Xian Xiaobing, Fan Xiaoli, Wei Xiaowei, Wang Xuemei, Fu Yandi, Sun Damin
The Thirteenth People's Hospital of Chongqing, Chongqing, China.
Chongqing Geriatrics Hospital, Chongqing, China.
Front Public Health. 2025 Apr 22;13:1585752. doi: 10.3389/fpubh.2025.1585752. eCollection 2025.
The life satisfaction (LS) of individuals among older adults with diabetes should not be neglected. However, current research provides limited insight into the LS of older adults with diabetes in China. Therefore, the primary objective of this study is to assess the current life satisfaction status of older adults with diabetes in China, to delve into the factors influencing it, and to identify the key factors.
This study selected 1,304 patients with diabetes from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) database for analysis. A multivariate logistic regression model was used to analyze the factors influencing life satisfaction among diabetic patients, and a random forest model was further utilized to rank the importance of significant influencing factors.
30.14% of older adults with diabetes were dissatisfied with their lives. Multivariate Logistic regression analysis shows that self-assessed health status, self-assessed economic status, depressive symptoms, exercise, living arrangements, hearing impairment, and cognitive impairment all significantly affect the life satisfaction of older adults with diabetics. The OR values for self-assessed health and self-assessed economic status are relatively high, patients with fair and poor self-assessed health was 5.03 times and 9.72 times higher risk of life dissatisfaction compared to those with good self-assessed health (fair: OR = 5.03, 95% CI: 3.46-7.31; poor: OR = 9.72, 95% CI: 6.20-15.26). The risk of feeling dissatisfied with life was 7.69 times higher in patients with poor self-assessed economic status than in those with good self-assessed economic status (OR = 7.69, 95%CI: 4.25-13.89). The random forest results showed that the order of importance from highest to lowest was self-assessed health status, self-assessed economic status, depressive symptoms, exercise, living arrangements, hearing impairment, and cognitive impairment.
Our study reveals that the current rate of life satisfaction among older adults with diabetes is significantly high. Therefore, it is essential to implement measures from multiple perspectives for effective prevention and intervention. Among these factors, priority should be given to interventions focusing on economic support and health management, as these measures may serve as crucial protective factors in enhancing the well-being of older adults with diabetes.
糖尿病老年患者的生活满意度不容忽视。然而，目前的研究对中国糖尿病老年患者的生活满意度了解有限。因此，本研究的主要目的是评估中国糖尿病老年患者当前的生活满意度状况，深入探究影响其生活满意度的因素，并确定关键因素。
本研究从中国健康与养老追踪调查（CLHLS）数据库中选取了1304例糖尿病患者进行分析。采用多元逻辑回归模型分析糖尿病患者生活满意度的影响因素，并进一步利用随机森林模型对显著影响因素的重要性进行排序。
30.14%的糖尿病老年患者对自己的生活不满意。多元逻辑回归分析表明，自我评估的健康状况、自我评估的经济状况、抑郁症状、运动、生活安排、听力障碍和认知障碍均显著影响糖尿病老年患者的生活满意度。自我评估健康和自我评估经济状况的OR值相对较高，自我评估健康状况为中等和较差的患者生活不满意风险分别是自我评估健康状况良好患者的5.03倍和9.72倍（中等：OR = 5.03，95%可信区间：3.46 - 7.31；较差：OR = 9.72，95%可信区间：6.20 - 15.26）。自我评估经济状况较差的患者生活不满意风险是自我评估经济状况良好患者的7.69倍（OR = 7.69，95%可信区间：4.25 - 13.89）。随机森林结果显示，重要性从高到低的顺序为自我评估健康状况、自我评估经济状况、抑郁症状、运动、生活安排、听力障碍和认知障碍。
我们的研究表明，目前糖尿病老年患者的生活满意度显著较低。因此，必须从多个角度采取措施进行有效预防和干预。在这些因素中，应优先关注经济支持和健康管理方面的干预措施，因为这些措施可能是提高糖尿病老年患者幸福感的关键保护因素。
