Liu Rongrong, Huang Jinghong, Cai Longhua, Qiu Wenji, Liu Xiaojun
School of Health Management, Fujian Medical University, Fuzhou, 350122, China.
School of Public Health, Lanzhou University, Lanzhou, 730000, China.
Qual Life Res. 2025 Apr 16. doi: 10.1007/s11136-025-03973-4.
This study examined the moderating effect of family socioeconomic status (SES) in the relationship between health-related behaviors and quality of life (QOL) among Hakka older adults from three levels: specific behaviors, the number of healthy behaviors, and behavior patterns.
A total of 1,262 participants aged 60 years or above were included in this study. The Chinese version of the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD) with six domains was used to measure the QOL. Two-Step Cluster Analysis (TCA) was employed to determine the health-related behaviors patterns. The generalized linear regression models were utilized to reveal the relationship between specific behaviors, the number of healthy behaviors and behavior patterns, and QOL.
Sleep regularity (β = 2.70, 95%CI 1.68, 3.72), physical exercise (β = 5.61, 95%CI 4.50, 6.72) were associated with higher QOL. Moreover, the higher number of healthy behaviors (from 4 to 5) were more likely to experience higher QOL, the β (95%CI) ranges from 5.08 (3.52, 6.64) to 5.82 (4.07, 7.57). Compared with the moderate-health pattern, risk-selective pattern (β = 7.432, t = 2.343, P < 0.05) and family SES (β = 4.691, t = 6.356, P < 0.001) were positively related to QOL. And the family SES exclusively moderated the risk-selective pattern (β = - 2.552, t = - 2.378 P < 0.05) on QOL.
Maintaining healthy behaviors is closely related to a better QOL. Potential benefits of the active management of healthy behavior may improve the QOL of Hakka older adults.
本研究从特定行为、健康行为数量和行为模式三个层面，考察了家庭社会经济地位（SES）在客家老年人健康相关行为与生活质量（QOL）关系中的调节作用。
本研究共纳入1262名60岁及以上的参与者。使用中文版世界卫生组织生活质量量表老年人模块（WHOQOL-OLD）的六个领域来测量生活质量。采用两步聚类分析（TCA）来确定健康相关行为模式。利用广义线性回归模型揭示特定行为、健康行为数量和行为模式与生活质量之间的关系。
睡眠规律（β = 2.70，95%CI 1.68，3.72）、体育锻炼（β = 5.61，95%CI 4.50，6.72）与较高的生活质量相关。此外，健康行为数量越多（从4种到5种），生活质量越高的可能性越大，β（95%CI）范围从5.08（3.52，6.64）到5.82（4.07，7.57）。与中度健康模式相比，风险选择模式（β = 7.432，t = 2.343，P < 0.05）和家庭SES（β = 4.691，t = 6.356，P < 0.001）与生活质量呈正相关。并且家庭SES专门调节了风险选择模式（β = -2.552，t = -2.378，P < 0.05）对生活质量的影响。
保持健康行为与更好的生活质量密切相关。积极管理健康行为的潜在益处可能会提高客家老年人的生活质量。
