CAJ | 학술논문

目的：探索社会决定因素对北京市老年人生命质量的影响。方法：采用问卷法，对1685位北京户籍60岁及以上老年人进行入户调查。使用EQ-5 D量表测量老年人生命质量，使用TTO效用模型计算健康指数；采用多重线性回归和Logistic回归模型，分析社会决定因素与老年人生命质量状况的关系。结果：北京城市与农村户籍老年人的生命质量差异无统计学意义（ P＞0．05）；受教育程度和经济水平越高，老年人生命质量状况越好；不同受教育程度、经济水平和婚姻状态的老年人在行动、自我照顾、活动、疼痛和不适、焦虑沮丧等生命质量5个子维度上的表现有差异（P＜0．05）。结论：对于北京市城乡低收入、低教育水平的老年人群需要更多政策关怀。
목적：탐색사회결정인소대북경시노년인생명질량적영향。방법：채용문권법，대1685위북경호적60세급이상노년인진행입호조사。사용EQ-5 D량표측량노년인생명질량，사용TTO효용모형계산건강지수；채용다중선성회귀화Logistic회귀모형，분석사회결정인소여노년인생명질량상황적관계。결과：북경성시여농촌호적노년인적생명질량차이무통계학의의（ P＞0．05）；수교육정도화경제수평월고，노년인생명질량상황월호；불동수교육정도、경제수평화혼인상태적노년인재행동、자아조고、활동、동통화불괄、초필저상등생명질량5개자유도상적표현유차이（P＜0．05）。결론：대우북경시성향저수입、저교육수평적노년인군수요경다정책관부。
Objective:To verify the association between social determinants and the quality of life ( QoL) among the elderly in Beijing .Methods:A questionnaire household survey was conducted and 1 685 over 60 dwellers in Beijing were interviewed .The EQ-5D scale was used to measure the elderly ’ s QoL and Time Trade-off model was used to calculate the EQ-5D index.Multiple linear regression and Logistic regression were employed to analyze the association between social determinants and the QoL .Results:There was no statistical significant difference in the QoL between the urban and the rural residents ( P>0 .05 ) .The elderly with higher education level and income or married tended to have higher overall QoL scoresand better performance of five dimensions of the QoL (P<0.05).Conclusion:More policies should be focused on the elderly with lower social determinants in both urban and rural areas in Beijing .