Author:
Su Lin,Yang Wei,Han Jinsong,Wu Yijiao,Xie Qiong,Pan Guowei,Sun Wei,Hong Tao
Abstract
Abstract
Objective
Self-rated health (SRH) has been documented as an important predictor of quality of life among the elderly and its risk factors are vision-specific among elderly males. The aim of this study was to clarify vision-specific risk factors to SRH among elderly females without dementia in Chinese urban areas.
Methods
From March to November 2012, 2147 elderly women in Liaoning Province of China were selected using a stratified sampling method. After cognitive screening, 1956 participants without dementia were finally enrolled. A questionnaire including SRH, visual ability and factors including demographic characteristics, physical conditions, lifestyle factors, social psychological status and social activities were analyzed. Multivariate logistic regression was used to clarify the association of SRH with risk factors, while stepwise multivariate logistic regression was used to examine the vision-specific associations with SRH.
Results
The mean age was 73.6 ± 5.82 (mean ± SD). The percentages of good SRH in good and impaired visual ability groups were 36.2% and 24.4%, respectively. Most characteristics between elderly females with different visual abilities were significantly different. Visual ability had interactions with physical conditions, lifestyle factors and social activities to affect SRH. Among elderly females with good visual ability, depressive symptoms, rather than chronic disease had the strongest association with good SRH followed by marital status, regular diet, going out alone to distant places, taking a walk, smoking and alcohol consumption. In the impaired visual ability group, going out alone to distant places had the strongest association with good SRH followed by chronic disease, filial piety, taking a walk, participating in entertainment, ethnicity, quality of sleep, worrying about falling and alcohol consumption.
Conclusions
Good SRH status was at a low level especially among elderly females with impaired visual ability and the risk factors differed between elderly females with different visual abilities. Social psychological status was crucial for SRH among elderly females with good visual ability whereas physical conditions were prominent for impaired visual ability group.
Funder
National Natural Science Foundation of China
Publisher
Springer Science and Business Media LLC
Reference39 articles.
1. Grinin LE, Korotayev AV. Global population ageing, the sixth Kondratieff wave, and the global financial system. J Global Stud. 2016;7:11–31.
2. Wang LN, Ding LL, Fang XY, Li F, Gan YY, He ZM, et al. Analysis on the consumed medical resources for the elderly: based on the data of Shanghai medical institutions. Chin Health Econ. 2018;37:61–6. (Article in Chinese.).
3. Wu BY, Li JL, Wang YY. Analyzing the elderly people’s needs of community visiting medical service. Chin Health Serv Manag. 2018;35:89–93. (Article in Chinese.).
4. Falconer J, Quesnel-Vallée A. Pathway from poor self-rated health to mortality: explanatory power of disease diagnosis. Soc Sci Med. 2017;190:227–36.
5. Hirosaki M, Okumiya K, Wada T, Ishine M, Sakamoto R, Ishimoto Y, Kasahara Y, Kimura Y, Fukutomi E, Chen WL, et al. Self-rated health is associated with subsequent functional decline among older adults in Japan. Int Psychogeriatr. 2017;29(9):1475–83.