Health status and quality of life: results from a national survey in a community-dwelling sample of elderly people

Luthy, Christophe; Cedraschi, Christine; Allaz, Anne‐Françoise; Herrmann, Françoís; Ludwig, Catherine

doi:10.1007/s11136-014-0894-2

Cited by 47 publications

(47 citation statements)

References 41 publications

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“…Education has been sometimes used as a way to address socioeconomic status (SES) inequalities connected to health and QoL: our findings show that lower educational levels are associated to diminished QoL compared to having high school or academic degrees. Similar results were found among participants to the American Health and Retirement Study and to the English Longitudinal Study of Ageing [ 41 ], as well as among community-dwelling elderly individuals (aged 65+) from Switzerland [ 42 ]. As previously reported [ 16 ] people with low SES seem to face a double burden: first, increased levels of health impairments and, second, lower QoL once health is impaired.…”

Section: Discussionsupporting

confidence: 73%

Determinants of Quality of Life in Ageing Populations: Results from a Cross-Sectional Study in Finland, Poland and Spain

Raggi¹,

Corso

Minicuci

et al. 2016

PLoS ONE

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PurposeTo comprehensively identify the determinants of quality of life (QoL) in a population study sample of persons aged 18–50 and 50+.MethodsIn this observational, cross-sectional study, QoL was measured with the WHOQOL-AGE, a brief instrument designed to measure QoL in older adults. Eight hierarchical regression models were performed to identify determinants of QoL. Variables were entered in the following order: Sociodemographic; Health Habits; Chronic Conditions; Health State description; Vision and Hearing; Social Networks; Built Environment. In the final model, significant variables were retained. The final model was re-run using data from the three countries separately.ResultsComplete data were available for 5639 participants, mean age 46.3 (SD 18.4). The final model accounted for 45% of QoL variation and the most relevant contribution was given by sociodemographic data (particularly age, education level and living in Finland: 17.9% explained QoL variation), chronic conditions (particularly depression: 4.6%) and a wide and rich social network (4.6%). Other determinants were presence of disabling pain, learning difficulties and visual problems, and living in usable house that is perceived as non-risky. Some variables were specifically associated to QoL in single countries: age in Poland, alcohol consumption in Spain, angina in Finland, depression in Spain, and self-reported sadness both in Finland and Poland, but not in Spain. Other were commonly associated to QoL: smoking status, bodily aches, being emotionally affected by health problems, good social network and home characteristics.ConclusionsOur results highlight the importance of modifiable determinants of QoL, and provide public health indications that could support concrete actions at country level. In particular, smoking cessation, increasing the level of physical activity, improving social network ties and applying universal design approach to houses and environmental infrastructures could potentially increase QoL of ageing population.

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Section: Discussionsupporting

confidence: 73%

Determinants of Quality of Life in Ageing Populations: Results from a Cross-Sectional Study in Finland, Poland and Spain

Raggi¹,

Corso

Minicuci

et al. 2016

PLoS ONE

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“…The distribution of VAS values in the same age categories was quite stable, and the decline in VAS values by increasing age [ 31 ] resembles the proportions from 2006 [ 19 ]. Age-related deterioration in VAS values and health status is seen in other studies [ 32 , 33 , 34 ] for men and women as well as people with problems and those without. Our participants in the best health state showed an average VAS score of 91.9.…”

Section: Discussionsupporting

confidence: 59%

EQ-5D-5L in the General German Population: Comparison and Evaluation of Three Yearly Cross-Section Surveys

Huber

Reitmeir

Vogelmann³

et al. 2016

IJERPH

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Health-related quality of life (HRQoL) is a key measure for evaluating health status in populations. Using the recent EQ-5D-5L for measurement, this study analyzed quality of life results and their stability over consecutive population surveys. Three cross-section surveys for representative samples of the general German population from 2012, 2013, and 2014 were evaluated using the EQ-5D-5L descriptive system and valuation by the Visual Analog Scale (VAS). Aggregated sample size reached 6074. The dimension with the highest prevalence of problems was pain/discomfort (31.7%). Compared with 2012 (59.3%), the percentage of participants in the best health state increased slightly in 2013 (63.4%) and 2014 (62%). Over the 3-year period, diabetes and heart disease had the strongest negative influence on mean VAS result. The number of reported chronic diseases cumulatively reduced mean VAS. Extreme problems in one or more dimensions were stated by only 0.1%–0.2% of patients. Of the potential 247 health states with a problem score ≥20, only six were observed in the aggregated sample. HRQoL results were fairly stable over the 3 years, but the share of the population with no problems was not. Results from the aggregated sample may serve as updated reference values for the general German population.

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“…Luthy et al reported that male gender was associated with better HRQoL, whereas their female counterparts were manifested with specific problems with aging, such as loneliness, handicaps, a longer duration of symptoms prior to death. They also revealed that higher educational background was associated with better HRQoL [10]. Varma et al demonstrated that the elderly Indians living at their homes yielded higher HRQoL compared with those residing in the community [11].…”

Section: Introductionmentioning

confidence: 99%

Association among activities of daily living, instrumental activities of daily living and health-related quality of life in elderly Yi ethnic minority

Ran

Jiang

et al. 2017

BMC Geriatr

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BackgroundThe health-related quality of life (HRQoL) of the elderly population of Yi ethnic minority, which is the seventh largest nationality in China, has been rarely reported. This study was designed to explore the HRQoL of the elderly Yi ethnicity and association between their HRQOL and functional abilities.MethodsA total of 291 Yi ethnic residents were randomly recruited from 12 rural counties in Yunnan province and divided into different age groups. Local residents in Yunnan province and the elderly from Hangzhou were enrolled as controls. The MOS 36-Item Short Form Health Survey (SF-36), activities of daily living (ADL), instrumental activities of daily living (IADL) scales were utilized to evaluate the HRQoL and functional ability. One-way ANOVA was used to statistically compare the ADL and IADL among different age groups. The influential variables on HRQOL were analyzed by multiple linear regression analysis. Pearson correlation analysis was used to analyze the association among HRQoL, ADL and IADL.ResultsThe HRQoL of the elderly Yi minority was significantly lower than those of local residents in Yunnan province and the elderly counterparts in Hangzhou. The IADL ability of the elderly Yi minority was low, whereas they could perform most items of ADL. ADL, IADL, and education level were positively associated with HRQoL, whereas age, chronic diseases, and the frequency of medication use were negatively correlated with HRQoL.ConclusionThe HRQoL and functional capacity of the elderly Yi ethnic minority were lower compared with their counterparts in Yunnan province and Hangzhou. The low level of IADL indicated that the elderly Yi participants had a high risk of cognitive impairment. Much attention should be diverted to influential factors of the HRQoL.Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-017-0455-y) contains supplementary material, which is available to authorized users.

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Health status and quality of life: results from a national survey in a community-dwelling sample of elderly people

Cited by 47 publications

References 41 publications

Determinants of Quality of Life in Ageing Populations: Results from a Cross-Sectional Study in Finland, Poland and Spain

Determinants of Quality of Life in Ageing Populations: Results from a Cross-Sectional Study in Finland, Poland and Spain

EQ-5D-5L in the General German Population: Comparison and Evaluation of Three Yearly Cross-Section Surveys

Association among activities of daily living, instrumental activities of daily living and health-related quality of life in elderly Yi ethnic minority

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