Associations of self-neglect with quality of life in older people in rural China: a cross-sectional study

生活质量(医疗保健) 忽视 横断面研究 老年学 多级模型 社会支持 萧条(经济学) 中国 公共卫生 生活满意度 心理学 医学 日常生活活动 精神科 宏观经济学 机器学习 病理 护理部 经济 法学 心理治疗师 计算机科学 政治学
作者
Yuanyuan Zhao,Caiyun Hu,Fang Feng,Feng‐Feng Gong,Shanshan Lu,Zhenzhong Qian,Yehuan Sun
出处
期刊:International Psychogeriatrics [Cambridge University Press]
卷期号:29 (6): 1015-1026 被引量:34
标识
DOI:10.1017/s1041610217000229
摘要

Elder self-neglect (ESN) has become a public health issue globally. Limited studies have focused on ESN, as well as the relationship between ESN and quality of life (QoL) in developing countries. The study's objective is to explore the association between ESN and QoL among rural elderly in China.A cross-sectional study was conducted among 3,182 elder adults aged 60 years or older, using a cluster-sampling technique in one township in Dangtu, a county in Anhui province. All participants completed face-to-face interview in their household. QoL was assessed using a brief form of the World Health Organization's quality of life questionnaire (WHOQOL-BREF), and ESN was assessed using the Scale of the Elderly Self-neglect (SESN). Hierarchical linear regression models were used to analyze the associations between the ESN scores and QoL scores after adjusting for sociodemographic, social support, and physical and psychological variables.The scores of overall ESN and five domains were significantly correlated with the scores of four QoL domains (p < 0.001). After adjusting for sociodemographic characteristics, social support, and physical and psychological health characteristics, elders who reported higher overall self-neglect scores had significantly lower scores in the four QoL domains (p < 0.001). Education, economic level, physical health, ADL, depression, and cognitive function are consistent predictors across all QoL domains.ESN is an independent risk factor for poor QoL in elderly people in rural China. Understanding the role of ESN and its influence on QoL is important for the management of and intervention in ESN.
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