Wang Xueqing, Zhao Dan, Luo Jingjing, Wang Xuehong, Sun Jingjie, Chen Zhuo, Zhou Chengchao
Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, NHC Key Lab of Health Economics and Policy Research, Shandong University, 44 Wen-hua-xi Road, Jinan, 250012, Shandong, China.
Jinan Health Care Development Center, Jinan, China.
BMC Geriatr. 2024 Dec 26;24(1):1038. doi: 10.1186/s12877-024-05646-2.
The present study aims to assess the relationship between volunteering and health-related quality of life (HRQoL) among older adults with hearing impairment, as well as the gender difference in this association.
We use data from the sixth Health Service Survey of Shandong Province, China. The survey interviewed 35,264 respondents, from which a total of 1,457 hearing-impaired older adults were included in the study. Tobit regression models were used to identify the association between volunteering and HRQoL and gender difference in the relationship.
The prevalence of volunteering in men and women was 24.05% and 22.20%, respectively. Women had higher EQ-5D utility valuesand VAS scores than men. After controlling potential confounders, participating in volunteering had a significant and positive association with higher HRQoL among older women, while this relationship was not significant for men. The regression model showed the interaction term of gender and volunteering had a significant association with HRQoL.
The findings suggest volunteering is significantly associated with HRQoL among older adults with hearing impairment, and the association differed by gender. Gender differences should be considered when implementing targeted and appropriate interventions to improve HRQoL among hearing-impaired older adults.
本研究旨在评估听力受损老年人的志愿服务与健康相关生活质量(HRQoL)之间的关系,以及这种关联中的性别差异。
我们使用了中国山东省第六次卫生服务调查的数据。该调查访问了35264名受访者,其中共有1457名听力受损老年人被纳入研究。采用托比特回归模型来确定志愿服务与HRQoL之间的关联以及该关系中的性别差异。
男性和女性的志愿服务率分别为24.05%和22.20%。女性的EQ-5D效用值和视觉模拟评分(VAS)得分高于男性。在控制潜在混杂因素后,参与志愿服务与老年女性较高的HRQoL存在显著正相关,而这种关系在男性中不显著。回归模型显示,性别与志愿服务的交互项与HRQoL存在显著关联。
研究结果表明,志愿服务与听力受损老年人的HRQoL显著相关,且这种关联因性别而异。在实施有针对性的适当干预措施以改善听力受损老年人的HRQoL时,应考虑性别差异。