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首页> 外文期刊>International journal of geriatric psychiatry >Inequalities in living well with dementia—The impact of deprivation on well‐being, quality of life and life satisfaction: Results from the improving the experience of dementia and enhancing active life study
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Inequalities in living well with dementia—The impact of deprivation on well‐being, quality of life and life satisfaction: Results from the improving the experience of dementia and enhancing active life study

机译：生活中的不平等性与痴呆症 - 剥夺对福祉的影响，生活质量和生活满意度：提高痴呆经历和增强活跃生活研究的成果

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Objectives Area level factors, such as deprivation and urban/rural settings, have been associated with variation in local resources and services and health inequality in later life. The aim of this study is to investigate the potential impact of deprivation and urban/rural areas on capability to live well with dementia and to examine whether availability of informal carers modified the associations. Methods The analysis was based on a large cohort study of 1547 community‐dwelling people with dementia across Great Britain. Quality of life, life satisfaction, and well‐being were measured as indices of “living well.” Multivariate modelling was used to investigate differences in living well measures across deprivation quintiles and urban/rural areas adjusting for sociodemographic factors and number of comorbidities and stratifying by three groups: those living with a carer, those with a noncoresident carer and those without a carer. Results Negative dose‐response relationships between deprivation and measures of quality of life (?2.12; 95% CI: ?3.52, ?0.73), life satisfaction (?1.27; 95% CI: ?2.70, 0.16), and well‐being (?5.24; 95% CI: ?10.11, ?0.36) were found in participants living with a carer. The associations were less clear in those with a noncoresident carer and those without a carer but these two groups generally reported lower scores on living well indicators than participants living with a carer. There was no urban/rural difference. Conclusions The findings suggest inequalities in living well with dementia according to levels of deprivation. Additional resources are needed to improve postdiagnostic care in highly deprived areas and support those who have no informal carer.
机译：目标地区等级因素，如剥夺和城市/农村环境，与后期生活中当地资源和服务和健康不平等的变化有关。本研究的目的是调查剥夺和城市/农村地区对痴呆症生活良好的能力的潜在影响，并审查非正式护理人员是否修改了协会。方法分析是基于大英国痴呆症的大型队列研究的大型队列研究。生活质量，生活满意度和幸福于“生活良好”的指标被衡量。多变量建模用于调查剥夺昆腾和城市/农村地区的生活井措施的差异，调整社会渗目因素和合并症的数量，三组分层：与护理人员一起生活的人，那些没有照顾者的人和没有照顾者的人。结果剥夺和生活质量措施之间的负剂量 - 反应关系（？2.12; 95％CI：3.52，？0.73），生活满意度（？1.27; 95％CI：？2.70,0.16）和福祉（ ？5.24; 95％CI：？10.11，？0.36）在与护理人员生活的参与者中被发现。在那些有非认可的护理人的人和没有照顾者的人中，协会的关系较小，但这两组普遍报告了生活井指标比与护理人的参与者更低的成绩。没有城市/农村差异。结论研究结果表明，根据剥夺水平，痴呆症的不平等性。需要额外的资源来改善高度被剥夺地区的后诊断护理，并支持那些没有非正式护理人的人。

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