Health-related Quality Of Life And Its Influencing Factors Among Residents Over 65 Years Old In Henan Province

ObjectiveTo understand the health status and health-related quality of life of residents aged 65 and over in Henan Province,and to analyze the factors that affect their health-related quality of life.The aim of this study is to improve the health-related quality of life of the elderly,and to provide reference and basis for the development of health policy.MethodsThis study was conducted by the residents aged 65 and over in Henan Province,which was selected from the residents of Henan Province in the survey of health service survey in 2013,Which was used the multi-stage stratified cluster random sampling method.We used the family health inquiry questionnaire to inquire about the residents.The baseline data,health status and health-related quality of life of residents aged 65 and over were analyzed.The comparison between the ratio and the constituent ratio was performed using the chi square test,and the median was compared by rank sum test;Logistic regression models were used to analyze the factors affecting the health related quality of life(EQ-5D)of the elderly in five dimensions;multiple linear regression analysis was used to analyze the factors influencing the VAS score(visual analogue scale)of elderly residents,the nonparametric method CLAD estimation(intercePtion minimum absolute disPersion)in the Tobit model was used to analyze the factors that influence the health effect of the elderly.Results1.In the baseline data,elderly residents aged 65 to 75 years oldaccount for the largest proportion(68.35%),the highest proportion of educational level in urban areas was the degree of primary school education(34.02%),the highest proportion of educational level in rural areas was the degree of illiterate or semi-illiterate(41.46%).2.The prevalence rate of chronic diseases was 55.05%,and the prevalence rate of hypertension was 37.97%.The prevalence of hypertension in urban areas(44.8%)was higher than that in rural areas(29.97%)(χ2=78.426,P<0.001),The prevalence of hypertension in women(42.18%)was higher than that of men(31.69%),(χ2=25.877,P<0.001);the prevalence of diabetes was 9.75%,the prevalence of diabetes in urban areas(14.72%)was higher than that in rural areas(4.75%),(χ2=82.088,P<0.001),the prevalence of female diabetes mellitus(11.72%)was higher than that of male(7.75%),(χ2=15.108,P<0.001).The difference in the number of chronic diseases between urban and rural areas has a statistical significance(χ2=81.604,P<0.001),the difference in the number of chronic diseases between male and femalewas also statistically significant(χ2=24.247,P<0.001).The top eight chronic diseases among elderly resifentswere: circulatory diseases,endocrine nutrition and metabolic diseases,musculoskeletal and connective tissue diseases,digestive diseases,respiratory diseases,genitourinary diseases,neurological diseases,eye and appendage disease;The top ten chronic diseases of the elderly residents were hypertension,diabetes,ischemic heart disease,cerebrovascular disease,other types of heart disease,sports disease,intervertebral disc disease,acute and chronic gastroenteritis and chronic obstructive pulmonary disease.3.In the five dimensions of health related quality of life scale(EQ-5D),the dimensionof self-care was the highest level of non response to the problem,which was 87.90%,followed by anxiety/dePression,which was 87.60%;the dimension of body pain or discomfort has the highest proportion of problems,which was 32.40%,followed by the dimension of body function-action,the proportion of the problem was 22.30%.In the VAS score,in addition to medical insurance(P=0.900),the difference between the variables are statistically significant,in the health index,in addition to urban and rural distribution(P=0.072),whether the health examination(P =0.096),whether there was medical insurance(P=0.900),the differences between the remaining variables were statistically significant.4.The results of Logistic regression showed that the common factors affected the health-related quality of life EQ-5D five dimensions(action,self-care,engaged in normal activities,pain or discomfort,anxiety or dePression)were age,whether the low-income households,the number of chronic diseases and the number of physical exercise Per week;the results of Tobit regression showed that the factors affected the health effect valuewere age,education,the number of physical exercise per week,whether there was chronic disease,the number of chronic diseases and employment status.The results ofmultiple linear regression showed that the factors that affected the VAS score of the residents were whether the low-income households,whether there was a healthy file,education level,BMI,the number of physical exerciseper week,whether there was chronic disease,the number of chronic diseases.Conclusions1.The self perceived health status of elderly residents in urban areas is higher than that in rural areas,the self perceived health status of marital elderly residents is higher than elderly who are not married,the educational level is positively related to the health status of elderly residents.2.The prevalence of chronic diseases are higher in women than in men,and higher in cities than in rural areas.Suffering from chronic disease and the number of chronic diseases is an important factor affecting the health-related quality of life of elderly residents.3.Moderate drinking,strengthen physical exercise,weight control,establish and improve the residents’ health records and the prevention and treatment of chronic diseases can improve the elderly health related quality of life.