Unmet long-term care needs and their association with health-related quality of life among Chinese oldest-old population.

IF 3.2 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Jiajun Qiao, Yiwei Qiao, Jialong Tan, Nuo Chen, Nan Peng, Zongfu Mao, Yali Zhao, Chen Chen, Yao Yao
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引用次数: 0

Abstract

Background: Entering the age of 80 or 100, individuals' functional decline and the need for assistance in daily activities increase dramatically, resulting in an inevitable increase in unmet long-term care (LTC) needs. Understanding unmet LTC needs in late life and their association with quality of life is essential for effective health planning and resource allocation. We aim to estimate the prevalence of unmet needs for LTC and the association of unmet needs for LTC and Health-related Quality of life (HRQOL), among the Chinese oldest-old population.

Methods: Data were drawn from the 2017 China Hainan Centenarian Cohort Study. All centenarians and a representative sample of individuals aged between 80 and 99 years old in Hainan province, China were included. Self-perceived unmet LTC needs were reported by the respondents. EQ-5D score was calculated from EQ-5D-3L questionnaire to measure HRQOL in this study. We conducted Tobit regression and the Ordered Probit Model to examine the cross-sectional associations between unmet needs for LTC and HRQOL.

Results: 1,444 respondents (mean age 95.75 years [SD 9.13]) were included. The prevalence of unmet LTC needs was 32.69%, and it was higher in rural residents and people with economic deprivation. The results showed that oldest-old individuals with unmet needs for LTC reported lower QALY scores (β=-0.04, p < 0.01). In addition, Unmet LTC needs were significantly correlated with poorer outcomes in mobility (β = 0.18, p < 0.05), self-care (β = 0.19, p < 0.05), pain or discomfort (β = 0.27, p < 0.01), and anxiety or depression (β = 0.09, p < 0.01).

Conclusions: The prevalence of unmet LTC needs was higher in China than its counterpart in high-income countries, especially among those with socio-economic deprivation. Individuals with unmet LTC needs experience lower quality-adjusted life years (QALYs) and higher levels of disabilities across multiple dimensions of health, including mobility, usual activities, self-care, pain/discomfort and depression/anxiety. These findings underscore the importance of addressing unmet LTC needs to improve the overall health outcomes and quality of life for the oldest-old population.

中国老年人口未满足的长期护理需求及其与健康相关生活质量的关系
背景:进入80岁或100岁,个体的功能衰退和日常活动的辅助需求急剧增加,导致未满足的长期护理(LTC)需求不可避免地增加。了解晚年未满足的LTC需求及其与生活质量的关系对于有效的健康规划和资源分配至关重要。我们的目的是估计未满足的LTC需求的患病率,以及未满足的LTC需求与健康相关生活质量(HRQOL)之间的关系。方法:数据来自2017年中国海南百岁老人队列研究。包括中国海南省所有百岁老人和年龄在80至99岁之间的具有代表性的个体样本。被调查者报告了自我感知的未满足的LTC需求。通过EQ-5D- 3l问卷计算EQ-5D评分来衡量本研究的HRQOL。我们使用Tobit回归和有序概率模型来检验未满足的LTC需求和HRQOL之间的横断面关联。结果:共纳入1444名调查对象,平均年龄95.75岁[SD 9.13]。未满足LTC需求的患病率为32.69%,其中农村居民和经济贫困人群的比例更高。结果显示,未满足LTC需求的老年人报告的QALY得分较低(β=-0.04, p)。结论:未满足LTC需求的患病率在中国高于高收入国家,特别是在社会经济剥夺的人群中。LTC需求未得到满足的个体质量调整生命年(QALYs)较低,在健康的多个维度(包括行动能力、日常活动、自我保健、疼痛/不适和抑郁/焦虑)中残疾程度较高。这些发现强调了解决未满足的LTC需求对于改善老年人口的总体健康结果和生活质量的重要性。
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来源期刊
CiteScore
7.30
自引率
2.80%
发文量
154
审稿时长
3-8 weeks
期刊介绍: Health and Quality of Life Outcomes is an open access, peer-reviewed, journal offering high quality articles, rapid publication and wide diffusion in the public domain. Health and Quality of Life Outcomes considers original manuscripts on the Health-Related Quality of Life (HRQOL) assessment for evaluation of medical and psychosocial interventions. It also considers approaches and studies on psychometric properties of HRQOL and patient reported outcome measures, including cultural validation of instruments if they provide information about the impact of interventions. The journal publishes study protocols and reviews summarising the present state of knowledge concerning a particular aspect of HRQOL and patient reported outcome measures. Reviews should generally follow systematic review methodology. Comments on articles and letters to the editor are welcome.
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