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Quality of Life Research
Gepubliceerd in: Quality of Life Research 5/2014

01-06-2014

Quality of life and related factors: a questionnaire survey of older people living alone in Mainland China

Auteurs: Yu Chen, Allan Hicks, Alison E. While

Gepubliceerd in: Quality of Life Research | Uitgave 5/2014

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Abstract

Purpose

There is a growing population of older people living alone within the context of dramatic population ageing and changing living arrangements. However, little is known about the quality of life (QoL) of older people living alone in Mainland China. This study aimed to investigate QoL and its related factors among Chinese older people who live alone.

Methods

A stratified random cluster sample of 521 community-dwelling older people living alone in Shanghai completed a structured questionnaire through face-to-face interviews. QoL was measured using the Older People’s Quality of Life Questionnaire. Other data collected included self-rated health, physical health, cognitive function, depression, functional ability, loneliness, social support, physical activity, health services satisfaction, satisfaction with overall dwelling conditions and socio-demographic variables.

Results

Older people living alone in Mainland China rated social relationships and financial circumstances as sources of low satisfaction within their QoL. Multiway analysis of variance showed that satisfaction with overall dwelling conditions, self-rated health, functional ability, depression, economic level, social support, loneliness, previous occupation and health services satisfaction were independently related to QoL, accounting for 68.8 % of the variance. Depression and previous occupation had an interaction effect upon QoL.

Conclusions

This study identified nine factors influencing the QoL of older people living alone in Mainland China. Interventions to increase satisfaction with dwelling conditions, improve economic level, social support and functional ability, decrease loneliness and depression and improve health services satisfaction appear to be important for enhancing their QoL.
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Literatuur
1.
United Nations. (2009). World population ageing 2009. New York: United Nations.
2.
United Nations. (2001). World population ageing: 1950–2050. New York: United Nations.
3.
World Health Organization. (2008). WHO global report on falls prevention in older age. Geneva: World Health Organization.
4.
Rolls, L., Seymour, J. E., Froggatt, K. A., & Hanratty, B. (2010). Older people living along at the end of life in the UK: Research and policy challenges. Palliative Medicine, 25(6), 650–657.PubMedCrossRef
5.
Casey, B., & Yamada, A. (2002). Getting older, getting poorer? A study of the earnings, pensions, assets and living arrangements of older people in nine countries. OECD labour market and social policy occasional papers, no. 60, OECD Publishing. http://​dx.​doi.​org/​10.​1787/​345816633534. Accessed March 24, 2013.
6.
Chou, K. L., & Chi, I. (2000). Comparison between elderly Chinese living alone and those living with others. Journal of Gerontological Social Work, 33(4), 51–66.CrossRef
7.
Lee, J. J. (2005). An exploratory study on the quality of life of older Chinese people living alone in Hong Kong. Social Indicators Research, 71(1–3), 335–361.
8.
Lin, P. C., Yen, M. F., & Fetzer, S. J. (2008). Quality of life in elders living alone in Taiwan. Journal of Clinical Nursing, 17(12), 1610–1617.PubMedCrossRef
9.
World Health Organization. (1977). Prevention of mental disorders in the elderly. Copenhagen: World Health Organization.
10.
11.
World Health Organization. (2002). Active ageing. A policy framework. Geneva: World Health Organization.
12.
Yahaya, N., Abdullah, S. S., Momtaz, Y. A., & Hamid, T. A. (2010). Quality of life of older Malaysians living alone. Educational Gerontology, 36(10–11), 893–906.CrossRef
13.
Bilotta, C., Bowling, A., Nicolini, P., Case, A., & Vergani, C. (2012). Quality of life in older outpatients living alone in the community in Italy. Health and Social Care in the Community, 20(1), 32–41.PubMedCrossRef
14.
The WHOQOL Group. (1995). The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization. Social Science and Medicine, 41(10), 1403–1409.CrossRef
15.
Chen, Z. L., & Chen, X. B. (2006). Discussion on situation of the ageing in Shanghai and its countermeasures. Chinese Health Service Management, 22(11), 671–673.
16.
17.
18.
19.
Newton, R. R., & Rudestam, K. E. (1999). Your statistical consultant: Answers to your data analysis questions. California: Sage.
20.
Pfeiffer, E. (1975). A Short Portable Mental Status Questionnaire for the assessment of organic brain deficit in elderly patients. Journal of American Geriatric Society, 23(10), 433–441.
21.
Chen, Y., Hicks, A., & While, A. E. (2013). Validity and reliability of the modified Chinese version of the Older People’s Quality of Life Questionnaire (OPQOL) in older people living alone in China. International Journal of Older People Nursing. doi:10.​1111/​opn.​12042.
22.
Chen, Y., Hicks, A., & While, A. E. (2013). Quality of life of older people in China: A systematic review. Reviews in Clinical Gerontology, 23(1), 88–100.CrossRef
23.
Sheikh, J. L., & Yesavage, J. A. (1986). Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontologist, 5(1–2), 165–173.
24.
Boey, K. W. (2000). The use of GDS-15 among the older adults in Beijing. Clinical Gerontologist, 21(2), 49–60.CrossRef
25.
Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3), 179–186.PubMedCrossRef
26.
Russell, D. W. (1996). UCLA Loneliness Scale (version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), 20–40.PubMedCrossRef
27.
Xiao, S. Y. (1999). The Social Support Rate Scale. In X. D. Ma, X. L. Wang, & H. Ma (Eds.), The handbook of Mental Health Rating Scales (pp. 127–131). Beijing: Chinese Mental Health Journal Press.
28.
Haskell, W. L., Lee, I. M., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A., et al. (2007). Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Medicine and Science in Sports and Exercise, 39(8), 1423–1434.PubMedCrossRef
29.
Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott Williams & Wilkins.
30.
Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). New York: Allyn and Bacon.
31.
Zhong, R. Y. (2004). An analysis of the living condition of the elders living alone in Shanghai and the policy related. Journal of Social Science, 8, 66–70.
32.
Tong, H. M., Lai, D. W. L., Zeng, Q., & Xu, W. Y. (2011). Effects of social exclusion on depressive symptoms: Elderly Chinese living alone in Shanghai. China. Journal of Cross-Cultural Gerontology, 26(4), 349–364.CrossRef
33.
Phillips, D. R., Siu, O. L., Yeh, A. G. O., & Cheng, K. H. C. (2005). The impacts of dwelling conditions on older persons’ psychological well-being in Hong Kong: The mediating role of residential satisfaction. Social Science and Medicine, 60(12), 2785–2797.PubMedCrossRef
34.
Michalos, A. C., Zumbo, B. D., & Hubley, A. (2000). Health and the quality of life. Social Indicators Research, 51(3), 245–286.CrossRef
35.
Lee, T. W., Ko, I. S., & Lee, K. J. (2006). Health promotion behaviors and quality of life among community-dwelling elderly in Korea: A cross-sectional survey. International Journal of Nursing Studies, 43(3), 293–300.PubMedCrossRef
36.
Zhang, J. P., Huang, H. S., Ye, M., & Zeng, H. (2008). Factors influencing the subjective well being (SWB) in a sample of older adults in an economically depressed area of China. Archives of Gerontology and Geriatrics, 46(3), 335–347.PubMedCrossRef
37.
Paskulin, L., Vianna, L., & Molzahn, A. E. (2009). Factors associated with quality of life of Brazilian older adults. International Nursing Review, 56(1), 109–115.PubMedCrossRef
38.
Jia, S. M., Feng, Z. Y., Hu, Y., & Wang, J. Q. (2004). Survey of the living quality and its effect factors for the aged people in urban community of Shanghai city. Journal of Nurses Training, 19(5), 420–423.
39.
Zhou, B., Chen, K., Wang, J. F., Wang, H., Zhang, S. S., & Zheng, W. J. (2011). Quality of life and related factors in the older rural and urban Chinese populations in Zhejiang Province. Journal of Applied Gerontology, 30(2), 199–225.CrossRef
40.
Cai, T. J. (2004). Self-rated life satisfaction and its determinants among Chinese elderly females living alone. Chinese Journal of Population Science, S1, 70–74.
41.
Deng, J. L., Hu, J. M., Wu, W. L., Dong, B. R., & Wu, H. M. (2010). Subjective well-being, social support, and age-related functioning among the very old in China. International Journal of Geriatric Psychiatry, 25(7), 697–703.PubMedCrossRef
42.
Huang, J. Q., Chen, Q. E., & Shu, X. F. (2005). A study on the relationship between quality of life and social support of elder in community. Chinese Journal of Behavioral Medicine Science, 14(8), 725–726.
43.
Xiao, S. Y. (1994). The theoretical basis and applications of Social Support Rate Scale. Journal of Clinical Psychiatry, 4(2), 98–100.
44.
Fratiglioni, L., Wang, H. X., Ericsson, K., Maytan, M., & Winblad, B. (2000). Influence of social network on occurrence of dementia: A community-based longitudinal study. The Lancet, 355(9212), 1315–1319.CrossRef
45.
Lauder, W., Sharkey, S., & Mummery, K. (2004). A community survey of loneliness. Journal of Advanced Nursing, 46(1), 88–94.PubMedCrossRef
46.
Victor, C., Scambler, S., Bond, J., & Bowling, A. (2000). Being alone in later life: Loneliness, social isolation and living alone. Reviews in Clinical Gerontology, 10(4), 407–417.CrossRef
47.
Ruggeri, M., Nose, M., Bonetto, C., Cristofalo, D., Lasalvia, A., Salvi, G., et al. (2005). Changes and predictors of change in objective and subjective quality of life: Multiwave follow-up study in community psychiatric practice. The British Journal of Psychiatry, 187, 121–130.PubMedCrossRef
48.
Joseph, C., & Nichols, S. (2007). Patient satisfaction and quality of life among persons attending chronic disease clinics in South Trinidad, West Indies. The West Indian Medical Journal, 56(2), 108–114.PubMedCrossRef
49.
Brett, C. E., Gow, A. J., Corley, J., Pattie, A., Starr, J. M., & Deary, I. J. (2012). Psychosocial factors and health as determinants of quality of life in community-dwelling older adults. Quality of Life Research, 21(3), 505–516.PubMedCrossRef
50.
Chachamovich, E., Fleck, M., Laidlaw, K., & Power, M. (2008). Impact of major depression and subsyndromal symptoms on quality of life and attitudes towards aging in an international sample of older adults. The Gerontologist, 48(5), 593–602.PubMedCrossRef
51.
Chou, K. L., & Chi, I. (1999). Determinants of life satisfaction in Hong Kong Chinese elderly: A longitudinal study. Aging & Mental Health, 3(4), 328–335.CrossRef
52.
Chen, Y., Hicks, A., & While, A. E. (2012). Depression and related factors in older people in China: A systematic review. Reviews in Clinical Gerontology, 22(1), 52–67.CrossRef
53.
Ning, H. D., Luo, C. S., Zhang, Q. X., Zhu, Y. H., Wu, S. Y., Liang, H. Y., et al. (1999). An epidemiological study on quality of life among elderly population in Shenzhen. Chinese Journal of Prevention and Control of Chronic Non-communicable Diseases, 7(4), 1–5.
54.
Metagegevens
Titel
Quality of life and related factors: a questionnaire survey of older people living alone in Mainland China
Auteurs
Yu Chen
Allan Hicks
Alison E. While
Publicatiedatum
01-06-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 5/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-013-0587-2

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