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老年人生活质量的维度与选定社会人口统计学变量的关系:一项前瞻性队列研究。

Dimensions of quality of life of older adults in relation to selected sociodemographic variables-a prospective cohort study.

机构信息

Collegium Medicum, The Mazovian University in Płock, Płock, Poland.

Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.

出版信息

Front Public Health. 2024 Sep 19;12:1419008. doi: 10.3389/fpubh.2024.1419008. eCollection 2024.

Abstract

BACKGROUND

Based on its definition of an individual's quality of life, the World Health Organization identified the following six basic domains of this concept: physical domain, psychological domain, level of independence, social relationships, environment and spirituality. The aim of the study was to examine these quality of life dimensions in pre-older and older adults in relation to selected sociodemographic variables.

METHODS

The study included 2,040 adults aged 55 or older. It was conducted using a diagnostic survey by means of a questionnaire with sociodemographic questions and the EQ-5D-3L descriptive system.

RESULTS

The vast majority of male and female respondents reported no problems in most EQ-5D-3L dimensions. However, the mean EQ-5D-3L index score indicated a slight difference in scores between men and women. A statistically significant difference between male and female respondents in individual dimension scores was found only for the usual activities dimension. The proportion of respondents reporting no problems decreased with age in most dimensions, except for anxiety/depression. Age was statistically significantly correlated with all individual dimension scores and the index score. The vast majority of respondents across all education levels reported no problems in most dimensions. Education was statistically significantly correlated with all individual dimension scores and the index score.

CONCLUSION

The vast majority of respondents across both sexes and all education levels reported no problems in most EQ-5D-3L dimensions. The proportion of respondents reporting no problems decreased with age in most EQ-5D-3L dimensions. Systematic research on dimensions of health-related quality of life will help design measures for healthy and successful ageing.

摘要

背景

根据其对个体生活质量的定义,世界卫生组织确定了该概念的以下六个基本领域:身体领域、心理领域、独立性水平、社会关系、环境和精神信仰。本研究旨在调查这些生活质量维度在中老年前期和老年期与选定的社会人口统计学变量的关系。

方法

该研究共纳入 2040 名年龄在 55 岁及以上的成年人。采用诊断性问卷调查,问卷包括社会人口统计学问题和 EQ-5D-3L 描述性系统。

结果

绝大多数男性和女性受访者在大多数 EQ-5D-3L 维度上报告没有问题。然而,EQ-5D-3L 指数评分的平均值表明,男女之间的评分存在细微差异。在个别维度评分中,仅在日常活动维度上,男性和女性受访者之间存在统计学上的显著差异。在大多数维度上,随着年龄的增长,报告没有问题的受访者比例下降,除了焦虑/抑郁。年龄与所有个体维度评分和指数评分均呈统计学显著相关。在所有教育水平的受访者中,绝大多数在大多数维度上报告没有问题。教育与所有个体维度评分和指数评分均呈统计学显著相关。

结论

在两性和所有教育水平的受访者中,绝大多数在大多数 EQ-5D-3L 维度上报告没有问题。在大多数 EQ-5D-3L 维度上,报告没有问题的受访者比例随年龄增长而下降。对健康相关生活质量维度的系统研究将有助于设计健康和成功老龄化的措施。

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