The Mediating Effect of Activities of Daily Living between Multiple Chronic Conditions and Quality of Life among the Elderly in Xinjiang
10.11783/j.issn.1002-3674.2025.03.013
- VernacularTitle:新疆老年人日常生活活动能力在慢性病共病和生命质量间的中介效应
- Author:
Wenxing WANG
1
;
Jiaojian WU
;
Xiangnan WEI
Author Information
1. 新疆医科大学公共卫生学院(830000)
- Publication Type:Journal Article
- Keywords:
Quality of life;
Multiple Chronic Conditions;
Activities of daily living;
Mediating effect
- From:
Chinese Journal of Health Statistics
2025;42(3):387-392
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the current situation and influencing factors of the quality of life(QOL)of elderly people in Xinjiang,explore the relationship between the quality of life of elderly people,chronic disease comorbidities,and daily living activities,and provide new ideas and reference research for improving the quality of life of elderly people.Methods Stratified cluster random sampling was used,and 2610 permanent elderly population in Urumqi,Aksu,Karamay and Changji of Xinjiang Uygur Autonomous Region were selected in 2023 for questionnaire survey.Results The quality of life score of the elderly was(68.38±20.76),and the comorbidity rate of chronic diseases was 53.1%.Multiple chronic conditions(MCC)had a significant predictive effect on QOL score(β=-4.3497,P<0.001),and activities of daily living(ADL)grading had a significant predictive effect on QOL score(β=0.5534,P<0.001).MCC can affect QOL score through the mediating effect of ADL directly or indirectly.The direct effect(-6.2894)and indirect effect(-1.7820)account for 70.18%and 29.82%of the total effect,respectively.There is a certain mediating effect of ADL between QOL and MCC status in elderly people.Conclusion Chronic comorbidities are significantly negatively correlated with QOL and ADL scores for the elderly.The more chronic diseases,the lower the QOL score and ADL score in the elderly,and the more severe the impairment of daily living ability.
