关键词: 多重慢病, 生计资本, 生命质量, 农村老年人

Abstract: Background Under the strategy of prioritizing health development, where health is regarded as a key indicator of modernization and a happy life, improving the health-related quality of life (HRQoL) of rural elderly individuals, particularly those with multiple chronic diseases, embodies the principle of people-centered development. However, the specific livelihood capital that impacts the HRQoL of rural elderly individuals remains unclear. Objective By evaluating the quality of life of rural elderly and analyzing the impact of livelihood capital, advice is provided to improve HRQOL.Methods Using survey data from July to August 2023 in Zhejiang, Chongqing, and Gansu provinces,the EQ-5D-3L scale was used to survey rural elderly aged 60 and above,and multi-level linear regression analysis was conducted to analyze influencing factors.Results the HRQOL of populations without chronic diseases,with single chronic diseases,and with multiple chronic diseases were 0.91±0.13,0.87±0.16,and 0.80±0.19.In the population without chronic diseases, differences in human capital,digital capital,and psychological capital had statistical significance (P<0.05).the single chronic diseases,differences in social capital,human capital,digital capital,and psychological capital had statistical significance (P<0.05) with their health utility values.the multiple chronic diseases,differences in social capital, financial capital,digital capital,and psychological capital had statistical significance (P<0.05).Conclusion HRQOL decreases with the increase of the number of chronic diseases.It is necessary to explore and utilize the advantages of livelihood capital to improve the HRQOL of rural elderly.

Key words: Multiple chronic diseases, Livelihood Capital, Quality of life, Rural elderly