| Objective To investigate the prevalence of osteoporosis in the elderly in Tangshan and to analyze the health status of elderly people with osteoporosis and its influencing factors. Methods Using the convenient sampling method, 3348 residents who were 75 years old or above in 32 communities directly under 10 community health service centers in Tangshan (Located in four directions and the center of Tangshan) were selected from July 2016 to January 2017. The prevalence of osteoporosis and quality of life scale (SF-36), activities of daily living (ADL) scale, health promoting behavior style scale, and loneliness scale were investigated. Results The prevalence of osteoporosis in the elderly in Tangshan was 11.5%. The elderly with osteoporosis had a lower SF-36 score than the elderly without the disease (401.8±153.5 vs. 456.4±151.2, P<0.05). The elderly with osteoporosis also had lower scores of physiological function (54.2±29.0), social function (24.6±11.7), physiological function (44.2±43.8), somatic pain (68.4±23.5), mental health (63.5±19.9), emotional function (46.2±44.2), vitality (61.8±20.2), and general health (38.9±15.5) than those without the disease (all P＜0.05). Multivariate analyses showed that living style, difficult sleep due to pain, daily life ability, subjective well-being, psychological counseling, loneliness, revenue and expenditure situation, adequate daily intake of meat, eggs, fish, beans, and nuts, health promoting behavior, and urinary incontinence were influential factors of physical and mental health in the elderly with osteoporosis (P<0.05). Conclusion The physical and mental health status of the elderly with osteoporosis is not optimistic. We should analyze the influencing factors and adopt effective measures to achieve healthy aging. |