Health behaviours and mental and physical health status in older adults with a history of homelessness: a cross-sectional population-based study in England

ObjectivesThis study compared (1) levels of engagement in lifestyle risk behaviours and (2) mental and physical health status in individuals who have previously been homeless to those of individuals who have not.DesignCross-sectional.ParticipantsData were from participants (n=6931) of the English Longitudinal Study of Ageing.MeasuresParticipants reported whether they had ever been homeless. We used regression models to analyse associations between homelessness and (1) cigarette smoking, daily alcohol consumption and physical inactivity, adjusting for sociodemographic covariates (age, sex, ethnicity, highest level of education, marital status and household non-pension wealth) and (2) self-rated health, limiting long-standing illness, depressive symptoms, life satisfaction, quality of life and loneliness, adjusting for sociodemographics and health behaviours.Results104 participants (1.5%) reported having been homeless. Individuals who had been homeless were significantly more likely to be physically inactive (OR 1.62, 95% CI 1.44 to 2.52), report fair/bad/very bad self-rated health (OR 1.75, 95% CI 1.07 to 2.86), have a limiting long-standing illness (OR 2.66, 95% CI 1.65 to 4.30) and be depressed (OR 3.06, 95% CI 1.85 to 5.05) and scored lower on measures of life satisfaction (17.34 vs 19.96, p<0.001) and quality of life (39.02 vs 41.21, p=0.013). Rates of smoking (20.2% vs 15.4%, p=0.436), daily drinking (27.6% vs 22.8%, p=0.385) and loneliness (27.1% vs 21.0%, p=0.080) were also elevated.ConclusionsThose who were once homeless have poorer mental and physical health outcomes and are more likely to be physically inactive. Interventions to improve their health and quality of life are required.

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Gender Differences in Self-Rated Health among University Students in England, Wales and Northern Ireland: Do Confounding Variables Matter?

Global Journal of Health Science ◽

10.5539/gjhs.v8n11p168 ◽

2016 ◽

Vol 8 (11) ◽

pp. 168 ◽

Cited By ~ 3

Author(s):

Walid EL-Ansari ◽

Christiane Stock

Keyword(s):

Quality Of Life ◽

Health Service ◽

Physical Health ◽

Service Use ◽

Health Behaviours ◽

Well Being ◽

Health Service Use ◽

Health Complaints ◽

Self Rated Health

INTRODUCTION: We assessed gender differences in self-rated health (SRH) while considering physical health, health complaints, health service use, wider wellbeing, and health behaviours.METHODS: 3706 undergraduates at 7 Universities in the United Kingdom completed a self-administered questionnaire (2009–2008). Logistic regressions with excellent/very good SRH as dependent variable assessed the variables that explained the SRH sex difference. RESULTS: Females had more health complaints, illness periods, lower quality of life, more burdens, and took medication/s more often. The crude (unadjusted) odds ratio (OR) proposed that females were less likely to report excellent/very good SRH than males [OR 0.79, 95% CI 0.68-0.94]. Adjusting only for physical health and health service use, females’ OR increased considerably, and the association between female sex and SRH was no longer significant. Also, when adjusting only for wider well-being or when adjusting only for health behaviour, the negative association between females and SRH was no longer significant. Adjusting for all the variables simultaneously (physical health, health service use, wider well-being, health behaviours) resulted in considerable increase of females’ OR indicating now a positive association between female sex and SRH [OR 1.33, 95% CI 1.04-1.74]. CONCLUSION: Females’ lower SRH found in the crude analyses was confounded by their higher stress level, lower quality of life, lower physical activity and by more illnesses or health complaints when compared with males. Gender-related SRH research should control for many potential confounders to prevent overestimation of the gender effect. Health promotion programs should consider these factors when tackling gender health disparities.

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Perceived physical health in obsessive-compulsive disorder: a protocol for a systematic review and meta-analysis

BMJ Open ◽

10.1136/bmjopen-2018-026261 ◽

2019 ◽

Vol 9 (6) ◽

pp. e026261 ◽

Cited By ~ 4

Author(s):

Andrea Pozza ◽

Fabio Ferretti ◽

Anna Coluccia

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Health Status ◽

Physical Health ◽

Meta Analysis ◽

Publication Date ◽

Physical Health Status ◽

Obsessive Compulsive ◽

Compulsive Disorder

IntroductionObsessive-compulsive disorder (OCD) is a mental health condition associated with severe impairment in a variety of quality of life domains, an increased physical health burden, and a higher risk of general medical conditions and mortality compared with the general population. While there is a large amount of literature on psychological quality of life, a systematic review of perceived physical health in OCD is lacking. A quantitative summary might suggest that policy makers also focus the evaluation on perceived physical health and develop new strategies also aimed at this outcome. The current paper presents a protocol for the first systematic review and meta-analysis aimed at summarising perceived physical health in OCD by specifically examining perceived physical health status, bodily pain and role limitations due to physical problems in patients with OCD compared with controls. The review will also investigate potential demographic and clinical moderators of perceived physical health status (age, gender, OCD severity, publication date, methodological quality).Methods and analysisA systematic review and meta-analysis will be conducted according to PRISMA guidelines. Studies will be included if using a clinical group with a current primary diagnosis of OCD established by international standardised criteria, if measuring perceived physical health status, and if using screened or community participants as controls. No publication date or language restriction will be applied. An online systematic search of electronic databases (Scopus, PubMed, PsycINFO, EMBASE, Cochrane Library), and examination of conference proceedings and theses/dissertations will be conducted by independent reviewers. Risk of bias will be assessed through the Newcastle-Ottawa Scale.Ethics and disseminationThe current review does not require ethics approval. The results will be disseminated through publications in peer-reviewed journals.PROSPERO registration number2018 CRD42018106194.

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PHYSICAL HEALTH STATUS OF PEOPLE AGED 60 YEARS AND OVER AT NURSING CLUBS IN DISTRICT 10, HO CHI MINH CITY

Tạp chí Y học Cộng đồng ◽

10.52163/vjcm.v62i6.188 ◽

2021 ◽

Vol 62 (6) ◽

Author(s):

Nguyen Manh Tri ◽

Le Thi Tuong Van ◽

Luong Thai Vinh ◽

Vo Thi Ngoc Ha ◽

Nguyen Thi Phuong ◽

...

Keyword(s):

Quality Of Life ◽

Health Care ◽

Health Status ◽

Physical Health ◽

The Elderly ◽

Ho Chi Minh City ◽

Average Score ◽

Physical Health Status ◽

Internal Factors

Background: The age of support and endurance against external and internal factors and agents is greatly less so that the need for health care including physical and mental training to improve the quality of life is essential especially the physical health of the elderly. Target:. Determination of physical health scores and associations of people aged 60 years and older at nursing clubs in District 10, Ho Chi Minh City, in 2019. Methods and materials: Descriptive cross-section study. People aged 60 years and over who have been training at nursing clubs living in District 10, Ho Chi Minh City were surveyed from September 2018 to October 2019. Results: The study showed an average score of 63.3 in ±17.3 points. In particular, physical activity: 61.0±23.1; physical limitations: 57.2±26.1; pain sensation: 68.2±22,2; general health: 59.6±14.9. Considering the relationship, as the age group increases, the mean score of the elderly's quality of life decreases statistically significantly in four áreas (p<0,05). Women have a statistically significantly higher mean score on quality of life than men (p<0,05). Conclusions: The results of the study are important information that informs the physical health status of elderly people aged 60 years and older, and suggests recommendations in improving the quality of physical health care of the elderly.

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PENGUKURAN KUALITAS HIDUP SEBAGAI INDIKATOR STATUS KESEHATAN KOMPREHENSIF PADA INDIVIDU LANJUT USIA

Jurnal Muara Medika dan Psikologi Klinis ◽

10.24912/jmmpk.v1i1.12088 ◽

2021 ◽

Vol 1 (1) ◽

pp. 71

Author(s):

Marcella Erwina Rumawas

Keyword(s):

Quality Of Life ◽

Health Status ◽

Physical Health ◽

Chronic Diseases ◽

General Health ◽

The Elderly ◽

Average Score ◽

Life Questionnaire ◽

Cross Sectional

Indonesia mengalami transisi demografis menuju struktur penduduk tua yang tidak hanya berdampak pada bidang kesehatan, namun juga pada berbagai aspek kehidupan. Kompleksitas proses penuaan dan kerentanan lansia menderita beberapa penyakit kronik, menyebabkan konsep “sakit vs sembuh” maupun indikator angka kesakitan sulit mencerminkan status kesehatan dan keberhasilan program kesehatan lansia. Walaupun digunakan untuk mengevaluasi keberhasilan terapi pada pasien dengan penyakit kronis tertentu, namun penggunaan pengukuran kualitas hidup sebagai indikator status kesehatan komprehensif pada masyarakat lansia masih sangat terbatas. Mini survei deskriptif potong lintang ini adalah studi percontohan, dilakukan untuk memberikan gambaran preliminari perbandingan hasil penilaian kualitas hidup dengan penilaian kesehatan secara umum, dan keterkaitan antar aspek-aspek kehidupan lansia. Sebanyak 28 responden lansia di Jakarta Barat, direkrut dengan metode convenient, mengisi kuesioner kualitas hidup lansia secara daring. Dari 28 responden, 57,1% menilai tingkat kualitas hidupnya baik (skor 4), rerata skor tertinggi pada aspek spiritual (81,9), sedangkan rerata skor terendah pada aspek kesehatan fisik (64,7). Didapatkan kecenderungan hasil penilaian tingkat kualitas hidup lebih baik (skor lebih tinggi) daripada tingkat kesehatan secara umum. Aspek kesehatan fisik menunjukkan korelasi paling kuat dengan aspek kesehatan mental (r=0,84; p<0,001), dan diikuti dengan aspek lingkungan (r=0,75; p<0,001). Pengukuran kualitas hidup diharapkan dapat memberikan pemahaman komprehensif tentang status kesehatan lansia. Indonesia is undergoing a demographic transition towards an older population structure, which not only impacts on the health sector, but also on various aspects of life. The complexity of the aging process and the vulnerability of the elderly to suffer from several chronic diseases, make the concept of "sick vs cured" and indicator of morbidity difficult to reflect the health status and the success of elderly’s health programs. Although it is used to evaluate the success of therapy in patients with certain chronic diseases, the use of quality of life as an indicator of comprehensive health status in the elderly community is still very limited. This cross-sectional descriptive mini survey was a pilot study, conducted to provide a preliminary description comparing the results between the quality of life and general health assessments, and the correlation between lives’s aspects of the elderly. A total of 28 elderly respondents in West Jakarta conveniently recruited, filled out an online quality of life questionnaire. Of the 28 respondents, 57.1% rated their quality of life as good (score 4), the spiritual aspect recevied the highest average score (81.9), whilst the physical health aspect received the lowest average score (64.7). There is a tendency for the quality of life level to be better (higher score) than the general health level. Physical health aspects showed the strongest correlation with mental health aspects (r=0.84; p<0.001), followed by environmental aspects (r=0.75; p<0.001). Measuring the quality of life is expected to provide a comprehensive understanding of the elderly’s health status.

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Quality of Life Assessment of Hypertensive Patients in a Tertiary Care Teaching Hospital in Jaipur

Journal of Drug Delivery and Therapeutics ◽

10.22270/jddt.v10i3.4074 ◽

2020 ◽

Vol 10 (3) ◽

pp. 73-75

Author(s):

Kushagra Sharma ◽

Nikhil Mishra ◽

Ranjeet Kumar

Keyword(s):

Quality Of Life ◽

Health Status ◽

Physical Health ◽

Teaching Hospital ◽

Tertiary Care ◽

Physical Health Status ◽

Hypertensive Patients ◽

Poor Physical Health ◽

Excellent Health

Background: Hypertension is the well-known risk factor for mortality and morbidity. About 7.1 million population worldwide dies each year due to cause of hypertension. It directly effects persons quality of life. Methods: Total number of 128 Hypertension diagnosed Patient’s data were collected under this study who were admitted to the General Medicine wards of tertiary care teaching hospital. WHO BREF questionnaires were given and filled forms by patients were collected. Result: In physical health 42 Patients are with excellent health, 81 Patients are fall under the moderate health and 5 Patients are with poor physical health status. In psychological assessment 36 Patients are with excellent health 83 Patients are fall under the moderate health and 9 Patients are with poor physical health status. In Social relation, 15 Patients are with excellent health, 98 Patients are fall under the moderate health, and 15 Patients are with poor physical health status. In environmental assessment, 57 Patients are with excellent health, 41 Patients are fall under the moderate health and 31 Patients are with poor physical health status. Conclusion: This study has shown overall moderate QOL with mean 3.25 and SD 0.63 among hypertensive patients according all four domains. Physical activities and marital status were important independent factors affecting both domains in QOL. Older age was associated with lower QOL in physical health. Presence of co-morbidity in hypertension patients are an important health issue influencing their satisfaction in physical health. Interventions targeted towards improving QOL of disadvantage patients are needed in the setting. Keywords- Mental Health Assessment, WHO BREF, Quality of Life, Hypertension.

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Assessment of physical health status and quality of life among Saudi older adults

Journal of Physical Therapy Science ◽

10.1589/jpts.27.1691 ◽

2015 ◽

Vol 27 (6) ◽

pp. 1691-1695 ◽

Cited By ~ 7

Author(s):

Samira Al Senany ◽

Amer Al Saif

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Health Status ◽

Physical Health ◽

Physical Health Status

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Quality of Life and Associated Factors in Young Workers

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18042153 ◽

2021 ◽

Vol 18 (4) ◽

pp. 2153

Author(s):

José Andrade Louzado ◽

Matheus Lopes Cortes ◽

Márcio Galvão Oliveira ◽

Vanessa Moraes Bezerra ◽

Sóstenes Mistro ◽

...

Keyword(s):

Quality Of Life ◽

Odds Ratio ◽

Cross Sectional Study ◽

Young Workers ◽

Cross Sectional ◽

Physically Active ◽

Significance Level ◽

Self Rated Health ◽

Assess Quality

Background: This study aimed to identify the factors associated with the quality of life of young workers of a Social Work of Industry Unit. Methods: This was a cross-sectional study conducted on 1270 workers. Data were collected using a digital questionnaire built on the KoBoToolbox platform that included the EUROHIS-QOL eight-item index to assess quality of life. Demographic, socioeconomic, behavioral, and clinical variables were considered explanatory. The associations were analyzed using the ordinal logistic regression model at a 5% significance level. Results: Men and women had a mean quality of life of 31.1 and 29.4, respectively. Workers that rated their health as “very good” had an odds ratio of 7.4 (95% confidence interval (CI) = 5.17–10.81), and those who rated it as “good” had an odds ratio of 2.9 (95% CI = 2.31–3.77). Both these groups of workers were more likely to have higher levels of quality of life as compared to workers with “regular”, “poor”, or “very poor” self-rated health. Physically active individuals were 30% more likely to have higher levels of quality of life (odds ratio = 1.3; 95% CI = 1.08–1.65). After adjusting the model by gender, age group, marital status, socioeconomic class, self-rated health, nutritional status, and risky alcohol consumption, the odds ratio of active individuals remained stable (odds ratio = 1.3; 95% CI = 1.05–1.66). Conclusions: In the present study, self-rated health, physical activity, and gender were associated with young workers’ quality of life.

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