Background: Type 2 Diabetes mellitus is a chronic metabolic disease with significant implications on health status and quality of life (QoL) in terms of physical, social, environmental, and psychological well-being. Old age also has a significant influence on QOL, therefore, the impact of diabetes on the QOL of older persons can be more severe. In managing these older diabetics attention needs to be paid to the clinical and sociodemographic factors that may impact their QOL so that these can be modified where possible.Aim: This study aimed to determine the clinical and sociodemographic predictors of poor quality of life among older type 2 diabetes patients attending the family medicine clinic LASUTH, in order to address the modifiable predictors.Methodology: This was a descriptive cross-sectional study involving 384 consenting older type 2 diabetes patients recruited using the systematic random sampling method. An interviewer-administered structured questionnaire was used to gather information about their socio-demographic characteristics and clinical history. The structured WHO QoL-BREF questionnaire, the Multidimensional scale of Perceived Social Support (MSPSS), and the Morisky Medication Adherence Scale (MMAS-8) were used to obtain information for quality of life and its predictors. Glycosylated Hemoglobin (HbA1c) was also assessed. Data were analyzed using SPSS 27.
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Check for updatesResults: About seventy percent of respondents had a poor overall quality of life. The mean QOL scores in the physical, psychological social, and environmental domains were 60.72, 55.32, 58.09, and 62.00 respectively. The identified Predictors of poor quality of life were; Average monthly income of less than 50,000 naira (OR-2.023, p-0.009), sedentary life style (OR-1.774, p-0.041), presence of co-morbidity (OR-3.442, p < 0.001), duration of diabetes less than 5 years (OR 2.632 p-0.007), medium medication adherence (OR-1.834, p-0.045) low medication adherence (OR-2.513, p-0.007), as well as low and moderate perceived social support (OR 2.302, p-0.007) and (OR-2.192, p-0.005) respectively.
Conclusion:Close attention should be paid to older diabetics with a duration of diabetes < 5 years who have co-morbidity, poor medication adherence, sedentary life style, monthly income < 50,000 naira, and low/moderate perceived social support, as they are more likely to have poor QOL. Modifying these factors early in their treatment is essential.