Top

Gepubliceerd in:

14-08-2022

Quality of life among community-dwelling older adults: evidence from a large population-based study in rural Sri Lanka

Auteurs: Nuwan Darshana Wickramasinghe, Himali Erandathie Ratnayake, Rasika Amali Perera, Suneth Buddhika Agampodi

Gepubliceerd in: Quality of Life Research | Uitgave 1/2023

Abstract

Purpose

Against the backdrop of the ever-increasing aging population in Sri Lanka and the scarcity of local evidence on quality of life (QoL) among rural elderly, this study was conducted to assess the QoL of the community-dwelling older adults in rural Sri Lanka.

Methods

This cross-sectional study was conducted among community-dwelling older adults (60–74 years) in a selected rural setting in Sri Lanka. K-means cluster analysis was used to stratify participants into 'low' and 'high' levels of QoL and then significant associations between these clusters and underlying socio-demographic and self-reported health related factors were estimated using bivariate and subsequent multivariable binary logistic regression models.

Results

The final sample consisted of 3573 community-dwelling older adults (response rate 97.8%). The mean (SD) age of the sample was 66.7 (4.3) years and the majority were females (n = 2130, 59.6%). Amongst the six QoL domains assessed (physical, psychological, social, functional, environmental and spiritual domains), the highest and the lowest mean (SD) scores were reported for the functional [63.4 (16.9)] and the physical [52.9 (15.0)] domains, respectively. Aged 70 years or more, either unmarried/widowed/divorced, lower educational levels and having chronic illnesses were statistically significant associations of QoL (p < 0.05).

Conclusion

The QoL among community-dwelling older adults in rural Sri Lanka is moderate. As having social support, absence of chronic diseases and good education level were found to be associated with better QoL, strengthening community-based interventions to improve these aspects by incorporating the evidence generated by other longitudinal studies is recommended.

vorige artikel Associations between healthy lifestyle score and health-related quality of life among Chinese rural adults: variations in age, sex, education level, and income

volgende artikel PROMIS global health: potential utility as a screener to trigger construct-specific patient-reported outcome measures in clinical care

United Nations Department of Economic and Social Affairs, Population Division. (2019). World population ageing 2019: Highlights (ST/ESA/SER.A/430). Retrieved July 11, 2022, from https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Highlights.pdf

United Nations Department of Economic and Social Affairs, Population Division. (2020). World population ageing 2020 highlights: Living arrangements of older persons (ST/ESA/SER.A/451). Retrieved July 11, 2022, from https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Report.pdf

Makovski, T. T., Schmitz, S., Zeegers, M. P., Stranges, S., & van den Akker, M. (2019). Multimorbidity and quality of life: Systematic literature review and meta-analysis. Ageing Research Reviews, 53, 100903. https://doi.org/10.1016/J.ARR.2019.04.005CrossRef

De Silva, R. E. E., & Perera, M. S. A. (2018). Quality of life in older adults attending a University Family Practice Centre in Sri Lanka. The Journal of Frailty & Aging, 7(2), 134–137

Thadathil, S. E., Jose, R., & Varghese, S. (2015). Assessment of domain wise quality of life among elderly population using WHO-BREF Scale and its determinants in a rural setting of Kerala. International Journal of Current Medical And Applied Sciences, 7(1), 43–46.

Canbaz, S., Sunter, A. T., Dabak, S., & Peksen, Y. (2003). The prevalence of chronic diseases and quality of life in elderly people in Samsun. Turkish Journal of Medical Sciences, 33(5), 335–340.

Xavier, F. M. F., Ferraz, M. P. T., Marc, N., Escosteguy, N. U., & Moriguchi, E. H. (2003). Elderly people’s definition of quality of life. Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 25(1), 31–39. https://doi.org/10.1590/S1516-44462003000100007

Van Leeuwen, K. M., Van Loon, M. S., Van Nes, F. A., Bosmans, J. E., De Veti, H. C. W., Ket, J. C. F., Widdershoven, G. A., & Ostelo, R. W. J. G. (2019). What does quality of life mean to older adults? A thematic synthesis. PLoS ONE. https://doi.org/10.1371/journal.pone.0213263

Murphy, B., Herrman, H., Hawthorne, G., Pinzone, T., & Evert, H. (2000). Australian WHOQOL instruments: User’s manual and interpretation guide. Melbourne, Australia. Retrieved from https://worlddatabaseofhappiness-archive.eur.nl/hap_bib/freetexts/~WHOQOL 2000.pdf

10.

Pequeno, N. P. F., Pequeno, N. P. F., de Cabral, N. L., Marchioni, D. M., Lima, S. C. V. C., & de Lyra, C. (2020). Quality of life assessment instruments for adults: A systematic review of population-based studies. Health and Quality of Life Outcomes, 18(1), 1–13. https://doi.org/10.1186/S12955-020-01347-7/FIGURES/4CrossRef

11.

Crocker, T. F., Brown, L., Clegg, A., Farley, K., Franklin, M., Simpkins, S., & Young, J. (2019). Quality of life is substantially worse for community-dwelling older people living with frailty: Systematic review and meta-analysis. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 28(8), 2041–2056. https://doi.org/10.1007/S11136-019-02149-1CrossRef

12.

Burks, H. B., Des Bordes, J. K. A., Chadha, R., Holmes, H. M., & Rianon, N. J. (2021). Quality of life assessment in older adults with Dementia: A systematic review. Dementia and Geriatric Cognitive Disorders, 50(2), 103–110. https://doi.org/10.1159/000515317CrossRef

13.

da Rocha, M. L. C., Magalhães, C. M. C., Sampaio, E. C., Costa, E. F., & Ramos, M. F. H. (2019). Quality of life and cognition in elderly: A systematic review. Estudos de Psicologia (Campinas). https://doi.org/10.1590/1982-0275201936E180100CrossRef

14.

Vagetti, G. C., Barbosa Filho, V. C., Moreira, N. B., de Oliveira, V., Mazzardo, O., & de Campos, W. (2014). Association between physical activity and quality of life in the elderly: A systematic review, 2000–2012. Revista brasileira de psiquiatria (Sao Paulo, Brazil: 1999), 36(1), 76–88. https://doi.org/10.1590/1516-4446-2012-0895

15.

Rasheed, S., & Woods, R. T. (2013). Malnutrition and quality of life in older people: A systematic review and meta-analysis. Ageing Research Reviews, 12(2), 561–566. https://doi.org/10.1016/J.ARR.2012.11.003CrossRef

16.

Phyo, A. Z. Z., Freak-Poli, R., Craig, H., Gasevic, D., Stocks, N. P., Gonzalez-Chica, D. A., & Ryan, J. (2020). Quality of life and mortality in the general population: A systematic review and meta-analysis. BMC Public Health, 20(1), 1–20. https://doi.org/10.1186/s12889-020-09639-9CrossRef

17.

Ageing in Asia and The Pasific: Overview. (2016). Retrieved from https://www.unescap.org/sites/default/files/SDD Ageing Fact Sheet Overview.pdf

18.

Department of Census and Statistics. (2016). Sri Lanka demographic and health survey (DHS) 2016. Retrieved from http://www.statistics.gov.lk/Health/StaticalInformation/DemographicAndHealthSurvey-2016FullReport

19.

Sri Lanka Demographic Transition. (2012). Retrieved from https://openknowledge.worldbank.org/bitstream/handle/10986/12285/NonAsciiFileName0.pdf?sequence=1&isAllowed=y

20.

National Survey on Self-reported Health in Sri Lanka. (2014). Retrieved from http://www.statistics.gov.lk/Resource/en/Health/NationalSurveyonSelf-reportedHealthinSriLanka2014.pdf

21.

Santhalingam, S., Sivagurunathan, S., Prathapan, S., Kanagasabai, S., & Kamalarupan, L. (2021). The association of health-related factors with quality of life among the elderly population in the Jaffna district of Sri Lanka. BMC Public Health, 21(1), 1–10. https://doi.org/10.1186/S12889-021-10507-3/TABLES/6CrossRef

22.

Weerasuriya, N., & Jayasinghe, S. (2005). A preliminary study of the hospital-admitted older patients in a Sri Lankan tertiary care hospital. The Ceylon medical journal, 50(1), 18–19. https://doi.org/10.4038/CMJ.V50I1.1584CrossRef

23.

Wijesundara, C., & Kasturiratna, K. T. A. (2016). Health related quality of life and its correlates among elderly in a selected MOH area of Colombo. In Sri Lanka Medical Association, 129th anniversary international medical congress (p. 195). Retrieved from http://repository.kln.ac.lk/handle/123456789/17832

24.

Damayanthi, H. D. W. T., Moy, F. M., Abdullah, K. L., & Dharmaratne, S. D. (2018). Health related quality of life and its associated factors among community-dwelling older people in Sri Lanka: A cross-sectional study. Archives of Gerontology and Geriatrics, 76, 215–220. https://doi.org/10.1016/J.ARCHGER.2018.03.009CrossRef

25.

Siriwardhana, D. D., Weerasinghe, M. C., Rait, G., Scholes, S., & Walters, K. R. (2019). The association between frailty and quality of life among rural community-dwelling older adults in Kegalle district of Sri Lanka: A cross-sectional study. Quality of Life Research : An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 28(8), 2057–2068. https://doi.org/10.1007/S11136-019-02137-5CrossRef

26.

Rathnayake, S., & Siop, S. (2015). Quality of life and its determinants among older people living in the rural community in Sri Lanka. Indian Journal of Gerontology, 29, 131–153.

27.

Census of Population and Housing of Sri Lanka, 2012. (n.d.). Retrieved from http://www.statistics.gov.lk/pophousat/cph2011/Pages/Activities/Reports/District/Badulla.pdf

28.

SLYCAN Trust. (2021). Working paper: Household profiles and resilience indicators for climate risk transfer in Sri Lanka. Colombo, Sri Lanka. https://doi.org/10.13140/RG.2.2.22221.15849

29.

Life Tables for Sri Lanka 2011–2013 By District and Sex. (n.d.). Retrieved from http://www.statistics.gov.lk/pophousat/cph2011/pages/activities/reports/finalreport/LifeTables.pdf

30.

Ministry of Home Affairs, District Secretariat Anuradhapura. (2021). Retrieved from http://www.anuradhapura.dist.gov.lk/index.php/en/

31.

Ministry of Home Affairs, Divisional Secreta riat Thalawa. (2021). Retrieved from Ministry of Home Affairs, Divisional Secreta riat Thalawa

32.

De Silva, H. S., Rohan Jayasuriya, A., Rajapaksa, L. C., Pubudu De Silva, A., & Barraclough, S. (2016). Development and validation of a measure of quality of life for the young elderly in Sri Lanka. Asia-Pacific Journal of Public Health, 28(1S), 115–125. https://doi.org/10.1177/1010539515625113CrossRef

33.

Perera, S. (2012). Ageing population of Sri Lanka emerging issues, needs and policy implications thematic report based on census of population and housing 2012. Retrieved from https://srilanka.unfpa.org/sites/default/files/pub-pdf/UNFPAAgeingMonographReport_0.pdf

34.

Singh, A., Palaniyandi, S., Palaniyandi, A., & Gupta, V. (2022). Health related quality of life among rural elderly using WHOQOL-BREF in the most backward district of India. Journal of Family Medicine and Primary Care, 11(3), 1162.

35.

Dasgupta, A., Pan, T., Paul, B., Bandopadhyay, L., & Mandal, S. (2018). Quality of life of elderly people in a rural area of West Bengal: A community-based study. Medical Journal of Dr. DY Patil Vidyapeeth, 11(6), 527. https://doi.org/10.4103/mjdrdypu.mjdrdypu_78_18

36.

Ganesh Kumar, S., Majumdar, A., & Pavithra, G. (2014). Quality of life (QOL) and its associated factors using WHOQOL-BREF among elderly in urban Puducherry, India. Journal of Clinical and Diagnostic Research: JCDR, 8(1), 54. https://doi.org/10.7860/JCDR/2014/6996.3917CrossRef

37.

Mudey, A., Ambekar, S., Goyal, R. C., Agarekar, S., & Wagh, V. V. (2011). Assessment of quality of life among rural and urban elderly population of Wardha District, Maharashtra, India. Studies on Ethno-medicine, 5(2), 89–93. https://doi.org/10.1080/09735070.2011.11886394CrossRef

38.

Holmes, W. R., & Joseph, J. (2011). Social participation and healthy ageing: A neglected, significant protective factor for chronic non communicable conditions. Globalization and Health, 7(1), 1–8. https://doi.org/10.1186/1744-8603-7-43/METRICSCrossRef

39.

Perera, B. (2011). Social support and social security issues of elders in Sri Lanka. Galle Medical Journal, 16(2), 2–5

40.

Marsh, C., Agius, P. A., Jayakody, G., Shajehan, R., Abeywickrema, C., Durrant, K., & Holmes, W. (2018). Factors associated with social participation amongst elders in rural Sri Lanka: A cross-sectional mixed methods analysis. BMC Public Health, 18(1), 1–14. https://doi.org/10.1186/S12889-018-5482-X/TABLES/3CrossRef

41.

Siddhisena, K. A. (2005). Socio-economic implications of ageing in Sri Lanka: An overview. Oxford Institute of ageing working papers (October), Retrieved from http://www.ageing.ox.ac.uk/files/workingpaper_105.pdf

42.

Luo, D., & Hu, J. (2011). Factors influencing health-related quality of life among minority elders in southwest China. Community Health Nursing, 28(3), 156–167. https://doi.org/10.1080/07370016.2011.589238CrossRef

43.

Shrestha, S., & Zarit, S. H. (2012). Cultural and contextual analysis of quality of life among older Nepali women. Journal of Cross-Cultural Gerontology, 27(2), 163–182. https://doi.org/10.1007/s10823-012-9167-0CrossRef

44.

Aydin, S., & Karaoglu, L. (2012). The quality of life and the influencing factors among the population over 65 living in Gazi̇antep city center. Turkish Journal of Geriatrics, 15(4), 424–433.

45.

Robert, S. A., Cherepanov, D., Palta, M., Dunham, N. C., Feeny, D., & Fryback, D. G. (2009). Socioeconomic status and age variations in health-related quality of life: Results from the national health measurement study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 64(3), 378–389

46.

Klärner, A., & Knabe, A. (2019). Social networks and coping with poverty in rural areas. Sociologia Ruralis, 59(3), 447–473. https://doi.org/10.1111/soru.12250CrossRef

Titel: Quality of life among community-dwelling older adults: evidence from a large population-based study in rural Sri Lanka
Auteurs: Nuwan Darshana Wickramasinghe
Himali Erandathie Ratnayake
Rasika Amali Perera
Suneth Buddhika Agampodi
Publicatiedatum: 14-08-2022
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 1/2023
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-022-03230-y

Andere artikelen Uitgave 1/2023

The use of respiratory muscle training in patients with pulmonary dysfunction, internal diseases or central nervous system disorders: a systematic review with meta-analysis

Open Access
Review

Characterizing fatigue phenotypes with other symptoms and clinically relevant outcomes among people with multiple sclerosis

The impact of stigma on engaged living and life satisfaction among people with mental illness in Hong Kong

A qualitative study to explore the symptoms and impacts of Crohn’s disease and to develop the Crohn’s Disease Diary

Open Access

One-year follow-up of depression, anxiety, and quality of life of Peruvian patients who survived COVID-19

Health-related quality of life of children born very preterm: a multinational European cohort study

Open Access