Factors Affecting Life Satisfaction of Older Adults in Asia: A Systematic Review

Author(s):  
Sonia Khodabakhsh
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sunny Singhal ◽  
Pramod Kumar ◽  
Sumitabh Singh ◽  
Srishti Saha ◽  
Aparajit Ballav Dey

Abstract Background Few studies have focused on exploring the clinical characteristics and outcomes of COVID-19 in older patients. We conducted this systematic review and meta-analysis to have a better understanding of the clinical characteristics of older COVID-19 patients. Methods A systematic search of PubMed and Scopus was performed from December 2019 to May 3rd, 2020. Observational studies including older adults (age ≥ 60 years) with COVID-19 infection and reporting clinical characteristics or outcome were included. Primary outcome was assessing weighted pooled prevalence (WPP) of severity and outcomes. Secondary outcomes were clinical features including comorbidities and need of respiratory support. Result Forty-six studies with 13,624 older patients were included. Severe infection was seen in 51% (95% CI– 36-65%, I2–95%) patients while 22% (95% CI– 16-28%, I2–88%) were critically ill. Overall, 11% (95% CI– 5-21%, I2–98%) patients died. The common comorbidities were hypertension (48, 95% CI– 36-60% I2–92%), diabetes mellitus (22, 95% CI– 13-32%, I2–86%) and cardiovascular disease (19, 95% CI – 11-28%, I2–85%). Common symptoms were fever (83, 95% CI– 66-97%, I2–91%), cough (60, 95% CI– 50-70%, I2–71%) and dyspnoea (42, 95% CI– 19-67%, I2–94%). Overall, 84% (95% CI– 60-100%, I2–81%) required oxygen support and 21% (95% CI– 0-49%, I2–91%) required mechanical ventilation. Majority of studies had medium to high risk of bias and overall quality of evidence was low for all outcomes. Conclusion Approximately half of older patients with COVID-19 have severe infection, one in five are critically ill and one in ten die. More high-quality evidence is needed to study outcomes in this vulnerable patient population and factors affecting these outcomes.


2017 ◽  
Vol 87 (4) ◽  
pp. 392-414 ◽  
Author(s):  
Sevilay S. Celik ◽  
Yusuf Celik ◽  
Neset Hikmet ◽  
Mahmud M. Khan

This study aimed to examine the determinants of life satisfaction of older adults in Turkey. The sample consisted of 2,959 older adults over 65 years. The effects of psychological, daily life and instrumental activity, physical health and health status, and other important variables on life satisfaction were analyzed. The variables lessening life satisfaction for older adults included poverty, a lower self-reported health status, a decline in physical health, ability to chew, ability to do household activities, and an increase in feelings of depression and feeling social withdrawn. In contrast, being married, having a higher education level, and having an income-generating work increased life satisfaction among older adults. This study suggests the necessity of developing local and national policies that enable older adults to become more active in their communities. These policies should be coordinated under the framework of national aging policies that bridge health, social, and economic issues.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 498-498
Author(s):  
Meeryoung Kim

Abstract As life expectancy increases, older adults need to find ways to occupy their time for 20-30 years. For Korean older adults, social activities such as having relationships with others as well as, involvement in organizations and volunteer work, are important for their social identity. Social activities are one of the categories of Rowe and Kahn’s successful aging, this study examined the effect of having relationships, involvement in organizations and volunteering on the life satisfaction of older adults. This study used the 6th additional wave of the Korean Retirement and Income Study (2016). The target population was older adults (50~59, 60~74, 75+). The sample size was 1,921, 2,344 and 962 respectively. For data analysis, ANOVA and multiple regressions were used. The demographic variables were controlled. As for independent variables, having relationships, involvement in organizations, and volunteering were used. For the dependent variable, life satisfaction was used. Having relationships, involvement in organizations and volunteering were significantly different by age group. For each age group, the factors affecting life satisfaction differ. For the middle aged group, involvement in organizations and volunteering were significant factors affecting life satisfaction. For young-old adults, volunteering had the most significant effect on life satisfaction. Finally, for old-old adults, both having human relations and involvement in organizations were significant. These findings imply that social activities differ by age group. Also, the kind of activities affecting life satisfaction differ by age group. These findings imply that it is important for older adults to be involved in society, in various ways.


2019 ◽  
Author(s):  
Yu-Jin Cha

Abstract Background: The purpose of this study was to identify whether there is a difference in time use between a group of subjects with occupational balance, the occupational balance group (OB group) and a group of subjects lacking occupational balance, the occupational imbalance group (OI group), and what factors influence the life satisfaction of the OB group. This study used raw data from the 2014 Time Use Survey of the Korea National Statistical Office (KOSTAT). Methods: This study sorted detailed activities of the 9.228 subjects who were over 65 years of age. We conducted an independent sample t-test to confirm the time difference by areas between the OB group and the OI groups. In order to confirm the effect of variables on life satisfaction, we performed regression analysis by applying an ordered probit model (OPM). Results: The analysis of time use corresponding to eight activity areas showed the greatest time use for the instrumental activities of daily living (IADL), followed by rest and sleep, leisure, and activities of daily living (ADL). The largest effect size (ES) was social participation, followed by leisure, IADL, and work. As a result of analyzing the factors affecting the life satisfaction of the OB group, we found that lower age, females, a higher level of education, a lower need for care, higher income, and agricultural residence tended to correspond to higher life satisfaction. Conclusions : This study may provide a basis for the development of the time‐use management and lifestyle redesign programs to assist older adults in pursuing disease prevention and health maintenance roles by themselves.


2021 ◽  
Vol 41 (5) ◽  
pp. 803-823
Author(s):  
Yelin Shu ◽  
Ja-Kyung Park ◽  
Gwi-young Ko

2020 ◽  
Author(s):  
Sunny Singhal ◽  
Pramod Kumar ◽  
Sumitabh Singh ◽  
Srishti Saha ◽  
Aparajit Ballav Dey

Abstract Background Few studies have focused on exploring the clinical characteristics and outcomes of COVID-19 in older patients. We conducted this systematic review and meta-analysis to have a better understanding of the clinical characteristics of older COVID-19 patients.Methods A systematic search of PubMed and Scopus was performed from December 2019 to May 3rd, 2020. Observational studies including older adults (age ≥60 years) with COVID-19 infection and reporting clinical characteristics or outcome were included. Primary outcome was assessing weighted pooled prevalence (WPP) of severity and outcomes. Secondary outcomes were clinical features including comorbidities and need of respiratory support.Result 46 studies with 13,624 older patients were included. Severe infection was seen in 51% (95% CI– 36-65%, I2- 95%) patients while 22% (95% CI– 16-28%, I2- 88%) were critically ill. Overall, 11% (95% CI– 5-21%, I2- 98%) patients died. The common comorbidities were hypertension (48%, 95% CI– 36-60% I2- 92%), diabetes mellitus (22%, 95% CI– 13-32%, I2- 86%) and cardiovascular disease (19%, 95% CI – 11-28%, I2- 85%). Common symptoms were fever (83%, 95% CI– 66-97%, I2-91%), cough (60%, 95% CI– 50-70%, I2- 71%) and dyspnoea (42%, 95% CI– 19-67%, I2- 94%). Overall, 84% (95% CI– 60-100%, I2- 81%) required oxygen support and 21% (95% CI– 0-49%, I2- 91%) required mechanical ventilation. Majority of studies had medium to high risk of bias and overall quality of evidence was low for all outcomes.Conclusion Approximately half of older patients with COVID-19 have severe infection, one in five are critically ill and one in ten die. More high quality evidence is needed to study outcomes in this vulnerable patient population and factors affecting these outcomes.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 340-340
Author(s):  
Kasturi Banerjee ◽  
Tamara Baker

Abstract India has a rapidly expanding aging population whose unique mental health needs remain largely unexplored. Existent preliminary data however, show a significant association between life satisfaction and depressive symptoms within this population. Yet, little is known regarding the specific social and behavioral factors that may influence this relationship. Using data from the Longitudinal Aging Study in India (LASI) Pilot survey, the current study aimed to examine demographic and psychosocial factors associated with life satisfaction and subjective well-being among older adults 45+ years of age in the Indian states of Punjab, Rajasthan, Kerala and Karnataka. Results from the multivariate analyses indicated that age, household resources, neighborhood safety, religion, literacy status and participation in social activities are significantly associated with life satisfaction. Belonging to a southern state (β=.156; p<0.001), being financial provider status (β=-.073; p<0.001) and not being a care provider (β=.105; p<0.01) were significant predictors of greater life satisfaction. These findings are consistent with previous exploration of state level disparities regarding accessible resources and quality of life, and similarly the need to better understand the role of financial difficulties and care-giving burden among this population. These findings suggest the need to use qualitative assessment that explores the role additional factors such as social engagement and perceived neighborhood support have on this population’s subjective well-being; thereby shaping public policy, focus resources, and form the foundation of intervention programs.


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