Factors Associated With Stress in Older Adults and Its Impact on the Quality of Life

Background The ageing population in most low-and middle-income countries is accompanied by an increased risk of non-communicable diseases culminating in a poor quality of life (QOL). However, the factors accelerating this poor QOL have not been fully examined in Nepal. Therefore, this study examined the factors associated with the QOL of older adults residing in the rural setting of Nepal. Methods Data from a previous cross-sectional study conducted among older adults between January and April 2018 in in rural Nepal was used in this study. The analytical sample included 794 older adults aged ≥60 years, selected by a multi-stage cluster sampling approach. QOL was measured using the Older People’s Quality of Life tool; dichotomized as poor and good QOL. Other measures used included age, gender, ethnicity, religion, marital status, physical activity, and chronic diseases such as osteoarthritis, cardiovascular disease, diabetes, chronic obstructive pulmonary disease (COPD), and depression. The factors associated with QOL were examined using mixed-effects logistic regression. Results Seven in ten respondents (70.4%) reported a poor QOL. At the bivariate level, increasing age, unemployment, intake of alcohol, lack of physical activity as well as osteoarthritis, COPD and depression were significantly associated with a lower likelihood of a good QOL. The adjusted model showed that older age (AOR = 0.50, 95% CI: 0.28–0.90), the Christian religion (AOR = 0.38, 95% CI: 0.20–0.70), and of an Indigenous (AOR: 0.25; 95% CI: 0.14–0.47), Dalit (AOR: 0.23; 95% CI: 0.10–0.56), and Madheshi (AOR: 0.29; 95% CI: 0.14–0.60) ethnic background were associated with lower odds of good QOL. However, higher income of >NRs 10,000 (AOR = 3.34, 95% CI: 1.43–3.99), daily physical activity (AOR: 3.33; 95% CI: 2.55–4.34), and the absence of osteoarthritis (AOR: 1.9; 95% CI: 1.09–3.49) and depression (AOR: 3.34; 95% CI: 2.14–5.22) were associated with higher odds of good QOL. Conclusion The findings of this study reinforce the need of improving QOL of older adults through implementing programs aimed at addressing the identified biosocial and disease conditions that catalyse poor QOL in this older population residing in rural parts of Nepal.

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Factors associated with poor oral health‐related quality of life among non‐institutionalized Brazilian older adults

Special Care in Dentistry ◽

10.1111/scd.12582 ◽

2021 ◽

Author(s):

Carla Fabiana Tenani ◽

Maria Helena Ribeiro De Checchi ◽

Inara Pereira da Cunha ◽

Karine Laura Cortellazzi Mendes ◽

Gustavo Hermes Soares ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Oral Health ◽

Health Related Quality ◽

Factors Associated ◽

Related Quality ◽

Health Related

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Factors Associated with Health-Related Quality of Life in Community-Dwelling Older Adults: A Multinomial Logistic Analysis

Journal of Clinical Medicine ◽

10.3390/jcm8111810 ◽

2019 ◽

Vol 8 (11) ◽

pp. 1810 ◽

Cited By ~ 2

Author(s):

Encarnación Blanco-Reina ◽

Jenifer Valdellós ◽

Ricardo Ocaña-Riola ◽

María Rosa García-Merino ◽

Lorena Aguilar-Cano ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Multinomial Logistic Regression ◽

Community Dwelling ◽

Health Related Quality ◽

Factors Associated ◽

Related Quality ◽

Health Related ◽

Community Dwelling Older Adults

The main aim of this study was to determine the association of various clinical, functional and pharmacological factors with the physical (PCS) and mental (MCS) summary components of the health-related quality of life (HRQoL) of community-dwelling older adults. Design: Cross-sectional study. Patients and setting: Sample of 573 persons aged over 65 years, recruited at 12 primary healthcare centres in Málaga, Spain. Sociodemographic, clinical, functional, and comprehensive drug therapy data were collected. The main outcome was HRQoL assessed on the basis of the SF-12 questionnaire. A multinomial logistic regression model was constructed to study the relationship between independent variables and the HRQoL variable, divided into intervals. The average self-perceived HRQoL score was 43.2 (± 11.02) for the PCS and 48.5 (± 11.04) for the MCS. The factors associated with a poorer PCS were dependence for the instrumental activities of daily living (IADL), higher body mass index (BMI), number of medications, and presence of osteoarticular pathology. Female gender and the presence of a psychopathological disorder were associated with worse scores for the MCS. The condition that was most strongly associated with a poorer HRQoL (in both components, PCS and MCS) was that of frailty (odds ratio (OR) = 37.42, 95% confidence interval (CI) = 8.96–156.22, and OR = 20.95, 95% CI = 7.55–58.17, respectively). It is important to identify the determinant factors of a diminished HRQoL, especially if they are preventable or modifiable.

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Factors that influence the global quality of life of long-lived older adults (>80 years)

Geriatrics Gerontology and Aging ◽

10.5327/z2447-212320211900078 ◽

2021 ◽

Vol 15 ◽

Author(s):

Roumayne Costa ◽

Márcia Carrera ◽

Ana Paula Marques

Keyword(s):

Quality Of Life ◽

Social Support ◽

Older Adults ◽

World Health ◽

Cross Sectional ◽

World Health Organization Quality ◽

Factors Associated ◽

Global Quality ◽

Global Quality Of Life

OBJECTIVE: The objective of this study was to assess global quality of life and the factors associated with it in long-lived older adults registered with family health centers. Global quality of life was measured using the two general questions on the World Health Organization Quality of Life instrument. METHODOLOGY: This was a cross-sectional, quantitative study based on secondary data from a sample of 100 older adults. RESULTS: The results of analyses revealed a mean age of 84.20 years, 77% of the sample were female, 46% had spent between 1 and 4 years in education, 63% were widowed, 76% had an income equivalent to one to two times the minimum wage, 77% had systemic arterial hypertension, 34% had diabetes mellitus, 27% had cardiovascular disease, 74% had social support, and 63% exhibited depressive symptomology. The frequency of satisfactory global quality of life in the sample studied was 35%. CONCLUSIONS: In relation to global quality of life, assessed in terms of interviewees’ satisfaction with their lives and health in conjunction, the majority of the study population reported not being satisfied. After completion of all statistical analyses, factors associated with dissatisfaction were social support, depression, and osteoarthritis.

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Factors associated with quality of life of older adults with chronic pain

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0554 ◽

2021 ◽

Vol 74 (suppl 2) ◽

Author(s):

Maressa Gonçalves da Paz ◽

Layz Alves Ferreira de Souza ◽

Bruna da Silva Ferreira Tatagiba ◽

Joyce Rutyelle da Serra ◽

Louise Amália de Moura ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Chronic Pain ◽

Pain Intensity ◽

Death And Dying ◽

World Health ◽

World Health Organization Quality ◽

Factors Associated ◽

Lower Limb Pain

ABSTRACT Objective: To analyze the factors associated with quality of life of the older adults with chronic pain. Method: Cross-sectional study conducted with 239 older adults in outpatient care in the state of Goiás, Brazil. The World Health Organization Quality of Life–Old (WHOQOL-OLD) instrument contains six domains and was applied to assess quality of life. Simple and multiple linear regressions were used in the statistical analysis. Results: The factors associated with Sensory Abilities were age (β = - 0.52), time spent together (β = - 14.35; - 17.86; - 15.57), and pain intensity (β = - 1, 70). Autonomy was associated with depression (β = - 5.99) and chest pain (β = - 6.17). Social participation related to schooling (β = - 0.64), diabetes mellitus (β = - 8.15), depression (β = - 14.53), pain intensity (β = - 1.43), and lower limb pain (β = - 5.94). Past, present and future activities related to depression (β = - 6.94). Death and dying related to hypertension (β = - 8.40), while Intimacy to depression (β = - 5.99) and headache/face pain (β = - 3.19). Conclusion: The time experiencing chronic pain and the location of this experience, as well as depression, diabetes and systemic arterial hypertension were factors that had greater influence on the older adult’s Quality of Life domains.

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