An investigation on multidimensional health status and its influencing factors among the elderly in a community of Beijing
Objective To evaluate the health status of elderly individuals by examining physical,psychological,and social health,as well as analyzing the risk factors that affect these dimensions of health among community-dwelling residents.Methods Utilizing whole group sampling,a total of 404 elderly individuals from the Meiyuan community,located under the jurisdiction of Malianwa Street in Haidian District,Beijing,were selected for this study.The status of physical health,mental health,social health and overall health in the elderly were evaluated by a self-made questionnaire.The influencing factors of health status in all dimensions were analyzed by Chi-square test and multiple logistic regression.Results The overall health rate among elderly community-dwelling residents in the study was 21.3％(86 cases),while the rates for physical health,mental health,and social health were 66.8％(270 cases),86.6％(350 cases),and 24.3％(98 cases),respectively.Marital status(OR=2.872,95％CI:1.462-5.641),residential status(OR=4.819,95％CI:1.294-17.952),cognitive function(OR=3.833,95％CI:1.899-7.734),health literacy(OR=0.455,95％CI:0.226-0.916),social participation(OR=1.642,95％CI:1.192-2.263),social adaptation(OR=1.716,95％CI:1.125-2.618),and social network(OR=1.727,95％CI:1.147-2.598)were identified as influencing factors for physical health in the elderly(all P＜0.05).Factors affecting mental health included instrumental activities of daily living(OR=3.248,95％CI:1.997-5.282)and health risk factors(OR=2.475,95％CI:1.315-4.656)(all P＜0.05).For social health,the influencing factors were residence status(OR=3.158,95％CI:1.280-7.794),sleep status(OR=1.801,95％CI:1.101-2.947),instrumental activities of daily living(OR=2.966,95％CI:1.374-6.405),and life satisfaction(OR=2.362,95％CI:1.140-4.893)(all P＜0.05).Additionally,education(OR=0.588,95％CI:0.360-0.962)and home care services(OR=2.272,95％CI:1.278-4.039)were found to affect the overall health of the elderly(all P＜0.05).Conclusions In this study,the overall health rate among community-dwelling elderly residents is reported to be 21.3％.Health status in this population gradually deteriorates with advancing age.Numerous factors influence the multidimensional health of the elderly,with education level and caregiving status identified as significant determinants of their overall health.
万方数据
维普
