Exploring the effect of the structural model of active aging on the self-assessment of quality of life among older people: A cross-sectional and analytical study.
Nayara Gomes Nunes Oliveira, Alisson Fernandes Bolina, Vanderlei José Haas, Darlene Mara Dos Santos Tavares
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引用次数: 0
Abstract
Background: Although studies have examined the relationship between variables associated with active aging and quality of life (QoL), no studies have been identified to have investigated the effect of a structural model of active aging on QoL in a representative sample of older people in the community.
Objective: To measure the domains and facets of QoL in older people and identify the effect of the structural model of active aging on the self-assessment of QoL.
Design and setting: This cross-sectional analytical study included 957 older people living in urban areas. Data were collected from households using validated instruments between March and June 2018. Descriptive, confirmatory factor, and structural equation modeling analyses were performed.
Results: Most older people self-rated their QoL as good (58.7%), and the highest mean scores were for the social relationships domain (70.12 ± 15.4) and the death and dying facet (75.43 ± 26.7). In contrast, the lowest mean scores were for the physical domains (64.41 ± 17.1) and social participation (67.20 ± 16.2) facets. It was found that active aging explained 50% of the variation in self-assessed QoL and directly and positively affected this outcome (λ = 0.70; P < 0.001).
Conclusion: Active aging had a direct and positive effect on the self-assessment of QoL, indicating that the more individuals actively aged, the better the self-assessment of QoL.
背景：虽然已有研究探讨了与活跃老龄化相关的变量与生活质量（QoL）之间的关系，但尚未发现有研究调查了活跃老龄化结构模式对社区中具有代表性的老年人生活质量的影响：测量老年人的 QoL 领域和方面，并确定积极老龄化结构模式对 QoL 自我评估的影响：这项横断面分析研究包括 957 名居住在城市地区的老年人。2018年3月至6月期间，使用经过验证的工具从家庭收集数据。研究进行了描述性分析、确证因子分析和结构方程模型分析：大多数老年人自评其 QoL 为良好（58.7%），平均得分最高的是社会关系领域（70.12 ± 15.4）和死亡与临终方面（75.43 ± 26.7）。相反，平均得分最低的是身体领域（64.41 ± 17.1）和社会参与（67.20 ± 16.2）方面。研究发现，积极老龄化解释了自我评估 QoL 变异的 50%，并对这一结果产生了直接和积极的影响（λ = 0.70; P < 0.001）：积极老龄化对自我评估的 QoL 有直接和积极的影响，表明越是积极老龄化的人，自我评估的 QoL 越好。
期刊介绍：
Published bimonthly by the Associação Paulista de Medicina, the journal accepts articles in the fields of clinical health science (internal medicine, gynecology and obstetrics, mental health, surgery, pediatrics and public health). Articles will be accepted in the form of original articles (clinical trials, cohort, case-control, prevalence, incidence, accuracy and cost-effectiveness studies and systematic reviews with or without meta-analysis), narrative reviews of the literature, case reports, short communications and letters to the editor. Papers with a commercial objective will not be accepted.
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