Age trajectories of quality of life among older adults: results from the English Longitudinal Study of Ageing
Age trajectories of quality of life among older adults: results from the English Longitudinal Study of Ageing
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DOI：
10.1007/s11136-009-9543-6
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发表时间：
2009-12-01
影响因子：
3.5
通讯作者：
Sacker, Amanda
中科院分区：
文献类型：
--
作者：
Zaninotto, Paola;Falaschetti, Emanuela;Sacker, Amanda
目的探讨生活在英格兰的老年人生活质量（QoL）的年龄轨迹及其对其的影响。数据来自英国老龄化纵向研究的三波（2002-2003年和2006-2007年），这是一项对11392名50岁及以上的人进行的大型小组研究。我们使用潜在生长曲线模型和年龄向量图来描述生活质量的个体差异和平均人口年龄轨迹（通过CASP19问卷测量）。年龄较大的受访者在基线时的生活质量比年轻的受访者差，差异随着年龄的增长而扩大。老年人的生活质量也下降得更快。性别、受教育程度、抑郁、限制性长期疾病、ADL-s困难、缺乏财富、失业、朋友数量减少和低积极支持对生活质量有负面影响。与伴侣同居对男性的生活质量有积极影响，但对女性没有。年龄矢量图显示，在社会心理、社会经济和健康状况从最好到最差的人群中，生活质量的年龄轨迹有明显的梯度。年轻的老年人可以通过增加他们的朋友网络，并在他们有能力的时候与更广泛的社区接触，为进一步老龄化做好准备。
To explore age-trajectories of quality of life (QoL) and influences on them in a 4-year period among older adults living in England.Data come from three waves (2002-2003 and 2006-2007) of the English Longitudinal Study of Ageing, a large panel study of 11,392 individuals aged 50 and over. We used Latent Growth Curve models and ageing-vector graphs to describe both individual differences and average population age-trajectories in QoL (measured by the CASP19 questionnaire).QoL at baseline was poorer for older than younger respondents, with the differences widening with age. QoL also declined more rapidly for older individuals. Gender, education, depression, limiting long-standing illness, difficulty with ADL-s, lack of wealth, non-employment, decreased number of friends and low positive support had a negative impact on QoL. Living with a partner had a positive effect on the QoL of men but not of women. The ageing-vector graphs revealed a clear gradient in age-trajectories of QoL for those in the best to the worst psychosocial, socioeconomic and health conditions.Younger old adults can be prepared for further ageing by increasing their network of friends and engaging with the wider community while they are able.