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自评健康状况及其与个体日常生活活动的关联:一项针对居住在城市住区老年人的横断面研究。

Self-rated health and its association with the individual's activities of daily living: A cross-sectional study among elderly residing in an urban settlement.

作者信息

Priyaranjan Sahoo, Ipsa Mohapatra, Geeta C Acharya

机构信息

Department of Community Medicine, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India.

出版信息

J Family Med Prim Care. 2025 Mar;14(3):981-985. doi: 10.4103/jfmpc.jfmpc_1499_24. Epub 2025 Mar 25.

DOI:10.4103/jfmpc.jfmpc_1499_24
PMID:40256089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12007778/
Abstract

CONTEXT

The phenomenon of population aging being inevitable, and the elderly being an asset to society by their skills and experience, their health and well-being is of paramount importance. Wherein self-rated physical health is an indicator which measures the healthy life perceived by an individual, their functional status gives an account of their independency to lead an independent life.

AIMS

To assess self-rated health (SRH) and its association with activities of daily living among the elderly.

SETTINGS AND DESIGN

A community-based cross-sectional study was carried out in the urban slums of the field practice area of a medical college in Bhubaneswar, Odisha.

METHODS AND MATERIAL

Systematic random sampling was used to identify households and select 400 consenting individuals aged 60 years and above. A semi-structured questionnaire having sections on socio-demographic factors, self-rated health and validated Activities of daily living (ADL) and Instrumental Activities of Daily Living (IADL) instruments were used to collect data.

STATISTICAL ANALYSIS USED

Continuous variables were presented as mean ± SD; categorical variables as frequency and percentage., Chi-square test as a test of association. A value of less than 0.05 was considered statistically significant.

RESULTS

A total of 400 elderly people were surveyed, majority (51.75%) were females. A higher proportion (69.25%) of the study population belonged to the age group of 60-69 years. Around 59.75% of the respondents were illiterate. The majority (57.5%) reported to have "good" Self-Rated Health (SRH). Among those who had a good SRH, 97.13% were fully functional and this was also found to have a statistically significant association ( < 0.0001).

CONCLUSION

Among the respondents, the majority reported having "good" self-rated health. The SRH also had an association with their functional status. It is recommended that SRH be used as a proxy marker with their functional status and independence to carry out their daily activities.

摘要

背景

人口老龄化现象不可避免,老年人凭借其技能和经验成为社会的财富,他们的健康和幸福至关重要。其中,自评身体健康是衡量个体所感知的健康生活的指标,其功能状态则说明了他们独立生活的能力。

目的

评估老年人的自评健康(SRH)及其与日常生活活动的关联。

设置与设计

在奥里萨邦布巴内斯瓦尔一所医学院实地实习区域的城市贫民窟开展了一项基于社区的横断面研究。

方法与材料

采用系统随机抽样确定家庭并选取400名60岁及以上的同意参与研究的个体。使用一份包含社会人口学因素、自评健康以及经过验证的日常生活活动(ADL)和工具性日常生活活动(IADL)量表部分的半结构化问卷收集数据。

所用统计分析方法

连续变量以均值±标准差表示;分类变量以频率和百分比表示。采用卡方检验作为关联性检验。P值小于0.05被认为具有统计学意义。

结果

共调查了400名老年人,大多数(51.75%)为女性。研究人群中较高比例(69.25%)属于60 - 69岁年龄组。约59.75%的受访者为文盲。大多数(57.5%)报告自评健康状况为“良好”。在自评健康状况良好的人群中,97.13%功能完全正常,且这也被发现具有统计学显著关联(P < 0.0001)。

结论

在受访者中,大多数报告自评健康状况为“良好”。自评健康状况也与其功能状态相关联。建议将自评健康状况用作其功能状态和进行日常活动独立性的替代指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3846/12007778/c5d22f53c7bc/JFMPC-14-981-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3846/12007778/c5d22f53c7bc/JFMPC-14-981-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3846/12007778/c5d22f53c7bc/JFMPC-14-981-g001.jpg

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