Factors associated with quality of life in older adults in the United States.

Factors associated with quality of life in older adults in the United States.
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DOI:
10.1007/s11136-011-9954-z
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发表时间:
2012-04
影响因子:
3.5
通讯作者:
Mattos, Meghan
Mattos, Meghan
中科院分区:
医学2区
文献类型:
--
作者:
Baernholdt, Marianne;Hinton, Ivora;Yan, Guofen;Rose, Karen;Mattos, Meghan

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根据世界卫生组织的定义,生活质量(QOL)包括身心健康,情感健康和社会功能。使用安德森的行为模型的适应,我们研究了生活质量的三个维度之间的关联和需求和健康行为在全国代表性样本的成年人65岁及以上。使用了2005-2006年国家健康和营养检查调查(NHANES)的代表性样本。NHANES对60岁及以上的人、非洲裔美国人和西班牙裔美国人进行了过度抽样。频率和分布模式进行了评估,然后进行双变量和多元回归分析。这些老年人报告了高水平的QOL。然而,需求和健康行为与QOL之间的关联在各个维度上都有所不同。日常生活活动(ADL)与所有三个维度相关。抑郁症与两个维度有关,记忆问题与一个维度有关。身体活动与社会功能有关,医疗保健利用与情感健康有关。与不同维度的QOL关联的差异证实了这是一个多维度的概念。由于抑郁、记忆问题和ADL功能都与生活质量的某些方面相关,未来改善老年人生活质量的干预措施应包括对这些问题的筛查和治疗。
According to the World Health Organization, quality of life (QOL) includes physical and mental health, emotional well-being, and social functioning. Using an adaptation of Andersen's behavioral model, we examined the associations between the three dimensions of QOL and needs and health behaviors in a nationally representative sample of adults 65 years and older. A representative sample from the 2005–2006 National Health and Nutrition Examination Survey (NHANES) was used. NHANES over-samples persons 60 years and older, African Americans, and Hispanics. Frequencies and distribution patterns were assessed, followed by bivariate and multiple regression analyses. These older adults reported high levels of QOL. However, associations between needs and health behaviors and QOL varied across dimensions. Activities of daily living (ADL) were associated with all three dimensions. Depression was associated with two dimensions and memory problems with one dimension. Physical activity was linked to social functioning, and health care utilization was linked to emotional well-being. The differences in associations with different dimensions of QOL confirm that this is a multidimensional concept. Since depression, memory problems, and ADL function were all associated with some dimension of QOL, future interventions to improve QOL in older adults should include screening and treatment for these problems.
DOI: 10.1186/1477-7525-7-10
发表时间: 2009-02-06
影响因子: 3.6
作者:
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期刊: MEDICAL CARE
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发表时间: 2003-09-02
影响因子: 3.6
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Moriarty DG;Zack MM;Kobau R
通讯作者: Kobau R
DOI: 10.1097/mlr.0b013e31817f4d48
发表时间: 2008-07-01
期刊: MEDICAL CARE
影响因子: 3
作者:
Andersen, Ronald Max
通讯作者: Andersen, Ronald Max