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Health-related quality of life and related factors among elderly persons under different aged care models in Guangzhou, China: a cross-sectional study.
Qual Life Res 2019; 28(5):1293-1303QL

Abstract

PURPOSE

To analyze health-related quality of life (HRQoL) and related factors among elderly persons receiving community-based home care and institutional care in Guangzhou, a large city of mainland China.

METHODS

A representative sample of 1600 subjects aged 60 years and over residing in communities and nursing homes was randomly selected through stratified sampling. The 12-item Short Form Health Survey version 2 (SF-12v2) was used to assess HRQoL.

RESULTS

In total, 1014 elderly persons under different aged care models responded to the survey (response rate 63.4%) and 1000 were eligible for data analyses. Compared with the elderly receiving community-based home care or private institutional care, those in public institutional care had the lowest scores on the physical component summary (PCS, 36.89 ± 10.44) and the mental component summary (MCS, 47.16 ± 11.14). Number of chronic diseases, loneliness, and age were the most common significant factors (P < 0.05) affecting PCS and MCS. The interaction term between aged care model and number of chronic diseases significantly affected PCS (β = - 0.165, P < 0.05), indicating a stronger association between these factors for participants receiving community-based home care than institutional care. The interaction term between aged care model and loneliness had a significant effect on MCS (β = 0.189, P < 0.05), indicating a weaker association between loneliness and MCS for participants receiving community-based home care.

CONCLUSIONS

This study found poor HRQoL among the elderly in Guangzhou. The main factors associated with the physical and mental HRQoL of elderly persons included number of chronic diseases, loneliness, age, and education level. It also revealed the moderating effects of aged care model on HRQoL, suggesting specific health management strategies for elderly in community-based home care and institutional care, respectively.

Authors+Show Affiliations

School of Health Services Management, Southern Medical University, 1023 Shatai Road, Guangzhou, 510515, China.School of Health Services Management, Southern Medical University, 1023 Shatai Road, Guangzhou, 510515, China. dongw96@smu.edu.cn.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30649697

Citation

Su, Shu-Wen, and Dong Wang. "Health-related Quality of Life and Related Factors Among Elderly Persons Under Different Aged Care Models in Guangzhou, China: a Cross-sectional Study." Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, vol. 28, no. 5, 2019, pp. 1293-1303.
Su SW, Wang D. Health-related quality of life and related factors among elderly persons under different aged care models in Guangzhou, China: a cross-sectional study. Qual Life Res. 2019;28(5):1293-1303.
Su, S. W., & Wang, D. (2019). Health-related quality of life and related factors among elderly persons under different aged care models in Guangzhou, China: a cross-sectional study. Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 28(5), pp. 1293-1303. doi:10.1007/s11136-019-02107-x.
Su SW, Wang D. Health-related Quality of Life and Related Factors Among Elderly Persons Under Different Aged Care Models in Guangzhou, China: a Cross-sectional Study. Qual Life Res. 2019;28(5):1293-1303. PubMed PMID: 30649697.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health-related quality of life and related factors among elderly persons under different aged care models in Guangzhou, China: a cross-sectional study. AU - Su,Shu-Wen, AU - Wang,Dong, Y1 - 2019/01/16/ PY - 2019/01/10/accepted PY - 2019/1/17/pubmed PY - 2019/6/6/medline PY - 2019/1/17/entrez KW - Aged care KW - China KW - Community-based home care KW - Elderly persons KW - HRQoL KW - Institutional care SP - 1293 EP - 1303 JF - Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation JO - Qual Life Res VL - 28 IS - 5 N2 - PURPOSE: To analyze health-related quality of life (HRQoL) and related factors among elderly persons receiving community-based home care and institutional care in Guangzhou, a large city of mainland China. METHODS: A representative sample of 1600 subjects aged 60 years and over residing in communities and nursing homes was randomly selected through stratified sampling. The 12-item Short Form Health Survey version 2 (SF-12v2) was used to assess HRQoL. RESULTS: In total, 1014 elderly persons under different aged care models responded to the survey (response rate 63.4%) and 1000 were eligible for data analyses. Compared with the elderly receiving community-based home care or private institutional care, those in public institutional care had the lowest scores on the physical component summary (PCS, 36.89 ± 10.44) and the mental component summary (MCS, 47.16 ± 11.14). Number of chronic diseases, loneliness, and age were the most common significant factors (P < 0.05) affecting PCS and MCS. The interaction term between aged care model and number of chronic diseases significantly affected PCS (β = - 0.165, P < 0.05), indicating a stronger association between these factors for participants receiving community-based home care than institutional care. The interaction term between aged care model and loneliness had a significant effect on MCS (β = 0.189, P < 0.05), indicating a weaker association between loneliness and MCS for participants receiving community-based home care. CONCLUSIONS: This study found poor HRQoL among the elderly in Guangzhou. The main factors associated with the physical and mental HRQoL of elderly persons included number of chronic diseases, loneliness, age, and education level. It also revealed the moderating effects of aged care model on HRQoL, suggesting specific health management strategies for elderly in community-based home care and institutional care, respectively. SN - 1573-2649 UR - https://www.unboundmedicine.com/medline/citation/30649697/Health_related_quality_of_life_and_related_factors_among_elderly_persons_under_different_aged_care_models_in_Guangzhou_China:_a_cross_sectional_study_ L2 - https://doi.org/10.1007/s11136-019-02107-x DB - PRIME DP - Unbound Medicine ER -