|
|
|
| Evaluation of health-related quality of life of the empty-nest elderly in Hangzhou |
| ZHU Ai-ai, CAO Cheng-jian, ZHU Jian-hui, LIU Qing-min, QIU Xin
|
| The Center for Disease Control and Prevention of Hangzhou City,Hangzhou ,Zhejiang ,310021,China |
|
|
|
|
Abstract Objective To investigate health-related quality of life of the empty-nest elderly in Hangzhou and its influencing factors. Methods A total of 1 000 empty-nest elderly were selected to participate the questionaire survey,using a stratified cluster sampling method,and the five-dimensional European quality of health scale （EQ-5D） was used to measure the health status of the empty-nest elderly. Chi square test and univariate ANOVA analysis were used to identify potential influencing factors. Results A total of 992 participants were involved in this study. The proportions of participants who had difficulties or problems in mobility,self-care,usual activities,pain/discomfort,and anxiety/depression were 16.13%,11.09%,19.76%,48.49% and 29.84% respectively. In terms of usual activities,pain/discomfort,and anxiety/depression,the proportions of empty-nest elderly who had difficulties or problems in those three dimensions were significantly higher in urban areas than in rural areas（P<0.05）. The range of EQ-5D utility value was -0.11 to 0.85,with an average value of 0.75±0.13. The study showed that the elderly without chronic diseases,tending to pour out their feelings or ask for help when they were in trouble,participating activities held by political parties or communities,with lower personal incomes,and depending on children to support their life after retirement were more likely to have higher EQ-5D utility values （all P<0.01 ）. Conclusion The health-related quality of life of empty-nest elderly in Hangzhou is at a low level,and is influenced by several soci-demographic factors. Encouraging the elderly to ask for help,improving the management of chronic diseases and providing more social supports could improve the health-related quality of life of the elderly.
|
|
Received: 13 January 2017
Revised: 26 April 2017
Published: 12 October 2017
|
|
|
|
|
|
[1] 毛奕文,殷盛明. 空巢老人国内外研究现状[J]. 中国老年学杂志,2015,35（14）：4058-4061.
[2] 马颖,傅华,王家骥,等.中国4省市社区空巢和非空巢老人抑郁症状及相关影响因素研究[J]. 中华流行病学杂志,2012,33（5）：478-482.
[3] 周王艳,吉珂,陈家应. 我国农村居民健康相关生命质量及其影响因素分析[J]. 南京医科大学学报（社会科学版）,2011（3）：189-193.
[4] 赵欢,刘建秋,薛鹏,等. 石家庄社区老年多重用药患者生命质量及其影响因素[J]. 中国老年学杂志,2013,33（5）：1137-1139.
[5] 李明晖,罗南.欧洲五维健康量表（EQ-5D）中文版应用介绍[J].中国药物经济学,2009,16（1）：49-57.
[6] WANG H,KINDIG D A,MULLAHY J. Variation in Chinese population health related quality of life：results from a EuroQol study in Beijing,China[J]. Qual Life Res,2005,14（1）：119-132.
[7] 何敏媚,吴明. 北京市某城区老年人居住模式与健康状况关系初步分析——以EQ-5D为健康测量量表[J]. 中国老年学杂志,2009,29（4）：478-81.
[8] 周王艳. 用EQ-5D评价我国农村居民的健康状况与健康公平性[D]. 南京：南京医科大学,2011.
[9] TAN Z,LIANG Y,LIU S,et al. Health-related quality of life as measured with EQ-5D among populations with and without specific chronic conditions：a population-based survey in Shaanxi Province,China[J]. PLoS ONE,2013,8（7）：e65958.
[10] 周忠良,周志英,厉旦,等. 陕西省城乡居民健康相关生命质量研究：基于EQ-5D量表效用值的测算术[J]. 中国卫生经济,2015,34（2）：13-16.
[11] CLEMENS S,BEGUM N,HARPER C,et al. A comparison of EQ-5D-3L population norms in Queensland,Australia,estimated using utility value sets from Australia,the UK and USA[J]. Qual Life Res,2014,23（8）：2375-2381.
[12] 史勇军,申旭波,周远忠,等. 贵州省农村空巢老人与非空巢老人生活质量比较[J]. 浙江预防医学,2015,25（7）：661-664.
[13] 张淑贤,杨玉霞,庄黛娜. 海岛地区的空巢老人健康状态及其影响因素的现况研究[J]. 浙江预防医学,2013,25（3）：9-11,65.
[14] 李志菊. 空巢老人心理健康状况研究进展[J]. 中国老年学杂志,2011,31（4）：719-722.
[15] GAO L,CAO X,ZHANG M,et al. The Study on Community Health Education of Empty Nest Elderly[J]. Engineering,2013,5（10）：137-139.
[16] 刘建春,郝晓宁,博涛,等. 空巢老人自理能力现状及其社会支持体系分析[J]. 中国卫生经济,2014,33（7）：68-71.
[17] 黄诚. 基于需求层次理论的“候鸟老人”养老方式研究[J]. 生产力研究,2016（12）：114-117,145.
[18] 李玉娇. 医疗保障水平、服务认知差异与养老方式选择——制度效果会影响老年人居家养老需求吗?[J]. 华中农业大学学报（社会科学版）,2016（3）：118-124.
[19] 陈玉兰,吴忧,林思勤. 成都市中老年人社会支持与养老方式选择调查[J]. 医学与社会,2016,29（1）：65-68.
[20] 蒲新微,王宇超. 家庭结构变迁下居民的养老预期及养老方式偏好研究[J]. 人口学刊,2016,38（4）：60-66. |
|
|
|
