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[智利老年人的主观幸福感、健康状况、功能能力和社会参与度]

[Subjective well-being, health status, functional capacity and social participation in Chilean older people].

作者信息

Sarmiento Loayza Luis

机构信息

Escuela de Salud Pública, Universidad de Santiago de Chile, Chile.

出版信息

Rev Med Chil. 2022 Aug;150(8):1010-1017. doi: 10.4067/S0034-98872022000801010.

Abstract

BACKGROUND

Chile is currently updating the Comprehensive Policy on Positive Aging, which establishes a positive association between Subjective Well-being, Self-perceived Health, Functional status, and Social Participation in older people.

AIM

To study the relationship between Subjective Well-being, General Health, Functional status, and Social Participation in older people in Chile.

MATERIAL AND METHODS

In a cross-sectional observational study, 2.031 people aged 60 years and over were included in the National Health Survey 2016-2017 (ENS). The study included analysis of correlations between the relevant variables, in addition to binomial logistic regression with Subjective Well-being as a response variable, as well as the application of structural equation techniques (SEM).

RESULTS

Subjective Well-being had a positive association with Self-perceived Health (Rho = 0.370), functional status (Rho = 0.360), and Social Participation (Rho = 0.290). However, in the logistic regression analysis only Self-perceived Health (OR = 0.293) and Functional status (OR = 0.932) had predictive capacity for Subjective Well-being.

CONCLUSIONS

The relevance of Self-perceived Health and Functionality in the sensation of Well-being among older people, reinforces the need to improve health care within a framework of a comprehensive policy for this age group.

摘要

背景

智利目前正在更新积极老龄化综合政策,该政策确立了老年人主观幸福感、自我感知健康、功能状态和社会参与之间的正向关联。

目的

研究智利老年人主观幸福感、总体健康、功能状态和社会参与之间的关系。

材料与方法

在一项横断面观察性研究中,2016 - 2017年全国健康调查(ENS)纳入了2031名60岁及以上的老年人。该研究除了以主观幸福感作为反应变量进行二项逻辑回归分析外,还包括对相关变量之间的相关性分析以及结构方程技术(SEM)的应用。

结果

主观幸福感与自我感知健康(相关系数 = 0.370)、功能状态(相关系数 = 0.360)和社会参与(相关系数 = 0.290)呈正相关。然而,在逻辑回归分析中,只有自我感知健康(比值比 = 0.293)和功能状态(比值比 = 0.932)对主观幸福感具有预测能力。

结论

自我感知健康和功能在老年人幸福感中的相关性,强化了在针对该年龄组的综合政策框架内改善医疗保健的必要性。

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