable age group that requires special attention to live a long and healthy life. As, there was a scarcity of data on the elderly's quality of life, studying the level of quality of life and the associated factors of the elderly in the Jaffna district will provide insight into how to plan interventions to improve the elderly's overall well-being in Jaffna District and Sri Lanka as well. The study aimed to determine the quality of life of the elderly in the Jaffna district of Sri Lanka and to study the association of socioeconomic factors with the quality of life. This cross-sectional study was conducted among 813 community-dwelling elderly in the Jaffna District of Sri Lanka. Socio-economic characteristics were recorded by way of a structured questionnaire. The WHOQOL-Bref questionnaire was used to assess quality of life in four domains: physical health, psychological, social participation and the environment. The statistical Package of Social Science Software (SPSS) version 21 was used to analyse the data. Univariate, bivariate, and multivariate analyses were applied, p-value less than 0.05 was considered statistically significant. Among the four QOL domains, the mean (SD) score for an environmental domain was (12.1±2.1), (12.0±2.8) for the psychological domain, (11.8±2.3) for the physical health domain, and (10.1±3.0) for the social relationship domain. Factors significantly associated with all domains of QOL included marital status, level of education, living arrangement, employment, level of income, income adequacy and ownership of the house. Furthermore, age, sex, religion, number of children, and presence of monthly income, were significantly associated with at least one domain of QOL of the elderly. According to these findings, the QOL of the elderly in the Jaffna district of Sri Lanka seems low. And it was associated with multiple socio-economic factors. Interventions to improve the QOL of the elderly are anticipated with a higher emphasis on social relationship for the elderly.
在全球范围内，老年人的比例正在增加。与其他东南亚国家相比，斯里兰卡的人口正在迅速老龄化。老年人是一个脆弱的年龄群体，需要特别关注才能过上长寿和健康的生活。由于缺乏关于老年人生活质量的数据，研究贾夫纳地区老年人的生活质量水平及其相关因素，将有助于深入了解如何规划干预措施，以改善贾夫纳地区乃至斯里兰卡老年人的整体福祉。该研究旨在确定斯里兰卡贾夫纳地区老年人的生活质量，并研究社会经济因素与生活质量之间的关联。这项横断面研究在斯里兰卡贾夫纳地区的813名社区居住老年人中进行。通过结构化问卷记录社会经济特征。采用世界卫生组织生活质量简表（WHOQOL-Bref）对身体健康、心理、社会参与和环境四个领域的生活质量进行评估。使用社会科学统计软件包（SPSS）版本21对数据进行分析。应用单变量、双变量和多变量分析，p值小于0.05被认为具有统计学意义。在四个生活质量领域中，环境领域的平均（标准差）得分为（12.1±2.1），心理领域为（12.0±2.8），身体健康领域为（11.8±2.3），社会关系领域为（10.1±3.0）。与生活质量所有领域显著相关的因素包括婚姻状况、教育程度、居住安排、就业情况、收入水平、收入充足程度和房屋所有权。此外，年龄、性别、宗教、子女数量和是否有月收入与老年人生活质量的至少一个领域显著相关。根据这些研究结果，斯里兰卡贾夫纳地区老年人的生活质量似乎较低，并且与多种社会经济因素相关。预计将采取干预措施来提高老年人的生活质量，其中将更加重视老年人的社会关系。
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