Cross-sectional study of influence of regional variations on migrant elder health status

doi:10.3969/.issn.1674-3245.2017.03.010

Abstract：Objective To understand origin and medical department of "migrant elder",to observe the changes of "migrant elder"living on the Hainan island before and after six months on general situation,biochemical indexes,psychological state,nutrition, exercise and sleep conditions,and to discuss the influence of "migrant elder" health condition. Methods A total of 200 "migrant elder" seeing doctor in Hainan Branch of PLA General Hospital living the island over 6 months were selected in this study. Respectively using self-designed questionnaire,self-test anxiety scale (SAS),self-test depression scale (SDS),was carried out on "migrant elder" health condition. Through China's environmental monitoring station and weather data ,review the highest and lowest average temperature and Air Quality Index (AQI) of Hainan and other 19 provinces,autonomous regions and municipalities from September 2015 to April 2016. Results At six months after living on the island body weight,body mass index,systolic pressure, diastolic blood pressure,fasting blood glucose,total cholesterol,triglycerides,low density lipoprotein (P=0.04)of "migrant elder" were statistically lower at beginning of living on the island (P<0.01),lung capacity were statistically higher than at beginning of living on the island(P < 0.01). Self-test anxiety scale (SAS) score and depression self-test scale (SDS) score were statistically lower than at beginning of living on the island (P<0.01). Exercise frequency and exercise time were statistically higher than at beginning of living on the island (P < 0.01). Mini nutritional assessment questionnaire (MNA)score and the sleeping time has no obvious statistically difference. Between September 2015 and April 2016,the average temperature of the Hainan were significantly higher than the other 19 provinces,autonomous regions and municipalities,AQI were superior to the other 19 area. Conclusion Temperature,climate and air quality of Hainan island all have improving effect on "migrant elder" of body weight,body mass index,blood pressure,lung capacity, biochemical indexes,psychology,nutrition and movement,so the spatial variations of"migrant elder"have certain health benefits.