中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2010年
4期
400-404
,共5页
王憓 %陈坤%周标%王俊芳
王憓 %陳坤%週標%王俊芳
왕혜 %진곤%주표%왕준방
老年人%空巢%社会因素%健康相关生存质量
老年人%空巢%社會因素%健康相關生存質量
노년인%공소%사회인소%건강상관생존질량
Elderly people%Empty nest%Social determinants%Health-related quality of life
目的 分析≥60岁空巢老年人健康相关生存质量现状及空巢相关社会因素,为制定健康老龄化相关策略和措施提供依据.方法 采用整群抽样方法 选取浙江省部分地区城乡≥60岁老年人4995名.采用逐步logistic回归进行空巢社会因素的多因素分析.用多元线性回归模型在校正混杂因素后,比较空巢和非空巢老年人的健康相关生存质量.结果 逐步logistic回归分析显示,与非空巢老年人相比较,空巢老年人年龄多集中在70～79岁(P=0.0417),文化程度高(P＜0.0001),以及居住于农村(P＜0.0001)和低收入者(P=0.0178,P=0.0049)趋向于空巢的概率较大.空巢老年人较非空巢者对生活的满意度较高(P=0.0070,P=0.0035),情绪状态较好(P=0.0371).多元线性回归在校正了年龄、性别、婚姻状况、文化程度、居住地、个人年收入以及生活满意度评分和情绪评分等因素后,结果 显示空巢老年人在生理领域中的躯体疼痛(P=0.0032)维度,心理领域的情感所致功能限制(P=0.0033)维度以及心理领域(P=0.0342)的得分较非空巢老年人低.结论 空巢老年人的健康相关生存质量低于非空巢者,尤其体现在心理功能方面.空巢老年人具有高文化程度、低收入以及居住于农村等特征,是实施健康老龄化需要重点关注的对象.
目的 分析≥60歲空巢老年人健康相關生存質量現狀及空巢相關社會因素,為製定健康老齡化相關策略和措施提供依據.方法 採用整群抽樣方法 選取浙江省部分地區城鄉≥60歲老年人4995名.採用逐步logistic迴歸進行空巢社會因素的多因素分析.用多元線性迴歸模型在校正混雜因素後,比較空巢和非空巢老年人的健康相關生存質量.結果 逐步logistic迴歸分析顯示,與非空巢老年人相比較,空巢老年人年齡多集中在70～79歲(P=0.0417),文化程度高(P＜0.0001),以及居住于農村(P＜0.0001)和低收入者(P=0.0178,P=0.0049)趨嚮于空巢的概率較大.空巢老年人較非空巢者對生活的滿意度較高(P=0.0070,P=0.0035),情緒狀態較好(P=0.0371).多元線性迴歸在校正瞭年齡、性彆、婚姻狀況、文化程度、居住地、箇人年收入以及生活滿意度評分和情緒評分等因素後,結果 顯示空巢老年人在生理領域中的軀體疼痛(P=0.0032)維度,心理領域的情感所緻功能限製(P=0.0033)維度以及心理領域(P=0.0342)的得分較非空巢老年人低.結論 空巢老年人的健康相關生存質量低于非空巢者,尤其體現在心理功能方麵.空巢老年人具有高文化程度、低收入以及居住于農村等特徵,是實施健康老齡化需要重點關註的對象.
목적 분석≥60세공소노년인건강상관생존질량현상급공소상관사회인소,위제정건강노령화상관책략화조시제공의거.방법 채용정군추양방법 선취절강성부분지구성향≥60세노년인4995명.채용축보logistic회귀진행공소사회인소적다인소분석.용다원선성회귀모형재교정혼잡인소후,비교공소화비공소노년인적건강상관생존질량.결과 축보logistic회귀분석현시,여비공소노년인상비교,공소노년인년령다집중재70～79세(P=0.0417),문화정도고(P＜0.0001),이급거주우농촌(P＜0.0001)화저수입자(P=0.0178,P=0.0049)추향우공소적개솔교대.공소노년인교비공소자대생활적만의도교고(P=0.0070,P=0.0035),정서상태교호(P=0.0371).다원선성회귀재교정료년령、성별、혼인상황、문화정도、거주지、개인년수입이급생활만의도평분화정서평분등인소후,결과 현시공소노년인재생리영역중적구체동통(P=0.0032)유도,심리영역적정감소치공능한제(P=0.0033)유도이급심리영역(P=0.0342)적득분교비공소노년인저.결론 공소노년인적건강상관생존질량저우비공소자,우기체현재심리공능방면.공소노년인구유고문화정도、저수입이급거주우농촌등특정,시실시건강노령화수요중점관주적대상.
Objective To study the social determinants and health-related quality of life among the Chinese 'empty nest' (lonely) elderly.Methods A total of 4995 elderly,aged 60 or over were recruited in rural and urban areas of Zhejiang province,under a cluster sampling method.Stepwise logistic regression analysis was performed to analyze the social determinants on the 'empty nest' elderly.Health-related quality of life was assessed by SF-36 and compared between the ' empty nest' and 'non-empty nest' elderly,using multiple linear regression analysis after adjusting for confounding factors.Results Comparing with the 'non-empty nest' elderly,the characteristics of the empty nest population were as follows:age at 70 to 79 (P= 0.0417),having higher education level (P＜0.0001),living in rural area (P＜0.0001),lower income level (P=0.0178,P=0.0049),with higher level of satisfaction of life (P= 0.0070,P= 0.0035 ) and lower level of depressive mood (P=0.0371).'Empty nest' elderly people had lower scores of SF-36 in BP (P=0.0032) dimension of physical function,and RE (P=0.0033) dimension of psychological function as well as MCS (P=0.0342) after adjusting for age,gender,marriage status,education level,residential areas,personal income,scores for satisfaction of life and depressive mood.Conclusion The ' empty nest' elderly people with the characteristics such as higher education level,lower income level and living in the rural areas should be under greater concern,especially on those people with lower health-related quality of life or poorer psychological function.
