The impact of the Chi-Chi earthquake on quality of life among elderly survivors in Taiwan - A before and after study

The impact of the Chi-Chi earthquake on quality of life among elderly survivors in Taiwan - A before and after study
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DOI:
10.1023/a:1015543113448
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发表时间:
2002-06-01
影响因子:
3.5
通讯作者:
Chiu, YN
Chiu, YN
中科院分区:
医学2区
文献类型:
--
作者:
Lin, MR;Huang, WZ;Chiu, YN

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本文探讨1999年9月21日发生在台湾中部的集集地震对老年幸存者生活品质的影响。世界卫生组织生活质量问卷(WHOQOL-BREF)由28个条目组成,由台湾人改编,用来测量四个领域的生活质量:身体能力、心理健康、社会关系和环境。巧合的是,在地震前不久,另一项研究从368名65岁及以上的受试者中收集了这些指标。在这些受试者中,268人在地震后12个月的后续评估中接受了采访。应用线性混合模型研究了从震前评估到震后12个月,这四个领域的生活质量是如何变化的,以及这些变化是如何依赖于住宅受损程度的。总而言之,老年幸存者往往在地震后12个月报告的身体能力、心理健康和环境方面的生活质量低于地震前的评估,无论他们的住所在地震期间受到的破坏程度如何。然而,那些在地震中住宅完全倒塌的人报告说,他们在社会关系中的生活质量更高,而其他人的报告则相反。
This paper examines the impact of the Chi-Chi earthquake, which hit central Taiwan on September 21, 1999, on the quality of life among the elderly survivors. The 28-item Taiwanese-adapted brief version of the World Health Organization's quality of life questionnaire (WHOQOL-BREF) was used to measure quality of life in four domains: physical capacity, psychological well-being, social relationships, and environment. These measures were coincidently collected in a separate study from 368 subjects aged 65 and older in the affected area shortly before the earthquake. Of these subjects, 268 were interviewed in a follow-up assessment 12 months after the earthquake. Linear mixed models were applied to investigate how quality of life in each of the four domains changed from the pre-earthquake assessment to 12 months after the earthquake, and how these changes depended on the level of damage to residences. In conclusion, elderly survivors tended to report lower quality of life in physical capacity, psychological well-being, and environment 12 months after the earthquake than at the assessment prior to the earthquake, regardless of the level of damage to their residences during the earthquake. However, those whose residences completely collapsed during the earthquake reported a higher quality of life in social relationships while others reported the opposite.