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新冠疫情后期老年人的生活质量及其影响因素:一项横断面研究。

Quality of life and influencing factors among older adults in the end of COVID-19 era: A cross-sectional study.

作者信息

Sitthisasithorn Witchaya, Ratthanasathian Sivarat

机构信息

Department of Urban Medicine, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.

出版信息

J Public Health Res. 2025 Sep 2;14(3):22799036251373005. doi: 10.1177/22799036251373005. eCollection 2025 Jul.

Abstract

INTRODUCTION

The COVID-19 pandemic has impacted all age groups, with older individuals experiencing health effects and lifestyle changes. This study explored factors associated with quality of life (QoL) among older adults and examined how a history of COVID-19 infection and quarantine varied across these factors in the post-pandemic period.

METHODS

A cross-sectional survey was conducted among older adults attending a primary care clinic between November 2023 and January 2024. Sociodemographic data and information on patients' history of COVID-19 infection and quarantine were collected. The WHOQOL-BREF-THAI was used to assess QoL. Bivariate and multiple logistic regression analyses identified factors associated with a history of COVID-19 and QoL.

RESULTS

The study received 195 survey responses. Most participants had moderate to poor QoL, were female (69.74%), and had a mean age of 67.07 years ( = ±5.69). Marital and living status were associated with individual's COVID-19 infection history, with living with family linked to higher infection risk. The presence of underlying disease and social media use were significantly associated with quarantine history. QoL was associated with education, income, and physical and social activities, but not with COVID-19 history.

CONCLUSIONS

Household health precautions should be emphasized. Chronic conditions and social media use were linked to quarantine, possibly due to challenges in maintaining in-person contact. Enhancing social and physical activities may improve QoL among older adults. These findings provide valuable insights for healthcare providers and policymakers to better support older adults in future health crises, including promoting social and physical engagement and addressing sociodemographic factors.

摘要

引言

新冠疫情影响了所有年龄组,老年人经历了健康影响和生活方式的改变。本研究探讨了与老年人生活质量相关的因素,并考察了在疫情后时期,新冠感染史和隔离史在这些因素方面的差异。

方法

于2023年11月至2024年1月对一家初级保健诊所的老年人进行了横断面调查。收集了社会人口学数据以及患者的新冠感染史和隔离史信息。使用世界卫生组织生活质量简表(泰国版)评估生活质量。双变量和多因素逻辑回归分析确定了与新冠感染史和生活质量相关的因素。

结果

该研究共收到195份调查问卷回复。大多数参与者的生活质量为中等至较差,女性占69.74%,平均年龄为67.07岁(标准差=±5.69)。婚姻和生活状况与个人的新冠感染史相关,与家人同住与更高的感染风险相关。基础疾病的存在和社交媒体使用与隔离史显著相关。生活质量与教育、收入以及身体和社交活动相关,但与新冠感染史无关。

结论

应强调家庭健康预防措施。慢性病和社交媒体使用与隔离有关,可能是由于维持面对面接触存在挑战。加强社交和身体活动可能会改善老年人的生活质量。这些发现为医疗保健提供者和政策制定者提供了宝贵的见解,以便在未来的健康危机中更好地支持老年人,包括促进社交和身体参与以及解决社会人口学因素。

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