Swipe om te navigeren naar een ander artikel
The aim of this study was to identify modifications in health, economic and social determinants of quality of life (QoL) in community-dwelling older adults when using different cut-offs to defining favorable QoL.
Data of year 2011 annual assessment in 1003 older men and women from the Lc65+ cohort study were used. Overall QoL was self-rated as ‘excellent,’ ‘very good,’ ‘good,’ ‘fair,’ or ‘poor.’ To identify significant health (self-rated health, SF-12v2 physical and mental health), economic (financial situation), and social (living with others, being socially supported, emotional support, group activities participation) determinants of QoL, a cut-off was set at three different positions to define favorable QoL on the ‘excellent’ to ‘poor’ spectrum: at least ‘good’ (model 1); at least ‘very good’ (model 2); and ‘excellent’ only (model 3).
In all three models, bivariable analyses indicated significant associations between QoL and at least one variable from each health, economic, and social dimension. In multivariable analyses, only health-related variables remained significantly associated with QoL in model 1. Model 3 additionally retained financial situation. In model 2, QoL was positively associated with physical health [odds ratio (OR) 1.10, p < 0.001], mental health (OR 1.12, p < 0.001), self-rated health (OR 2.43, p < 0.001), group activities participation (OR 1.43, p = 0.037), being socially supported (OR 1.58, p = 0.024), and not reporting financial difficulties (OR 1.76; p = 0.036).
Using different cut-offs to defining favorable QoL results in important changes in the number and type of significant health, economic and social determinants. A cut-off between ‘good’ and ‘very good’ appears to best reflect the multidimensional nature of QoL.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
World Health Organization. (2012). World health day: Are you ready? What you need to know about ageing. http://www.who.int/world-health-day/2012/toolkit/background/en/index.html. Accessed February 25, 2015.
Gerritsen, D. L., Steverink, N., Ooms, M. E., de Vet, H. C., & Ribbe, M. W. (2007). Measurement of overall quality of life in nursing homes through self-report: The role of cognitive impairment. Quality of Life Research, 16(6), 1029–1037. doi: 10.1007/s11136-007-9203-7. CrossRefPubMedPubMedCentral
Campos, A., Ferreira e Ferreira, E., Vargas, A., & Albala, C. (2014). Aging, Gender and Quality of Life (AGEQOL) study: Factors associated with good quality of life in older Brazilian community-dwelling adults. Health and Quality of Life Outcomes, 12(1), 166. doi: 10.1186/s12955-014-0166-4. CrossRefPubMedPubMedCentral
Bain, G. H., Lemmon, H., Teunisse, S., Starr, J. M., Fox, H. C., Deary, I. J., et al. (2003). Quality of Life in healthy old age: Relationships with childhood IQ, minor psychological symptoms and optimism. Social Psychiatry and Psychiatric Epidemiology, 38(11), 632–636. doi: 10.1007/s00127-003-0685-5. CrossRefPubMed
Santos-Eggimann, B., Karmaniola, A., Seematter-Bagnoud, L., Spagnoli, J., Bula, C., Cornuz, J., et al. (2008). The Lausanne cohort Lc65+: A population-based prospective study of the manifestations, determinants and outcomes of frailty. BMC Geriatrics, 8, 20. doi: 10.1186/1471-2318-8-20. CrossRefPubMedPubMedCentral
Ware, J. E., Kosinski, M., Turner-Bowker, D. M., Gandek, B., Lab, N. E. M. C. H. H. A., & Incorporated, Q. (2002). SF-12v2: How to score version 2 of the SF-12 Health Survey. Lincoln: QualityMetric Incorporated.
Hosmer, D. W., Lemeshow, S., & Sturdivant, R. X. (2013). Applied logistic regression (3rd ed.). Hoboken, NJ: Wiley. CrossRef
Bien, B., McKee, K. J., Dohner, H., Triantafillou, J., Lamura, G., Doroszkiewicz, H., et al. (2013). Disabled older people’s use of health and social care services and their unmet care needs in six European countries. European Journal of Public Health, 23(6), 1032–1038. doi: 10.1093/eurpub/cks190. CrossRefPubMed
- Determinants of quality of life in community-dwelling older adults: comparing three cut-offs on the excellent-to-poor spectrum
On behalf of the Research Group on the quality of life of older people in cantons of Vaud and Geneva
- Springer International Publishing