江苏省老年人健康相关生命质量影响因素

Health-related life quality among the elderly in Jiangsu province:an empirical study

目的分析江苏省老年人群健康相关生命质量及其影响因素。方法利用2018年第6次国家卫生服务调查中的江苏省老年人口数据,基于欧洲5维健康量表(EQ-5D)中国效用值积分体系计算健康效用值,并通过秩和检验、Tobit模型对其影响因素进行分析。结果调查的3273名老年人EQ-5D各健康维度中,最差的维度是疼痛/不适方面,有33.15%的老年人存在中度及以上困难;最好的维度是自我照顾,仅有7.36%的老年人自我照顾存在困难。Tobit回归分析结果显示,不同人口社会学特征以及不同健康状态和健康行为的老年人EQ-5D健康效用值存在差异(P<0.05)。结论江苏省老年人群健康相关生命质量受年龄、性别、居住地、收入、患病情况、健康行为等多方面因素影响,应根据老年人群特点,制定相应的卫生政策提高其生命质量。

Objective To analyze the health-related life quality and its influencing factors among elderly residents in Jiangsu province.Methods The data on 3273 residents aged≥60 years in 6 districts/counties of Jiangsu province were extracted form the sixth National Health Service Survey conducted in 2018.Information collected via EuroQol FiveDimension(EQ-5D)was used to calculate health utility value using Chinese utility value integral system.Rank sum test and Tobit regression model were adopted to analyze influencing factors of health-related life.Results Among the EQ-5D health dimensions reported by the participants,the prevalence of moderate or severe pain/discomfort was the highest(33.15%)and the prevalence of difficulty in self-care was the lowest(7.36%).Tobit regression analyses showed that the EQ-5D based health utility value differed significantly by demographics,sociological characteristics,and health status and behaviors(all P<0.05).Conclusion The health-related life quality among the elderly in Jiangsu province is affected by age,gender,residential region,income,disease status,and health behavior and those variables should be concerned for developing targeted intervention programs to improve the quality of life in elderly populations.