老龄化,多病症和生活质量:使用印度纵向老龄化研究的调解分析
1Department of Survey Research and Data Analytics, International Institute for Population Sciences (IIPS), Mumbai, India.
Frontiers in public health
|May 12, 2025
概括
多发病症显著恶化了印度老龄化人口的生活质量 (QoL),由社会经济和人口因素介导. 综合老年护理和慢性疾病管理对于改善老年人生活质量至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 印度的老龄化人口面临着健康预期寿命的明显下降.
- 生活质量 (QoL) 低下与多病症有关,即同时存在多种慢性疾病.
- 多种疾病被确定为影响老年人体质量的主要危险因素.
研究的目的:
- 评估多病症在社会经济和人口因素与生活质量之间的关系中的调解作用.
- 分析各种因素如何影响老年印第安人的生活质量.
- 为印度老龄化人口提供有针对性的健康干预措施提供证据.
主要方法:
- 利用了来自印度长度衰老研究 (LASI) 的45岁以上的73,396名个体的数据.
- 定义多病症是两个或两个以上的慢性疾病.
- 采用结构方程建模 (SEM) 来分析QoL的调解效应,由六个领域的21个因素构建.
主要成果:
- 多发病率显著预测了较低的 QoL (β = -2.39,p < 0.001).
- 年龄和性别直接和间接地通过多病症对QoL产生负面影响.
- 城市居住对QoL产生了积极的直接影响 (β = 0.9,p < 0.001).
结论:
- 多发病症是社会经济/人口因素与印度老年人的生活质量之间的关键调解者.
- 综合老年医疗保健服务和慢性疾病早期查至关重要.
- 负担得起的慢性疾病管理策略对于提高老年人生活质量至关重要.
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