| Objective:To understand the activities of daily life and health status of the elderly aged 60 and above in Hami City(Izhou District,Balikun Kazakh Autonomous County,Yiwu County),calculate the healthy life expectancy of the elderly in Hami City,and analyze the influencing factors of activities of daily life and healthy life expectancy,so as to provide certain basis for evaluating the effect of medical intervention in health decision-making and the quality of health plan in Hami City.Methods:Survey samples were taken from Izhou District,Balikun Kazakh Autonomous County,Yiwu County by multi-stage sampling method.The Hami City Residents Health Questionnaire was used to investigate the surveyed elderly,the healthy life expectancy was calculated by combining the population data and death data of 60-year-old people from Hami City(Izhou district and two counties).Results:1)A total of 996 elderly people were surveyed in Hami City(Izhou district and two counties).Among them,530 were male(53.21%)and 466 were female(46.79%).The average age was 69.69±6.21 years.2)The activities of daily life dependence rate(ADL dependence rate)of elderly people aged 60 and over in Hami city(Izhou district and two counties)is 17.57%,the ADL dependency rate of male is 13.40%,and the female ADL dependence rate is 22.32%.The difference of ADL dependence rate between the different genders was statistically significant(χ~2=13.627,P<0.001),and the ADL dependence rate increased with age.3)Logistic regression analysis showed that the degree of education,regular health checkups and physical exercise were the protective factors of ADL dependence(P<0.05),age,marital status,degree of depression,hypertension,heart failure and Joint disease was a risk factor for ADL dependence(P<0.05).4)The life expectancy of the elderly in the 60-64-year-old group in Hami City is 25.58 years old,the life expectancy of the male in the60-64-year-old group is 24.58 years old,and the life expectancy of the female60-64-year-old group is 26.62 years old.The self-cared healthy life expectancy of the elderly in the group from 60 to 64 years old in hami city is 19.24 years,among which the self-cared healthy life expectancy of male is 20.23 years,and the self-cared healthy life expectancy of female is 17.91 years.The self-rated healthy life expectancy of the elderly in the group from 60 to 64 years old in hami city is 18.82 years,among which the self-rated healthy life expectancy of male is 19.92 years,and the self-rated healthy life expectancy of female is 17.15 years.The self-care healthy life expectancy and self-rated healthy life expectancy of female aged 60 and above were lower than those of male in all age groups,and the loss rate of life expectancy was higher than that of male.5)The results of multiple linear regression analysis of healthy life expectancy showed seniority,female,smoking,and chronic disease are negatively correlated with self-cared healthy expectancy and self-rated health expectancy;the high degree of education,the vegetable oil for cooking and the light taste are positively correlated with the self-cared healthy life expectancy and the self-rated healthy life expectancy.Conclusion:More attention should be paid to ADL often occurred in the loss of high-risk groups,to encourage the elderly to participate in physical exercise and more community activities or outdoor activities,to enhance their health,a regular medical check and encourage the elderly,health problems and early prevention and treatment of diseases.In terms of health problems of the elderly,elderly,female,smoking and the elderly with chronic diseases should be the focus of attention. |
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