社会经济地位对中老年多重慢性病患者健康相关生命质量的影响研究  

Impacts of socioeconomic status on the quality of life of middle-aged and elderly patients with multiple chronic diseases

作　　者：梁珈瑜 陈楚[2] LIANG Jiayu;CHEN Chu(Fujian Medical University School of Public Health,Fuzhou 350122,China;Fujian Medical UniversitySchool of Health Management,Fuzhou 350122,China)

机构地区：[1]福建医科大学公共卫生学院,福建福州350122 [2]福建医科大学卫生管理学院,福建福州350122

出　　处：《福建医科大学学报(社会科学版)》2025年第1期20-26,72,共8页Journal of Fujian Medical University:Social Science Edition

基　　金：中国博士后科学基金(2020M683298);2023年福建省创新战略研究科技计划项目(2023R0037);福建医科大学高层次人才科研启动经费(XRCZX2021007)。

摘　　要：为了解社会经济地位对中老年多重慢性病患者健康相关生命质量的影响,选取“中国健康与养老追踪调查”数据库2011年、2013年、2018年共3年1665名≥45岁的中老年多重慢性病患者,形成面板数据;患者健康相关生命质量采用欧洲五维健康量表(EQ-5D-3L)进行度量;用随机效应回归模型分析社会经济地位对中老年多重慢性病患者健康相关生命质量的影响。结果显示,1665名中老年多重慢性病患者3年总体平均健康效用值为(0.71±0.24);以受教育水平和年度家庭人均生活支出度量社会经济地位;根据随机效应回归模型结果,社会经济地位越高,患者健康相关生命质量越好。改善中老年人共病患者的健康相关生命质量需重视缓解和改善生理健康问题带来的躯体限制和疼痛,解决心理问题,增加相应的社会参与、娱乐活动和设施场所等。To analyze the impacts of socioeconomic status on the quality of life of middle-aged and elderly patients with multiple chronic diseases,data of the years 2011,2013 and 2018 from the"China Health and Retirement Longitudinal Study(CHARLS)"database was used.A total of 1665 middle-aged and elderly patients with multiple chronic diseases aged over 45 were included,forming panel data.Patient-related quality of life was measured through using the European five-dimensional three-level health scale(EQ-5D-3L).A random effects regression model was employed to analyze the impacts of socioeconomic status on the quality of life of them.The results show that the overall average health utility value for the 1665 patients over the three-year period was(0.71±0.24).Socioeconomic status was measured by using education level and annual per capita household expenditure.The results of the random effects regression model showed that higher socioeconomic status was associated with better quality of life for the patients.Socioeconomic status significantly impacts the quality of life of middle-aged and elderly patients with multiple chronic diseases.The government is advised to strengthen intervention in the allocation of healthcare resources,increase the allocation of healthcare resources to groups with lower socioeconomic status,ensure the accessibility of healthcare resources,and encourage families to pay close attention to the physical and mental health of patients.

关 键 词：社会经济地位 多重慢性病 健康相关生命质量 

分 类 号：R195[医药卫生—卫生统计学]