Ho S C, Woo J, Lau J, Chan S G, Yuen Y K, Chan Y K, Chi I
Department of Community and Family Medicine, Chinese University of Hong Kong, Republic of China.
J Am Geriatr Soc. 1995 Mar;43(3):252-5. doi: 10.1111/j.1532-5415.1995.tb07331.x.
To determine life satisfaction and its association with physical, functional, socioeconomic, psychological, and social support characteristics in Hong Kong Chinese aged 70 years and older.
Cross-sectional study.
Territory-wide random sample of persons aged 70 years and older.
A total of 843 men and 714 women were selected by random sampling, stratified by age and sex, from the Old age and Disability Allowance Register, after exclusion of subjects with cognitive impairment.
Life satisfaction was assessed by the subjects' response to the question "Are you satisfied with life", using a 0 to 10-point linear scale. They were also asked to name the most important factor contributing to life satisfaction. Information was also obtained regarding physical health, functional ability, depressive symptoms, and socioeconomic factors.
There was a weak association between score and age. Health, adequate income to meet living expenses, and caring relatives were rated the most important factors (> 65%). Some of these factors were also those associated with a high life satisfaction score. Factors associated with a life satisfaction score greater than 6 points were higher social class and educational attainment, adequate income to meet living expenses, satisfactory living arrangement, Christianity, good social support, participation in social activities, functional independence, good self-perceived health, good hearing and vision, daily exercise, absence of recurrent falls, and low depressive symptom score. Multiple logistic regression identified having two or more relatives and tertiary education as positive associated factors, whereas inadequate income to meet expenses, dissatisfaction with living arrangement, nonparticipation in religious group activities, and a high depressive symptom score were negative associated factors.
In older Chinese, social factors such as the support provided by family members, as well as adequate income to meet living expenses, play a role equal to that of physical factors in contributing to life satisfaction.
确定香港70岁及以上华裔老年人的生活满意度及其与身体、功能、社会经济、心理和社会支持特征之间的关联。
横断面研究。
全港70岁及以上人群的随机样本。
从高龄津贴及伤残津贴登记册中，按年龄和性别分层随机抽取843名男性和714名女性，排除认知障碍患者。
通过受试者对“你对生活满意吗”这一问题的回答，采用0至10分的线性量表评估生活满意度。还要求他们说出对生活满意度最重要的因素。同时获取有关身体健康、功能能力、抑郁症状和社会经济因素的信息。
得分与年龄之间存在弱关联。健康、足够支付生活费用的收入以及有亲人关怀被评为最重要的因素（>65%）。其中一些因素也与高生活满意度得分相关。与生活满意度得分高于6分相关的因素包括较高的社会阶层和教育程度、足够支付生活费用的收入、满意的居住安排、基督教信仰、良好的社会支持、参与社会活动、功能独立、良好的自我感知健康状况、良好的听力和视力、日常锻炼、无反复跌倒以及低抑郁症状得分。多因素逻辑回归分析确定有两个或更多亲人以及接受高等教育为正相关因素，而收入不足以支付费用、对居住安排不满意、不参加宗教团体活动以及高抑郁症状得分则为负相关因素。
在老年华裔中，家庭成员提供的支持等社会因素以及足够支付生活费用的收入，在促进生活满意度方面与身体因素起着同等作用。
