Quality of Life and Functional Status Across the Life Course

Abstract Objectives To investigate whether the timing and nature of women’s transitions out of full-time (FT) education are related to later-life subjective well-being and the life-course experiences that might explain any associations seen. Methods Data are from women in Wave 3 of the English Longitudinal Study of Ageing who have participated in the life history interview and were aged 50+ at the interview (n = 3,889). Using multichannel sequence analysis, we identified 6 types of transition out of FT education (ages 14–26). Regression models were used to examine associations between transition types and life satisfaction, quality of life, and depressive symptoms at age 50+. Results Women who made early transitions to married parenthood and FT domestic labor had lower levels of well-being on all 3 later-life well-being outcomes (p < .01), compared to women who made later transitions to family life and remained employed. Women who remained single up to age 26 also had lower life satisfaction (p < .05) and quality of life (p < .01) in later life than their counterparts who married and had children. These associations were explained by the life-course socioeconomic and relationship pathways. Advantaged childhood socioeconomic circumstances and higher educational qualifications set “Later Marriage and Later employment” women apart onto advantaged trajectories and a better quality of life later (p < .01). Discussion The timing and nature of exits from FT education played a pivotal role in setting people onto life-course trajectories that influence well-being in later life for this older generation of women.

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LGBT BABY BOOMERS AND THE SILENT GENERATION’S QUALITY OF LIFE AND HEALTH: THE ROLE OF ADVERSE EXPERIENCES AND IDENTITY MANAGEMENT STRATEGIES OVER THE LIFE COURSE

The Gerontologist ◽

10.1093/geront/gnv586.02 ◽

2015 ◽

Vol 55 (Suppl_2) ◽

pp. 287-287

Keyword(s):

Quality Of Life ◽

Life Course ◽

Baby Boomers ◽

Identity Management ◽

Management Strategies ◽

Adverse Experiences ◽

The Life Course

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Health-Related Quality of Life in Patients with Ankylosing Spondylitis: Relationship with Disease-Related Variables

Current Rheumatology Reviews ◽

10.2174/1573397115666191018162606 ◽

2020 ◽

Vol 16 (4) ◽

pp. 311-318 ◽

Cited By ~ 5

Author(s):

Gehan Elolemy ◽

Ahmed Aboughanima ◽

Sahar Ganeb ◽

Haytham Elziat

Keyword(s):

Quality Of Life ◽

Ankylosing Spondylitis ◽

Physical Health ◽

Disease Activity ◽

Functional Status ◽

Spinal Mobility ◽

Peripheral Arthritis ◽

Radiographic Severity ◽

Sf 36

Background: Ankylosing spondylitis (AS) is a chronic progressive inflammatory disease leading to functional limitations and subsequently impaired quality of life (QoL). Despite the fact that QoL was recognized as a significant perception, it was excluded from the core domains (defined by the Assessment of Spondyloarthritis International Society), because of ambiguity of measurement choice. Aim: To assess QoL in patients with AS using a generic; Short Form-36 (SF-36) and a diseasespecific; Ankylosing Spondylitis quality of life (ASQoL) instruments and to explore its relationship to the clinical characteristics, disease activity, functional status, and radiographic severity. Methods: A total of 47 AS patients who fulfilled modified New York criteria were included. Disease activity, functional status, spinal mobility, and radiographic severity were assessed by Bath AS Disease Activity Index (BASDAI), Bath AS Functional Index (BASFI), Bath AS Metrology Index (BASMI) and Bath AS Radiology Index (BASRI) respectively. SF-36 and ASQoL instruments evaluated Qol. Results: Physical health was more affected especially in patients with peripheral arthritis by SF-36 (p=0.008) and ASQoL (p=0.022) scores. Both SF-36 total and ASQoL scores correlated significantly with BASDAI (r = -0.329, p = 0.024 and r = 0.420, p = 0.003), BASFI (r = -0.399, p = 0.005 and r = 0.513, p=0.001) and BASMI (r = -0.382, p = 0.008 and r = 0.482, p= 0.001) respectively. Conclusion: QoL was impaired in AS patients with highest impact on physical health especially in association with peripheral arthritis. SF-36 and ASQol have a comparable achievement in the evaluation of QoL in AS patients and both physical function and spinal mobility were identified as predictors of poor QoL.

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