Abstract：
UNASSIGNED: Subjective well-being(SWB) and health-seeking behaviour(HSB) are important medical channels to gauge the health status of older persons with multimorbidity particularly in resource-poor environment with limited socio-medical and health infrastructure.
UNASSIGNED: The aim of the study was to determine the profiles and predictors of SWB and HSB among older persons with multimorbidity in a rural primary care environment in South-Eastern Nigeria.
UNASSIGNED: A cross-sectional study was conducted on 214 older persons with multimorbidity from January to December 2022 in South-Eastern Nigeria. Data collection was done using structured, pretested and interviewer guided questionnaire. Subjective well-being was determine using single-item self-rated health status questionnaire. Multimorbidity was determine using Multimorbidity Assessment Questionnaire for Primary Care(MAQ-PC).
UNASSIGNED: The ages of study participants were 60-99 years(x=68±4.5 years). There were 123(57.5%) females. Ninety-three (43.5%) of the study participants had good SWB while 86(40.2%) had appropriate HSB. The most common multimorbidities were aggregate disorders of cardiovascular, musculoskeletal and gastrointestinal systems. The independent predictors of poor SWB were advanced old age(ORs=3.101; 95%CI(1.526-6.019); P=.024), low education(ORs=4.056; 95%CI(2.512-8.509); P=.025) and non-household family structure(ORs=2.225; 95%CI(1.078-6.192); P= .001). Inappropriate HSB were predicted by males(ORs=2.428; 95%CI(1.107-6.379); P=.039), low education(ORs=3.007; 95%CI(1.387-7.001); P=.013) and retirees with no secondary occupation (ORs=4.761;95%CI(1.351- 8.072); P= .001).
UNASSIGNED: The study has shown the SWB and HSB among the study participants. The independent predictors of poor SWB were advanced old age, low education and non-household family structure. Inappropriate HSB werepredicted by males, low education and retirees with no secondary occupation. Subjective well-being and HSB should be explored during clinical consultations with older persons with multimorbidity particularly in the sub-region with double whammy of non-communicable and communicable diseases.
UNASSIGNED: The aim of the study was to determine the profiles and predictors of SWB and HSB among older persons with multimorbidity in a rural primary care environment in South-Eastern Nigeria.
UNASSIGNED: A cross-sectional study was conducted on 214 older persons with multimorbidity from January to December 2022 in South-Eastern Nigeria. Data collection was done using structured, pretested and interviewer guided questionnaire. Subjective well-being was determine using single-item self-rated health status questionnaire. Multimorbidity was determine using Multimorbidity Assessment Questionnaire for Primary Care(MAQ-PC).
UNASSIGNED: The ages of study participants were 60-99 years(x=68±4.5 years). There were 123(57.5%) females. Ninety-three (43.5%) of the study participants had good SWB while 86(40.2%) had appropriate HSB. The most common multimorbidities were aggregate disorders of cardiovascular, musculoskeletal and gastrointestinal systems. The independent predictors of poor SWB were advanced old age(ORs=3.101; 95%CI(1.526-6.019); P=.024), low education(ORs=4.056; 95%CI(2.512-8.509); P=.025) and non-household family structure(ORs=2.225; 95%CI(1.078-6.192); P= .001). Inappropriate HSB were predicted by males(ORs=2.428; 95%CI(1.107-6.379); P=.039), low education(ORs=3.007; 95%CI(1.387-7.001); P=.013) and retirees with no secondary occupation (ORs=4.761;95%CI(1.351- 8.072); P= .001).
UNASSIGNED: The study has shown the SWB and HSB among the study participants. The independent predictors of poor SWB were advanced old age, low education and non-household family structure. Inappropriate HSB werepredicted by males, low education and retirees with no secondary occupation. Subjective well-being and HSB should be explored during clinical consultations with older persons with multimorbidity particularly in the sub-region with double whammy of non-communicable and communicable diseases.
摘要：
■主观幸福感（SWB）和寻求健康行为（HSB）是衡量多症老年人健康状况的重要医疗渠道，特别是在资源贫乏，社会医疗和卫生基础设施有限的环境中。
■本研究的目的是确定尼日利亚东南部农村初级保健环境中多症老年人SWB和HSB的概况和预测因子。
■2022年1月至12月在尼日利亚东南部对214名患有多发病率的老年人进行了横断面研究。数据收集是使用结构化的，预测试和面试官指导问卷。使用单项自评健康状况问卷确定主观幸福感。使用初级保健多症评估问卷(MAQ-PC)确定多症。
■研究参与者的年龄为60-99岁（x=68±4.5岁）。有123名（57.5％）女性。93（43.5％）的研究参与者具有良好的SWB，而86（40.2％）具有适当的HSB。最常见的多发性疾病是心血管疾病，肌肉骨骼和胃肠系统。SWB差的独立预测因素是高龄（ORs=3.101;95CI（1.526-6.019）;P=0.024），低教育(ORs=4.056;95CI(2.512-8.509);P=.025)和非家庭家庭结构(ORs=2.225;95CI(1.078-6.192);P=.001)。男性预测不适当的HSB（ORs=2.428;95CI（1.107-6.379）;P=0.039），低教育程度（ORs=3.007；95CI（1.387-7.001）；P=.013）和无中等职业的退休人员（ORs=4.761；95CI（1.351-8.072）；P=.001）。
■该研究显示了研究参与者中的SWB和HSB。SWB差的独立预测因素是高龄，低教育和非家庭家庭结构。男性预测HSB不合适，教育水平低，退休人员没有中等职业。在与患有多种疾病的老年人进行临床咨询时，应探索主观幸福感和HSB，特别是在非传染性和传染性疾病双重打击的次区域。
■本研究的目的是确定尼日利亚东南部农村初级保健环境中多症老年人SWB和HSB的概况和预测因子。
■2022年1月至12月在尼日利亚东南部对214名患有多发病率的老年人进行了横断面研究。数据收集是使用结构化的，预测试和面试官指导问卷。使用单项自评健康状况问卷确定主观幸福感。使用初级保健多症评估问卷(MAQ-PC)确定多症。
■研究参与者的年龄为60-99岁（x=68±4.5岁）。有123名（57.5％）女性。93（43.5％）的研究参与者具有良好的SWB，而86（40.2％）具有适当的HSB。最常见的多发性疾病是心血管疾病，肌肉骨骼和胃肠系统。SWB差的独立预测因素是高龄（ORs=3.101;95CI（1.526-6.019）;P=0.024），低教育(ORs=4.056;95CI(2.512-8.509);P=.025)和非家庭家庭结构(ORs=2.225;95CI(1.078-6.192);P=.001)。男性预测不适当的HSB（ORs=2.428;95CI（1.107-6.379）;P=0.039），低教育程度（ORs=3.007；95CI（1.387-7.001）；P=.013）和无中等职业的退休人员（ORs=4.761；95CI（1.351-8.072）；P=.001）。
■该研究显示了研究参与者中的SWB和HSB。SWB差的独立预测因素是高龄，低教育和非家庭家庭结构。男性预测HSB不合适，教育水平低，退休人员没有中等职业。在与患有多种疾病的老年人进行临床咨询时，应探索主观幸福感和HSB，特别是在非传染性和传染性疾病双重打击的次区域。
