Analysis of the influencing factors of health-related quality of life in community-dwelling elderly with mild cognitive impairment from the perspective of health ecology
10.3760/cma.j.cn371468-20241128-00570
- VernacularTitle:健康生态学模型下社区轻度认知障碍老年人健康相关生命质量的影响因素
- Author:
Jiayi LIN
1
;
Yanbo ZHU
;
Jiameng JIA
;
Yuhao LUO
;
Jiaju REN
;
Jianni CONG
;
Yueheng LOU
;
Liqun LONG
;
Rui CAO
;
Pu GE
Author Information
1. 北京中医药大学管理学院，北京 102488
- Publication Type:Journal Article
- Keywords:
Mild cognitive impairment;
Health ecology model;
Health-related quality of life;
Health utility value;
Elderly
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2025;34(3):245-251
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the current situation of health-related quality of life (HRQOL) and its influencing factors among community-dwelling elderly with mild cognitive impairment (MCI) based on the health ecology model (HEM).Methods:From December 2023 to September 2024, a cross-sectional survey was conducted among 997 community-dwelling elderly in Beijing, Shandong, Chongqing and other regions. The EuroQol five-dimensional questionnaire 5 level (EQ-5D-5L), the Montreal cognitive assessment (MoCA), and the Pittsburgh sleep quality index (PSQI) were used to assess the subjects.Descriptive analysis, Mann-Whitney U test, Kruskal-Wallis test, and Tobit regression analysis were performed using Stata 18.0 software. Results:A total of 324 valid samples were finally obtained, and the health utility value of MCI elderly was 0.842(0.815, 0.951). Tobit regression analysis showed that ≥80 years old( β=-0.121, 95% CI=-0.193--0.050) in individual traits level, don't exercise( β=-0.196, 95% CI=-0.255--0.137) and poor quality of sleep ( β=-0.064, 95% CI=-0.116--0.013) in behavior characteristics level, and poor subjective economic status( β=-0.153, 95% CI=-0.261--0.045) in living and working conditions level were risk factors for the health utility value of the elderly with MCI. Drinking( β=0.096, 95% CI=0.022-0.171) in behavior characteristics level and participating in social activities( β=0.126, 95% CI=0.062-0.190) in interpersonal network level were protective factors for the health utility value of the elderly with MCI. Conclusions:The HRQOL of the community-dwelling elderly with MCI in China is low, and its influencing factors are multi-level. HEM should be combined to strengthen the intervention and management of the elderly with MCI from personal constitution to policy environment to improve their HRQOL.
