Quality of life profile in three cohorts of community-dwelling Swiss older people

BMC Geriatrics

卷:19

Nazanin Abolhassani¹  Yves Henchoz¹  Brigitte Santos-Eggimann¹  René Goy²  Christophe Büla³  Idris Guessous⁴ 

[1] Center for Primary Care and Public Health (Unisanté), University of Lausanne;

[2] Pro Senectute Vaud;

[3] Service of Geriatric Medicine and Geriatric Rehabilitation, Lausanne university hospital;

[4] Unit of Population Epidemiology, Department of Community Medicine and Primary Care and Emergency Medicine, University Hospital of Geneva;

关键词: Quality of life;    Satisfaction;    Importance;    Community older people;    Cohort;   

DOI  :  10.1186/s12877-019-1112-4

来源: DOAJ

【 摘 要 】

Abstract Background Quality of life (QoL) is a subjective and dynamic concept resulting from an interplay between importance of and satisfaction with different aspects of life. However, it is unclear whether social contexts experienced by individuals born at specific times in history (cohort effects) may influence QoL in old age. This study aimed to compare among older persons born before, during, and at the end of World War II: a) satisfaction with QoL, overall and per domains; b) importance of QoL domains. Methods This repeated cross-sectional study included representative samples of community-dwelling adults born in 1934–1938 (pre-war), 1939–1943 (war), and 1944–1948 (baby-boom) from the Lausanne cohort 65+. QoL was assessed overall, and in seven domains in 2011 and 2016. Two-by-two cohort comparisons were performed at ages 68–72 (war versus baby-boom) and 73–77 years (pre-war versus war). Results Overall satisfaction with QoL did not differ between cohorts despite increased education level across cohorts and a shift between pre-war and war cohorts towards lower morbidity and higher proportion living alone. However, “Feeling of safety” consistently showed significant improvements from earlier to later-born cohorts. Furthermore, the war cohort reported higher satisfaction than pre-war cohort in “Autonomy”. Conversely, no significant difference was observed between cohorts in importance of QoL domains, except increased importance given to “Health and mobility” in the war compared to pre-war cohort. Conclusions Societal changes reflected in the profile of successive elders’ cohorts did not appear to modify the overall satisfaction with QoL.

【 授权许可】

Unknown