Elsevier

Gender Medicine

Volume 5, Issue 3, September 2008, Pages 270-278
Gender Medicine

Gender differences in health-related quality of life among healthy aged and old-aged austrians: Cross-sectional analysis

https://doi.org/10.1016/j.genm.2008.07.001Get rights and content

Abstract

Background: Although they experience lower mortality rates and lower rates of several chronic diseases than do their male counterparts, aging women are more likely to experience functional impairment in mobility and a general diminished health-related quality of life (HRQoL). The determinants of these gender differences have been the subject of controversy.

Objective: This study analyzed gender differences in HRQoL in relation to social and biomedical factors such as age, marital status, educational level, and living arrangements.

Methods: Participants were recruited via snowball sampling. All were healthy and lived independently in private homes. Data were obtained from personal interviews, based on a 30-item questionnaire, in the private homes of the participants. Additionally, HRQoL was assessed by means of the abbreviated version of the World Health Organization Quality of Life (WHOQOL-BREF) 26-item questionnaire, which contains 1 general health item, 1 general QoL item, and 24 specific items covering 4 broad domains: physical (DOM I), psychological (DOM II), social (DOM III), and environmental (DOM IV).

Results: The participants (98 women, 62 men) enrolled in the study ranged in age from 57 to 95 years (mean [SD] age: 71.8 [8.6] years). The younger age group (aged 57-70 years) comprised 54 women and 25 men, and the older age group (aged >70 years) comprised 44 women and 37 men. Women aged ≤70 years rated their health and QoL significantly higher than did men in the same age group (P = 0.02). These women rated physical capacity (DOM I), social relationships (DOM III), and environment (DOM IV) higher, but not statistically significantly different, than did same-aged men. Women and men exhibited nearly identical psychological health (DOM II) values. Physical capacity (DOM I) differed significantly between women and men aged >70 years (P = 0.03). Women aged >70 years rated their QoL lower than their male counterparts did, although not significantly so. These women depended more on medical treatment, felt significantly less safe in everyday life (P = 0.03), and were less satisfied with themselves.

The results of the multiple regression analyses suggest that gender may have a significant impact on general QoL for both age groups (P < 0.01 for the younger age group; P > 0.04 for the older age group). In these analyses, gender also had a significant impact on 2 domains, physical capacity and social relationships (P < 0.02 for both domains), among the participants of the younger age group.

Conclusion: Depending on the age group (≤70 vs >70 years) in this small sample of Austrian women and men, gender influenced HRQoL.

References (40)

  • WHO. Report of the WHOQOL focus group work. WHO (MNH/PSF/93.4). Geneva...
  • E Schröder-Butterfill et al.

    Asian and European perspectives on old age vulnerability

    AS Nwsltr

    (2005)
  • E Schröder-Butterfill et al.

    A framework for understanding old-age vulnerabilities

    Ageing Soc

    (2006)
  • P Van Eeuwijk

    Old-age vulnerability, ill-health and care support in urban areas of Indonesia

    Ageing Soc

    (2006)
  • M Pinquart et al.

    Gender differences in self-concept and psychological well-being in old age: A meta-analysis

    J Gerontol B Psychol Sci Soc Sci

    (2001)
  • M Bradbeer et al.

    Widowhood and other demographic associations of pain in independent older people

    Clin J Pain

    (2003)
  • ST Cheng et al.

    Relationship with others and life satisfaction in later life: Do gender and widowhood make a difference

    J Gerontol B Psychol Sci Soc Sci

    (2006)
  • MV Zunzunegui et al.

    Gender differences in depressive symptoms among older adults: A crossnational comparison: The CLESA project

    Soc Psychiatry Psychiatr Epidemiol

    (2007)
  • F Orfila et al.

    Gender differences in health-related quality of life among the elderly: The role of objective functional capacity and chronic conditions

    Soc Sci Med

    (2006)
  • SN Austad

    Why women live longer than men: Sex differences in longevity

    Gend Med

    (2006)
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