Factors That Influence Quality of Life in People Experiencing Homelessness: A Systematic Mixed Studies Review

Author(s):  
Kimberlee Flike ◽  
Teri Aronowitz

Background: An emerging category of morbidity in research among people experiencing homelessness (PEH) is quality of life (QoL). Conceptual Framework: The Commission on Social Determinants of Health (CSDH) framework was used to explain the relationship between the resulting factors and their impact on QoL among PEH. Purpose: The purpose of this systematic mixed studies review was to explore the factors that are associated with QoL among homeless individuals. Method: A systematic mixed studies review was conducted using CINAHL, Medline, PubMed, and SocIndex databases. Quantitative, qualitative, and mixed methods studies were included and synthesized employing results-based convergent synthesis design. Results: The initial search resulted in 757 studies with 55 studies meeting the inclusion criteria. Thematic analysis revealed themes influencing QoL among PEH categorized by the CSDH determinants of structural, social cohesion and social capital, and intermediary determinants. Among these themes, higher social status, strong relationships, better reported physical and mental health, and a positive life outlook were associated with increased QoL. Social isolation, substance use, poorer life outlook, increased years spent homeless, and perceived quality of housing were associated with decreased QoL. Age, sex, and housing programs revealed inconsistent results on QoL. Implications: While the factors presented in this review indicate some consistent relationships with QoL in PEH, this review has shown QoL among this population is complex and multifactorial. Future research should focus on relationships between the CSDH determinants, particularly the psychosocial factors and the QoL priorities defined by PEH, and how they may influence QoL among PEH.

Author(s):  
Garrett Scott Bullock ◽  
Nirmala Perera ◽  
Andrew Murray ◽  
John Orchard ◽  
Nigel A Arden ◽  
...  

Summarising and synthesising the evidence on cricket health and wellbeing can help inform cricket stakeholders and navigate future research directions. The purpose of this study was to investigate the relationship between cricket participation, health and wellbeing at all ages and playing standards, and identify research gaps in the existing literature. A scoping review was performed from inception to March, 2020. Studies were included if they assessed a construct related to health and/or wellbeing in cricketers, available in English. 219 articles were eligible. Injury incidence per 1,000 player exposures ranged from 1.8-5.7 injuries. 48% of former cricketers experienced persistent joint pain. However, former cricketers reported greater physical activity levels and mental-components of quality of life compared to the general population. Heat injury/illness and skin cancer are concerns and require further research. Cricket participation is associated with an inherent injury risk, which may have negative implications for musculoskeletal health in later life. However, cricket participation is associated with high quality of life which can persist after retirement. Gaps in the literature include prospective studies on health and wellbeing of cricketers, female cricketers, injury prevention strategies, and the impact of cricket participation on metabolic health and lifetime physical activity.


Author(s):  
Touraj Shahvand ◽  
Mehdi Reza Sarafraz

Abstract Objective Patients suffering from cancer need to receive care from their family; however, their family caregivers do this without preparation or training, so their involvement in patients’ care results in a caregiving burden that may affect patient’s hope and quality of life (QOL). Methods This study examines the effect of caregiving burden on the QOL of cancer patients (n = 100) with the mediatory role of hope and shame. To achieve this, Persian versions of Zarit Burden Interview, the World Health Organization QOL, Herth Hope Index, and Guilt and Shame Proneness Scale were used. Meanwhile, path regression analysis was implemented to analyze the relationship between caregiving burden and QOL. Results The results implied a relation among caregiver burden, hope, and QOL of patients diagnosed with cancer. It was found that there is a direct and negative relationship between caregiver burden and hope. In addition, there was an indirect and positive relationship between caregiver burden and QOL. Hope and QOL also had a high correlation. Besides, it was shown that there was a negative relationship between the shame experienced by patients and their hope and QOL. Conclusion caregiver burden was proved to be influential and negatively affected the factor for the QOL. Besides, patients’ hope decreases while caregiving burden increases; this will in turn affect patients’ recovery and their physical, mental, and cognitive functions. This study provides a foundation for future research in this critical area for oncology.


Author(s):  
Olga Petrovna Krolevets

We studied social ideas about a healthy lifestyle, features of the quality of life and neurotic states of respondents. The relationship between the completeness of ideas about a healthy lifestyle, on the one hand, and mental and physical health, on the other, is revealed. The average values of quality of life indicators for a group with an unformed idea of healthy lifestyle are lower than for a group with a formed idea of healthy lifestyle.


2021 ◽  
Vol 16 (2) ◽  
pp. 178-187
Author(s):  
I. E. Digel ◽  
Zh. G. Imangali ◽  
E. I. Borisova

The difficulty of conducting an empirical assessment of the true extent of corruption, caused by the lack of the necessary data, has contributed to the emergence of a new round of research focusing on the study of the influence of various factors on corruption. At the same time, such studies are distinguished by a variety of approaches to the choice of indicators and objects of study, as well as by the difference, and sometimes contradictory conclusions. These circumstances actualize the research topic. The purpose of the article to determine the relationship between corruption, economic growth and the quality of life of the population in five countries of the world, representing different parts of the world and geo-economics regions. The hypothesis of the study is the assertion that for developed countries the correlation between perceptions of corruption and indicators will be lower than for developing countries. The objects of research are Kazakhstan, Russia, Germany, USA and Finland. The subject of the research the relationship between the level of corruption, economic growth and the quality of life of the population. The study uses statistical research methods. The initial data of the study were the reports of Transparency International on the Corruption Perceptions Index, UNDP on the Human Development Index, as well as official data from the state statistical services of the countries in question.In the course of the work, the boundaries of the interpretation of the term “corruption” were determined, the relevance of the study of the relationship between corruption, GDP per capita and the quality of life was briefly described, and a correlation analysis was carried out between the indicators. The results of the study represent conclusions about the quality and strength of the relationship between corruption, economic growth and the quality of life of the population. The scientific contribution of the research is to substantiate possible directions for improving research to establish the relationship between corruption and other socio-economic indicators. The practical significance of the study lies in the presentation of the evidence base for the fact that the relationship of the studied indicators may be different in different countries. The direction for future research is the possibility of using the assessment methodology for other groups of countries.


2017 ◽  
Vol 24 (2) ◽  
pp. 159-171 ◽  
Author(s):  
Elisa Backer ◽  
Betty Weiler

Recently, there has been increasing scholarly interest in the relationship between tourism and quality of life (QOL). While the concept of QOL is contestable, a number of studies have revealed that travel can increase an individual’s perceived and actual QOL. To date, the focus has been on vacation travel, highlighting that travel primarily for the purpose of rest or recreation, whether to a holiday destination or touring, is a component of many people’s perceived QOL, and in some cases is a critical component. However, these more expensive forms of vacation travel are less accessible to those classified as socio-economically disadvantaged. Many such individuals can and do visit friends and relatives (VFR), suggesting that VFR may be a critical means by which socio-economically disadvantaged people can travel for pleasure and thereby maintain or improve their QOL. The article suggests a number of potential strategies based on the 8 Ps of the marketing mix, and these in turn inform avenues for future research.


2016 ◽  
Vol 13 (2) ◽  
pp. 100-116
Author(s):  
Amanda Jenkinson ◽  
Mary A Cantrell

Objectives This literature review summarizes research relevant to the meaning of inner strength in females living with a chronic illness. This review also examined studies that have used The Inner Strength Questionnaire to examine inner strength among chronically ill females. Methods Using the search terms inner strength and women, CINAHL, PubMed, and ProQuest Nursing databases were searched for the years 1990–2016. Ten articles met the inclusion criteria. Results Inner strength in women is a mental health construct that women can encompass to positively affect their quality of life while living through challenging life events. The Theory of Inner Strength appears to be a useful a framework for understanding how physical, psychological, and spiritual health can promote well-being, quality of life, and spirituality in women. Discussion The limited number of studies identified suggests the need for further investigations to explore the relationship between inner strength and quality of life among females living with chronic health conditions. The Inner Strength Questionnaire is a unique tool with adequate psychometric properties to measure inner strength in chronically ill women that includes a holistic assessment of living with a chronic illness that encompasses women’ social, physical, emotional, and spiritual needs.


Author(s):  
Berta Ausín ◽  
Alba Zamorano ◽  
Manuel Muñoz

Except in the case of depression, there are few studies that analyze mental health variables related to quality of life (QoL) in people over 65 years of age. The objective of this study is to analyze the relationship between QoL and the following variables: sociodemographic and physical and mental health of people over 65 years of age. The sample was randomly selected and consists of men and women between 65 and 84 years of age (N = 555) from the Community of Madrid. Mental disorders were evaluated with the CIDI65+ interview and QoL with the WHOQoL-BREF scale. Means, ANOVA and multiple linear regression analyses were performed. Women have worse QoL than men and QoL worsens with age. The regression model for the dependent variable “WHOQoL BREF Scale” explains 41.43% of the variance (R2 = 0.413). The variables that have the greatest impact on QoL are as follows: a greater number of physical and psychological symptoms, experiencing financial difficulties and the presence of a psychological disorder, while continuing to work has a positive effect on QoL. Physical and mental disorders have a similar impact on QoL. The presence of a greater number of psychological symptoms (without necessarily fulfilling the criteria of a mental disorder) is a predictive variable of worse QoL. Mental health has a burden on the QoL of people over 65 years of age that is as powerful as physical health.


Children ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 21
Author(s):  
Anjana Jagpal ◽  
Keri Hainsworth ◽  
Ratka Galijot ◽  
Katherine S. Salamon ◽  
Kim Anderson Khan ◽  
...  

Youth with chronic pain and youth who have experienced stressors are at risk for poor outcomes; however, little is known about the intersection of pain and stressors. This study aims to understand the prevalence of stressors among youth with chronic pain and the relationship between stressors and pain-related outcomes. Seven hundred and seventy youth with chronic pain aged 8–18 (Mage = 14.15 years, 70% female) reported pain characteristics, stressors, anxiety, disability, and quality of life. Most participants (82%) endorsed at least one stressor. A greater number of stressors was significantly related to greater anxiety and disability, and lower levels of quality of life. School stressors were significantly associated with functional disability; family, school, and peer stressors were significantly associated with anxiety and quality of life. Stressors are common in youth with chronic pain, and the presence of stressors is related to greater functional impairment. The results of this preliminary study using semi-structured clinical interviews suggest the importance of developing a validated measure that encompasses a wide variety of stressors for youth with pain. Future research on patient-reported stressors, relative intensity, and impact are needed.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S113-S113
Author(s):  
Diana DiGasbarro ◽  
Kimberly Van Haitsma ◽  
Suzanne Meeks ◽  
Benjamin T Mast

Abstract Dispositional optimism may be an important resource for well-being across the lifespan. However, the relationship between optimism and quality of life in recent nursing home residents with and without cognitive impairment has not been examined. The aim of this study is to fill this gap in a sample of 66 older adults with a mean age of 74.59 years old (SD=10.37) who were admitted to a nursing home within the previous 30 days. Sixty older adults completed measures of cognition, quality of life, and optimism, and thus were included in analysis for the current study. Participants were split into groups based on the presence or absence of cognitive impairment, and linear regressions were conducted to examine the relationship between optimism and quality of life. In recent nursing home residents without cognitive impairment (n=30), optimism did not predict quality of life and accounted for a very small amount of variance (R2=.042, p=.280). However, in recent nursing home residents with cognitive impairment (n=32), optimism accounted for 20.9% of the variance in quality of life (R2=.209, p=.009). Higher levels of optimism were associated with better quality of life. Future research should explore why a stable trait like dispositional optimism is a stronger predictor of quality of life in recent nursing home residents with cognitive impairment compared to those without cognitive impairment. This line of research would be synergistic with emerging research on the identification and encouragement of strengths in older adults with cognitive impairment.


2019 ◽  
Vol 18 (7) ◽  
pp. 526-533 ◽  
Author(s):  
Kathy L Rush ◽  
Lindsay Burton ◽  
Kira Schaab ◽  
Alexandra Lukey

Background: Atrial fibrillation, the most common arrhythmia worldwide, continues to increase as the population ages. Patients with atrial fibrillation, particularly those newly diagnosed or who have multiple comorbidities, have high healthcare utilisation rates. Nurse-led atrial fibrillation clinics have developed to improve care and guidance for atrial fibrillation patients, with the potential to reduce hospital presentations and healthcare utilisation. Atrial fibrillation clinics that provide specialised and patient-centred care have improved patient symptom management, quality of life and reduced healthcare utilisation and costs. Aims: The aim of this study was to provide the first synthesis of evidence for the impact of nurse-led atrial fibrillation clinics on patient, healthcare utilisation, and quality of care outcomes. Methods: This systematic mixed studies review examined citations from three databases: Medline, CINAHL and Embase, using the search terms ‘atrial fibrillation’ and ‘clinic’, and related concepts. Seventeen moderate to high quality articles were selected. Results: Overall, atrial fibrillation clinics were more cost effective, had shorter wait times and reduced hospitalisation and emergency department visits. Symptoms and sinus rhythm restoration were comparable in the nurse-led compared to physician-led cardioversion clinics. Findings related to patient knowledge and patient satisfaction were mixed, while mortality rates were lower, and patient medication adherence was higher in nurse-led atrial fibrillation compared to usual care. Quality of life and guideline adherence was increased in patients receiving nurse-led atrial fibrillation care compared to usual care. Conclusion: Nurse-led clinics improved healthcare, patient and quality care outcomes. Future research might examine the role of technology in delivery of nurse-led clinics in rural/remote areas as well as patient experiences with nurse-led clinics.


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