Gender differences in health status, quality of life, and community service needs of older adults living alone

Ko, Heejeong; Park, Yeon Hwan; Cho, Belong; Lim, Kyung Soo; Chang, Sun Ju; Yi, Yu Mi; Noh, Eun-Young; Ryu, So Im

doi:10.1016/j.archger.2019.05.009

Cited by 89 publications

(71 citation statements)

References 21 publications

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“…In general, self-reported health utility scores for women was worse than men. This gender difference was similar to other international studies that women reported more problems on every health dimensions, and had lower EQ-5D scores and EQ-VAS scores (16,24,25). In the estimation of associated factors, gender effects seemed to be washed out by age effect considering the male respondents were 5 years younger than females.…”

Section: Discussionsupporting

confidence: 87%

Health-Related Quality of Life and Associated Factors Among Oldest-Old in China

Chen

Liu

Shi

et al. 2020

The Journal of nutrition, health and aging

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Objectives: The oldest old population has become the fastest growing segment with excess need of care and social support, it is crucial to improve the health-related quality of life (HRQoL) of these populations. This study seeks to evaluate the health status and to investigate modifiable factors associated with health-related quality of life for oldest old adults in China. Design: A cross-sectional population-based study. Setting: Hainan Province in the south of China. Participants: 1,278 adults aged 80 years or older. Methods: HRQoL was assessed by three-level EuroQol-5D scale (EQ-5D-3L) and a visual analogue scale (VAS). Demographic and healthrelated variables were analysed by estimating mean values and standard deviations for continuous variables, percentages and standard deviations for categorical variables. Tobit regressions, ordinary least Squared (OLS) regressions and ordered probit regressions were adopted to determine the associated factors for overall HRQoL and for each health dimension. Results: Anxiety/depression was the least reported problem while mobility was the most frequently reported with problem. Female respondents had lower EQ-5D score (0.76 vs. 0.86) and VAS score (66.55 vs. 69.84) than male respondents. Better health-related quality of life was significantly associated with higher BMI, no drinking habit, more leisure activities, living with family members, good sleeping quality, closer social and family connections, fewer numbers of drugs consumed per day, without having hearing or visual impairment, and fewer chronic conditions, after controlling for potential confounders. Conclusion: Findings from this study suggested that quality of life was not only associated with age-related diseases, but also correlated with a range of health-related lifestyles, and factors indicating social and family support.

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Section: Discussionsupporting

confidence: 87%

Health-Related Quality of Life and Associated Factors Among Oldest-Old in China

Chen

Liu

Shi

et al. 2020

The Journal of nutrition, health and aging

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“…Interestingly, we found significant sex differences in HRQoL, with women reporting better mental health than men. These results are similar to those of previous studies in China and South Korea, 25,26 which found that men are more likely to report poor mental health. In our study, we observed a difference in MCS but not in PCS, which may stem from demographic factors and the distribution of chronic conditions.…”

Section: Discussionsupporting

confidence: 91%

Health-related quality of life among elderly individuals living alone in an urban area of Shaanxi Province, China: a cross-sectional study

et al. 2020

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Objectives: To describe health-related quality of life (HRQoL), sex differences in HRQoL, and factors affecting the HRQoL of elderly people living alone in urban areas of Shaanxi Province, China. Methods: A cohort was obtained using multistage stratified cluster random sampling. We collected cross-sectional data using surveys. HRQoL was measured using the 36-item Short Form Health Survey. Multivariable multilevel linear regression analysis was used to examine factors associated with mental and physical health component summary scores. Results: Overall, 442 elderly Chinese individuals who lived alone completed the survey (mean age 73 years, women: 59%). Women were more likely to report better mental health than men. Factors significantly associated with reduced mental health scores were older age, having never been married or being divorced, and having a history of cancer, urinary tract disease, fractures or gastrointestinal disorders. Factors associated with physical health were having never been married or being divorced and having hypertension.

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“…We found that older women were more restricted in function than older men, which is consistent with the results of a study of CMP in older European adults [40]. Given the better evaluation of physical health by men than women [44], we suggest that an approach that takes into account the differences in the basic functional levels of elderly men and women would be effective.…”

Section: Discussionsupporting

confidence: 88%

“…For women, it was found that social support affects QOL directly as well as indirectly through perceived health status, though the effect was not statistically significant. The examination of gender differences in the QOL of elderly people living alone showed that women visit senior citizens' welfare centers and actively engage in religious activities more than older men [44]. This means that older women receiving more peer support through these activities compared to older men.…”

Section: Discussionmentioning

confidence: 99%

Sex-Based Differences in the Quality of Life of Elderly Koreans With Chronic Musculoskeletal Pain

Jeong

Lee

2020

IJERPH

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In this study, we constructed a structural equation model (SEM) for predicting the quality of life (QOL) in elderly Koreans with chronic musculoskeletal pain (CMP) and examined the differences between sexes. Data were earlier collected in a prior study of 307 participants (101 men and 206 women) with CMP, aged 65 years and above, who used geriatric welfare centers located in two cities. The effects of pain, functional limitation, perceived health status, pain coping, and social support on the QOL were estimated with a multigroup SEM. For both men and women, the results show sequential causality from pain to functional limitation, perceived health status, and QOL. However, the relationships among pain, pain coping, functional limitation, and QOL differ between men and women. The multigroup SEM provides a better understanding of the sex differences in the QOL of elderly with CMP. The results suggest that in order to improve QOL among the elderly with CMP, a customized strategy should be applied that takes into account differences between the sexes.

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Gender differences in health status, quality of life, and community service needs of older adults living alone

Cited by 89 publications

References 21 publications

Health-Related Quality of Life and Associated Factors Among Oldest-Old in China

Health-Related Quality of Life and Associated Factors Among Oldest-Old in China

Health-related quality of life among elderly individuals living alone in an urban area of Shaanxi Province, China: a cross-sectional study

Sex-Based Differences in the Quality of Life of Elderly Koreans With Chronic Musculoskeletal Pain

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