Cargando…
Trends and Disparities in Quality of Life Among Older Adults From 1998 to 2018 in China: A National Observational Study
OBJECTIVE: To investigate 20-year trends and disparities in quality of life among older adults in China from 1998 to 2018. METHODS: Our study was based on eight representative nationwide health surveys among older adults conducted in China from 1998 to 2018. Quality of life data were obtained from 9...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8832120/ https://www.ncbi.nlm.nih.gov/pubmed/35155473 http://dx.doi.org/10.3389/fmed.2021.796208 |
_version_ | 1784648658871910400 |
---|---|
author | Liu, Jue Wang, Jun |
author_facet | Liu, Jue Wang, Jun |
author_sort | Liu, Jue |
collection | PubMed |
description | OBJECTIVE: To investigate 20-year trends and disparities in quality of life among older adults in China from 1998 to 2018. METHODS: Our study was based on eight representative nationwide health surveys among older adults conducted in China from 1998 to 2018. Quality of life data were obtained from 91,993 individuals aged 65 years or above. All surveys included identical indicators of self-reported quality of life, demographic factors, socioeconomic status, lifestyle habits, and health status. The trends in the standardized prevalence of poor quality of life from 1998 to 2018 were examined by locally weighted scatterplot smoothing regression (LOWESS) analysis. We assessed the prevalence of poor quality of life and its related factors by logistic regression models after adjusting for potential confounders. RESULTS: The prevalence of poor quality of life was 38.2% (95% CI: 37.9–38.5%). The trends of poor quality of life showed an inverted “U” shape, that the prevalence increased from 27.8% in 1998 to 43.6% in 2008, and then decreased from 39.2% in 2011 to 32.1% in 2018. Disparities in the prevalence of poor quality of life were exacerbating among participants with low or moderate household income per capita and participants with high household income per capita from 1998 to 2018. After controlling potential confounders, living in rural areas, aged below 80 years, unmarried, living alone, low household income, current smoker, poor dietary diversity, never participating in organized social activities, with chronic diseases, functional disability, poor self-reported health, and unhealthy psychological status were risk factors related with poor quality of life in the multivariate model (all p < 0.05). CONCLUSION: During the past two decades, poor quality of life in Chinese older adults showed an inverted “U” trend from 1998 to 2018 that the prevalence of poor quality of life peaked in 2008 and declined since China's deepening health system reform in 2009. However, disparities in the poor quality of life were exacerbating among participants with different socioeconomic statuses. Strengthening the health system is of great importance in improving the quality of life. More efforts are needed to reduce the disparities in the quality of life among the population at the different socioeconomic levels. |
format | Online Article Text |
id | pubmed-8832120 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-88321202022-02-12 Trends and Disparities in Quality of Life Among Older Adults From 1998 to 2018 in China: A National Observational Study Liu, Jue Wang, Jun Front Med (Lausanne) Medicine OBJECTIVE: To investigate 20-year trends and disparities in quality of life among older adults in China from 1998 to 2018. METHODS: Our study was based on eight representative nationwide health surveys among older adults conducted in China from 1998 to 2018. Quality of life data were obtained from 91,993 individuals aged 65 years or above. All surveys included identical indicators of self-reported quality of life, demographic factors, socioeconomic status, lifestyle habits, and health status. The trends in the standardized prevalence of poor quality of life from 1998 to 2018 were examined by locally weighted scatterplot smoothing regression (LOWESS) analysis. We assessed the prevalence of poor quality of life and its related factors by logistic regression models after adjusting for potential confounders. RESULTS: The prevalence of poor quality of life was 38.2% (95% CI: 37.9–38.5%). The trends of poor quality of life showed an inverted “U” shape, that the prevalence increased from 27.8% in 1998 to 43.6% in 2008, and then decreased from 39.2% in 2011 to 32.1% in 2018. Disparities in the prevalence of poor quality of life were exacerbating among participants with low or moderate household income per capita and participants with high household income per capita from 1998 to 2018. After controlling potential confounders, living in rural areas, aged below 80 years, unmarried, living alone, low household income, current smoker, poor dietary diversity, never participating in organized social activities, with chronic diseases, functional disability, poor self-reported health, and unhealthy psychological status were risk factors related with poor quality of life in the multivariate model (all p < 0.05). CONCLUSION: During the past two decades, poor quality of life in Chinese older adults showed an inverted “U” trend from 1998 to 2018 that the prevalence of poor quality of life peaked in 2008 and declined since China's deepening health system reform in 2009. However, disparities in the poor quality of life were exacerbating among participants with different socioeconomic statuses. Strengthening the health system is of great importance in improving the quality of life. More efforts are needed to reduce the disparities in the quality of life among the population at the different socioeconomic levels. Frontiers Media S.A. 2022-01-28 /pmc/articles/PMC8832120/ /pubmed/35155473 http://dx.doi.org/10.3389/fmed.2021.796208 Text en Copyright © 2022 Liu and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Medicine Liu, Jue Wang, Jun Trends and Disparities in Quality of Life Among Older Adults From 1998 to 2018 in China: A National Observational Study |
title | Trends and Disparities in Quality of Life Among Older Adults From 1998 to 2018 in China: A National Observational Study |
title_full | Trends and Disparities in Quality of Life Among Older Adults From 1998 to 2018 in China: A National Observational Study |
title_fullStr | Trends and Disparities in Quality of Life Among Older Adults From 1998 to 2018 in China: A National Observational Study |
title_full_unstemmed | Trends and Disparities in Quality of Life Among Older Adults From 1998 to 2018 in China: A National Observational Study |
title_short | Trends and Disparities in Quality of Life Among Older Adults From 1998 to 2018 in China: A National Observational Study |
title_sort | trends and disparities in quality of life among older adults from 1998 to 2018 in china: a national observational study |
topic | Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8832120/ https://www.ncbi.nlm.nih.gov/pubmed/35155473 http://dx.doi.org/10.3389/fmed.2021.796208 |
work_keys_str_mv | AT liujue trendsanddisparitiesinqualityoflifeamongolderadultsfrom1998to2018inchinaanationalobservationalstudy AT wangjun trendsanddisparitiesinqualityoflifeamongolderadultsfrom1998to2018inchinaanationalobservationalstudy |