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A cross-sectional survey on the health status and the health-related quality of life of the elderly after flood disaster in Bazhong city, Sichuan, China.

Wu J, Xiao J, Li T, Li X, Sun H, Chow EP, Lu Y, Tian T, Li X, Wang Q, Zhuang X, Zhang L - BMC Public Health (2015)

Bottom Line: The two-week healthcare-seeking rate among post-flood Bazhong elderly was significantly higher than the references rate among rural elderly in Sichuan province (59.3% versus 55.7%, χ2 = 5.134, p = 0.013), but Bazhong elderly demonstrated a significantly lower prevalence of chronic disease (33.2% versus 44.4%, χ2 = 48.847, p < 0.001).All dimension scores among Bazhong elderly were significantly lower than the references scores in rural Sichuan elderly.Post-flood management targeting elderly need to be sensitive to their age, gender, married status and status of chronic diseases.

View Article: PubMed Central - PubMed

Affiliation: Nantong Tumor Hospital Affiliated of Nantong University, Jiangsu, China. wujun@ntu.edu.cn.

ABSTRACT

Background: Flood is common in China and causes extensive loss of property and human lives. Elderly is a vulnerable population prone to the detrimental impacts of floods. This survey aims to investigate the health status and the HRQoL of the elderly in Bazhong city after a major flood in 2011.

Methods: A total of 1183 elderly (aged > 60) were surveyed through random sampling from eight villages in Bazhong city. Two-week healthcare-seeking rate and chronic diseases prevalence were recorded anonymously. Health-related quality of life (HRQoL) was measured by the Medical Outcomes Study Short Form-36 (MOS SF-36). Multivariate regression analysis was conducted to determine the associated factors of poor HRQoL.

Results: The two-week healthcare-seeking rate among post-flood Bazhong elderly was significantly higher than the references rate among rural elderly in Sichuan province (59.3% versus 55.7%, χ2 = 5.134, p = 0.013), but Bazhong elderly demonstrated a significantly lower prevalence of chronic disease (33.2% versus 44.4%, χ2 = 48.847, p < 0.001). All dimension scores among Bazhong elderly were significantly lower than the references scores in rural Sichuan elderly. The determinants of poor physical health included older age, singlehood, poor sleep patterns, and chronic diseases and so on.

Conclusions: A marked decline in health status among elderly in Bazhong after the 2011 flood. Post-flood management targeting elderly need to be sensitive to their age, gender, married status and status of chronic diseases.

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Comparison of HRQoL scores (M, IQR) measured by SF-36 both male and female of elderly after flood disaster between Bazhong and Sichuan. (PF-Physical Functioning; RP-Role Limitations Due to Physical Health Problems; GH-General Health Perceptions; BP-Bodily Pain; VT-Vitality; SF-Social Functioning; RE-Role Limitations Due to Emotional Problems; MH-Mental Health.
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Fig1: Comparison of HRQoL scores (M, IQR) measured by SF-36 both male and female of elderly after flood disaster between Bazhong and Sichuan. (PF-Physical Functioning; RP-Role Limitations Due to Physical Health Problems; GH-General Health Perceptions; BP-Bodily Pain; VT-Vitality; SF-Social Functioning; RE-Role Limitations Due to Emotional Problems; MH-Mental Health.

Mentions: The overall median HRQoL score was 64.5 (IQR: 53.3-74.2), whereas the respective summary scores for the overall physical health (PCS) and mental health (MCS) were 64.2 (51.2-75.3) and 64.9 (53.1-77.1). The score of bodily pain was the highest (78.8 [61.3-93.8]), followed by role limitations due to emotional problems (76.7 [43.3-100.0]) and social functioning (76.3 [58.8-92.5]). The median score of physical functioning, role limitations due to physical health problems, mental health and vitality scores were 62.5 (48.5-79.0), 62.5 (35.0-87.5), 62.0 (48.0-78.0) and 59.0 (47.0-73.0), respectively. The general health perceptions has the lowest score (57.0 [46.5-67.5]). Notably, all dimension scores among Bazhong elderly were significantly lower than the rural elderly in Sichuan (Figure 1). Multivariate regression analysis showed that poor physical conditions was associated with older age, singlehood, poor sleep patterns, chronic diseases, being hospitalized in the past year and living alone (Table 2). In addition to these factors, being female and being sick in the past two weeks also significantly associated with poor mental health. Correlations between physical and mental health were significantly in both genders (Spearman, Male: r = 0.612, p < 0.001; female: r = 0.600, p < 0.001, respectively; Figure 2).Figure 1


A cross-sectional survey on the health status and the health-related quality of life of the elderly after flood disaster in Bazhong city, Sichuan, China.

Wu J, Xiao J, Li T, Li X, Sun H, Chow EP, Lu Y, Tian T, Li X, Wang Q, Zhuang X, Zhang L - BMC Public Health (2015)

Comparison of HRQoL scores (M, IQR) measured by SF-36 both male and female of elderly after flood disaster between Bazhong and Sichuan. (PF-Physical Functioning; RP-Role Limitations Due to Physical Health Problems; GH-General Health Perceptions; BP-Bodily Pain; VT-Vitality; SF-Social Functioning; RE-Role Limitations Due to Emotional Problems; MH-Mental Health.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4359459&req=5

Fig1: Comparison of HRQoL scores (M, IQR) measured by SF-36 both male and female of elderly after flood disaster between Bazhong and Sichuan. (PF-Physical Functioning; RP-Role Limitations Due to Physical Health Problems; GH-General Health Perceptions; BP-Bodily Pain; VT-Vitality; SF-Social Functioning; RE-Role Limitations Due to Emotional Problems; MH-Mental Health.
Mentions: The overall median HRQoL score was 64.5 (IQR: 53.3-74.2), whereas the respective summary scores for the overall physical health (PCS) and mental health (MCS) were 64.2 (51.2-75.3) and 64.9 (53.1-77.1). The score of bodily pain was the highest (78.8 [61.3-93.8]), followed by role limitations due to emotional problems (76.7 [43.3-100.0]) and social functioning (76.3 [58.8-92.5]). The median score of physical functioning, role limitations due to physical health problems, mental health and vitality scores were 62.5 (48.5-79.0), 62.5 (35.0-87.5), 62.0 (48.0-78.0) and 59.0 (47.0-73.0), respectively. The general health perceptions has the lowest score (57.0 [46.5-67.5]). Notably, all dimension scores among Bazhong elderly were significantly lower than the rural elderly in Sichuan (Figure 1). Multivariate regression analysis showed that poor physical conditions was associated with older age, singlehood, poor sleep patterns, chronic diseases, being hospitalized in the past year and living alone (Table 2). In addition to these factors, being female and being sick in the past two weeks also significantly associated with poor mental health. Correlations between physical and mental health were significantly in both genders (Spearman, Male: r = 0.612, p < 0.001; female: r = 0.600, p < 0.001, respectively; Figure 2).Figure 1

Bottom Line: The two-week healthcare-seeking rate among post-flood Bazhong elderly was significantly higher than the references rate among rural elderly in Sichuan province (59.3% versus 55.7%, χ2 = 5.134, p = 0.013), but Bazhong elderly demonstrated a significantly lower prevalence of chronic disease (33.2% versus 44.4%, χ2 = 48.847, p < 0.001).All dimension scores among Bazhong elderly were significantly lower than the references scores in rural Sichuan elderly.Post-flood management targeting elderly need to be sensitive to their age, gender, married status and status of chronic diseases.

View Article: PubMed Central - PubMed

Affiliation: Nantong Tumor Hospital Affiliated of Nantong University, Jiangsu, China. wujun@ntu.edu.cn.

ABSTRACT

Background: Flood is common in China and causes extensive loss of property and human lives. Elderly is a vulnerable population prone to the detrimental impacts of floods. This survey aims to investigate the health status and the HRQoL of the elderly in Bazhong city after a major flood in 2011.

Methods: A total of 1183 elderly (aged > 60) were surveyed through random sampling from eight villages in Bazhong city. Two-week healthcare-seeking rate and chronic diseases prevalence were recorded anonymously. Health-related quality of life (HRQoL) was measured by the Medical Outcomes Study Short Form-36 (MOS SF-36). Multivariate regression analysis was conducted to determine the associated factors of poor HRQoL.

Results: The two-week healthcare-seeking rate among post-flood Bazhong elderly was significantly higher than the references rate among rural elderly in Sichuan province (59.3% versus 55.7%, χ2 = 5.134, p = 0.013), but Bazhong elderly demonstrated a significantly lower prevalence of chronic disease (33.2% versus 44.4%, χ2 = 48.847, p < 0.001). All dimension scores among Bazhong elderly were significantly lower than the references scores in rural Sichuan elderly. The determinants of poor physical health included older age, singlehood, poor sleep patterns, and chronic diseases and so on.

Conclusions: A marked decline in health status among elderly in Bazhong after the 2011 flood. Post-flood management targeting elderly need to be sensitive to their age, gender, married status and status of chronic diseases.

Show MeSH
Related in: MedlinePlus