An investigation on multidimensional health status and its influencing factors among the elderly in a community of Beijing
10.3760/cma.j.issn.0254-9026.2024.12.018
- VernacularTitle:北京某社区老年人多维健康影响因素分析
- Author:
Shangxin LIU
1
;
Jiahui YAN
;
Jing SHI
;
Chao GAO
;
Baiyu ZHOU
;
Jiawei LI
;
Xiao TAN
;
Yongquan LIU
;
Jing QI
;
Pulin YU
Author Information
1. 北京医院 国家老年医学中心 中国医学科学院老年医学研究院，北京 100730
- Publication Type:Journal Article
- Keywords:
Geriatric assessment;
Risk factors;
Factor analysis, statistical
- From:
Chinese Journal of Geriatrics
2024;43(12):1623-1629
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the health status of elderly individuals by examining physical, psychological, and social health, as well as analyzing the risk factors that affect these dimensions of health among community-dwelling residents.Methods:Utilizing whole group sampling, a total of 404 elderly individuals from the Meiyuan community, located under the jurisdiction of Malianwa Street in Haidian District, Beijing, were selected for this study.The status of physical health, mental health, social health and overall health in the elderly were evaluated by a self-made questionnaire.The influencing factors of health status in all dimensions were analyzed by Chi-square test and multiple logistic regression.Results:The overall health rate among elderly community-dwelling residents in the study was 21.3%(86 cases), while the rates for physical health, mental health, and social health were 66.8%(270 cases), 86.6%(350 cases), and 24.3%(98 cases), respectively.Marital status( OR=2.872, 95% CI: 1.462-5.641), residential status( OR=4.819, 95% CI: 1.294-17.952), cognitive function( OR=3.833, 95% CI: 1.899-7.734), health literacy( OR=0.455, 95% CI: 0.226-0.916), social participation( OR=1.642, 95% CI: 1.192-2.263), social adaptation( OR=1.716, 95% CI: 1.125-2.618), and social network( OR=1.727, 95% CI: 1.147-2.598)were identified as influencing factors for physical health in the elderly(all P<0.05).Factors affecting mental health included instrumental activities of daily living( OR=3.248, 95% CI: 1.997-5.282)and health risk factors( OR=2.475, 95% CI: 1.315-4.656)(all P<0.05).For social health, the influencing factors were residence status( OR=3.158, 95% CI: 1.280-7.794), sleep status( OR=1.801, 95% CI: 1.101-2.947), instrumental activities of daily living( OR=2.966, 95% CI: 1.374-6.405), and life satisfaction( OR=2.362, 95% CI: 1.140-4.893)(all P<0.05).Additionally, education( OR=0.588, 95% CI: 0.360-0.962)and home care services( OR=2.272, 95% CI: 1.278-4.039)were found to affect the overall health of the elderly(all P<0.05). Conclusions:In this study, the overall health rate among community-dwelling elderly residents is reported to be 21.3%.Health status in this population gradually deteriorates with advancing age.Numerous factors influence the multidimensional health of the elderly, with education level and caregiving status identified as significant determinants of their overall health.
