Self-rated quality of life of city-dwelling elderly people benefitting from social help: results of a cross-sectional study

Health and Quality of Life Outcomes

Irena Maniecka-Bryła¹  Monika Burzyńska¹  Marek Bryła² 

[1] Department of Epidemiology and Biostatistics, the Chair of Social and Preventive Medicine of the Medical University of Lodz, ul. Żeligowskiego 7/9, Łódź 90-752, Poland;Department of Social Medicine, the Chair of Social and Preventive Medicine of the Medical University of Lodz, ul. Żeligowskiego 7/9, Łódź 90-752, Poland

关键词: Poland;    Quality of life;    Social help;    Ageing population;   

Others  :  822227
DOI  :  10.1186/1477-7525-11-181

 received in 2013-09-22, accepted in 2013-10-24,  发布年份 2013

【 摘 要 】

Background

The percentage of people aged 65 or older living in Poland is 13.6%, but 17.2% in Łódź. The aim of the study was to identify factors correlating with the self-rated quality of life of elderly inhabitants of cities applying for social help, on the basis of a cross-sectional study.

Methods

The study was conducted in Łódź, a large Polish city, between September 2011 and February 2012 in a group of people applying for help in the Municipal Social Welfare Centre. Four hundred and sixty-six respondents aged 65 or older were included in the study. The tool used in the study was an interview questionnaire. The respondents answered questions on their demographic situation, living conditions, financial, health and social situation. The authors also applied the WHOQOL-BREF Questionnaire, the Activities of Daily Living Scale (ADL) and the Geriatric Depression Scale (GSOD). For statistical purposes, the authors used single- and multiple-factor regression and the Statistica 9.0 Program. The results were presented as an odds ratio (OR) with a 95% confidence interval (CI); the adopted significance level was p < 0.05. The authors applied the Pearson’s x² test in order to evaluate the structure of the studied group and the subpopulation, who were aged 65 or older and using social help, throughout the city.

Results

Logistic regression confirmed that a high quality of life depends on the following variables: university education (OR = 2.31; p < 0.05), an income which is sufficient to live (OR = 1.63; p < 0.05), no heart palpitations (OR = 2.32; p < 0.05), stable blood pressure (OR = 2.32; p < 0.05), no headaches (OR = 1.55; p < 0.05), no pain in the chest (OR = 1.51; p < 0.01), no shortness of breath (OR = 1.51; p < 0.01), no tiredness (OR = 2.08; p < 0.05), a score on the Geriatric Depression Scale pointing to a lack of suspected depression (OR = 9.88; p < 0.001 if the person does not suffer from depression and OR = 6.33; p < 0.001 if there is uncertain depression) as well as not using nursing services, a score on the ADL Scale confirming the person’s fitness and participation in family gatherings.

Conclusions

A subjective evaluation of the quality of life of the elderly depends on many factors. An identification of these factors might be helpful in implementing steps aimed at improving the quality of life of elderly people who, as a consequence, will need less social help: particularly nursing services.

【 授权许可】

   
2013 Bryła et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Mohan R, Beydoun H, Beydoun M, Schellhammer P: Self-rated health as a tool estimating health-adjusted life expectancy among patients newly diagnosed with localized prostate cancer: a preliminary study. Qual Life Res 2011, 20(5):713-721.
• [2]Baker R, Baleman I, Donaldson C: Weighting and valuing quality-adjusted life-years using stated preference methods: preliminary results from the Social Value of a QUALY Project. Health Technol Assess 2010, 14(7):7-18.
• [3]Porta M: A Dictionary of Epidemiology. USA: Oxford University Press; 2008.
• [4]Karnofsky DA, Burchenal JH: The Clinical Evaluation of Chemotherapeutic Agents in Cancer. In Evaluation of Chemotherapeutic Agents. Edited by MacLeod CM. New York: Columbia University Press; 1949:196.
• [5]World Health Organisation: Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, Volume 2. New York: WHO; 1948:100. 19–22 June, 1946; signed on 22 July 1946 by the representatives of 61 States
• [6]Austin PC: A comparison of methods of analyzing health-related quality-of-life measures. Value Health 2002, 5(4):329-337.
• [7]Reijula J, Rosendahl T, Reijula K, Roilas P, Roilas H, Sepponen R: A new method to assess perceived well-being among elderly people – a feasibility study. BMC Geriatr 2009, 9:55-62. BioMed Central Full Text
• [8]van Soest-Portyliet MC, van der Steen JT, Zimmerman S, Cohen LW, Reed D, Archterberg WP, Ribbe MW, de Vet HC: Psychometric properties of instruments to measure the quality of end-of-life care and dying for long-term care residents with dementia. Qual Life Res 2012, 21:671-684.
• [9]Bowden A, Fox-Rushby J, Nyandieka L, Wanjau J: Methods for pre-testing and piloting survey questions: illustrations from the KENQOL survey of health-related quality of life. Health Policy Plann 2002, 17(3):322-330.
• [10]Chan S, Jia S, Chiu H, Chien W, Hu Y, Lam L: Subjective health-related quality of life of Chinese older persons with depression in Shanghai and Hong Kong: relationship to clinical factors level of functioning and social support. Int J Geriatr Psychiatry 2009, 24:355-362.
• [11]Davis JC, Marra C, Najafzadeh M, Liu-Ambrose T: The independent contribution of executive functions to health related quality of life in older women. BMC Geriatr 2010, 10:16-24. BioMed Central Full Text
• [12]Debpuur C, Welaga P, Wak G, Hodgson A: Self-reported health and functional limitations among older people in the Kassena-Nankana District, Ghana. Global Health Action 2010, 2:54-63.
• [13]Roe B, Beynon C, Pickering L, Duffy P: Experiences of drug use and ageing, health, quality of life, relationship and service implications. J Adv Nurs 2010, 66(9):1968-1979.
• [14]Breeze E, Sloggett A, Fletcher A: Socioeconomic and demographic predictors of mortality and institutional residence among middle aged and older people: results from the longitudinal study. J Epidemiol Community 1999, 53:765-774.
• [15]Tidermark J, Zethraeus N, Svensson O, Törnkvist H, Ponzer S: Femoral neck fracture in the elderly: Functional outcome and quality of life according to EuroQOL. Qual Life Res 2002, 11:473-481.
• [16]Maniecka-Bryła I, Drygas W, Bryła M, Dziankowska-Zaborszczyk E: Determinants of self-rated health among the elderly living in a big city environment. Pol J Env Stud 2011, 20:691-699.
• [17]Pikala M, Maniecka Bryla I: Years of life lost due to malignant neoplasms characterized by the highest mortality rate. Arch Med Scidoi:10.5114/aoms.2013.36237
• [18]Borg C, Hallberg IR, Blomgvist K: Life satisfaction among older people (65+) with reduced self-care capacity: the relationship to social, health and financial aspects. J Clin Nurs 2006, 15:607-618.
• [19]Iwarsson S, Isacsson A: Quality of life in an elderly population an example exploring interrelationship among subjective well-being, ADL dependence, and housing accessibility. Arch Gerontol Geriat 1997, 26:71-83.
• [20]Duru G, Auray JP, Béresniak A, Lamure M, Paine A, Nicoloyannis N: Limitations of the methods used for calculating Quality-adjusted life-year values. Pharmacoeconomics 2002, 20(7):463-473.
• [21]Central Statistical Office: Trwanie życia w Polsce 2011. Warszawa: Central Statistical Office; 2012. in Polish
• [22]Maniecka-Bryła I, Pikala M, Bryła M: Health inequalities among rural and urban inhabitants of Łódź province, Poland. Ann Agr Env Med 2012, 19:723-731.
• [23]Bowling A: Aspirations for older age in the 21st century. What is successful aging. Int J Aging Hum Dev 2007, 64(3):263-297.
• [24]Britton A, Shipley M, Singh-Manoux A, Marmot MG: Successful aging: the contribution of early-life and midlife risk factors. J Am Geriatr Soc 2008, 56(6):1098-1103.
• [25]Zielińska-Więczkowska H, Kędziora-Kornatowska K: Quality of ageing and old age in personal opinions of the members of University of the Third Age. Geront Pol 2009, 17(3):137-142. (in Polish)
• [26]Jagger C, Gillies C, Moscone F, Cambois E, van Oyen H, Nusselder W, Robine JM, EHLEIS team: Inequalities in healthy life years in the 25 countries of the European Union in 2005: across-national meta-regression analysis. Lancet 2008, 372(12):2124-2131.
• [27]Jeste DV: Feeling fine at a hundred and three. Secrets success aging Am J Prev Med 2005, 28(3):323-324.
• [28]Rantakokko M, Iwarsson S, Kauppinen M, Leinonen R, Heikkinen E, Rantanen T: Quality of life and barriers in the urban outdoor environment in old age. J Am Geriatr Soc 2010, 58:2154-2159.
• [29]Kyobutungi C, Egondi T, Ezeh A: The health and well-being older people in Nairobis slums. Global Health Action 2010, 2:45-53.
• [30]Evans E, Gately C, Huxley P, Smith A, Banerjee S: Assessment of quality of life in later life: development and validation of the QuiLL. Qual Life Res 2005, 14:1291-3000.
• [31]Gómez-Olivé FX, Thorogood M, Clarc BD, Kahn K, Tollman SM: Assesing health and well-being among older people in rural South Africa. Global Health Action 2010, 2:23-35.
• [32]Baumann K: Quality of life in old age — theoretical discourse. Geront Pol 2006, 14(4):165-171. (in Polish)
• [33]Benyamini Y, Blumstein T, Lusky A, Modan B: Gender differences in the self-rated health-mortality association: is it poor self-rated health that predicts mortality or excellent self-rated that predicts survival? Gerontologist 2003, 43(3):396-405.
• [34]Hughes RA, Addington-Hall JM, Aspinal F: Developing methods to improve the quality of end-of-life care. J Interprof Care 2004, 18(2):200-201.
• [35]Johnson JA, Coons SJ: Comparison of the EQ-5D and SF-12 in an adult US sample. Qual Life Res 1998, 7:155-166.
• [36]Al-Janabi H, Flynn TN, Coast J: Development of a self-report measure of capability wellbeing for adults: the ICECAP-A. Qual Life Res 2012, 21:167-176.
• [37]Alma MA, van Dermei SF, Groothoff JW, et al.: Determinants of social participation of visually impaired older adults. Qual Life Res 2012, 21:87-97.
• [38]Clench-Aas J, Nes RB, Dalgard OS, Aarϕ LE: Dimensionality and measurement invariance in the Satisfaction with Life Scale in Norway. Qual Life Res 2011, 20:1307-1317.
• [39]Loyland B, Miaskowski C, Paul SM, Dahl E, Rustoen T: The relationship between chronic pain and health-related quality of life in long-term social assistance recipients in Norway. Qual Life Res 2010, 19:1457-1465.
• [40]Garster NC, Palta M, Sweitzer NK: Measuring health-related quality of life in population-based studies of coronary heart disease: comparing six generic indexes and a disease-specific proxy score. Qual Life Res 2009, 18:1239-1247.
• [41]Maida CA, Marcus M, Spolsky VW, Wang Y, Liu H: Socio-behavioral predictors of self-reported oral health-related quality of life. Qual Life Res 2012, 13:78-87.
• [42]Sposito G, D’Elboux-Diogo MJ, Cintra F, Neri AL, Guariento ME: Relationship between subjective well-being and the functionality of elderly outpatients. Brasilian J Phys Ther 2010, 14(1):81-89.
• [43]Grzegorczyk J, Kwolek A, Bazarnik K, Szeliga E, Wolan A: Jakość życia osób mieszkających w domach pomocy społecznej i słuchaczy uniwersytetu trzeciego wieku. Przegl Med Uniw Rzesz 2007, 5(3):225-233. (in Polish)
• [44]Noro A, Aro S: Health-related quality of life among the least dependent institutional elderly compared with the non-institutional elderly population. Qual Life Res 1996, 5(3):355-366.
• [45]Tseng SZ, Wang RH: Quality of life and related factors among elderly nursing home residents in Southern Taiwan. Public Health Nurs 2001, 18(5):304-311.
• [46]Ayotte BJ: Physical Health and Depression: A Dyadic Study of Chronic Health Conditions and Depressive Symptomatology in Older Adult Couples. J Gerontol B Psychol Sci Soc Sci 2010, 66B(1):438-448.
• [47]Rogers MP, White K, Warshaw MG, Yonkers KA, Rodriguez-Villa F, Chane G, Keller MB, Kreis IA, Chiu HC: Prevalence of medical illness in patients with anxiety disorders. Int J Psychiatry Med 1994, 24(1):83-96.
• [48]Wells KB, Burnam MA, Rogers W: The course of depression in adult outpatients Results from the Medical Outcomes Study. Arch Gen Psychiatry 1992, 49(10):788-794.
• [49]Chen CM, Mullan J, Griffiths D, et al.: Trajectories of depression and their relationship with health status and social service use. Arch Gerontol Geriat 2011, 53(2):118-124.
• [50]Lewandowska A: Expectations of nursing homes pensioners. In Wellness in different phases of life. Edited by Olchowik G. Lublin: Wydawnictwo Neuro Centrum; 2008:115-119.
• [51]Abas MA, Punpuing S, Jirapramupitak T, Tangchon K, Leese M: Psychological wellbeing, physical impairments and rural aging in a developing country setting. Health Qual Life Outcomes 2009., 7(66) http://dx.doi.org/10.1186/1477-7525-7-66
• [52]Al Windi A: The relations between symptoms, somatic and psychiatric conditions, life satisfaction and perceived health. A primary care based study. Health Qual Life Outcomes 2005., 3(28) http://dx.doi.org/1477-7525-3-28
• [53]Central Statistical Office: Sytuacja demograficzna Polski. Raport 2010–2011. Warszawa: Central Statistical Office; 2012. in Polish
• [54]Sawatzky R, Liu Ambrose T, Miller WC, Marra CA: Physical activity as a mediator of the impact of chronic conditions on quality of life in older adults. Health Qual Life Outcomes 2007., (68) http://dx.doi.org/1477-7525-5-68
• [55]Commission of the European Communities: The 2012 Ageing Report. 2012, 25-69. COM
• [56]Wejnert B: Problematyka subiektywnej i obiektywnej oceny jakości życia w badaniach amerykańskich. In Jak żyć. Edited by Wachowiak A. Poznań: Wydawnictwo Fundacji Humaniora; 2001:41-60. in Polish
• [57]Fleury MJ, Grenier G, Bamvita JM, Tremblay J, Schmitz N, Caron J: Predictors of quality of life in a longitudinal study of users with severe mental disorders. Health Qual Life Outcomes 2013., (92) http://dx.doi.org/10.1186/1477-7525-11-92
• [58]Maniecka-Bryła I, Gajewska O, Burzyńska M, Bryła M: Factors associated with self-rated health (SRH) of a University of the Third Age (U3A) class participants. Arch Gerontol Geriat 2013, 57:156-161.
• [59]Commission of the European Communities, COM: The demographic future of Europe – from challenge to opportune. Main European demographic trends and data. Projections – EU-25. Brussels: European Commission; 2006.
• [60]Śmigiel J: Poczucie jakości życia a aktywność osób w starszym wieku. Geront Pol 1997, 5(2):21-29. (in Polish)
• [61]Evans M, Khunti K, Mamdani M, Galbo Jørgensen CB, Gundgaard J, Bøgelund M, Harris S: Health-related quality of life associated with daytime and nocturnal hypoglycaemic events: a time trade-off survey in five countries. Health Qual Life Outcomes 2013., (90) http://dx.doi.org/10.1186/1477-7525-11-90