Exploratory analysis of health-related quality of life among the empty-nest elderly in rural China: An empirical study in three economically developed cities in eastern China

Abstract

BackgroundAlong with rapid economic development, the aging process in China is gradually accelerating. The living conditions of empty-nest rural elderly are worrisome. As a more vulnerable group, empty-nest elderly are facing more urgent health problems. This study explores the health-related quality of life (HRQOL) of empty-nest elderly in rural China and aims to arouse more social concern for their HRQOL.MethodsResearch subjects were empty-nest rural elderly from three cities: Nanjing, Suzhou, and Wenzhou (ages ≥ 60, n = 967). This study used the five-dimensional European quality of health scale (EQ-5D) and the 12-item Short Form Health Survey (SF-12) to measure the HRQOL of the respondents. Spearman correlation coefficient, stereotype logistic regression, ordered probit regression and multinomial logistic regression, and Structural equation model (SEM) methods are employed to study the relationship.Results(1) The Spearman correlation coefficient shows that the correlations of similar domains between the SF-12 and the EQ-5D scales are relatively strong. (2) Men’s scores are higher than that of women’s in general health (GH) and anxiety/depression (AD) models. (3) The scores of physical component summary (PCS), physical functioning (PF), mental health (MH), and usual activities (UA) decline with age. (4) Apart from PCS, vitality (VT), and role-emotional (RE) as dependent variables, the education passes all the significance tests. The higher the education is, the higher the scores of physical or psychological health are. (5) The scores of PCS and bodily pain (BP) of empty-nest elderly are divorced or higher in other marital status. (6) In SEM analysis, the effect of basic information of empty-nest elderly on SF-12 scale is more significant.Conclusions First, the frequency histograms of EQ-5D show that the scores of empty-nest elderly in rural China are generally low. Second, in all SF-12 items, the HRQOL is low. Third, men’s scores are higher than that of women’s. The elderly with higher education reported higher scores than those with lower education. Fourth, the effect of socio-demographic variables of the rural Chinese empty-nest elderly on SF-12 scores is more significant, whereas the effect on EQ-5D scores is less significant.

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Arranjos Familiares: Modos de Conviver com o Adoecimento em Famílias de Feirantes

“…Quando os filhos se retiram da casa dos seus pais caracteriza-se o fenômeno do ninho vazio, pois o lar passa a abrigar apenas a família conjugal, cenário que pode representar um risco de sobrecarga e esgotamento do cuidador 17 .…”

Implementing Assisted Peritoneal Dialysis in Renal Care: a Chinese-German Perspective

“…This occurrence is closely related to economic prosperity and one-child policy. With the accelerated process of urbanization and the flow of rural surplus labor to big cities, some farmers have established their careers in big cities and become urban dwellers, while their parents are left behind in rural homes [31,32]. And the one-child policy makes many families' structured as 4-2-1 as the first generation of only children has reached their marrying age.…”

“…And the one-child policy makes many families' structured as 4-2-1 as the first generation of only children has reached their marrying age. A young married couple has to take care of two sets of parents without help from siblings [31]. For such PD empty-nest elderly, implement assPD by trained home-care nurses seem is an attractive option.…”