北京市老年人生命质量的社会决定因素  

Social determinants of the life quality among the elderly in Beijing,China

作　　者：李侗桐[1] 方任飞[1] 谢铮[1] 

机构地区：[1]北京大学公共卫生学院卫生政策与管理学系,北京100191

出　　处：《北京大学学报（医学版）》2014年第3期450-454,共5页Journal of Peking University:Health Sciences

基　　金：北京市高等学校青年英才计划(YETP0058)资助~~

摘　　要：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1 685位北京户籍60岁及以上老年人进行入户调查。使用EQ-5D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。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 .

关 键 词：老年人 生命质量 健康的社会决定因素 

分 类 号：R19[医药卫生—卫生事业管理]