1.The Mediating Effect of Activities of Daily Living between Multiple Chronic Conditions and Quality of Life among the Elderly in Xinjiang
Wenxing WANG ; Jiaojian WU ; Xiangnan WEI
Chinese Journal of Health Statistics 2025;42(3):387-392
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.
2.The Mediating Effect of Activities of Daily Living between Multiple Chronic Conditions and Quality of Life among the Elderly in Xinjiang
Wenxing WANG ; Jiaojian WU ; Xiangnan WEI
Chinese Journal of Health Statistics 2025;42(3):387-392
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.
3.A Study on the Influence Factors of the Quality of Life of Elderly People Under the Community Home Care Model in Xinjiang
Wenxing WANG ; Xiangnan WEI ; Jiaojian WU
Chinese Journal of Health Statistics 2024;41(6):834-839
Objective To understand the quality of life of elderly people elderly and its influence factors under the community-based care model in Xinjiang.Methods A stratified cluster random sampling method was used to select 1910 elderly people who enjoy community home-based elderly care services from four prefectures in Xinjiang,the SF-36 scale was used for investigation,and single factor and multiple linear regression analysis were used to study the main influence factors and related relationships of the quality of life of the elderly.Results The QOL score of quality of life is 67.93±21.04,the PCS score is 66.26±22.67,and the MCS score is 69.60±21.15 for elderly people living in Xinjiang communities.Education level,living in elderly care institutions,pension insurance,and stable economic sources are positive factors for the quality of life score(P<0.05).Age,comorbidity of chronic diseases,and other factors are risk factors for quality of life scores(P<0.05).Conclusion It is relatively good for the quality of life of elderly people living in Xinjiang communities,that is influenced by multiple factors and linearly correlated.The higher the education level,the higher the score,and the higher the score living in elderly care institutions.The older the age,the lower the score,and the lower the score for two or more chronic disease comorbidities.It is necessary for the government,community and family to work together,and they should focus on the elderly population with lower age and multiple chronic diseases,further popularizing and optimizing community home-based elderly care services,and providing better protection for the health of the elderly.
4.A Study on the Influence Factors of the Quality of Life of Elderly People Under the Community Home Care Model in Xinjiang
Wenxing WANG ; Xiangnan WEI ; Jiaojian WU
Chinese Journal of Health Statistics 2024;41(6):834-839
Objective To understand the quality of life of elderly people elderly and its influence factors under the community-based care model in Xinjiang.Methods A stratified cluster random sampling method was used to select 1910 elderly people who enjoy community home-based elderly care services from four prefectures in Xinjiang,the SF-36 scale was used for investigation,and single factor and multiple linear regression analysis were used to study the main influence factors and related relationships of the quality of life of the elderly.Results The QOL score of quality of life is 67.93±21.04,the PCS score is 66.26±22.67,and the MCS score is 69.60±21.15 for elderly people living in Xinjiang communities.Education level,living in elderly care institutions,pension insurance,and stable economic sources are positive factors for the quality of life score(P<0.05).Age,comorbidity of chronic diseases,and other factors are risk factors for quality of life scores(P<0.05).Conclusion It is relatively good for the quality of life of elderly people living in Xinjiang communities,that is influenced by multiple factors and linearly correlated.The higher the education level,the higher the score,and the higher the score living in elderly care institutions.The older the age,the lower the score,and the lower the score for two or more chronic disease comorbidities.It is necessary for the government,community and family to work together,and they should focus on the elderly population with lower age and multiple chronic diseases,further popularizing and optimizing community home-based elderly care services,and providing better protection for the health of the elderly.

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