Assessing health and well-being among older people in rural South Africa
Assessing health and well-being among older people in rural South Africa
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DOI：
10.3402/gha.v3i0.2126
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发表时间：
2010-01-01
影响因子：
2.6
通讯作者：
Tollman, Stephen M.
中科院分区：
文献类型：
--
作者：
Gomez-Olive, F. Xavier;Thorogood, Margaret;Tollman, Stephen M.
工作背景：发展中国家的人口正在老龄化，这可能会增加非传染性疾病和disability.Objective的负担：描述与自我报告的健康，残疾和生活质量（QoL）的老年人在农村东北部的SouthAfrica.Design的相关因素：横断面调查6,206人年龄在50岁及以上。我们使用多变量分析来检查人口统计变量与自我报告健康（健康状况）、功能能力（WHODASi）和生活质量（WHOQoL）指标之间的关系。结果：6，206名符合条件的人中约有4，085人（65.8%）完成了采访。妇女（比值比（OR）= 1.30，95% CI 1.09，1.55），年龄较大（OR 2.59，95% CI 1.97，3.40），教育程度较低（OR = 1.62，95% CI 1.31，2.00）、单身（OR = 1.18，95% CI 1.01，1.37）和目前无工作（OR = 1.29，95% CI 1.06，1.59）与低健康状况相关。女性也更有可能报告更高程度的残疾（OR = 1.38，95% CI 1.14，1.66），老年人也是如此（OR = 2.92，95%CI 2.25，3.78），未受教育者（OR = 1.57，95% CI 1.26，1.97），单身（OR = 1.25，95% CI 1.06，1.46），目前无工作（OR = 1.33，95% CI 1.06，1.66）。年龄较大（OR = 1.35，95%CI 1.06，1.74），未受过教育（OR = 1.39，95% CI 1.11，1.73），单身状态（OR = 1.28，95% CI 1.10，1.49），家庭资产评分较低（OR = 1.52，95%CI 1.19，1.94），目前未工作（OR =1.32; 95%CI 1.07，1.64）均与较低的生活质量相关。这项研究提供了南非关于老年人健康状况、功能能力和生活质量的第一批基于人口的数据。保健和社会服务需要进行改组，以便为生活在南非农村的功能受损和有其他健康问题的老年人提供有效的护理。
Background: The population in developing countries is ageing, which is likely to increase the burden of noncommunicable diseases and disability.Objective: To describe factors associated with self-reported health, disability and quality of life (QoL) of older people in the rural northeast of South Africa.Design: Cross-sectional survey of 6,206 individuals aged 50 and over. We used multivariate analysis to examine relationships between demographic variables and measures of self-reported health (Health Status), functional ability (WHODASi) and quality of life (WHOQoL).Results: About 4,085 of 6,206 people eligible (65.8%) completed the interview. Women (Odds Ratio (OR) = 1.30, 95% CI 1.09, 1.55), older age (OR 2.59, 95% CI 1.97, 3.40), lower education (OR = 1.62, 95% CI 1.31, 2.00), single status (OR = 1.18, 95% CI 1.01, 1.37) and not working at present (OR = 1.29, 95% CI 1.06, 1.59) were associated with a low health status. Women were also more likely to report a higher level of disability (OR = 1.38, 95% CI 1.14, 1.66), as were older people (OR = 2.92, 95% CI 2.25, 3.78), those with no education (OR = 1.57, 95% CI 1.26, 1.97), with single status (OR = 1.25, 95% CI 1.06, 1.46) and not working at present (OR = 1.33, 95% CI 1.06, 1.66). Older age (OR = 1.35, 95% CI 1.06, 1.74), no education (OR = 1.39, 95% CI 1.11, 1.73), single status (OR = 1.28, 95% CI 1.10, 1.49), a low household asset score (OR = 1.52, 95% CI 1.19, 1.94) and not working at present (OR =1.32; 95% CI 1.07, 1.64) were all associated with lower quality of life.Conclusions: This study presents the first population-based data from South Africa on health status, functional ability and quality of life among older people. Health and social services will need to be restructured to provide effective care for older people living in rural South Africa with impaired functionality and other health problems.