Comparing the importance of different aspects of quality of life to older adults across diverse cultures
Comparing the importance of different aspects of quality of life to older adults across diverse cultures
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DOI：
10.1093/ageing/afq156
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发表时间：
2011-03-01
期刊：
影响因子：
6.7
通讯作者：
Skevington, Suzanne M.
中科院分区：
文献类型：
--
作者：
Molzahn, Anita E.;Kalfoss, Mary;Skevington, Suzanne M.
目的：研究31个国际公认的生活质量领域的相对重要性，老年人在22个国家的健康状况，年龄和经济发展水平。设计：调查配额抽样设计，用于收集跨文化的数据。本研究报告了WHOQOL-OLD试点研究的二次分析，该研究在22个中心同时收集。设置：位于澳大利亚、法国、瑞士、英格兰、苏格兰、美国、以色列、西班牙、日本和中国的各种社区、初级、二级和三级卫生保健机构（内地及香港）、土耳其、立陶宛、捷克、匈牙利、加拿大、挪威、瑞典、丹麦、德国、巴西及乌拉圭。参加者：总样本包括7，401名60岁以上的人，平均年龄为73.1岁; 57.8%为女性，70.1%认为自己“健康”。文化解释了15.9%的变异的重要性评级的生活质量。然而，这种相互作用表明，一旦考虑到健康状况、性别和年龄，文化差异就会减少。生活质量的重要性，年龄段在不同的文化没有显着影响参与者是否认为自己是health.Conclusion：了解自我报告的生活质量的不同方面的重要性，为不同的文化和健康和不太健康的人可能有助于国家和国际政策制定者决定的优先事项，为人口老龄化的发展计划。
Objective: to examine the relative importance of 31 internationally agreed areas of QOL to older adults in 22 countries in relation to health status, age and level of economic development.Design: a survey quota sampling design was used to collect cross-cultural data. This study reports a secondary analysis of WHOQOL-OLD pilot study, which was collected simultaneously in 22 centres.Settings: a variety of community, primary, secondary and tertiary health care settings located in Australia, France, Switzerland, England, Scotland, USA, Israel, Spain, Japan, China (mainland and Hong Kong), Turkey, Lithuania, Czech Republic, Hungary, Canada, Norway, Sweden, Denmark, Germany, Brazil and Uruguay.Participants: the total sample contained 7,401 people over 60 years with a mean age of 73.1 years; 57.8% were women and 70.1% considered themselves 'healthy'.Results: there were significant differences in the importance given to various aspects of QOL for people living in medium and high-development countries. Culture explained 15.9% of the variance in the importance ratings of QOL. However, the interaction showed that cultural differences were reduced once health status, gender and age were taken into account. The importance of QOL to age bands in different cultures was not significantly affected by whether or not participants perceived themselves to be healthy.Conclusion: understanding the self-reported importance of diverse aspects of QOL for different cultures and for healthy and less healthy people may assist national and international policy makers to decide on priorities for the development of programmes for the ageing population.