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09.10.2017 | Original Article

The associated factors for the quality of life among Chinese rural elderly: 1-year follow-up study

verfasst von: Bao Dong, Jie Li, Dongdong Zhao, Dandan Yu, Qiongqiong Ren, Yehuan Sun

Erschienen in: Journal of Public Health | Ausgabe 2/2018

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Abstract

Aim

The aim of this study was to explore the quality of life (QOL) and its associated factors among Chinese rural elderly.

Subjects and methods

Analyses based on data from a longitudinal study, performed in Dangtu, a township in Anhui province. In all, 945 elderly people completed the two surveys in 2014–2016. Generalized estimating equations (GEEs) was used to explore the association between multiple factors and QOL of the elderly.

Results

The elderly had higher World Health Organization Quality of Life Instrument-Brief Version (WHOQOL-BREF) total score and scores for each domain at the second survey than the baseline. The results of GEEs showed that age, education level, economic status, drinking status and social support were positively associated with QOL of the elderly. However, Geriatric Depression Scale-15 (GDS-15) score and Activity of Daily Living Scale (ADLs) score were negatively associated with QOL of the elderly. In addition, gender was only associated with physical and environmental domains. Similarly, marital status was only associated with psychological and environmental domains. Household cohabitants was associated with social and environmental domains. Smoking status and diabetes were only associated with physical domain. Hypertension and stroke were associated with physical and psychological domains. Heart disease was associated with physical and social domains. Significant trends of WHOQOL-BREF total score were observed for the variables of age, education level, economic status, and ADLs score.

Conclusion

Multiple factors can affect the QOL of the elderly in rural China. These findings can provide guidance aimed at improving their QOL.
Literatur
Zurück zum Zitat Baumann C, Erpelding ML, Régat S, Collin JF, Briançon S (2010) The WHOQOL-BREF questionnaire: French adult population norms for the physical health, psychological health and social relationship dimensions. Rev Epidemiol Sante Publique 58:33–39CrossRefPubMed Baumann C, Erpelding ML, Régat S, Collin JF, Briançon S (2010) The WHOQOL-BREF questionnaire: French adult population norms for the physical health, psychological health and social relationship dimensions. Rev Epidemiol Sante Publique 58:33–39CrossRefPubMed
Zurück zum Zitat Chan AC (1996) Clinical validation of the geriatric depression scale (GDS): Chinese version. J Aging Health 8:238–253CrossRefPubMed Chan AC (1996) Clinical validation of the geriatric depression scale (GDS): Chinese version. J Aging Health 8:238–253CrossRefPubMed
Zurück zum Zitat Chang YC, Yao G, Hu SC, Wang JD (2015) Depression affects the scores of all facets of the WHOQOL-BREF and may mediate the effects of physical disability among community-dwelling older adults. PLoS One 10:e0128356CrossRefPubMedPubMedCentral Chang YC, Yao G, Hu SC, Wang JD (2015) Depression affects the scores of all facets of the WHOQOL-BREF and may mediate the effects of physical disability among community-dwelling older adults. PLoS One 10:e0128356CrossRefPubMedPubMedCentral
Zurück zum Zitat Christensen U, Schmidt L, Kriegbaum M, Hougaard CØ, Holstein BE (2006) Coping with unemployment: does educational attainment make any difference? Scand J Public Health 34:363–370CrossRefPubMed Christensen U, Schmidt L, Kriegbaum M, Hougaard CØ, Holstein BE (2006) Coping with unemployment: does educational attainment make any difference? Scand J Public Health 34:363–370CrossRefPubMed
Zurück zum Zitat Cleary KK, Howell DM (2006) Using the SF-36 to determine perceived health-related quality of life in rural Idaho seniors. J Allied Health 35:156–161PubMed Cleary KK, Howell DM (2006) Using the SF-36 to determine perceived health-related quality of life in rural Idaho seniors. J Allied Health 35:156–161PubMed
Zurück zum Zitat Dawalibi NW, Goulart RM, Prearo LC (2014) Factors related to the quality of life of the elderly in programs for senior citizens. Cien Saude Colet 19:3505–3512CrossRefPubMed Dawalibi NW, Goulart RM, Prearo LC (2014) Factors related to the quality of life of the elderly in programs for senior citizens. Cien Saude Colet 19:3505–3512CrossRefPubMed
Zurück zum Zitat Fogelholm M, Valve R, Absetz P, Heinonen H, Uutela A, Patja K, Karisto A, Konttinen R, Mäkelä T, Nissinen A, Jallinoja P, Nummela O, Talja M (2006) Rural-urban differences in health and health behavior: a baseline description of a community health-promotion programme for the elderly. Scand J Public Health 34:632–640CrossRefPubMed Fogelholm M, Valve R, Absetz P, Heinonen H, Uutela A, Patja K, Karisto A, Konttinen R, Mäkelä T, Nissinen A, Jallinoja P, Nummela O, Talja M (2006) Rural-urban differences in health and health behavior: a baseline description of a community health-promotion programme for the elderly. Scand J Public Health 34:632–640CrossRefPubMed
Zurück zum Zitat Forman DE, Berman AD, McCabe CH, Baim DS, Wei JY (1992) PTCA in the elderly: the “young-old” versus the “old-old”. J Am Geriatr Soc 40:19–22CrossRefPubMed Forman DE, Berman AD, McCabe CH, Baim DS, Wei JY (1992) PTCA in the elderly: the “young-old” versus the “old-old”. J Am Geriatr Soc 40:19–22CrossRefPubMed
Zurück zum Zitat Fusco O, Ferrini A, Santoro M, Lo Monaco MR, Gambassi G, Cesari M (2012) Physical function and perceived quality of life in older persons. Aging Clin Exp Res 24:68–73CrossRefPubMed Fusco O, Ferrini A, Santoro M, Lo Monaco MR, Gambassi G, Cesari M (2012) Physical function and perceived quality of life in older persons. Aging Clin Exp Res 24:68–73CrossRefPubMed
Zurück zum Zitat Hellström Y, Persson G, Hallberg IR (2004) Quality of life and symptoms among older people living at home. J Adv Nurs 48:584–593CrossRefPubMed Hellström Y, Persson G, Hallberg IR (2004) Quality of life and symptoms among older people living at home. J Adv Nurs 48:584–593CrossRefPubMed
Zurück zum Zitat IsHak WW, Greenberg JM, Balayan K, Kapitanski N, Jeffrey J, Fathy H, Fakhry H, Rapaport MH (2011) Quality of life: the ultimate outcome measure of interventions in major depressive disorder. Harv Rev Psychiatry 19:229–239CrossRefPubMed IsHak WW, Greenberg JM, Balayan K, Kapitanski N, Jeffrey J, Fathy H, Fakhry H, Rapaport MH (2011) Quality of life: the ultimate outcome measure of interventions in major depressive disorder. Harv Rev Psychiatry 19:229–239CrossRefPubMed
Zurück zum Zitat Jylhä M (2004) Old age and loneliness: cross-sectional and longitudinal analyses in the Tampere Longitudinal Study on Aging. Can J Aging 23:157–168CrossRefPubMed Jylhä M (2004) Old age and loneliness: cross-sectional and longitudinal analyses in the Tampere Longitudinal Study on Aging. Can J Aging 23:157–168CrossRefPubMed
Zurück zum Zitat Kharicha K, Iliffe S, Harari D, Swift C, Gillmann G, Stuck AE (2007) Health risk appraisal in older people 1: are older people living alone an “at-risk” group? Br J Gen Pract 57:271–276PubMedPubMedCentral Kharicha K, Iliffe S, Harari D, Swift C, Gillmann G, Stuck AE (2007) Health risk appraisal in older people 1: are older people living alone an “at-risk” group? Br J Gen Pract 57:271–276PubMedPubMedCentral
Zurück zum Zitat Kindig DA, Booske BC, Remington PL (2010) Mobilizing Action Toward Community Health (MATCH): metrics, incentives, and partnerships for population health. Prev Chronic Dis 7:A68PubMedPubMedCentral Kindig DA, Booske BC, Remington PL (2010) Mobilizing Action Toward Community Health (MATCH): metrics, incentives, and partnerships for population health. Prev Chronic Dis 7:A68PubMedPubMedCentral
Zurück zum Zitat Lasheras C, Patterson AM, Casado C, Fernandez S (2001) Effects of education on the quality of life, diet, and cardiovascular risk factors in an elderly Spanish community population. Exp Aging Res 27:257–270CrossRefPubMed Lasheras C, Patterson AM, Casado C, Fernandez S (2001) Effects of education on the quality of life, diet, and cardiovascular risk factors in an elderly Spanish community population. Exp Aging Res 27:257–270CrossRefPubMed
Zurück zum Zitat Lawton MP, Brody EM (1969) Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 9:179–186CrossRefPubMed Lawton MP, Brody EM (1969) Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 9:179–186CrossRefPubMed
Zurück zum Zitat Li S, Xie Z, Shao J, Xiao C, Tian L, Zhao R, Gong J, Han J, Wang Y, Han C, Dang L, Zhang Y, Chen B, Luo X, Guo W (2012) Subjective well-being of the elderly in Xi Cheng District, Beijing. Shanghai Arch Psychiatry 24:335–346PubMedPubMedCentral Li S, Xie Z, Shao J, Xiao C, Tian L, Zhao R, Gong J, Han J, Wang Y, Han C, Dang L, Zhang Y, Chen B, Luo X, Guo W (2012) Subjective well-being of the elderly in Xi Cheng District, Beijing. Shanghai Arch Psychiatry 24:335–346PubMedPubMedCentral
Zurück zum Zitat Lima MG, Barros MB, César CL, Goldbaum M, Carandina L, Ciconelli RM (2009) Health related quality of life among the elderly: a population-based study using SF-36 survey. Cad Saude Publica 25:2159–2167CrossRefPubMed Lima MG, Barros MB, César CL, Goldbaum M, Carandina L, Ciconelli RM (2009) Health related quality of life among the elderly: a population-based study using SF-36 survey. Cad Saude Publica 25:2159–2167CrossRefPubMed
Zurück zum Zitat Lima MG, Barros MB, César CL, Goldbaum M, Carandina L, Alves MC (2011) Health-related behavior and quality of life among the elderly: a population-based study. Rev Saude Publica 45:485–493CrossRefPubMed Lima MG, Barros MB, César CL, Goldbaum M, Carandina L, Alves MC (2011) Health-related behavior and quality of life among the elderly: a population-based study. Rev Saude Publica 45:485–493CrossRefPubMed
Zurück zum Zitat Liu LJ, Guo Q (2007) Loneliness and health-related quality of life for the empty nest elderly in the rural area of a mountainous county in China. Qual Life Res 16:1275–1280PubMed Liu LJ, Guo Q (2007) Loneliness and health-related quality of life for the empty nest elderly in the rural area of a mountainous county in China. Qual Life Res 16:1275–1280PubMed
Zurück zum Zitat Liu T, Sun L (2015) An apocalyptic vision of ageing in China: old age care for the largest elderly population in the world. Z Gerontol Geriatr 48:354–364CrossRefPubMed Liu T, Sun L (2015) An apocalyptic vision of ageing in China: old age care for the largest elderly population in the world. Z Gerontol Geriatr 48:354–364CrossRefPubMed
Zurück zum Zitat Lv XL, Jiang YH, Sun YH, Ren CZ, Sun CY, Sun L, Wu ZQ, Zhao X (2013) Short form 36-Item Health Survey test result on the empty nest elderly in China: a meta-analysis. Arch Gerontol Geriatr 56:291–297CrossRefPubMed Lv XL, Jiang YH, Sun YH, Ren CZ, Sun CY, Sun L, Wu ZQ, Zhao X (2013) Short form 36-Item Health Survey test result on the empty nest elderly in China: a meta-analysis. Arch Gerontol Geriatr 56:291–297CrossRefPubMed
Zurück zum Zitat Marc LG, Raue PJ, Bruce ML (2008) Screening performance of the 15-item geriatric depression scale in a diverse elderly home care population. Am J Geriatr Psychiatry 16:914–921CrossRefPubMedPubMedCentral Marc LG, Raue PJ, Bruce ML (2008) Screening performance of the 15-item geriatric depression scale in a diverse elderly home care population. Am J Geriatr Psychiatry 16:914–921CrossRefPubMedPubMedCentral
Zurück zum Zitat Mitra M, Chung MC, Wilber N, Klein Walker D (2004) Smoking status and quality of life: a longitudinal study among adults with disabilities. Am J Prev Med 27:258–260PubMed Mitra M, Chung MC, Wilber N, Klein Walker D (2004) Smoking status and quality of life: a longitudinal study among adults with disabilities. Am J Prev Med 27:258–260PubMed
Zurück zum Zitat Rakhshani T, Shojaiezadeh D, Lankarani KB, Rakhshani F, Kaveh MH, Zare N (2014) The association of health-promoting lifestyle with quality of life among the Iranian elderly. Iran Red Crescent Med J 16:e18404CrossRefPubMedPubMedCentral Rakhshani T, Shojaiezadeh D, Lankarani KB, Rakhshani F, Kaveh MH, Zare N (2014) The association of health-promoting lifestyle with quality of life among the Iranian elderly. Iran Red Crescent Med J 16:e18404CrossRefPubMedPubMedCentral
Zurück zum Zitat Ran L, Jiang X, Li B, Kong H, Du M, Wang X, Yu H, Liu Q (2017) Association among activities of daily living, instrumental activities of daily living and health-related quality of life in elderly Yi ethnic minority. BMC Geriatr 17:74CrossRefPubMedPubMedCentral Ran L, Jiang X, Li B, Kong H, Du M, Wang X, Yu H, Liu Q (2017) Association among activities of daily living, instrumental activities of daily living and health-related quality of life in elderly Yi ethnic minority. BMC Geriatr 17:74CrossRefPubMedPubMedCentral
Zurück zum Zitat Regan TJ (2000) Moderate alcohol consumption and risk of coronary heart disease among women with type 2 diabetes mellitus. Circulation 102:487–488CrossRefPubMed Regan TJ (2000) Moderate alcohol consumption and risk of coronary heart disease among women with type 2 diabetes mellitus. Circulation 102:487–488CrossRefPubMed
Zurück zum Zitat Sheikh JI, Yesavage JA (1986) Geriatric Depression Scale (GDS SF): recent evidence and development of a shorter version. Clin Gerontol 5:165–172CrossRef Sheikh JI, Yesavage JA (1986) Geriatric Depression Scale (GDS SF): recent evidence and development of a shorter version. Clin Gerontol 5:165–172CrossRef
Zurück zum Zitat Skevington SM, Lotfy M, O’Connell KA, WHOQ Group (2004) The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial—a report from the WHOQOL group. Qual Life Res 13:299–310PubMed Skevington SM, Lotfy M, O’Connell KA, WHOQ Group (2004) The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial—a report from the WHOQOL group. Qual Life Res 13:299–310PubMed
Zurück zum Zitat Stenzelius K, Westergren A, Thorneman G, Hallberg IR (2005) Pattern of health complaints among people 75+ in relation to quality of life and need of help. Arch Gerontol Geriatr 40:85–102CrossRefPubMed Stenzelius K, Westergren A, Thorneman G, Hallberg IR (2005) Pattern of health complaints among people 75+ in relation to quality of life and need of help. Arch Gerontol Geriatr 40:85–102CrossRefPubMed
Zurück zum Zitat Su PY, Hao JH, Xiong LM, Yu DD, Cao YT, Fang Y, Jiang XL, Qian QX, Tao FB (2011) The prevalence and influencing factors of abuse and negligence against elderly in rural areas of Anhui province (in Chinese). Chin J Epidemiol 32:110–115 Su PY, Hao JH, Xiong LM, Yu DD, Cao YT, Fang Y, Jiang XL, Qian QX, Tao FB (2011) The prevalence and influencing factors of abuse and negligence against elderly in rural areas of Anhui province (in Chinese). Chin J Epidemiol 32:110–115
Zurück zum Zitat Tuzun H, Aycan S, Ilhan MN (2015) Impact of comorbidity and socioeconomic status on quality of life in patients with chronic diseases who attend primary health care centres. Cent Eur J Public Health 23:188–194PubMed Tuzun H, Aycan S, Ilhan MN (2015) Impact of comorbidity and socioeconomic status on quality of life in patients with chronic diseases who attend primary health care centres. Cent Eur J Public Health 23:188–194PubMed
Zurück zum Zitat van Oort FV, van Lenthe FJ, Mackenbach JP (2004) Cooccurrence of lifestyle risk factors and the explanation of education inequalities in mortality: results from the GLOBE study. Prev Med 39:1126–1134CrossRefPubMed van Oort FV, van Lenthe FJ, Mackenbach JP (2004) Cooccurrence of lifestyle risk factors and the explanation of education inequalities in mortality: results from the GLOBE study. Prev Med 39:1126–1134CrossRefPubMed
Zurück zum Zitat Wang JL (2004) Rural-urban differences in the prevalence of major depression and associated impairment. Soc Psychiatry Psychiatr Epidemiol 39:19–25CrossRefPubMed Wang JL (2004) Rural-urban differences in the prevalence of major depression and associated impairment. Soc Psychiatry Psychiatr Epidemiol 39:19–25CrossRefPubMed
Zurück zum Zitat Webb E, Blane D, McMunn A, Netuveli G (2011) Proximal predictors of change in quality of life at older ages. J Epidemiol Community Health 65:542–547CrossRefPubMed Webb E, Blane D, McMunn A, Netuveli G (2011) Proximal predictors of change in quality of life at older ages. J Epidemiol Community Health 65:542–547CrossRefPubMed
Zurück zum Zitat World Health Organization Quality Of Life Group (1995) The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 41:1403–1409CrossRef World Health Organization Quality Of Life Group (1995) The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 41:1403–1409CrossRef
Zurück zum Zitat Xia P, Li N, Hau KT, Liu C, Lu Y (2012) Quality of life of Chinese urban community residents: a psychometric study of the mainland Chinese version of the WHOQOL-BREF. BMC Med Res Methodol 12:37CrossRefPubMedPubMedCentral Xia P, Li N, Hau KT, Liu C, Lu Y (2012) Quality of life of Chinese urban community residents: a psychometric study of the mainland Chinese version of the WHOQOL-BREF. BMC Med Res Methodol 12:37CrossRefPubMedPubMedCentral
Zurück zum Zitat Zhao Y, Hu C, Feng F, Gong F, Lu S, Qian Z, Sun Y (2017) Associations of self-neglect with quality of life in older people in rural China: a cross-sectional study. Int Psychogeriatr 29:1015–1026CrossRefPubMed Zhao Y, Hu C, Feng F, Gong F, Lu S, Qian Z, Sun Y (2017) Associations of self-neglect with quality of life in older people in rural China: a cross-sectional study. Int Psychogeriatr 29:1015–1026CrossRefPubMed
Metadaten
Titel
The associated factors for the quality of life among Chinese rural elderly: 1-year follow-up study
verfasst von
Bao Dong
Jie Li
Dongdong Zhao
Dandan Yu
Qiongqiong Ren
Yehuan Sun
Publikationsdatum
09.10.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Journal of Public Health / Ausgabe 2/2018
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-017-0852-x