THE RELATIONSHIP BETWEEN AGE DISCRIMINATION AND QUALITY OF LIFE OF DEPENDENT COMMUNITY DWELLING OLDER PERSONS
THE RELATIONSHIP BETWEEN AGE DISCRIMINATION AND QUALITY OF LIFE OF DEPENDENT COMMUNITY DWELLING OLDER PERSONS
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DOI：
10.1093/geroni/igac059.2761
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发表时间：
2022-12-20
影响因子：
7
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本研究的目的是探讨年龄歧视所遭受的依赖老年人及其对他们的生活质量的影响，使用一个大型的代表性队列研究。依赖性被定义为日常生活活动有困难，包括基本（ADL）和工具性（IADL）。为了识别感知到的年龄歧视，我们使用了英国老龄化纵向研究（艾尔莎）在2010-2011年（第5波）收集的数据，询问受访者是否因为年龄而受到歧视。使用CASP-19量表测量生活质量。我们使用随后的2012-2013年（第6波）和2018-2019年（第9波）随访进行了横断面和纵向分析。多变量逻辑回归分析被用来估计经历感知年龄歧视的优势比。结果显示，四分之一（22%）的受访者经历过年龄歧视。那些遭受依赖和年龄歧视的人的生活质量得分独立显著较低。年龄歧视的感知与男性、白色、身心健康状况差、受过高等教育、财富较低有关。纵向上，男性（优势比-OR-：1.5），受过高等教育（OR：1.3），心理健康状况差（OR：1.7）。然而，在随后的几波中，受扶养老年人的生活质量变化在统计上并不显著。了解年龄歧视对制定未来干预政策很重要。目前的结果加强了以前记录的群体在年龄歧视的风险，以保护他们的想法，但也复杂的全景生物心理社会决定因素参与解决它。
The objective of this study is to examine the age discrimination suffered by dependent older adults and its effects on their quality of life, using a large representative cohort study. Dependency is defined as having difficulties with activities of daily living, both basic (ADL) and instrumental (IADL). To identify perceived ageism, we used data collected by the English Longitudinal Study of Ageing (ELSA) in 2010–2011 (wave 5) that asked respondents about being discriminated because of their age. Quality of life was measured using the CASP-19 scale. We performed both cross-sectional and longitudinal analyses using the subsequent 2012–2013 (wave 6) and 2018–2019 (wave 9) follow-ups. Multivariable logistic regression analysis was used to estimate the odds ratios of experiencing perceived age discrimination. The results show that a quarter (22%) of all respondents experienced age discrimination. Those suffering from dependency and age discrimination had independently significant lower quality of life scores. Perceived age discrimination was cross-sectionally associated with being male, white, in poor physical and mental health, highly educated, with lower wealth. Longitudinally, with being male (odds ratio -OR-: 1.5), highly educated (OR: 1.3), and poor mental health (OR: 1.7). However, quality of life change was not statistically significant among dependent older persons in subsequent waves. Understanding ageism is important to create policies for future interventions. The present results reinforce the idea of previously documented groups at risk of age discrimination in order to protect them, but also the complex panorama of bio-psychosocial determinants involved in tackling it.