Khảo sát đánh giá tình trạng sức khỏe người cao tuổi ở 2 cộng đồng tại quận quandu TP côn minh TQ

A Survey on the assessment of multi-health
functional status of the elderly population
in two
communities in Guandu district of
Kunming
Authors：Mei Zhou(1), Zhu Zhou(2), Lin-xiong Wu(1) ,Mei-hua
Guo(1)
 (1) School of Public Health, Kunming Medical University


(2 ) First Affiliated Hospital of Kunming Medical University

The 7th International Conference on Public Health among the Greater
Mekong


Sub-Regional Countries
Hue, Vietnam
September 25-27,2015
1


Our team

2


Background(1/3)
Aging of Population
 Along with the wide spread of the aging in the

world, the longevity problem caused the
concern of
the international community.


3


Background(2/3)

126


80.7

21%
15%

79%
85%

2010

Kunming

2015

The elderly population

Background(3/3)
Health and longevity?

How

OARS(Older
American
Resources
and Services)

Chinese OARS

USA Duke 1975

1990's


Objective
To understand the assessment of multi-health
functional status and their influencing factors of
the community’s elderly population.

Methods
(1) Study design
Cross-sectional survey during September ~ December 2012 in
Yiyuan Health Service Center and Tangshuang Health Service
Center in Guandu District Kunming, China


Methods

(2) Study population
827 residents over 50.


Methods

Key measures
1

3

3

4


Chinese 8item ShortForm Health
Survey, (SF-8)
physical
health status
psychologica
l health status

Chinese
Depressi
on Scale

Activities of
Daily
Living(ADL)

Chinese
Social
adaption
status Scale
perceived control
reward frustration
quality of life social
support
life satisfaction
sense of security

Company Logo


Methods

sex

age

Self-administered
questionnaire

Education levels

9

Marital status

Results
Characteristics of study subjects
Table 1. Demographic variables of the 827 community residents
Variables
Sex
Nationality
Education levels

Marital status
Age
67.74±9.55

313
514
774
53
88
222
239

Proportion
：%：
37.9
62.1
93.60
6.40
10.64
26.84
28.91

189

22.85

89
678
149
172
323
225
107

10.76
81.98
18.01
20.8
39.06
27.2
12.94

Groups
Male
Female
Han
Else
Illiteracy
Primary school
Junior high school degree
High School/technical secondary school

degree
Junior college degree and above
Married
Single
50607080-

N


Results
The score of physical health and mental health
of community residents
Table 2.The Physical and Mental Scores of the 827 Community
Residents
Minimum

Maximum

Mean

SD

Physical Health

30.68

68.98

50.29

9.78

Mental Health

44.34

71.72

53.87

9.24


Results

Influence factors of the Physical Health and the Mental
Health of the Commun1it2y
residents(>50years)
Table 3. Influence Factors of physical health of the Community
residents(>50years)
Influence Factors

B

Std.Error

Wald

P

OR

95%CI

gender

-0.489

0.161

9.177

0.002

0.613

0.447：0.841

age

-0.046

0.008

29.94

0

0.955

0.94：0.971

Table 4. Influence Factors of mental health of the Community
residents(>50years)
Influence Factors

B

Std.Error

Wald

P

OR

95%CI

age

-0.019

0.008

5.252

0.022

0.982

0.966：0.997


Results
the prevalence rate of chronic diseases

78.60 %


1

H
(1
00
%
)

4

d

2


Results
The score of the social adaption status of
community residents
The score of the social adaption status of
community residents : 76.97±8.01
there was 52.35% community residents whose the score of

the social adaption status was lower than the that of the
average lever

14


Results
Influence factors of the social adaption status of the Community
residents(>50years)


sense of security

life satisfaction

social support

perceived control

the social
adaption status

reward frustration

quality of life

The result showed that
Elderly living alone (OR=2.431), the social adaptation status was poor

Results
16

51.60% ：the average level

Physical Health

mental health

social adaption
status


Discussion
Biopsychosocial medical model

multi-health functional status
The elderly population’s health comprehensively

The three aspects are closely related
and influenced each other
.


Conclusions

1

2

3


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