This study aims to identify the types of health-related quality of life (QoL) based on the EuroQoL 5 Dimensions among community older people and predict the factors affecting these types. Methods: This study used data from the 2016 Korea Health Panel Survey, whose participants included 3,848 older people. The data were analyzed using the software jamovi 1.2.17 and Mplus 8.2 for latent class analysis. Results: The subgroups of the older people's health-related QoL were identified as three latent classes: General stable type (43.9%), pain-related low type (35.0%), and general low type (21.1%). The types and characteristics of health-related QoL among the latent classes differed. Comparing the difference between the general low type and general stable type, the subjects showed higher probability of belonging to the general stable type when they were men, younger, higher education level, employment, better subjective health, lower BMI and stress level, and no suicidal ideation. A comparison between the general low type and the pain-related low type showed that the subjects were more likely to be classified as the pain-related low type when they were younger, higher education, employment, and better subjective health. Conclusion: The results showed a significant heterogeneity in the types of health-related QoL among community older people, and the predictors for each type were not the same. These findings present basic data for cultivating nursing interventions that enhance health-related QoL.
Purpose:The purpose of the study was to describe the structural relationship of meaning in life, spirituality, hope, intrinsic religious orientation, and self-esteem among middle-aged adults. Methods: The sample included 344 participants between the ages of 40 and 60, who resided in one of four cities. The collected data were analyzed using SPSS 21.0, descriptive statistics and AMOS 20.0 which uses structural modeling to test whether the hypothesized model fits the collected data. Results: Middle-aged adult's spirituality was found to have a significant direct effect on meaning in life. Further, middle-aged adult's reported hope, intrinsic religious orientation, and self-esteem had a direct effect on spirituality. Lastly, self-esteem had a direct effect on hope. Conclusion: The findings from the study indicated that spirituality was the best predictor of meaning in life among middle age. In addition, hope, intrinsic religious orientation, and self-esteem did not have a direct effect on the meaning in life, but had a indirect effect through spirituality. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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