Health Care Access and Quality of Life of Community-Dwelling Senior Citizens in Pampanga, Philippines.

IF 2.1 Q3 GERIATRICS & GERONTOLOGY Gerontology and Geriatric Medicine Pub Date : 2024-09-17 eCollection Date: 2024-01-01 DOI:10.1177/23337214241280851

Rogie Royce Carandang, Ann Dreyko Olea, Precious Kaila Legaspi, Yessamin Quimen, Ma Niña Ebrada, Kevin Jace Miranda

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Abstract

This study examined the association between healthcare access and quality of life (QOL) among senior citizens in Pampanga, Philippines. We conducted a cross-sectional study among 410 community-dwelling senior citizens aged 60 and above. Using validated scales, we assessed both healthcare access and QOL. Descriptive statistics were employed to characterize the senior citizens, and multiple linear regression was used to examine the association between healthcare access and QOL. Senior citizens, averaging 69 years old, were predominantly women, single/widowed, and with comorbidities. They reported high healthcare access (mean = 120.13) and moderate QOL (mean = 70.79). Environmental health scored highest in QOL domains, while social relationships scored lowest. Overall healthcare access was positively associated with overall QOL (B [unstandardized beta] = .22, 95% CI [confidence interval] 0.10, 0.33) and its domains. Significant associations with overall QOL were observed for accessibility (B = 1.95, 95% CI 0.98, 2.91) and affordability (B = -1.60, 95% CI -2.46, -0.74). Filipino senior citizens in Pampanga demonstrated high healthcare access and moderate QOL. The study highlights the importance of healthcare access in enhancing senior citizens' QOL, particularly regarding accessibility and affordability. Further research is needed to explore the nuanced relationships between healthcare access subscales and specific QOL domains.

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菲律宾邦板牙省居住在社区的老年人获得医疗保健的机会和生活质量。

本研究探讨了菲律宾邦板牙省老年人获得医疗服务与生活质量（QOL）之间的关系。我们对 410 名 60 岁及以上居住在社区的老年人进行了横断面研究。我们使用经过验证的量表对医疗服务的可及性和生活质量进行了评估。我们使用描述性统计来描述老年人的特征，并使用多元线性回归来研究医疗服务的可及性与 QOL 之间的关系。老年公民平均年龄为 69 岁，主要为女性、单身/丧偶、合并症患者。他们报告的医疗保健可及性较高（平均值 = 120.13），QOL 中等（平均值 = 70.79）。在 QOL 领域中，环境健康得分最高，而社会关系得分最低。总体医疗保健可及性与总体 QOL（B[非标准化贝塔值] = .22，95% CI [置信区间] 0.10，0.33）及其领域呈正相关。可获得性（B = 1.95，95% CI 0.98，2.91）和可负担性（B =-1.60，95% CI -2.46，-0.74）与总体 QOL 有显著相关性。邦板牙省的菲律宾老年人表现出较高的医疗可及性和适度的 QOL。这项研究强调了医疗服务对提高老年人生活质量的重要性，尤其是在可及性和可负担性方面。还需要进一步的研究来探讨医疗保健的可获得性子量表与特定 QOL 领域之间的细微关系。

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来源期刊

Gerontology and Geriatric Medicine Medicine-Geriatrics and Gerontology

CiteScore

2.90

自引率

3.70%

发文量

119

审稿时长

12 weeks

期刊介绍： Gerontology and Geriatric Medicine (GGM) is an interdisciplinary, peer-reviewed open access journal where scholars from a variety of disciplines present their work focusing on the psychological, behavioral, social, and biological aspects of aging, and public health services and research related to aging. The journal addresses a wide variety of topics related to health services research in gerontology and geriatrics. GGM seeks to be one of the world’s premier Open Access outlets for gerontological academic research. As such, GGM does not limit content due to page budgets or thematic significance. Papers will be subjected to rigorous peer review but will be selected solely on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, GGM facilitates the discovery of the connections between papers.