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Kusumaningrum FM, Dewi FST, Santosa A, Pangastuti HS, Yeung P. Factors related to quality of life in community-dwelling adults in Sleman Regency, Special Region of Yogyakarta, Indonesia: Results from a cross-sectional study. PLoS One 2024; 19:e0296245. [PMID: 38165996 PMCID: PMC10760755 DOI: 10.1371/journal.pone.0296245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 12/09/2023] [Indexed: 01/04/2024] Open
Abstract
BACKGROUND Quality of life studies in low- and middle-income countries have demonstrated the influence of socioeconomic factors on the quality of life (QoL). However, further studies are required to confirm this association in developing countries with rapidly ageing populations. Using Ferrans et al.'s QoL model, this study aimed to identify the factors associated with the QoL of community-dwelling adults in Indonesia. METHODS A cross-sectional study among 546 community-dwelling adults aged 50+ years was conducted in Yogyakarta, Indonesia, in 2018. QoL was measured using the Short Form 12 questionnaire, which consists of a summary of physical and mental health. We performed stepwise logistic regression analyses to determine odds ratios (ORs) with 95% confidence intervals (CIs) and examined the association between the QoL (physical and mental health) and demographic characteristics, socioeconomic status, financial management behaviour, multimorbidity status, nutritional status, cognitive impairment status, depression status, and independence. Statistical significance was set at p<0.05. RESULTS Among the respondents, 15% reported poor physical health, and 9.2% reported poor mental health. Good physical health was significantly associated with the absence of chronic disease (OR 2.39; 95% CI: 1.07-5.33), independence in activities of daily living (OR 3.90; 95% CI 1.57-9.67) and instrumental activities of daily living (OR 4.34; 95% CI 2.28-8.26). Absence of depression was significantly associated with good mental health (OR 2.80; 95% CI 1.3-5.96). CONCLUSION The QoL of community-dwelling adults in Indonesia is associated with activities of daily living and instrumental activities of daily living, as well as the absence of chronic disease and depression. Efforts should be made to prevent chronic disease and delay functional decline through healthy lifestyles and routine physical and mental health screenings.
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Affiliation(s)
- Fitrina Mahardani Kusumaningrum
- Faculty of Medicine, Department of Health Behavior, Public Health and Nursing, Environment and Social Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia
- Faculty of Medicine, Public Health and Nursing, Doctoral Program in Medicine and Health Science, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Fatwa Sari Tetra Dewi
- Faculty of Medicine, Department of Health Behavior, Public Health and Nursing, Environment and Social Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia
- Faculty of Medicine, Public Health and Nursing, Sleman Health and Demographic Surveillance System, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Ailiana Santosa
- Institute of Medicine, Sahlgrenska Academy, School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden
| | - Heny Suseani Pangastuti
- Faculty of Medicine, Medical-Surgical Nursing Department, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Polly Yeung
- School of Social Work, Massey University, Palmerston North, New Zealand
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Briere J, Wang SH, Khanam UA, Lawson J, Goodridge D. Quality of life and well-being during the COVID-19 pandemic: associations with loneliness and social isolation in a cross-sectional, online survey of 2,207 community-dwelling older Canadians. BMC Geriatr 2023; 23:615. [PMID: 37777717 PMCID: PMC10542692 DOI: 10.1186/s12877-023-04350-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Accepted: 09/25/2023] [Indexed: 10/02/2023] Open
Abstract
BACKGROUND The far-reaching health and social sequelae of the COVID-19 pandemic among older adults have the potential to negatively impact both quality of life (QoL) and well-being, in part because of increased risks of loneliness and social isolation. The aim of this study was to examine predictors of QoL and well-being among Canadian older adults within the context of the pandemic, including loneliness and social isolation. METHODS This cross-sectional, online survey recruited older adult participants through community organizations and research participant panels. Measures included the: Older People's Quality of Life Scale-B, WHO-5, DeJong Gierveld Loneliness Scale, Lubben Social Network Scale and five COVID-19 specific items assessing impact on loneliness and social isolation. Multiple linear regression models were used to adjust for potential confounders. RESULTS A total of 2,207 older Canadians (55.7% female, with a mean age of 69.4 years) responded to the survey. Over one-third strongly disagreed that the pandemic had had a significant effect on either their mental (35.0%) or physical health (37.6%). Different patterns of predictors were apparent for QoL and well-being. After adjusting for all variables in the models, the ability of income to meet needs emerged as the strongest predictor of higher QoL, but was not associated with well-being, except for those who chose not to disclose their income adequacy. Age was not associated with either QoL or well-being. Females were more likely to experience lower well-being (β=-2.0, 95% C.I. =-4.0,-0.03), but not QoL. Reporting three or more chronic health conditions and that the COVID-19 pandemic had a negative impact on mental health was associated with lower QoL and well-being. Loneliness was a predictor of reduced QoL (β=-1.4, 95% C.I. =--1.6, -1.2) and poor well-being (β=-3.7, 95% C.I. =-4.3,-3.0). A weak association was noted between QoL and social isolation. CONCLUSIONS The COVID-19 pandemic is associated with differential effects among older adults. In particular, those with limited financial resources and those with multiple chronic conditions may be at more risk to suffer adverse QoL and well-being consequences. Loneliness may be a modifiable risk factor for decreased QoL and well-being amenable to targeted interventions.
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Affiliation(s)
- Jennifer Briere
- Department of Psychology and Health Studies, University of Saskatchewan, Saskatoon, Canada
| | - Sophia Haotong Wang
- Department of Psychology and Health Studies, University of Saskatchewan, Saskatoon, Canada
| | - Ulfat Ara Khanam
- Health Sciences Program, College of Medicine, Canadian Centre for Health and Safety in Agriculture, Respiratory Research Centre, University of Saskatchewan, Saskatoon, Canada
| | - Josh Lawson
- Department of Medicine and Canadian Centre for Health and Safety in Agriculture, College of Medicine, University of Saskatchewan, Saskatoon, Canada
| | - Donna Goodridge
- College of Medicine, Respiratory Research Centre, University of Saskatchewan, Saskatoon, Canada.
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Rivera-Ochoa FS, González-Herrera IV, Zacarías-Flores M, Correa-Muñoz E, Mendoza-Núñez VM, Sánchez-Rodríguez MA. Relationship between Self-Perception of Aging and Quality of Life in the Different Stages of Reproductive Aging in Mexican Women. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116839. [PMID: 35682423 PMCID: PMC9180910 DOI: 10.3390/ijerph19116839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 05/16/2022] [Accepted: 05/23/2022] [Indexed: 02/04/2023]
Abstract
Biological aging has an abrupt beginning in women, changing their body and perceptions, which are not accepted easily because the actual stereotypes are focused on youth and anti-aging. Our interest was to explore what the self-perception of aging (SPA) is in middle-aged women throughout the reproductive aging stages and their association with the quality of life. A cross-sectional study was conducted with 240 women (40−69 years) living in Mexico City, who were separated according to their reproductive aging stage. An electronic version of the Spanish version of the Self-rated Attitudes Towards Old Age (SATO) and the WHO Quality of Life-Bref (WHOQoL) was applied to these women and was sent by WhatsApp or email. Seventeen women of the total sample (7%) had a negative self-perception of aging. There is an association between SATO and WHOQoL (r = −0.273, p < 0.0001), but in the menopausal transition stage, the association is strong in the psychological subscale, and after menopause, early and late postmenopausal women show a better association in the social subscale. Negative SPA impacts the WHOQoL psychological dimension and not the total WHOQoL score. Our findings suggest an association between SPA and quality of life in different reproductive aging stages.
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Affiliation(s)
- Frida Sara Rivera-Ochoa
- Research Unit on Gerontology, FES Zaragoza, National Autonomous University of Mexico, Av. Guelatao No. 66, Col. Ejército de Oriente, Iztapalapa, Ciudad de Mexico CP 09230, Mexico; (F.S.R.-O.); (I.V.G.-H.); (E.C.-M.); (V.M.M.-N.)
| | - Ixel Venecia González-Herrera
- Research Unit on Gerontology, FES Zaragoza, National Autonomous University of Mexico, Av. Guelatao No. 66, Col. Ejército de Oriente, Iztapalapa, Ciudad de Mexico CP 09230, Mexico; (F.S.R.-O.); (I.V.G.-H.); (E.C.-M.); (V.M.M.-N.)
| | - Mariano Zacarías-Flores
- Division of Obstetrics and Gynecology, Hospital Gustavo Baz Prada, Institute of Health of the State of Mexico, Nezahualcóyotl, Estado de Mexico CP 57300, Mexico;
| | - Elsa Correa-Muñoz
- Research Unit on Gerontology, FES Zaragoza, National Autonomous University of Mexico, Av. Guelatao No. 66, Col. Ejército de Oriente, Iztapalapa, Ciudad de Mexico CP 09230, Mexico; (F.S.R.-O.); (I.V.G.-H.); (E.C.-M.); (V.M.M.-N.)
| | - Víctor Manuel Mendoza-Núñez
- Research Unit on Gerontology, FES Zaragoza, National Autonomous University of Mexico, Av. Guelatao No. 66, Col. Ejército de Oriente, Iztapalapa, Ciudad de Mexico CP 09230, Mexico; (F.S.R.-O.); (I.V.G.-H.); (E.C.-M.); (V.M.M.-N.)
| | - Martha A. Sánchez-Rodríguez
- Research Unit on Gerontology, FES Zaragoza, National Autonomous University of Mexico, Av. Guelatao No. 66, Col. Ejército de Oriente, Iztapalapa, Ciudad de Mexico CP 09230, Mexico; (F.S.R.-O.); (I.V.G.-H.); (E.C.-M.); (V.M.M.-N.)
- Correspondence: ; Tel.: +52-555623-0700 (ext. 83210)
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Henchoz Y, Blanco JM, Fustinoni S, Nanchen D, Büla C, Seematter-Bagnoud L, von Gunten A, Santos-Eggimann B. Cohort Profile: The Lausanne cohort 65+ (Lc65+). Int J Epidemiol 2021; 51:e156-e166. [PMID: 34849932 PMCID: PMC9365621 DOI: 10.1093/ije/dyab245] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/16/2021] [Indexed: 11/12/2022] Open
Affiliation(s)
- Yves Henchoz
- Centre for Primary Care and Public Health (Unisanté), Department of Epidemiology and Health Systems, University of Lausanne, Lausanne, Switzerland
| | - Juan Manuel Blanco
- Centre for Primary Care and Public Health (Unisanté), Department of Epidemiology and Health Systems, University of Lausanne, Lausanne, Switzerland
| | - Sarah Fustinoni
- Centre for Primary Care and Public Health (Unisanté), Department of Epidemiology and Health Systems, University of Lausanne, Lausanne, Switzerland
| | - David Nanchen
- Centre for Primary Care and Public Health (Unisanté), Department of Epidemiology and Health Systems, University of Lausanne, Lausanne, Switzerland
| | - Christophe Büla
- Service of Geriatric Medicine and Geriatric Rehabilitation, Department of Medicine, University of Lausanne Hospital Centre, Lausanne, Switzerland
| | - Laurence Seematter-Bagnoud
- Centre for Primary Care and Public Health (Unisanté), Department of Epidemiology and Health Systems, University of Lausanne, Lausanne, Switzerland.,Service of Geriatric Medicine and Geriatric Rehabilitation, Department of Medicine, University of Lausanne Hospital Centre, Lausanne, Switzerland
| | - Armin von Gunten
- Service of Old-age Psychiatry, Department of Psychiatry, University of Lausanne Hospital Centre, Lausanne, Switzerland
| | - Brigitte Santos-Eggimann
- Centre for Primary Care and Public Health (Unisanté), Department of Epidemiology and Health Systems, University of Lausanne, Lausanne, Switzerland
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Anker D, Carmeli C, Zwahlen M, Rodondi N, Santschi V, Henchoz Y, Wolfson C, Chiolero A. How blood pressure predicts frailty transitions in older adults in a population-based cohort study: a multi-state transition model. Int J Epidemiol 2021; 51:1167-1177. [PMID: 34652417 PMCID: PMC9365628 DOI: 10.1093/ije/dyab210] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Indexed: 11/14/2022] Open
Abstract
Background Low blood pressure (BP) is associated with frailty in older adults. Our aim was to explore how BP predicts transitions between frailty states. Methods We used data from the Lausanne cohort Lc65+, a population-based cohort of older adults randomly drawn from a population registry in Switzerland, in 2004, 2009 and 2014. BP was measured using a clinically validated oscillometric automated device and frailty was defined using Fried’s phenotype, every 3 years. We used an illness-death discrete multi-state Markov model to estimate hazard ratios of forward and backward transitions between frailty states (outcome) in relation to BP categories (predictor of interest) with adjustment for sex, age and antihypertensive medication (other predictors). Results Among 4200 participants aged 65–70 years (58% female) at baseline, 70% were non-frail, 27% pre-frail and 2.0% frail. Over an average follow-up of 5.8 years, 2422 transitions were observed, with 1575 (65%) forward and 847 (35%) backward. Compared with systolic BP (SBP) <130 mmHg, the hazard ratio (95% confidence interval) of the transition from non-frail to pre-frail was 0.86 (0.74 to 1.00) for SBP 130–150 mmHg, and 0.89 (0.74 to 1.06) for SBP ≥150 mmHg. Compared with SBP <130 mmHg, the hazard ratio of the transition from pre-frail to frail was 0.71 (0.50 to 1.01) for SBP 130–150 mmHg, and 0.90 (0.62 to 1.32) for SBP ≥150 mmHg. Diastolic BP was a weaker predictor of forward transitions. Conclusions BP categories had no strong relationship with either forward transitions or backward transitions in frailty states. If our findings are confirmed with greater precision and assuming a causal relationship, they would suggest that there is no well-defined optimal BP level to prevent frailty among older adults.
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Affiliation(s)
- Daniela Anker
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland.,Graduate School for Health Sciences, University of Bern, Bern, Switzerland
| | - Cristian Carmeli
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
| | - Marcel Zwahlen
- Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland
| | - Nicolas Rodondi
- Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.,Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Valérie Santschi
- La Source, School of Nursing Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Delémont, Switzerland
| | - Yves Henchoz
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
| | - Christina Wolfson
- Department of Epidemiology and Biostatistics and Occupational Health, School of Population and Global Health, McGill University, Montréal, Québec, Canada
| | - Arnaud Chiolero
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland.,Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.,Department of Epidemiology and Biostatistics and Occupational Health, School of Population and Global Health, McGill University, Montréal, Québec, Canada
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Hoshino A, Ishikawa N, Tanaka M, Usui K, Komata M, Shizawa M, Katsura T. What lifestyles are risk factors for low well-being of healthy elderlies dwelled in a local city in super-aging Japan? -Kizugawa cohort study. J Rural Med 2020; 15:73-84. [PMID: 32704332 PMCID: PMC7369405 DOI: 10.2185/jrm.2019-015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Accepted: 01/23/2020] [Indexed: 11/27/2022] Open
Abstract
The purpose of this cohort study is to clarify the risk factors of low well-being of elderly people who residing in a local city of a super-aging country, Japan. Subjects are people, who have selected randomly from healthy elderly people resided in Kizugawa City, Kyoto Prefecture, in 2010, followed until 2015. Question survey was conducted in both year, and questionnaire consisted of items such as basic attributes, lifestyles (health practices, consultation behaviors, social activities and so on) and well-being (WHO-5). In analysis we made multi-logistic regression analysis using lifestyle variables as an independent variable and well-being as a dependent variable. The results were as follows. 1. Risk factors were not to exercise, knowledge of appropriate diet, subjective feeling of stress for at least a month, not to participate in voluntary activities, age and bad subjective feeling of health. 2. Risk factors in regard to changes of lifestyles using good-good lifestyles as a reference were sustainment of having no time for hobby or relaxation, sustainment or deterioration of subject feeling of stress for at least a month, sustainment or deterioration of having no time for relaxation and deterioration of having no activities with pleasure or aim. A factor promoting well-being is to have more frequencies for going out home. This study shows that in a longevity society it is important for community-dwelling elderly Japanese to have good health practices, appropriate consultation behaviors and good social activities for the purpose of keeping good well-being, and that these results are contributed to health promotion policy for community-dwelling elderly people.
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Affiliation(s)
- Akiko Hoshino
- Graduate School of Nursing and Health Sciences, Kyoto Prefectural University of Medicine, Japan
| | - Nobuhito Ishikawa
- Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Japan
| | - Mai Tanaka
- Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Japan
| | - Kanae Usui
- Graduate School of Nursing and Health Sciences, Kyoto Prefectural University of Medicine, Japan
| | - Michiko Komata
- Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Japan
| | - Miho Shizawa
- Graduate School of Nursing and Health Sciences, Kyoto Prefectural University of Medicine, Japan
| | - Toshiki Katsura
- Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Japan
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