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09.10.2017 | Original Article
The associated factors for the quality of life among Chinese rural elderly: 1-year follow-up study
Erschienen in: Journal of Public Health | Ausgabe 2/2018
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Aim
The aim of this study was to explore the quality of life (QOL) and its associated factors among Chinese rural elderly.
Subjects and methods
Analyses based on data from a longitudinal study, performed in Dangtu, a township in Anhui province. In all, 945 elderly people completed the two surveys in 2014–2016. Generalized estimating equations (GEEs) was used to explore the association between multiple factors and QOL of the elderly.
Results
The elderly had higher World Health Organization Quality of Life Instrument-Brief Version (WHOQOL-BREF) total score and scores for each domain at the second survey than the baseline. The results of GEEs showed that age, education level, economic status, drinking status and social support were positively associated with QOL of the elderly. However, Geriatric Depression Scale-15 (GDS-15) score and Activity of Daily Living Scale (ADLs) score were negatively associated with QOL of the elderly. In addition, gender was only associated with physical and environmental domains. Similarly, marital status was only associated with psychological and environmental domains. Household cohabitants was associated with social and environmental domains. Smoking status and diabetes were only associated with physical domain. Hypertension and stroke were associated with physical and psychological domains. Heart disease was associated with physical and social domains. Significant trends of WHOQOL-BREF total score were observed for the variables of age, education level, economic status, and ADLs score.
Conclusion
Multiple factors can affect the QOL of the elderly in rural China. These findings can provide guidance aimed at improving their QOL.