Analysis of the Current Status and Influencing Factors of Life Satisfaction among Middle-Aged and Elderly Patients with Chronic Diseases

Bibliographic Details
Title: Analysis of the Current Status and Influencing Factors of Life Satisfaction among Middle-Aged and Elderly Patients with Chronic Diseases
Authors: ZHU Guochen, CHEN Zhuoming
Source: 康复学报, Vol 35, Pp 75-82 (2025)
Publisher Information: Editorial Office of Rehabilitation Medicine, 2025.
Publication Year: 2025
Collection: LCC:Medicine
Subject Terms: chronic diseases, life satisfaction, middle aged and elderly, CHARLS, influencing factor, Medicine
More Details: ObjectiveThis study used the 2020 China health and retirement longitudinal study (CHARLS) data to explore the current status and influencing factors of life satisfaction among middle-aged and elderly patients with chronic diseases aged 45 and above in China, in order to provide scientific basis for health management and reveal potential paths to improve their life satisfaction.MethodsThe latest 2020 wave 5 national survey data released by CHARLS was used, and 13 487 middle-aged and elderly patients with chronic diseases over 45 years old were selected as the research subjects. Chronic disease data were collected using the question with the original questionnaire code da007; gender, age, education level, place of residence, living with a partner, number of chronic diseases, child satisfaction, number of social activities, smoking, alcohol consumption, pension insurance, medical insurance, basic activities of daily living (BADL), instrumental activities of daily living (IADL), nighttime sleep duration, and midday sleep duration were included as demographic variables. The life satisfaction of middle-aged and elderly patients with chronic diseases was collected using the original questionnaire code dc026.ResultsA total of 13 487 patients with chronic diseases were included. There were significant differences in life satisfaction among middle-aged and elderly patients with chronic diseases in the following aspects: gender, age, education level, place of residence, whether living with partners, number of chronic diseases, child satisfaction, alcohol consumption, whether having pension insurance, whether having medical insurance, BADL impairment, IADL impairment, nighttime sleep duration and midday sleep duration (PP>0.05). Middle aged and elderly patients with chronic diseases suffered from a wide range of chronic diseases, with a probability over 50% for hypertension, stomach or other digestive system diseases. There were 3 914 middle-aged and elderly patients with one chronic disease, 3 445 patients with two chronic diseases, 2 468 patients with three chronic diseases, and 3 660 patients with four or more chronic diseases. A total of 1 232 patients were dissatisfied with their lives, and 12 255 patients were satisfied. The results of binary logistic regression analysis showed that age range of 55-64 years (95%CI=0.49-0.77), 65-74 years (95%CI=0.37-0.59), 75-84 years (95%CI=0.28-0.46), and 85 years and above (95%CI=0.19-0.41), with a nighttime sleep duration of 6-8 hours (95%CI=0.72-0.95) and ≥8 h (95%CI=0.62-0.88), and a midday sleep duration of 1-2 hours (95%CI=0.65-0.86) and ≥2 h (95%CI=0.56-0.86) were protective factors for life satisfaction among middle-aged and elderly patients with chronic diseases (PCI=0.65-0.89), not living with a partner (95%CI=1.39-1.81), having four or more chronic diseases (95%CI=1.17-1.64), being dissatisfied with children (95%CI=3.27-4.66), not having medical insurance (95%CI=1.22-2.04), impaired BADL (95%CI=1.20-1.62), and impaired IADL (95%CI=1.26-1.70) were risk factors for life satisfaction among middle-aged and elderly patients with chronic diseases (P
Document Type: article
File Description: electronic resource
Language: English
Chinese
ISSN: 2096-0328
Relation: http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2025.01010; https://doaj.org/toc/2096-0328
DOI: 10.3724/SP.J.1329.2025.01010
Access URL: https://doaj.org/article/02d34da3659c42f391f60c7e3cedfbd7
Accession Number: edsdoj.02d34da3659c42f391f60c7e3cedfbd7
Database: Directory of Open Access Journals
More Details
ISSN:20960328
DOI:10.3724/SP.J.1329.2025.01010
Published in:康复学报
Language:English
Chinese