摘要
目的 了解西藏自治区藏族老年人健康效用值及其影响因素。方法 采用多阶段分层整群抽样方法,从西藏自治区7个市(地)抽取1 690名60岁及以上老年人作为研究对象,通过问卷调查藏族老年人的一般状况,并应用欧洲五维健康量表(EQ-5D-3L)测量该人群的生命质量(QOL)状况计算健康效用值,采用多因素Tobit回归分析研究其影响因素。结果 西藏自治区藏族老年人EQ-5D-3L量表视觉模拟评分(visual analogue scale, VAS)为(56.36±21.19)分,健康效用值为0.901±0.145。男性、年龄60~69岁、文化程度为初中及以上、在婚、在业、在过去1年内进行过体检及未患高血压、类风湿性关节炎或其他慢性病者健康效用值、VAS值得分更高。结论 西藏自治区60岁及以上藏族老年人的健康效用值均值高于全国其他地区,而自评VAS平均分低于全国其他地区;其健康效用值及VAS得分受性别、年龄、就业状况、文化程度、居住区域、近1年不同体检状况及患慢性病状况的影响。建议加强对年龄在70岁及以上、女性、未上过学、生活在农牧区、未在业及患有慢性病的藏族老年人的保健及照护,并定期进行健康体检,以便及时发现健康问题,提高西藏自治区藏族老年人的QOL。
Objective To understand the current situation and influencing factors of health state utility value of the Tibetan elderly in Tibet Autonomous Region.Methods The multi-stage stratified cluster sampling method was used to recruit 1690 elderly aged 60 and above from 7 cities of Tibet Autonomous Region as the research subjects.The general status of the elderly was investigated by questionnaire survey,and health utility value of the population was measured and computed by EuroQol Five Dimensions Questionnaire(EQ-5D-3L).The influencing factors were analyzed using Tobit regression model.Results The mean visual analogue scale(VAS)score of EQ-5D-3L and the mean health state utility value were 56.36±21.19 and 0.901±0.145,respectively.Those who were male,aged between 60 to 69 years,received middle school education and above,got married,were employed,had medical examination in the past year,and had no hypertension,rheumatoid arthritis or other chronic diseases had higher health state utility value and VAS score.Conclusion The mean health state utility value of Tibetan elderly aged 60 and above in Tibet Autonomous Region was higher than that of other regions in China,while the average score of self-assessment EQ-VAS was lower than that of other regions in China.The health state utility value was affected by gender,age,employment status,education level,living area,different medical examination status in the past year,and chronic disease status.In the future,the health care of the elderly who are aged 70 years and above,are female,have never been to school,live in rural areas,are unemployed,and have chronic diseases should be strengthened.Regular medical examination should be performed to identify health problems timely so as to improve the quality of life of the elderly.
作者
四郎曲扎
闫玮
杨培荣
庄贵华
SILANG Quzha;YAN Wei;YANG Peirong;ZHUANG Guihua(School of Public Health,Xi’an Jiaotong University Health Science Center,Xi’an 710061;School of Medicine,Tibet University,Lhasa 850000;Baoji Traditional Chinese Medicine Hospital,Baoji 721006;Baoji Center for Disease Control and Prevention,Baoji 721006,China)
出处
《西安交通大学学报（医学版）》
CAS
2024年第4期674-679,共6页
Journal of Xi’an Jiaotong University（Medical Sciences）
基金
西藏第六次国家卫生服务调查项目(No.18080027)。
