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目的 了解上海中心城区老年人的生存状况、主观感受和对健康的需求，比较不同文化和经济层次老年人的生存质量。方法 对当地２个不同文化、经济背景小区的８８２和３００名老人，调查他们的健康状况、嗜好、饮食、生活自理能力、经济、心理和居住环境等１０个方面，给予评分，进行比较。结果两组老人的生活质量评分处于中等水平。社会经济水平较高的老人有较高的经济收入和营养摄入，但他们与亲属、邻居交往较少，有较多的压抑感孤独感，生活自理能力（ＡＤＬ和ＩＡＤＬ）较差。结论在研究老年人的生活质量时，除了考虑其生活状况和保健需求外，精神心理方面不容忽视。
Objectives To understand the living conditions, subjective feelings, and health needs of elderly people in downtown Shanghai, and compare the quality of life of older people at different cultural and economic levels. Methods 882 and 300 elderly people in 2 different cultures and economic backgrounds in the local area were surveyed for 10 aspects such as their health status, hobby, diet, self-care ability, economy, psychology and living environment. Results The quality of life scores of the two groups were at a moderate level. Older people with higher socio-economic levels have higher economic income and nutrient intake, but they have less interaction with relatives and neighbors, have more loneliness of depression, and have poor self-care ability (ADL and IADL). Conclusion In the study of the quality of life of the elderly, in addition to considering their living conditions and health care needs, mental and psychological aspects can not be ignored.