Quality of life in the community-dwelling elderly and associated factors: A Cross-Sectional study
Abstract
Background: recent medical and health advances have reduced mortality, consequently a relative increase in life expectancy and aging of population. One of the indices that properly indicate the status of elderly is the quality of life index.
Objectives: objective of the present study was to identify the factors affecting the quality of life of the elderly in Zahedan, Iran.
Methods: This cross-sectional study was performed on 600 elderly people referring to the Zahedan health centers. In this two-stage cluster random sampling method, the data were collected in the check list and the quality of life questionnaire SF12 through interview and analyzed using independent t-test, one-way ANOVA, Pearson correlation coefficient and multiple linear regression
Results: Of the 600 elderly men and women over 60 years, 472 subjects participated in the study, of whom 291 (61%) were male and 182 (39%) female. The mean age of the study subjects was 66.2(4.04), and the mean overall quality of life scores in males and females were 28.4(3.7) and 29.07(3.7), respectively. The mean and standard deviation of PCS and MCS scores in males and females were 12.3(2.2) and 16.6(2.5), respectively. Age had inverse correlation with QOL and MS and had a direct and significant relationship with PCS. In multiple linear regression, significant relation was observed between chronic illness, hypertension, skeletal disease, diabetes, gastrointestinal disease, marital status, hookah use and smoking with PCS and also between marital status, Hypertension and mental illness with MCS.
Conclusions: What is obtained from this study and the other relevant studies indicate that QOL is a multifactorial phenomenon that is influenced by demographic, clinical and behavioral factors, but the role of chronic diseases is more obvious. Therefore, it seems necessary to adopt health policies to correct the lifestyle of society
2. Kazemi N, Sajjadi H, Bahrami G. Quality of Life in Iranian Elderly. Salmand: Iranian Journal of Ageing. 2019;13:518-33.
3. https://www.amar.org.ir/english/Population-and-Housing-Censuses/Census-2016-Detailed-Results.
4. De ELdA, Bonacci S, Giraldi G. Aging populations: the health and quality of life of the elderly. La Clinica Terapeutica. 2011;162(1):e13-8.
5. Miranda LCV, Soares SM, Silva PAB. Quality of life and associated factors in elderly people at a Reference Center. Ciencia & saude coletiva. 2016;21(11):3533-44.
6. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases.
7. Noroozian M. The elderly population in iran: an ever growing concern in the health system. Iranian journal of psychiatry and behavioral sciences. 2012;6(2):1.
8. Asgari S, H S. Prediction of elderly quality of life based on internal coherence, mindfulness and spiritual intelligence. Positive Psychology Research,. 2017;3(3):61-74.
9. Sun W, Aodeng S, Tanimoto Y, Watanabe M, Han J, Wang B, et al. Quality of life (QOL) of the community-dwelling elderly and associated factors: A population-based study in urban areas of China. Archives of Gerontology and Geriatrics. 2015;60(2):311-6.
10. Crocker TF, Brown L, Clegg A, Farley K, Franklin M, Simpkins S, et al. Quality of life is substantially worse for community-dwelling older people living with frailty: systematic review and meta-analysis. Quality of Life Research. 2019:1-16.
11. darvishpoor k, alizadeh h, ramzani h. Review Quality of Life And related factors in the elderly in Sarayan city in 2018. Journal of Caspian Health and Aging. 2018;3(1):24-9.
12. Van TN, Van HN, Duc TN. Difference in quality of life and associated factors among the elderly in rural Vietnam. Journal of preventive medicine and hygiene. 2017;58(1):E63-E71.
13. Hajian-Tilaki K, Heidari B, Hajian-Tilaki A. Health related quality of life and its socio-demographic determinants among Iranian elderly people: a population based cross-sectional study. Journal of caring sciences. 2017;6(1):39.
14. Rezaeipandari H, Morowatisharifabad MA, Niknahad S, Rahmanipour F. Relationship between Lifestyle and Quality of Life in Older Adults Yazd City, Iran. Elderly Health Journal. 2015;1(2):91-7.
15. Habibi A, Neekpoor S, Seyedolshohda M, Haghani H. Health promotion behaviours and Quality of life among elderly people: A crosssectional survey 2006. Journal of Ardabil University of Medical Sciences. 2008;8(1):29-36.
16. Resnick B, Nahm ES. Reliability and validity testing of the revised 12-item Short-Form Health Survey in older adults. Journal of nursing measurement. 2001;9(2):151-61.
17. Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian version of 12-item Short Form Health Survey (SF-12): factor structure, internal consistency and construct validity. BMC public health. 2009;9(1):341.
18. Heydari- Fard J, Bagheri-Nesami M, R. AM. Association between quality of life and spiritual well-being in community dwelling elderly. Life Science Journal. 2012;9(4).
19. Hongthong D, Somrongthong R. Factors influencing the quality of life (Qol) among Thai older people in a rural area of Thailand. Iranian journal of public health. 2015;44(4):479.
20. Farajzadeh M, Gheshlagh RG, Sayehmiri K. Health related quality of life in Iranian elderly citizens: a systematic review and meta-analysis. International journal of community based nursing and midwifery. 2017;5(2):100.
21. Eliopoulos C. Gerontological nursing: Lippincott Williams & Wilkins; 2013.
22. Saber M, Nosratabadi M. Social support and health-related quality of life in elderly people covered by the Welfare organization of Kerman city. Journal of Health and Development. 2014;3(3):189-99.
23. Salar A, Boryri T, Khojasteh F, Salar E, Jafari H, Karimi M. Evaluating the physical, psychological and social problems and their relation to demographic factors among the elderly in Zahedan city during 2010-2012. Feyz Journal of Kashan University of Medical Sciences. 2013;17(3):305-11.
24. Khammarnia M, Baghbanian A. Comparison of the old population's health status and chronic diseases in the urban and rural areas of Zahedan, Iran in 2012. 2013.
25. Fajemilehin B, Odebiyi A. Predictors of elderly persons quality of life and health practices in Nigeria. International Journal of Sociology and Anthropology. 2011;3(7):245-52.
26. A Beata Ćwirlej-Sozańska BS, A Wiśniowska-Szurlej, A Wilmowska-Pietruszyńska., , . Quality of life and related factors among older people living in rural areas in south-eastern Poland. Annals of Agricultural and Environmental Medicine. 2018;25(3):539-45.
27. Chruściel P, Szczekala KM, Derewiecki T, Jakubowska K, Nalepa D, Czekirda ME, et al. Differences in the quality of life dependent on family status of the elderly living in rural areas–a cross-sectional survey. Annals of Agricultural and Environmental Medicine. 2018;25(3):532-8.
28. Emami Moghaddam Z, Khoshraftar Roudi E, Ildarabad Ei, Hamid Reza Behnam Voshani H. Quality of Life in Hypertention Elderly Patients that Referred to Health Centers in Mashhad. Quarterly Journal of Sabzevar University of Medical Sciences, Volume 22, Number 3, July & August 2015.444-52.
29. Borhaninejad V, Kazazi L, Haghi M, Chehrehnegar N. Quality of Life and Its Related Factors Among Elderly With Diabetes. Salmand: Iranian Journal of Ageing. 2016;11(1):162-73.
30. Sherizadeh Y, Sarkhoshi R, Babazadeh T, Moradi F, Shariat F, Mirzaeian K. The quality of life and its related factors in the elderly covered by health care centers in Khoy city, Iran. Clin Med. 2016;4(3):139-45.
31. Bernfort L, Gerdle B, Rahmqvist M, Husberg M, Levin L-Å. Severity of chronic pain in an elderly population in Sweden—impact on costs and quality of life. Pain. 2015;156(3):521-7.
32. Habibi A, Nemadi-Vosoughi M, Habibi S, Mohammadi M. Quality of Life and Prevalence of Chronic Illnesses among Elderly People: A Cross-Sectional Survey. Journal of Health. 2012;3(1):58-66.
33. Maghsoudi A AK, Omidvari joo F, Safaee F, Mohammadi Z, Riahi Sh. The study of prevalence of chronic diseases and its association with quality of life in the elderly of Ewaz (South of Fars province), 2014. NavidNo. 2016;18(61):35-42.
34. Eliasi LG, Rasi HA, Tavakoli A. Factors Affecting Quality of Life among Elderly Population in Iran. Diabetes. 2017;3:0.014.
35. Zahmatkeshan N, Akaberian S, Yazdanpanah S, Khoramroodi R, Gharibi T, Jamand T. Assessing Quality Of Life and related factors in Bushehr, s elders–1387-8. Journal of Fasa University of Medical Sciences. 2012;2(1):53-8.
36. Olfson M, Wall M, Liu S-M, Schoenbaum M, Blanco C. Declining health-related quality of life in the US. American journal of preventive medicine. 2018;54(3):325-33.
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Issue | Vol 8 No 1 (2022) | |
Section | Original Article(s) | |
DOI | https://doi.org/10.18502/jbe.v8i1.10408 | |
Keywords | ||
Quality of Life Cross-Sectional Studies Aging |
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