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01-04-2011 | Uitgave 3/2011

Associations between living arrangements and health-related quality of life of urban elderly people: a study from China

Tijdschrift:: Quality of Life Research > Uitgave 3/2011

Auteurs:: Xiaojie Sun, Henry Lucas, Qingyue Meng, Yaoguang Zhang

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Abstract

Purpose

This study aimed to compare health-related quality of life (HRQOL) for elderly men and women in three mutually exclusive living arrangements: living alone, living only with spouse, and non-empty-nesters. It also examined whether such living arrangements and other factors relating to social interaction have an independent influence on HRQOL after controlling for other variables.

Methods

The data were drawn from China’s 4th National Household Health Survey (NHHS) conducted in 2008. The final sample included 9,711 urban elderly people of 60 years and above. The EQ-5D inventory was used to measure health-related quality of life.

Results

The proportions of non-empty-nested men and women both changed following a ‘U’-shaped curve with the increasing age. Controlling for other variables not including social interaction indicators, “living alone” was a significant predictor of reporting problems on Mobility, Pain/Discomfort and Anxiety/Depression. After introducing social interaction indicators, urban older adults ‘having close contact with neighbors every week’ had lower odds of problems on all five EQ-5D indicators, those ‘having close contact with friends and relatives’ had lower odds of problems on Mobility, Pain/Discomfort and Anxiety/Depression, and those ‘taking part in social activities every week’ had lower odds of problems on all dimensions but Anxiety/Depression. In addition, after introducing social interaction indicators, the odds of reported problems on the three dimensions increased obviously.

Conclusions

This study suggests that the most vulnerable urban older adults are those who live entirely on their own. Frequent social interaction may buffer the negative effect of living alone on HRQOL of older adults. Policies that attempt to build harmonious neighborhoods, extend older adults’ social network and encourage them to take part in social activities should be considered by the policy-makers in the future.

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Titel: Associations between living arrangements and health-related quality of life of urban elderly people: a study from China
Auteurs:: Xiaojie Sun
Henry Lucas
Qingyue Meng
Yaoguang Zhang
Publicatiedatum: 01-04-2011
DOI: https://doi.org/10.1007/s11136-010-9752-z
Uitgeverij: Springer Netherlands
Tijdschrift: Quality of Life Research An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation - Official Journal of the International Society of Quality of Life Research
Uitgave 3/2011
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649

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Abstract

Purpose

Methods

Results

Conclusions

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