Quality of life in the third age: key predictors of the CASP-19 measure
Quality of life in the third age: key predictors of the CASP-19 measure
复制标题
DOI：
10.1017/s0144686x04002284
复制
发表时间：
2004-09-01
期刊：
影响因子：
2.5
通讯作者：
Blane, DB
中科院分区：
文献类型：
--
作者：
Wiggins, RD;Higgs, PFD;Blane, DB
本文旨在识别和分析影响老年早期生活质量的生命历程和背景因素。我们将生活质量概念化，将其与影响生活质量的因素区分开来，并采用了一个从明确的人类需要理论中衍生出来的生活质量模型。操作测量(CASP-19)由19个利克特量表组成，涵盖四个理论领域：控制、自主、自我实现和愉悦。一份邮寄问卷发给了286名年龄在65岁至75岁之间的英国人，他们是20世纪30年代博伊德-奥尔健康和饮食研究的样本成员，并在20世纪90年代末通过回溯性采访进行了跟踪调查。这286人广泛代表了他们的年龄段。这项调查的回复率为92%。答复者介绍了对其晚年生活质量产生影响的一些背景因素，特别是社会支持和参与、社会接触的质量和数量、对当地社区的信任感和互惠感、健康和经济保障。在本文报告的分析中，使用区块回归模型确定了一系列对老年早期生活质量的概念性和可操作性影响。最后，考察了各预测因子对CASP-19的相对影响。研究结果表明，过去留下的遗产往往最容易被人们捕捉到--是对他们的养老金是否充足、他们作为业主自住的地位的感觉，以及他们所居住的地区被剥夺的感觉。人们描述的社会接触的质量以及他们与周围人的亲密感将改善过去和当前环境的负面影响。此外，我们必须认识到，人们仍然容易受到损失的影响：最近的丧亲之痛和重大疾病可能会影响一个人的生活质量。
This article aims to identify and analyse the lifecourse and contextual factors that influence the quality of life in early old age. We conceptualise quality of life as distinct from the factors which influence it, and employ a model of the quality of life that is derived from an explicit theory of human need. The operational measure (CASP-19) consists of 19 Likert-scaled items which cover four theoretical domains: control, autonomy, self-realisation and pleasure. A postal questionnaire was sent to 286 British people aged 65-75 years who were members of the sample for the 1930s Boyd-Orr study of health and diet and who had been followed up through retrospective interviews during the late 1990s. The 286 were broadly representative of their age group. The survey's response rate was 92 per cent. Respondents provided information on a number of contextual influences on their quality of life in early old age, notably social support and participation, the quality and quantity of social contact, feelings of trust and reciprocity about the local neighbourhood, health and financial security. In the analyses reported here, a series of conceptual and operational influences on quality of life in early old age is identified using block regression models. Finally, the relative impact of each predictor on CASP-19 is examined. The findings suggest that the legacy of the past tends to be best captured by people-Is feelings about the adequacy of their pensions and their status as owner-occupiers as well as a feeling that the area in which they live is deprived. The quality of the social contact people describe and how close they-feel to those around them will ameliorate the negative impacts of the past and the immediate environment. In addition I we must recognise that people remain vulnerable to the impact of loss: recent bereavement, and major illnesses can impact on a person's quality of life.