48. HEALTH-RELATED QUALITY OF LIFE AND FACTORS ASSOCIATED AMONG THE ELDERLY LIVING IN URBAN VIETNAM
Nội dung chính của bài viết
Tóm tắt
Introduction: Population aging is a significant challenge for Vietnam, particularly in urban areas, where the proportion of elderly individuals is increasing. Describing health-related quality of life (HRQoL) and associated factors in the context of this aging process plays a crucial role in shaping future elderly care services and policies. The aim of this study is to measure HRQoL and identify related factors among elderly individuals (aged ≥60) living in urban areas of Vietnam.
Methods: This cross-sectional study was conducted in Ward 16, District 8, one of the most populous wards in Ho Chi Minh City. HRQoL was measured using the EuroQol-5 dimensions-5 levels (EQ-5D-5L) instrument. A convenience sampling technique was employed with a sample frame of 2,447 elderly individuals. A total of 387 elderly individuals were selected from this sample frame between March and April 2021. Inclusion criteria: individuals aged ≥60 years living in Ward 16 at the time of the study and who agreed to participate. Exclusion criteria: elderly individuals with mental health issues, those unable to answer independently, or those with missing information for any of the five domains (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression).
Results: The EQ-5D-5L index of older people had a median of 0.931 (IQR 0.847-1.000); the EQ VAS score had a median of 70 (IQR 60-80). The mean EQ-5D-5L index was 0.884 (SD = 0.18); the mean EQ VAS score was 72.14 (SD = 15.51). The study found a correlation between age group, sex, education, income-generating work, self-rated economic status, and most health issues with HRQoL.
Conclusion: The results of this study serve as a reference for public health programs supporting the elderly population, particularly in urban areas. Furthermore, elderly individuals will have a clearer understanding of their HRQoL and be able to implement appropriate personal solutions to improve their HRQoL.
Chi tiết bài viết
Từ khóa
EQ-5D-5L, elderly, Health-Related Quality of Life
Tài liệu tham khảo
[2] Central Population And Housing Census Steering Committee. Results - the Viet Nam Population and Housing Census of 00:00 hours on 1 April 2019. Ha Noi city; 2020.
[3] Viet Nam National Committee on Ageing. Towards a comprehensive national policy for an ageing Viet Nam. Hanoi, 2019.
[4] United Nations, Department of Economic and Social Affairs, Population Division. World Population Ageing 2019: Highlights.
. (ST/ESA/SER.A/430)2019.
[5] Nguyen LH, Tran BX, Hoang Le QN, al e. Quality of life profile of the general Vietnamese population using EQ-5D-5L. Health and Quality of Life Outcomes. 2017;15(1):199.
[6] Hoi LV, Chuc NTK, Lindholm L. Health-related quality of life, and its determinants, among older people in rural Vietnam. BMC Public Health. 2010;10(1):549.
[7] Dasgupta A, Pan T, Paul B, al e. Quality of life of older adults in a rural area of West Bengal: A community-based study. Medical Journal of Dr DY Patil Vidyapeeth. 2018;11(6):527-31.
[8] Tajvar M, Arab M, Montazeri A. Determinants of health-related quality of life in older people in Tehran, Iran. BMC Public Health. 2008;8(1):323.
[9] Donnapa H, Ratana S. Factors influencing the Quality of Life (Qol) among Thai older people in a rural area of Thailand. Iranian journal of public health. 2015;44(4):479.
[10] Centers for Disease Control and Prevention. Measuring Healthy Days. Atlanta, Georgia: November 2000.
[11] Whoqol Group. The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Social science & medicine. 1995;41(10):1403-9.
[12] McHorney CA. Health status assessment methods for adults: past accomplishments and future challenges. Annual review of public health. 1999;20(1):309-35.
[13] Feng Y-S, Kohlmann T, Janssen MF, Buchholz I. Psychometric properties of the EQ-5D-5L: a systematic review of the literature. Quality of Life Research. 2021;30:647-73.
[14] Pham T, Nguyen NTT, ChieuTo SB, et al. Gender Differences in Quality of Life and Health Services Utilization among Elderly People in Rural Vietnam. International Journal of Environmental Research and Public Health. 2019;16(1):69.
[15] Keebler D, Revill P, Braithwaite S, Phillips A, Blaser N, Borquez A, et al. Cost-effectiveness of different strategies to monitor adults on antiretroviral treatment: a combined analysis of three mathematical models. The Lancet Global Health. 2014;2(1):e35-e43.
[16] Lee Y-K, Nam H-S, Chuang L-H, Kim K-Y, Yang H-K, Kwon I-S, et al. South Korean time trade-off values for EQ-5D health states: modeling with observed values for 101 health states. Value in health. 2009;12(8):1187-93.
[17] Mai VQ, Sun S, Minh HV, et al. An EQ-5D-5L Value Set for Vietnam. Quality of Life Research. 2020;29(7):1923-33.
[18] General Statistics Office of Viet Nam. Completed Results of the 2019 Viet Nam Population and Housing Census. Hanoi: Statistical Publishing House; 2020. 842 p.
[19] The EuroQoL Group. Certified Translation: EQ-5D-5L Vietnamese version for Vietnam. 2013.
[20] General Statistics Office of Viet Nam. Older Persons in Viet Nam: An analysis of the Population Change and Family Planning Survey 2021. Hanoi, 2021.
[21] Ngo CQ, Phan PT, Vu GV, al e. Effects of different comorbidities on health-related quality of life among respiratory patients in Vietnam. Journal of Clinical Medicine. 2019;8(2):214.
[22] Tran BX, Moir MPI, Thai TPT, al e. Socioeconomic Inequalities in Health-Related Quality of Life among Patients with Cardiovascular Diseases in Vietnam. BioMed Research International. 2018;2018:2643814.
[23] Ross CE, Wu C-l. The links between education and health. American Sociological Review. 1995:719-45.
[24] Pham TB, Nguyen TT, Truong HT, al e. Effects of Diabetic Complications on Health-Related Quality of Life Impairment in Vietnamese Patients with Type 2 Diabetes. Journal of Diabetes Research. 2020;2020:4360804.
[25] Bakar N, Aşılar R. Factors affecting depression and quality of life in older people. J Gerontol Geriatr Res. 2015;4(249):2.