Advance Search
Volume 38 Issue 7
Jul.  2022
Turn off MathJax
Article Contents
LI Jie, QIN Qi-rong, BIAN Zheng-ping, . Dynamics and influencing factors of quality of life among community elderly empty-nesters in Ma′anshan city[J]. Chinese Journal of Public Health, 2022, 38(7): 870-875. doi: 10.11847/zgggws1134808
Citation: LI Jie, QIN Qi-rong, BIAN Zheng-ping, . Dynamics and influencing factors of quality of life among community elderly empty-nesters in Ma′anshan city[J]. Chinese Journal of Public Health, 2022, 38(7): 870-875. doi: 10.11847/zgggws1134808

Dynamics and influencing factors of quality of life among community elderly empty-nesters in Ma′anshan city

doi: 10.11847/zgggws1134808
  • Received Date: 2021-03-24
    Available Online: 2021-12-13
  • Publish Date: 2022-07-01
  •   Objective  To examine the 2-year dynamics of quality of life (QoL) and its influencing factors among community elderly empty-nesters in Ma'anshan city and to provide evidence for developing health care strategies and conducting health care services and health education in the elderly.   Methods  With stratified cluster random sampling, we conducted a baseline survey among 3 476 permanent residents aged 60 years and above in Ma′anshan city from December 2016 to March 2017 and a follow-up interview was conducted from December 2018 to March 2019. Finally, the information on 2 344 elderly being empty-nesters during the period of baseline and follow-up survey were extracted to analyze dynamics and influencing factors of QoL for the elderly empty-nesters. World Health Organization Quality of Life Scale Abbreviated Version (WHOQOL-BREF), Activity of Daily Living Scale (ADL), Geriatric Depression Scale-15 (GDS-15), Stress Resilience Quotient Scale (SRQS), and a self-designed questionnaire were used in the study.   Results  Compared to those in the baseline survey in all the elderly empty-nesters, significantly lower scores of WHOQOL-BREF′s psychological domain (55.40 ± 10.76 vs. 65.71 ± 13.52) and social relationship domain (65.70 ± 12.56 vs. 67.43 ± 12.42) were measured in the follow-up survey (both P < 0.05); while there were no significant differences in the scores of physiological domain (64.62 ± 13.92 vs. 65.22 ± 14.55) and environmental domain (63.53 ± 11.90 vs. 63.97 ± 12.67) (both P > 0.05). The results of generalized estimating equation analysis revealed following influencing factors of elderly empty-nesters′ QoL: (1) for psychological domain, aged ≥ 70 years, impaired ADL, and depression were risk factors and moderate or good self-rated economic condition, smoking, alcohol-drinking, taking part in physical exercise, moderate or high resilience were protective factors; (2) for physiological domain, aged ≥ 70 years, with the education of primary school or above, living alone, suffering from a chronic disease, declined or impaired ADL, and depression were risk factors and moderate or good self-rated economic condition, smoking, alcohol-drinking, taking part in physical exercise, moderate or high resilience were protective factors; (3) for social relationship domain, aged 70 – 79 years, living alone, impaired ADL, and depression were risk factors and being female, moderate or good self-rated economic condition, alcohol-drinking, moderate or high resilience were protective factors; and (4) for environmental domain, impaired ADL and depression were risk factors and moderate or good self-rated economic condition, smoking, alcohol- drinking, taking part in physical exercise, moderate or high resilience were protective factors.   Conclusion  For community elderly empty-nesters in Ma′anshan city, the main problem in quality of life is the declined quality of psychology and social relationship domains and the quality of the two domains are influenced in common by age, self-rated economic condition, alcohol-drinking, activity of daily living, depression, and resilience.
  • loading
  • [1]
    党俊武, 魏彦彦, 刘妮娜. 中国城乡老年人生活状况调查报告(2018)[M]. 北京: 社会科学文献出版社, 2018.
    [2]
    Liu N, Andrew NE, Cadilhac DA, et al. Health - related quality of life among elderly individuals living alone in an urban area of Shaanxi Province, China: a cross - sectional study[J]. Journal of International Medical Research, 2020, 48(4): 300060520913146.
    [3]
    Da Mata C, Allen PF, McKenna GJ, et al. The relationship between oral - health - related quality of life and general health in an elderly population: a cross - sectional study[J]. Gerodontology, 2019, 36(1): 71 – 77. doi: 10.1111/ger.12384
    [4]
    蔡天盼, 陈铭, 龙静文, 等. 南昌市社区老年人轻度认知功能障碍向阿尔茨海默病转归研究[J]. 中华疾病控制杂志, 2020, 24(1): 62 – 66.
    [5]
    钟碧燕, 汪月娟, 秦献辉, 等. 连云港农村45~75岁高血压人群血脂水平和肾小球高滤过关系的研究[J]. 中华疾病控制杂志, 2015, 19(8): 798 – 802, 810.
    [6]
    李启雯, 拉巴桑珠, 扎西德吉, 等. 2018年西藏地区老年人体育锻炼现状及相关因素分析[J]. 现代预防医学, 2020, 47(4): 727 – 730.
    [7]
    Zhao YY, Hu CY, Feng F, et al. Associations of self - neglect with quality of life in older people in rural China: a cross - sectional study[J]. International Psychogeriatrics, 2017, 29(6): 1015 – 1026. doi: 10.1017/S1041610217000229
    [8]
    秦其荣, 许祥青, 王春, 等. 马鞍山市城市老年人日常生活能力现状及影响因素研究[J]. 现代预防医学, 2018, 45(24): 4460 – 4463, 4467.
    [9]
    唐丹. 简版老年抑郁量表(GDS-15)在中国老年人中的使用[J]. 中国临床心理学杂志, 2013, 21(3): 402 – 405.
    [10]
    胡寒春, 邓云龙, 潘辰, 等. 压力弹性商数量表在部分社区老年人中的测试报告[J]. 中国临床心理学杂志, 2009, 17(3): 318 – 320.
    [11]
    马璐, 蔚坤妍, 石镁虹, 等. 阿坝藏羌地区老年人生活质量评价研究[J]. 中国健康教育, 2017, 33(1): 12 – 16.
    [12]
    Dong B, Li J, Zhao DD, et al. The associated factors for the quality of life among Chinese rural elderly: 1 - year follow - up study[J]. Journal of Public Health, 2018, 26(2): 185 – 193. doi: 10.1007/s10389-017-0852-x
    [13]
    Sivertsen H, Bjørkløf GH, Engedal K, et al. Depression and quality of life in older persons: a review[J]. Dementia and Geriatric Cognitive Disorders, 2015, 40(5/6): 311 – 339.
    [14]
    Osório C, Probert T, Jones E, et al. Adapting to stress: understand-ing the neurobiology of resilience[J]. Behavioral Medicine, 2017, 43(4): 307 – 322. doi: 10.1080/08964289.2016.1170661
    [15]
    李相荣, 汤榕. 宁夏居民生命质量现状及影响因素分析[J]. 中国公共卫生, 2018, 34(5): 693 – 695. doi: 10.11847/zgggws1115779
    [16]
    Huang GG, Duan YY, Guo F, et al. Prevalence and related influencing factors of depression symptoms among empty - nest older adults in China[J]. Archives of Gerontology and Geriatrics, 2020, 91: 104183. doi: 10.1016/j.archger.2020.104183
    [17]
    詹奕, 李海峰, 陈天勇, 等. 老年人的家庭和非家庭社会关系与生活满意度的关系[J]. 中国心理卫生杂志, 2015, 29(8): 593 – 598. doi: 10.3969/j.issn.1000-6729.2015.08.007
    [18]
    Kojima G, Iliffe S, Jivraj S, et al. Does current smoking predict future frailty? The English longitudinal study of ageing[J]. Age and Ageing, 2018, 47(1): 126 – 131. doi: 10.1093/ageing/afx136
    [19]
    Nop O, Miller AS, Culver H, et al. Nicotine and cognition in cogni-tively normal older adults[J]. Frontiers in Aging Neuroscience, 2021, 13: 640674. doi: 10.3389/fnagi.2021.640674
    [20]
    Tyrovolas S, Panaretos D, Daskalopoulou C, et al. Alcohol drinking and health in ageing: a global scale analysis of older individual data through the harmonised dataset of ATHLOS[J]. Nutrients, 2020, 12(6): 1746. doi: 10.3390/nu12061746
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(2)

    Article views (218) PDF downloads(65) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return