Area deprivation, social class, and quality of life among people aged 75 years and over in Britain
Area deprivation, social class, and quality of life among people aged 75 years and over in Britain
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DOI：
10.1093/ije/dyh328
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发表时间：
2005-04-01
影响因子：
7.7
通讯作者：
Fletcher, AE
中科院分区：
文献类型：
--
作者：
Breeze, E;Jones, DA;Fletcher, AE
背景有一个短缺的研究，评估如何选择的特点，邻里和个人的社会环境有助于健康相关的生活质量（QoL）among older people.Methods分析基线数据为5581人年龄>= 75岁及以上的老年人在社区的评估和管理的试验。分析了英国版疾病影响概况和费城老年人士气量表四个维度的得分与个人社会阶层的关系以及居住区的社会经济剥夺的卡斯泰尔斯得分。四、社会阶层参与者的比例生活在最贫困地区的五分之一生活质量最差的人是生活在最贫困地区的社会I/II类人的两倍多。个人的社会阶层和地区剥夺分数贡献了大约同样的家庭管理，自我照顾和社会互动，而社会阶层出现了更强的决定因素的流动性增加一倍。对生活环境、健康症状和健康行为的调整大大减少了与社会阶层和地区剥夺相关的过度风险。在农村地区与低风险的不良more.Conclusion贫困的社会经济特征的区域和个人与较差的功能（生活质量）的老年人在社区。健康状况不能完全解释这一点。政策应考虑社区一级的干预以及针对个人的干预。
Background There is a shortage of research studies that assess how selected characteristics of neighbourhood and personal social circumstances contribute towards health-related quality of life (QoL) among older people.Methods Analysis of baseline data for 5581 people aged >= 75 years and over from the Trial of Assessment and Management of Older People in the Community. The scores for four dimensions from the UK version of the Sickness Impact Profile and for the Philadelphia Geriatric Morale Scale were analysed in relation to individual social class and the Carstairs score of socioeconomic deprivation for the enumeration district of residence.Results in age and sex adjusted analyses, the proportion of participants of social class IV/V living in the most deprived areas who were in the quintile with worst QoL scores was more than double that among those from social class I/II living in the least deprived areas. Individual social class and area deprivation score contributed roughly equally to this doubling for home management, self-care and social interaction, whereas social class appeared a stronger determinant for mobility. Adjustment for living circumstances, health symptoms, and health behaviours substantially reduced the excess risk associated with social class and area deprivation. Being in a rural area was associated with lower risk of poor morale.Conclusion Poor socioeconomic characteristics of both the area and the individual are associated with worse functioning (QoL) of older people in the community. This is not fully explained by health status. Policy should consider community-level interventions as well as those directed at individuals.