Article(id=1322609049200349506, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1322609030938346427, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202503130, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1741190400000, receivedDateStr=2025-03-06, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793264170217, onlineDateStr=2026-10-29, pubDate=1764000000000, pubDateStr=2025-11-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793264170217, onlineIssueDateStr=2026-10-29, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793264170217, creator=13701087609, updateTime=1793264170217, updator=13701087609, issue=Issue{id=1322609030938346427, tenantId=1146029695717560320, journalId=1227665162245664772, year='2025', volume='52', issue='22', pageStart='4033', pageEnd='4224', issueExtLink='null', onlineDate='null', pubDate='1764000000000', pubDateStr='2025-11-25', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793264165863, creator='13701087609', updateTime=1793264299902, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322609593264489401, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1322609030938346427, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322609593264489402, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1322609030938346427, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=4097, endPage=4104, ext={EN=ArticleExt(id=1322609049401676099, articleId=1322609049200349506, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Research on the transition of the quality of life status of the elderly in communities and its influencing factors based on the multi-stage Markov Models, columnId=1228016572892119056, journalTitle=Modern Preventive Medicine, columnName=Primary Health Services, runingTitle=null, highlight=null, articleAbstract=
Objective Toanalyze the dynamic evolution laws of the quality of life status of the elderly in communities and its influencing factors, so as to provide a reference basis for improving the quality of life of the elderly.
Methods Using the data of the Ma’anshan Healthy Aging Cohort, 2 495 community residents aged ≥ 60 years old in Ma’anshan City were selected. Taking the clustering status of the scores of the World Health Organization Quality of Life-BREF（WHOQOL-BREF）as the main outcome indicator, a multi-state Markov（MSM）model was used to analyze the conversion patterns of the three quality of life statuses, namely low, medium, and high.
Results For individuals with moderate quality of life, the estimated probabilities of deteriorating to low quality of life, remaining at moderate quality of life, and improving to high quality of life were 0.220, 0.648, and 0.132 respectively in the 1-year observation, and evolved to 0.405, 0.448, and 0.148 respectively within the 5-year observation. The results of the multivariable MSM model analysis revealed the key factors influencing the dynamic transition of the quality of life of the elderly. Age is a negative predictor of the improvement of quality of life. Compared with the 60-69-year-old group, the probability of transition from low quality of life to moderate quality of life in the 70-79-year-old group（HR=0.638, 95% CI:0.484-0.841）and the group aged 80 and above（HR=0.404, 95% CI:0.255-0.641）decreased successively. Conversely, a higher level of education was a significant promoting factor. Compared with the illiterate group, those with primary school/junior high school education（HR=1.467, 95% CI: 1.089-1.975）and those with senior high school/junior college or above education（HR=1.909, 95% CI:1.282-2.844）were more likely to achieve an improvement in quality of life. In addition, having multiple chronic diseases（≥3 types）had a dual negative impact on the quality of life. It reduced the possibility of improving the quality of life（for example, from moderate to high quality of life, HR=0.638, 95% CI:0.417-0.877）and also increased the risk of deteriorating the quality of life（for example, from high to moderate quality of life, HR=1.512, 95% CI:1.156-2.625）. Factors such as marital status, smoking, living alone, and physical exercise also had a significant impact on the transition of the quality of life status.
Conclusion This study uses a multi-state model to reveal the dynamic evolution law of the quality of life of the elderly. The high-quality-of-life state is unstable, but the low-quality-of-life state is reversible. Prospective intervention strategies should be formulated for high-risk groups to delay the decline process of their quality of life.
, authors=Yuan XU
1, Yu-ting LIANG
2, Qin WANG
2, Fen HUANG
1, Jie LI
2, Qi-rong QIN
1, 3, 4, authorsList=Yuan XU, Yu-ting LIANG, Qin WANG, Fen HUANG, Jie LI, Qi-rong QIN, authorCompany=null, correspAuthors=Qi-rong QIN, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322609050412503371, articleId=1322609049200349506, tenantId=1146029695717560320, journalId=1227665162245664772, language=CN, title=基于多态Markov模型的社区老年人生活质量状态转变及其影响因素研究, columnId=1228016573533847611, journalTitle=现代预防医学, columnName=基层卫生服务, runingTitle=null, highlight=null, articleAbstract=
目的 分析社区老年人生活质量状态的动态演变规律及其影响因素，为改善老年人生活质量提供参考依据。
方法 利用马鞍山健康老龄化队列数据，选取马鞍山市≥60岁2 495名社区居民。以世界卫生组织生活质量测定简表（WHOQOL-BREF）评分聚类状态为主要结局指标，采用多状态马尔可夫（MSM）模型分析低、中、高3种生活质量状态的转换规律。
结果 对于中等生活质量的个体，观察到恶化为低生活质量、保持为中等生活质量和改善到高生活质量的估计概率在1年观察中分别为0.220、0.648和 0.132，并在5年观察内分别演变为 0.405、0.448和0.148。多变量MSM模型分析结果揭示了影响老年人生活质量动态转变的关键因素。其中年龄是生活质量改善的负向预测因子,与60～69岁组相比，70～79岁（HR=0.638, 95% CI “0.484～0.841”）和80岁及以上组（HR=0.404, 95% CI “0.255～0.641”）从低生活质量向中等生活质量转变的可能性依次降低。相反，较高的文化程度是显著的促进因素，与文盲组相比，小学/初中（HR=1.467, 95% CI “1.089～1.975”）及高中/大专以上学历者（HR=1.909, 95% CI “1.282～2.844”）更有可能实现生活质量的改善。此外，患有多种慢性病（≥3种）对生活质量具有双重负面影响,它既降低了生活质量改善的可能性（如从中等到高生活质量，HR=0.638,95% CI “0.417～0.877”），也增加了生活质量恶化的风险（如从高到中生活质量，HR=1.512,95% CI “1.156～2.625”）。婚姻状况、吸烟、独居和体育锻炼等因素亦对生活质量状态转变有显著影响。
结论 本研究采用多状态模型揭示了老年生活质量的动态演变规律。高生活质量状态不稳定，但低生活质量可逆转。应针对高危人群制定前瞻性干预策略，以延缓其生活质量的衰退进程。
, authors=许愿
1, 梁雨婷
2, 王勤
2, 黄芬
1, 李杰
2, 秦其荣
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许愿（2001—），男，硕士在读，研究方向：老年人健康管理
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本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点，除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=RecONllK4QPxHNcqbA8ChA==, magXml=DK3MTeFc8schU9ryjre9Sw==, pdfUrl=null, pdf=6q3Swe9uKqOvVrApLYA3WA==, pdfFileSize=1009744, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=JJSRq38oSBdLbFVjBpa3zQ==, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=LQZOw4/jYE1jYt7lK7XXKw==, mapNumber=null, fund=null)}, authors=[Author(id=1322609050970345815, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322609051050037593, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, authorId=1322609050970345815, language=EN, stringName=Yuan XU, firstName=Yuan, middleName=null, lastName=XU, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=
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1.安徽医科大学公共卫生学院流行病学与卫生统计学系，安徽 合肥 230032
3.马鞍山市疾病预防控制中心，慢性非传染病疾病防控科
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32 (5): 332-336, 342.（In Chinese）, articleTitle=A correlation study between physical activity and disability in Chinese elderly, refAbstract=null)], funds=[Fund(id=1322609057924501904, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, awardId=KJ2021A0231, language=CN, fundingSource=中国安徽省自然科学基金重点项目(KJ2021A0231), fundOrder=null, country=null), Fund(id=1322609057983222161, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, awardId=2024GWXTYRZ001, language=CN, fundingSource=安徽医科大学公共卫生学院高峰学科项目(2024GWXTYRZ001), fundOrder=null, country=null)], companyList=[AuthorCompany(id=1322609050630607180, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, xref=1., ext=[AuthorCompanyExt(id=1322609050638995789, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, companyId=1322609050630607180, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei,Anhui 230032, China), AuthorCompanyExt(id=1322609050651578702, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, companyId=1322609050630607180, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
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The distribution status of the baseline quality of life of the elderly in communities, figureFileSmall=BnQ5yrSJxO4aiW1KpgDzaA==, figureFileBig=JJSRq38oSBdLbFVjBpa3zQ==, tableContent=null), ArticleFig(id=1322609055206592898, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, language=CN, label=图1, caption=
社区老年人基线生活质量状态分布状况, figureFileSmall=BnQ5yrSJxO4aiW1KpgDzaA==, figureFileBig=JJSRq38oSBdLbFVjBpa3zQ==, tableContent=null), ArticleFig(id=1322609055391142275, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, language=EN, label=Fig.2, caption=
Probability graphs of predicted conversion of the quality of life status of the elderly in communities with in the intervals of 1 year, 3 years, 5 years and 10 years, figureFileSmall=+D0S45OsFEkSfhE4yiX/Iw==, figureFileBig=XZpBlY/q8ZzsQoNdfUOV+A==, tableContent=null), ArticleFig(id=1322609055470834052, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, language=CN, label=图2, caption=
社区老年人1 年、 3 年、 5 年和 10 年区间的生活质量状态预测转换概率图, figureFileSmall=+D0S45OsFEkSfhE4yiX/Iw==, figureFileBig=XZpBlY/q8ZzsQoNdfUOV+A==, tableContent=null), ArticleFig(id=1322609055567303045, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, language=EN, label=Table 1, caption=
Comparison of baseline characteristics of the elderly with different quality of life statuses
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量[（n, %）] | 总人群 | 生活质量状态（n=2 495） | P |
|---|
低生活质量
（n=695） | 中等生活质量
（n=1 122） | 高生活质量
（n=678） |
|---|
| 年龄 | | | | | 0.033 |
| 60~69 | 1 306（52.3） | 330（47.5） | 598（53.3） | 378（55.8） | |
| 70~79 | 1 027（41.2） | 313（45.0） | 456（40.6） | 258（38.1） | |
| ≥80 | 162（6.5） | 52（7.5） | 68（6.1） | 42（6.2） | |
| 性别 | | | | | 0.016 |
| 男性 | 1 094（43.8） | 294（42.3） | 471（42.0） | 329（48.5） | |
| 女性 | 1 401（56.2） | 401（57.7） | 651（58.0） | 349（51.5） | |
| BMI | | | | | 0.307 |
| 正常体重 | 1 192（47.8） | 317（45.6） | 551（49.1） | 324（47.8） | |
| 体重过轻 | 84（3.4） | 20（2.9） | 44（3.9） | 20（2.9） | |
| 肥胖/超重 | 1 219（48.9） | 358（51.5） | 527（47.0） | 334（49.3） | |
| 婚姻状况 | | | | | 0.003 |
| 已婚 | 2 090（83.8） | 563（81.0） | 933（83.2） | 594（87.6） | |
| 其它 | 405（16.2） | 132（19.0） | 189（16.8） | 84（12.4） | |
| 受教育程度 | | | | | <0.001 |
| 文盲 | 713（28.6） | 231（33.2） | 321（28.6） | 161（23.7） | |
| 小学/初中 | 1 261（50.5） | 348（50.1） | 560（49.9） | 353（52.1） | |
| 高中、大专及以上 | 521（20.9） | 116（16.7） | 241（21.5） | 521（20.9） | |
| 是否吸烟 | | | | | 0.423 |
| 是 | 516（20.7） | 140（20.1） | 224（20.0） | 152（22.4） | |
| 否 | 1 979（79.3） | 555（79.9） | 898（80.0） | 526（77.6） | |
| 是否饮酒 | | | | | <0.001 |
| 是 | 586（23.5） | 130（18.7） | 266（23.7） | 190（28.0） | |
| 否 | 1 909（76.5） | 565（81.3） | 856（76.3） | 488（72.0） | |
| 是否独居 | | | | | <0.001 |
| 是 | 239（9.6） | 90（12.9） | 103（9.2） | 46（6.8） | |
| 否 | 2 256（90.4） | 605（87.1） | 1 019（90.8） | 632（93.2） | |
| 是否认知障碍 | | | | | <0.001 |
| 是 | 172（6.9） | 82（11.8） | 62（5.5） | 28（4.1） | |
| 否 | 2 323（93.1） | 613（88.2） | 1 060（94.5） | 650（95.9） | |
| 参加体育锻炼 | | | | | <0.001 |
| 不参加 | 508（20.4） | 201（28.9） | 223（19.9） | 84（12.4） | |
| 偶尔参加 | 451（18.1） | 167（24.0） | 209（18.6） | 75（11.1） | |
| 经常参加 | 1 536（61.6） | 327（47.1） | 690（61.5） | 519（76.5） | |
| 日常生活能力 | | | | | <0.001 |
| 无损伤 | 2 117（84.8） | 515（74.1） | 996（88.8） | 606（89.4） | |
| 轻度损伤 | 206（8.3） | 74（10.6） | 76（6.8） | 56（8.3） | |
| 重度损伤 | 172（6.9） | 106（15.3） | 50（4.5） | 16（2.4） | |
| 慢性病数量 | | | | | <0.001 |
| 0 | 653（26.2） | 149（21.4） | 299（26.6） | 205（30.2） | |
| 1~2 | 1 336（53.5） | 343（49.4） | 609（54.3） | 384（56.6） | |
| ≥3 | 506（20.3） | 203（29.2） | 214（19.1） | 89（13.1） | |
), ArticleFig(id=1322609055646994822, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, language=CN, label=表1, caption=
不同生活质量状态老年人基线特征比较
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量[（n, %）] | 总人群 | 生活质量状态（n=2 495） | P |
|---|
低生活质量
（n=695） | 中等生活质量
（n=1 122） | 高生活质量
（n=678） |
|---|
| 年龄 | | | | | 0.033 |
| 60~69 | 1 306（52.3） | 330（47.5） | 598（53.3） | 378（55.8） | |
| 70~79 | 1 027（41.2） | 313（45.0） | 456（40.6） | 258（38.1） | |
| ≥80 | 162（6.5） | 52（7.5） | 68（6.1） | 42（6.2） | |
| 性别 | | | | | 0.016 |
| 男性 | 1 094（43.8） | 294（42.3） | 471（42.0） | 329（48.5） | |
| 女性 | 1 401（56.2） | 401（57.7） | 651（58.0） | 349（51.5） | |
| BMI | | | | | 0.307 |
| 正常体重 | 1 192（47.8） | 317（45.6） | 551（49.1） | 324（47.8） | |
| 体重过轻 | 84（3.4） | 20（2.9） | 44（3.9） | 20（2.9） | |
| 肥胖/超重 | 1 219（48.9） | 358（51.5） | 527（47.0） | 334（49.3） | |
| 婚姻状况 | | | | | 0.003 |
| 已婚 | 2 090（83.8） | 563（81.0） | 933（83.2） | 594（87.6） | |
| 其它 | 405（16.2） | 132（19.0） | 189（16.8） | 84（12.4） | |
| 受教育程度 | | | | | <0.001 |
| 文盲 | 713（28.6） | 231（33.2） | 321（28.6） | 161（23.7） | |
| 小学/初中 | 1 261（50.5） | 348（50.1） | 560（49.9） | 353（52.1） | |
| 高中、大专及以上 | 521（20.9） | 116（16.7） | 241（21.5） | 521（20.9） | |
| 是否吸烟 | | | | | 0.423 |
| 是 | 516（20.7） | 140（20.1） | 224（20.0） | 152（22.4） | |
| 否 | 1 979（79.3） | 555（79.9） | 898（80.0） | 526（77.6） | |
| 是否饮酒 | | | | | <0.001 |
| 是 | 586（23.5） | 130（18.7） | 266（23.7） | 190（28.0） | |
| 否 | 1 909（76.5） | 565（81.3） | 856（76.3） | 488（72.0） | |
| 是否独居 | | | | | <0.001 |
| 是 | 239（9.6） | 90（12.9） | 103（9.2） | 46（6.8） | |
| 否 | 2 256（90.4） | 605（87.1） | 1 019（90.8） | 632（93.2） | |
| 是否认知障碍 | | | | | <0.001 |
| 是 | 172（6.9） | 82（11.8） | 62（5.5） | 28（4.1） | |
| 否 | 2 323（93.1） | 613（88.2） | 1 060（94.5） | 650（95.9） | |
| 参加体育锻炼 | | | | | <0.001 |
| 不参加 | 508（20.4） | 201（28.9） | 223（19.9） | 84（12.4） | |
| 偶尔参加 | 451（18.1） | 167（24.0） | 209（18.6） | 75（11.1） | |
| 经常参加 | 1 536（61.6） | 327（47.1） | 690（61.5） | 519（76.5） | |
| 日常生活能力 | | | | | <0.001 |
| 无损伤 | 2 117（84.8） | 515（74.1） | 996（88.8） | 606（89.4） | |
| 轻度损伤 | 206（8.3） | 74（10.6） | 76（6.8） | 56（8.3） | |
| 重度损伤 | 172（6.9） | 106（15.3） | 50（4.5） | 16（2.4） | |
| 慢性病数量 | | | | | <0.001 |
| 0 | 653（26.2） | 149（21.4） | 299（26.6） | 205（30.2） | |
| 1~2 | 1 336（53.5） | 343（49.4） | 609（54.3） | 384（56.6） | |
| ≥3 | 506（20.3） | 203（29.2） | 214（19.1） | 89（13.1） | |
), ArticleFig(id=1322609055718297991, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, language=EN, label=Table 2, caption=
The distribution of the elderly with different quality of life statuses from 2016 to 2021
, figureFileSmall=null, figureFileBig=null, tableContent=
| 低生活质量
[（n,%）] | 中等生活质量
[（n,%）] | 高生活质量
[（n,%）] |
|---|
| 2016年 | 695（27.8） | 1 083（43.4） | 717（28.7） |
| 2018年 | 757（30.3） | 1 052（42.1） | 686（27.4） |
| 2021年 | 1 102（44.2） | 1 229（49.3） | 164（6.6） |
), ArticleFig(id=1322609055789601160, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, language=CN, label=表2, caption=
2016—2021年老年人不同生活质量状态的分布
, figureFileSmall=null, figureFileBig=null, tableContent=
| 低生活质量
[（n,%）] | 中等生活质量
[（n,%）] | 高生活质量
[（n,%）] |
|---|
| 2016年 | 695（27.8） | 1 083（43.4） | 717（28.7） |
| 2018年 | 757（30.3） | 1 052（42.1） | 686（27.4） |
| 2021年 | 1 102（44.2） | 1 229（49.3） | 164（6.6） |
), ArticleFig(id=1322609055860904329, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, language=EN, label=Table 3, caption=
The observed changes in the quality of life status of the elderly from 2016 to 2021
, figureFileSmall=null, figureFileBig=null, tableContent=
| 状态转变后[（n,%）] |
|---|
| 低生活质量 | 中等生活质量 | 高生活质量 |
|---|
| 状态转变前[（n,%）] | | | |
| 低生活质量 | 837（57.6） | 486（33.5） | 129（8.9） |
| 中等生活质量 | 756（35.4） | 1 047（49.0） | 332（15.6） |
| 高生活质量 | 266（19.0） | 748（53.3） | 389（27.7） |
), ArticleFig(id=1322609055944790410, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, language=CN, label=表3, caption=
2016—2021年观察到老年人生活质量状态转变情况
, figureFileSmall=null, figureFileBig=null, tableContent=
| 状态转变后[（n,%）] |
|---|
| 低生活质量 | 中等生活质量 | 高生活质量 |
|---|
| 状态转变前[（n,%）] | | | |
| 低生活质量 | 837（57.6） | 486（33.5） | 129（8.9） |
| 中等生活质量 | 756（35.4） | 1 047（49.0） | 332（15.6） |
| 高生活质量 | 266（19.0） | 748（53.3） | 389（27.7） |
), ArticleFig(id=1322609056028676491, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, language=EN, label=Table 4, caption=
The conversion intensity of different quality of life statuses of the elderly in communities of Ma’anshan City from 2016 to 2021
, figureFileSmall=null, figureFileBig=null, tableContent=
| 过渡模式 | 转变强度（95% CI） |
|---|
| 改善过渡 | |
| 低生活质量至中等生活质量 | 0.805（0.726～0.894） |
| 中等生活质量至高生活质量 | 0.599（0.518～0.694） |
| 恶化过渡 | |
| 高生活质量至中等生活质量 | 1.830（1.638～2.044） |
| 中等生活质量至低生活质量 | 0.776（0.710～0.848） |
), ArticleFig(id=1322609056083202444, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, language=CN, label=表4, caption=
马鞍山市2016—2021年社区老年人不同生活质量状态的转换强度
, figureFileSmall=null, figureFileBig=null, tableContent=
| 过渡模式 | 转变强度（95% CI） |
|---|
| 改善过渡 | |
| 低生活质量至中等生活质量 | 0.805（0.726～0.894） |
| 中等生活质量至高生活质量 | 0.599（0.518～0.694） |
| 恶化过渡 | |
| 高生活质量至中等生活质量 | 1.830（1.638～2.044） |
| 中等生活质量至低生活质量 | 0.776（0.710～0.848） |
), ArticleFig(id=1322609056146117005, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, language=EN, label=Table 5, caption=
Analysis of multivariate MSM model on the transition of elderly people’s quality of life in communities
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量 | 风险比HR（95% CI） |
|---|
| 改善过渡 | 恶化过渡 |
|---|
| 低生活质量→中等生活质量 | 中等生活质量→高生活质量 | 高生活质量→中等生活质量 | 中等生活质量→低生活质量 |
|---|
| 年龄（岁） | | | | |
| 60~69 | 参照 | | 参照 | |
| 70~79 | 0.638（0.484～0.841） | 0.917（0.657～1.280） | 1.113（0.845～1.466） | 0.791（0.618～1.014） |
| ≥80 | 0.404（0.255～0.641） | 1.028（0.444～2.378） | 1.645（0.859～3.150） | 0.762（0.543～1.070） |
| 性别 | | | | |
| 女性 | 参照 | | 参照 | |
| 男性 | 0.988（0.731～1.336） | 0.894（0.591～1.352） | 1.070（0.758～1.510） | 0.933（0.717～1.215） |
| BMI | | | | |
| 正常体重 | 参照 | | 参照 | |
| 体重过轻 | 1.183（0.592～2.366） | 0.862（0.383～1.941） | 0.721（0.376～1.382） | 1.482（0.839～2.619） |
| 肥胖/超重 | 0.942（0.729～1.216） | 1.132（0.821～1.563） | 0.941（0.725～1.223） | 1.083（0.871～1.348） |
| 婚姻状况 | | | | |
| 已婚 | 参照 | | 参照 | |
| 其它 | 0.461（0.233～0.910） | 0.485（0.199～1.182） | 0.493（0.267～0.911） | 0.646（0.355～1.174） |
| 受教育程度 | | | | |
| 文盲 | 参照 | | 参照 | |
| 小学/初中 | 1.467（1.089～1.975） | 1.017（0.678～1.525） | 1.243（0.894～1.728） | 0.812（0.630～1.046） |
| 高中/大专及以上 | 1.909（1.282～2.844） | 0.864（0.552～1.350） | 0.981（0.688～1.398） | 0.777（0.548～1.100） |
| 是否吸烟 | | | | |
| 否 | 参照 | | 参照 | |
| 是 | 1.210（0.741～1.976） | 0.837（0.513～0.965） | 1.020（0.687～1.514） | 1.083（0.871～1.348） |
| 是否饮酒 | | | | |
| 否 | 参照 | | 参照 | |
| 是 | 1.207（0.758～1.923） | 1.159（0.741～1.813） | 0.732（0.507～1.056） | 1.181（0.802～1.738） |
| 是否独居 | | | | |
| 否 | 参照 | | 参照 | |
| 是 | 0.803（0.568～1.134） | 0.546（0.324～0.921） | 0.868（0.586～1.284） | 0.818（0.604～1.107） |
| 是否认知障碍 | | | | |
| 否 | 参照 | | 参照 | |
| 是 | 0.699（0.468～1.046） | 1.158（0.561～2.391） | 1.000（0.535～1.870） | 1.192（0.827～1.718） |
| 参加体育锻炼 | | | | |
| 不参加 | 参照 | | 参照 | |
| 偶尔参加 | 1.005（0.753～1.342） | 1.007（0.638～1.587） | 1.365（0.965～1.931） | 0.922（0.717～1.185） |
| 经常参加 | 2.446（1.701～3.517） | 2.096（1.383～3.175） | 0.845（0.607～1.178） | 1.468（1.051～2.050） |
| 日常生活能力 | | | | |
| 无损伤 | 参照 | | 参照 | |
| 轻度损伤 | 1.112（0.733～1.686） | 0.731（0.399～1.338） | 0.866（0.553～1.356） | 1.374（0.936～2.018） |
| 重度损伤 | 0.783（0.508～1.207） | 7.334（0.108～10.426） | 9.988（0.020～14.431） | 1.467（0.935～2.303） |
| 慢性病数量 | | | | |
| 0 | 参照 | | 参照 | |
| 1～2 | 1.062（0.793～1.422） | 0.816（0.561～1.186） | 0.966（0.716～1.304） | 0.975（0.764～1.243） |
| ≥3 | 0.879（0.625～0.985） | 0.638（0.417～0.877） | 1.512（1.156～2.625） | 1.282（1.005～1.661） |
), ArticleFig(id=1322609057811255695, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322609049200349506, language=CN, label=表5, caption=
社区老年人生活质量状态转变的多变量 MSM 模型分析
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量 | 风险比HR（95% CI） |
|---|
| 改善过渡 | 恶化过渡 |
|---|
| 低生活质量→中等生活质量 | 中等生活质量→高生活质量 | 高生活质量→中等生活质量 | 中等生活质量→低生活质量 |
|---|
| 年龄（岁） | | | | |
| 60~69 | 参照 | | 参照 | |
| 70~79 | 0.638（0.484～0.841） | 0.917（0.657～1.280） | 1.113（0.845～1.466） | 0.791（0.618～1.014） |
| ≥80 | 0.404（0.255～0.641） | 1.028（0.444～2.378） | 1.645（0.859～3.150） | 0.762（0.543～1.070） |
| 性别 | | | | |
| 女性 | 参照 | | 参照 | |
| 男性 | 0.988（0.731～1.336） | 0.894（0.591～1.352） | 1.070（0.758～1.510） | 0.933（0.717～1.215） |
| BMI | | | | |
| 正常体重 | 参照 | | 参照 | |
| 体重过轻 | 1.183（0.592～2.366） | 0.862（0.383～1.941） | 0.721（0.376～1.382） | 1.482（0.839～2.619） |
| 肥胖/超重 | 0.942（0.729～1.216） | 1.132（0.821～1.563） | 0.941（0.725～1.223） | 1.083（0.871～1.348） |
| 婚姻状况 | | | | |
| 已婚 | 参照 | | 参照 | |
| 其它 | 0.461（0.233～0.910） | 0.485（0.199～1.182） | 0.493（0.267～0.911） | 0.646（0.355～1.174） |
| 受教育程度 | | | | |
| 文盲 | 参照 | | 参照 | |
| 小学/初中 | 1.467（1.089～1.975） | 1.017（0.678～1.525） | 1.243（0.894～1.728） | 0.812（0.630～1.046） |
| 高中/大专及以上 | 1.909（1.282～2.844） | 0.864（0.552～1.350） | 0.981（0.688～1.398） | 0.777（0.548～1.100） |
| 是否吸烟 | | | | |
| 否 | 参照 | | 参照 | |
| 是 | 1.210（0.741～1.976） | 0.837（0.513～0.965） | 1.020（0.687～1.514） | 1.083（0.871～1.348） |
| 是否饮酒 | | | | |
| 否 | 参照 | | 参照 | |
| 是 | 1.207（0.758～1.923） | 1.159（0.741～1.813） | 0.732（0.507～1.056） | 1.181（0.802～1.738） |
| 是否独居 | | | | |
| 否 | 参照 | | 参照 | |
| 是 | 0.803（0.568～1.134） | 0.546（0.324～0.921） | 0.868（0.586～1.284） | 0.818（0.604～1.107） |
| 是否认知障碍 | | | | |
| 否 | 参照 | | 参照 | |
| 是 | 0.699（0.468～1.046） | 1.158（0.561～2.391） | 1.000（0.535～1.870） | 1.192（0.827～1.718） |
| 参加体育锻炼 | | | | |
| 不参加 | 参照 | | 参照 | |
| 偶尔参加 | 1.005（0.753～1.342） | 1.007（0.638～1.587） | 1.365（0.965～1.931） | 0.922（0.717～1.185） |
| 经常参加 | 2.446（1.701～3.517） | 2.096（1.383～3.175） | 0.845（0.607～1.178） | 1.468（1.051～2.050） |
| 日常生活能力 | | | | |
| 无损伤 | 参照 | | 参照 | |
| 轻度损伤 | 1.112（0.733～1.686） | 0.731（0.399～1.338） | 0.866（0.553～1.356） | 1.374（0.936～2.018） |
| 重度损伤 | 0.783（0.508～1.207） | 7.334（0.108～10.426） | 9.988（0.020～14.431） | 1.467（0.935～2.303） |
| 慢性病数量 | | | | |
| 0 | 参照 | | 参照 | |
| 1～2 | 1.062（0.793～1.422） | 0.816（0.561～1.186） | 0.966（0.716～1.304） | 0.975（0.764～1.243） |
| ≥3 | 0.879（0.625～0.985） | 0.638（0.417～0.877） | 1.512（1.156～2.625） | 1.282（1.005～1.661） |
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