How is family health related to health-related quality of life among middle-aged and older adults in rural China? A cross-sectional study

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY International Journal of Older People Nursing Pub Date : 2024-02-20 DOI:10.1111/opn.12605

Jiangyun Chen PhD, Yibo Wu PhD, Lehuan Li, Feiying He PhD, Biqing Zou, Yishan Zhuang, Yusupujiang Tuersun, Jiao Yang, Fangjing Wu, Yifan Kan, Ke Lyu, Yefeng Lu MD, Wai-Kit Ming PhD, Xinying Sun PhD, Dong Wang PhD

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Abstract

Background

Health-related quality of life (HRQOL) is unequal between countries and regions, and the emphasis on HRQOL of populations of low-income countries and regions is unprecedented.

Objectives

To examine the association between family health and HRQOL among middle-aged and older adults in rural China, and determine whether this association differs by age, gender and chronic disease subgroup.

Methods

Cross-sectional survey carried out from July to September 2021. The participants were 1059 people aged 46 and over living in rural China. We used the European Quality of Life Five Dimension Five Level (EQ-5D-5L) and Family Health Scale-Short Form (FHS-SF) to assess health-related quality of life (HRQOL) and family health, respectively.

Results

The mean EQ-VAS was 75.66, the mean EQ index score was 0.92, and the mean FHS was 37.90 in rural middle-aged and older adults. After Bonferroni correction, generalised linear regression models showed that FHS was significantly associated with the EQ-VAS (β = 0.829; 95% confidence interval [CI]: 0.660 to 0.997; p < .001) and the EQ index score (β = 0.003; 95%CI: 0.001 to 0.004; p < .001). Binary logistic regression models showed that FHS was associated with three dimensions of HRQOL (mobility, self-care and usual activities) (p < .01). Based on subgroup analyses, the effect of FHS on EQ-VAS and the EQ index score was significant in three subgroups after Bonferroni correction (p < .01), but the association between FHS and the dimensions of HRQOL differed by age, gender and chronic disease group (p > .01).

Conclusions

This study is the first to explore that family health and its dimensions are significant positive predictors of HRQOL among middle-aged and older adults in rural China. Family-based measures may have more potential and value because better family health significantly improves HRQOL.

Implications for practice

In the health strategy, the government and primary health care workers should include family health as an indicator and assess it before and after the implementation of the strategy.

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家庭健康与中国农村中老年人的健康相关生活质量有何关系？一项横断面研究。

背景：与健康相关的生活质量（HRQOL）在不同国家和地区之间是不平等的，对低收入国家和地区人口的HRQOL的重视程度也是前所未有的：研究中国农村中老年人家庭健康与 HRQOL 之间的关系，并确定这种关系是否因年龄、性别和慢性病亚群而有所不同：方法：2021 年 7 月至 9 月进行的横断面调查。调查对象为 1059 名 46 岁及以上的中国农村居民。我们采用欧洲生活质量五维五级（EQ-5D-5L）和家庭健康量表-简表（FHS-SF）分别评估健康相关生活质量（HRQOL）和家庭健康状况：农村中老年人的 EQ-VAS 平均值为 75.66，EQ 指数平均值为 0.92，FHS 平均值为 37.90。经 Bonferroni 校正后，广义线性回归模型显示，FHS 与 EQ-VAS 显著相关（β = 0.829；95% 置信区间 [CI]：0.660 至 0.997；P .01）：本研究首次发现家庭健康及其维度对中国农村中老年人的 HRQOL 有显著的正向预测作用。基于家庭的措施可能更有潜力和价值，因为更好的家庭健康能显著改善 HRQOL：在健康战略中，政府和基层医疗工作者应将家庭健康作为一项指标，并在战略实施前后对其进行评估。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.