Health-related quality of life and its association with socioeconomic status and diet diversity in Chinese older adults

Zhang, Chichen; Zhang, Jiachi; Xiao, Shujuan; Shi, Lei; Xue, Yaqing; Zheng, Xiao; Xue, Bai; Chen, Yiming; Li, Xinru; Yang, Kai; Liu, Yuxi; Zhou, Guangqing

doi:10.3389/fpubh.2022.999178

Cited by 3 publications

(1 citation statement)

References 56 publications

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“…Several socio-demographic variables were associated with reduced HRQOL in this study, such as male gender, low education level, low-to-moderate income, living in urban areas, and not being married. Previous literature has observed a strong relationship between low socioeconomic status and low HRQOL [57][58][59][60][61]. Due to the multifactorial nature of this association and the potential role that social, economic, environmental, and behavioral factors may play in it, it is important to consider these factors when creating effective treatment plans for COPD patients.…”

Section: Plos Onementioning

confidence: 99%

Health-related quality of life and its associated factors in patients with chronic obstructive pulmonary disease

Jarab,

Al-Qerem,

Alzoubi

et al. 2023

PLoS ONE

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Objective The present study aimed to evaluate HRQOL and to explore the factors associated with poor HRQOL among patients with COPD. Methods In the present cross-sectional study, the validated St George’s Respiratory Questionnaire for COPD patients (SGRQ-C) was used to evaluate HRQOL among 702 patients with COPD at two major hospitals in Jordan in the period between January and April 2022. Quantile regression analysis was used to explore the factors associated with HRQOL among the study participants. Results According to SGRQ-C, the HRQOL of the study participants was greatly impaired with a total SGRQ of 55.2 (34–67.8). The highest impairment in the HRQOL was in the impact domain with a median of 58.7 (29–76.3). Increased number of prescribed medications (β = 1.157, P<0.01), older age (β = 0.487, P<0.001), male gender (β = 5.364, P<0.01), low education level (β = 9.313, P<0.001), low and moderate average income (β = 6.440, P<0.05, and β = 6.997, P<0.01, respectively) were associated with poorer HRQOL. On the other hand, being married (β = -17.122, P<0.001), living in rural area (β = -6.994, P<0.01), non-use of steroids inhalers (β = -3.859, P<0.05), not receiving long acting muscarinic antagonists (LAMA) (β = -9.269, P<0.001), not receiving LABA (β = -8.243, P<0.001) and being adherent to the prescribed medications (β = -6.016, P<0.001) were associated with improved HRQOL. Furthermore, lower disease severity (stage A, B, and C) (β = -23.252, -10.389, and -9.696 respectively, P<0.001), and the absence of comorbidities (β = -14.303, P<0.001) were associated with better HRQOL. Conclusions In order to maximize HRQOL in patients with COPD, future COPD management interventions should adopt a multidisciplinary approach involving different healthcare providers, which aims to provide patient-centered care, implement personalized interventions, and improve medication adherence, particularly for patients who are elderly, males, have low socioeconomic status, receive multiple medications and have multiple comorbid diseases.

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Section: Plos Onementioning

confidence: 99%

Health-related quality of life and its associated factors in patients with chronic obstructive pulmonary disease

Jarab,

Al-Qerem,

Alzoubi

et al. 2023

PLoS ONE

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Public assistance program and food diversity among older people: a cross-sectional study using the Japan Gerontological Evaluation Study data Subheadings: Public assistance program and food diversity

Tanaka,

Nishioka,

Nakagomi

et al. 2024

Preprint

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Background Food diversity plays an important role in people’s healthy and affluent lives. However, poverty and eating alone can create multi-dimensional barriers to their food diversity. Although public assistance programs guarantee a minimum income to those in need, financial support alone may not be sufficient to support the health of people in poverty. Methods This cross-sectional study utilized data from the Japanese Gerontological Evaluation Study (2022), involving 14,467 participants aged 65 and older. The Dietary Variety Score (DVS), ranging from 0 to 10 (higher scores indicate higher dietary variety), assessed dietary diversity based on the regular consumption of ten food groups. Receiving public assistance was categorized as “yes” or “no.” Eating together was defined as eating with others every day. To assess the relationship between receiving public assistance and the dietary variety score, we calculated the unstandardized coefficient (β) and p values using a general linear model. Additionally, the interaction between public assistance and eating together was examined. As covariates, we adjusted for sociodemographic factors such as age, disease, marital status, and living alone. Results Men recipients of public assistance had lower DVS, even after adjusting for sociodemographic factors (adjusted β: -0.72, p = 0.04). For women, there was no association between receiving public assistance and lower DVS (adjusted β: -0.19, p = 0.66). There tended to be an interaction toward a higher DVS by public assistance and eating together among only men (p = 0.07). Conclusions Even after adjusting for sociodemographic factors, men recipients of public assistance have less food diversity than non-recipients. Men recipients were more likely to increase their food diversity by eating together. To ensure recipients’ rights to food security, the public assistance program may be effective in providing additional support to integrate recipients into communities that enable them to eat together in addition to financial support.

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Socio-Demographic Factors Associated with Rural Residents’ Dietary Diversity and Dietary Pattern: A Cross-Sectional Study in Pingnan, China

et al. 2023

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There is limited evidence regarding the factors correlated with dietary diversity (DD) and dietary pattern (DP) in rural residents of China. This study aims to identify the DD and DP of rural residents and their association with socio-demographic factors. A cross-sectional survey was conducted in Pingnan, China. The Food Frequency Questionnaire (FFQ) was applied to evaluate dietary intake. Latent class analysis (LCA) was used to identify patterns of six food varieties, including vegetables–fruits, red meat, aquatic products, eggs, milk, and beans–nuts. Generalized linear models and multiple logistic regression models were used to determine factors associated with the DD and DP. Three DPs were detected by LCA, namely “healthy” DP (47.94%), “traditional” DP (33.94%), and “meat/animal protein” DP (18.11%). Females exhibited lower DD (β = −0.23, p = 0.003) and were more likely to adhere to “traditional” DP (OR = 1.46, p = 0.039) and “meat/animal protein” DP (OR = 2.02, p < 0.001). Higher educational levels and annual household income (AHI) were positively associated with higher DD (p < 0.05) and less likely to have “traditional” DP and “meat/animal protein” DP (p < 0.05). Non-obese people exhibited higher DD (β = 0.15, p = 0.020) and were less likely to have “meat/animal protein” DP (OR = 0.59, p = 0.001). Our study reveals that females, those with lower educational levels and AHI, and obese people are more likely to have a lower DD and are more likely to adhere to “traditional” DP and “meat/animal protein” DP. The local, regional, and even national performance of specific diet-related health promotion measures and interventions must target these vulnerable populations to improve a healthier DD and DP.

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Health-related quality of life and its association with socioeconomic status and diet diversity in Chinese older adults

Cited by 3 publications

References 56 publications

Health-related quality of life and its associated factors in patients with chronic obstructive pulmonary disease

Health-related quality of life and its associated factors in patients with chronic obstructive pulmonary disease

Public assistance program and food diversity among older people: a cross-sectional study using the Japan Gerontological Evaluation Study data Subheadings: Public assistance program and food diversity

Socio-Demographic Factors Associated with Rural Residents’ Dietary Diversity and Dietary Pattern: A Cross-Sectional Study in Pingnan, China

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