scholarly journals Social Support, Quality of life and Social health in Older Adults in Lorestan, Iran: A Structural Equation Modeling

2020 ◽  
Vol 11 (1) ◽  
pp. 87-91
Author(s):  
Sina Hamed ◽  
Mostafa Amini-Rarani ◽  
Mehdi Nosratabadi

Objective: As Iran has started to experience population ageing, it is important to consider the elderly needs and health. The purpose of this study was to examine the structural relationships between social support, quality of life and social health in Iranian older adults. Method: The research was a survey-based cross-sectional study. The sample consisted of 800 non-institutionalized older adults living in Lorestan province in Iran in 2018. Three questionnaires were employed to collect data including social health, social support and quality of life. Data were analyzed by SPSS 22 and Amos 8 softwares. Results: The majority of the participants were men (51%) and 62% of the participants were married. The most of older adults had moderate or poor economic status. Having insurance and higher income significantly correlated with higher quality of life and social health (p<0.05). The direct effect of all three variables including social support on social health, and social support on quality of life and social health on quality of life were significant. The final model indicated that 39% of the overall variance of quality of life was attributed to social support and social health. Conclusion:  Findings confirm the importance of social networks and services in the life of older adults. Indeed, to improve quality of life and social health, it is needed to pay much more attention to all aspects of social support.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Saurav Chandra Acharya Samadarshi ◽  
Pimsurang Taechaboonsermsak ◽  
Mathuros Tipayamongkholgul ◽  
Korravarn Yodmai

PurposeThe purpose of the study is to assess the quality of life (QOL) of older adults and explore factors associated with it.Design/methodology/approachA cross-sectional study was conducted in a remote community in Nepal. A total of 671 older adults aged 60 years were enrolled in the study. QOL was measured by WHOQOL-OLD questionnaire. Data were analyzed using multiple logistic regression.FindingsMost participants were female (53.0%), illiterate (70.6%), married (64.2%) and living with family (59.3%). Among participants, 82.4% had fair QOL, and the autonomy domain received the lowest score (average = 10.98). After adjusting the model, the elderly aged <70 years had 11.07 times better QOL (aOR = 11.070; 95% CI = 2.546–48.123), elderly with high sufficient income had 2.73 times better QOL (aOR = 2.738; 95% CI = 1.183–6.337) and elderly free from depression had 9.45 times better QOL (aOR = 9.452; 95% CI = 3.466–25.773) compared to their counterparts. The elderly receiving social support had 9.97 times better QOL than those who did not (aOR = 9.976; 95% CI = 3.152–31.574), and those able to afford healthcare services had 4.69 times better QOL than those who could not afford it (aOR = 4.694; 95% CI = 1.046–21.063).Originality/valueThe five predictors – age, income sufficiency, depression, social support and healthcare service affordability – were found to significantly affect QOL. This study suggests special care strategies for vulnerable older adults addressing the issues that affect geriatric depression. This article provides relevant information to the government to consider increment of income, encourage family and community for social support and make health services affordable for older adults.


Author(s):  
Madonna S. Palmes ◽  
Sheilla M. Trajera ◽  
Gregory S. Ching

Growing old is frequently linked with various challenges. Hence, it is important to understand how to age successfully. Drawing on the concept that an individual’s quality of life (QOL) is influenced by their demographics, coping strategies, resilience, and social participation, the current study reports on the findings of these variables among older adults in the Western Philippines. A total of 392 volunteer older adults were surveyed. Aside from the demographics such as age, gender, marital status, average monthly income, educational attainment, and health status, the data collected also included the 30-item coping strategies for the elderly, 14-item resilience scale, 12-item social participation scale, and 35-item older people’s QOL scale. Structural equation modeling was used to verify the parallel and serial mediating role of resilience and social participation within the relationship between coping strategies and QOL. Findings show that coping strategies alone are not enough to improve QOL. The only way to improve QOL is through resiliency, as well as the ability to participate in social activities. In essence, the QOL of older adults can be improved by encouraging them to have more social participation, and at the same time, understand how it takes to become resilient.


Author(s):  
Fan Zhang ◽  
Dezhi Li

Due to the poor functioning in daily living activities, community-dwelling older adults spend more time in their neighborhood environment. The perceived neighborhood environment is crucial to their quality of life (QoL). To explore the complex influences of perceived neighborhood environment on QoL, a questionnaire was designed to measure their perception of each factor of neighborhood environment and each domain of QoL. Based on collected data, the reliability test was applied to revise the questionnaire. Multiple linear regression (MLR) and structural equation modeling (SEM) were adopted to hypothesize and test the integrated model for community-dwelling older adults. The results show that community-dwelling older adults’ perceptions of neighbor support, facilities related to physical exercise and recreation, and accessibility to facilities impact their overall QoL with diverse coefficients of 0.437, 0.312, and 0.295, respectively; neighbor support (0.207) on physical health; sidewalk condition (0.134), natural environment (0.260), and facilities related to daily life (0.165) on psychological health; and neighbor support (0.298), facilities related to daily life (0.206), and design-related safety (0.225) on social relationship. This revealed that perceptions of neighborhood environment have diverse impacts on their QoL. This study can provide targeted retrofit strategies for communities to enhance QoL of community-dwelling older adults efficiently.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Clara Rahme ◽  
Marwan Akel ◽  
Sahar Obeid ◽  
Souheil Hallit

Abstract Background This study highlights the significant association between cyberchondria and quality of life among the Lebanese population in the time of COVID-19. The aim was to assess the association between cyberchondria and quality of life (QOL) of Lebanese community during the COVID-19 pandemic and assess the mediating effect of fear of COVID-19, depression, anxiety, stress and Yale-Brown Obsessive–Compulsive Scale in this association. Methods This cross-sectional study was carried out between December 2020 and January 2021, during the COVID-19 pandemic. A total of 449 persons participated in this study by filling the online questionnaire. Structural equation modeling (SEM) was performed to examine the structural relationship between cyberchondria severity, the mediator (anxiety, stress, depression, obsessive–compulsive disorder (OCD) and fear of COVID-19) and physical/mental QOL. Results Having a university level of education and older age were significantly associated with higher physical QOL scores, whereas higher obsession-compulsion disorder, higher stress and higher anxiety were significantly associated with lower physical QOL scores. Higher anxiety was significantly associated with lower mental QOL scores. The results of the SEM showed that stress, fear of COVID-19 and to a lesser limit OCD, mediated the association between cyberchondria severity and physical QOL, whereas anxiety, stress and fear of COVID-19 mediated the association between cyberchondria severity and mental QOL. Conclusion This research reported interesting results encouraging more exploration of cyberchondria and its association with quality of life during this unique period of the pandemic. However, this virus has altered the lives of individuals all across the world, and the consequences will last for a long time. Along with all of the steps done to stop the development of COVID-19 and improve physical outcomes, mental health requires immediate care. More research is needed to determine the coping techniques people are employing to deal with the pandemic.


Author(s):  
Hany M. Hassan ◽  
Mark R. Ferguson ◽  
Saiedeh Razavi ◽  
Brenda Vrkljan

Accessible and safe mobility is critical for those aged 65 years and older to maintain their health, quality of life, and well-being. Being able to move beyond one’s home and participate in activities in older adulthood requires consideration of both transportation needs and preferences. This paper aims to address a gap in evidence with respect to understanding factors that can affect older adults’ perceptions and willingness to use autonomous vehicles. In addition, it examines how these factors compare with those of younger adults to better understand the potential implications of this technology on mobility and quality of life. Using responses of those aged 65+ to a national survey of Canadians, structural equation modeling (SEM) was used to identify and quantify factors significantly associated with older adults’ willingness to use autonomous vehicles. The SEM results suggest that factors such as using other modes of transit (e.g., sharing rides as passenger, bicycle, public transit, commuter rail, ride and car sharing) as well as distance traveled by automobile, income, gender (being male), and living in urban areas, were all positively associated with older adults’ perceptions of using autonomous driving features. The findings also suggest that older Canadians are more concerned about autonomous vehicles than younger Canadians. This study provides valuable insights into factors that can affect the preferences of Canadians when it comes to autonomous technology in their automobiles. Such results can inform the way in which transportation systems are designed to ensure the needs of users are considered across both age and ability.


BMJ Open ◽  
2016 ◽  
Vol 6 (6) ◽  
pp. e011503 ◽  
Author(s):  
Emmanuelle Bélanger ◽  
Tamer Ahmed ◽  
Afshin Vafaei ◽  
Carmen Lucia Curcio ◽  
Susan P Phillips ◽  
...  

2018 ◽  
Vol 5 (1) ◽  
pp. 1-8
Author(s):  
Mulyati Mulyati ◽  
Rasha Rasha ◽  
Kenty Martiatuti

This study aims to determine the influence of social support on the quality of life and welfare of the elderly living with families residing in the Urban and Sub Urban areas. This study was conducted for 3 months starting from July until September 2017. The research method is cross sectional study. This research was conducted in East Jakarta area. The research location was chosen by purposive sampling based on data from local health office. The data collection time will be conducted from July-September 2017 using WHOQOL-BREF for live, Smet and Sarafino quality measurements for the measurement of social support and SWLS Ed Diener for measuring well-being. The results showed no significant differences in quality of life and social support in urban and sub-urban elderly. But there are differencesin the dimensions of social support and information support. There is a correlation between quality of life, social support and the well-being of the elderly. Positive relationship between the quality of life and welfare where the better the quality of life the better the welfare of the elderly. The quality of life and well-being is influenced by the support of awards and support of the instrument. Keyword : elderly, social support, the quality of life, welfare   Abstrak Penelitian ini bertujuan untuk mengetahui pengaruh dukungan social terhadap kualitas hidup dan kesejahteraan lansia yang tinggal dengan keluarga yang berada di daerah Urban dan Sub Urban. Penelitian ini dilakukan selama 3 bulan terhitung mulai bulan juli sampai septembertahun 2017 dengan obyek penelitin lansia yang tinggal dengan keluarga dan lansia yang tinggal  di panti werda. Metode penelitian adalah cross sectional study.  Penelitian ini dilakukan di wilayah Jakarta Timur Pemilihan lokasi penelitian dilakukan secara Purposive Sampling berdasarkan data dari Dinas Kesehatan setempat.  Waktu pengambilan data akan dilakukan pada bulan Juli-September 2017 menggunakan WHOQOL- BREF untuk pengukuran kualtas hidup, Smet dan Sarafino untuk pengukuran dukungan social dan SWLS Ed Diener untuk mengukur kesejahteraan. Hasil penelitian menunjukkan tidak terdapat perbedaan yang nyata pada kualitas hidup dan dukungan sosial pada lansia urban dan sub urban . Tetapi terdapat perbedaan pada dimensi dukungan sosial dan dukungan informasi.Terdapat korelasi antara kualitas hidup, dukungan sosial dan kesejahteraan lansia. Hubungan yang positif antara kualitas hidup dengan kesejahteraan dimana semakin baik kualitas hidup maka semakin baik kesejahteraan lansia.Kualitas hidup dan kesejahteraan dipengaruhi oleh dukungan penghargaan dan dukungan instrumen.  Kata kunci : Lansia, Dukungan Sosial, Kualitas Hidup, Kesejahteraan    References  Biro Hukum Departemen Sosial. 1998. Undang-Undang Republik Indonesia Nomor 13 Tahun 1998 Tentang Kesejahteraan Lanjut Usia. Jakarta: Departemen Sosial.BPS. 2000. Statistika Indonesia (Statistical Year Book of Indonesia). BPS,Jakarta.Central Bureau of Statistics (Indonesia). 1993. Population of Indonesia, Result of the 1990 Population Census. Jakarta: Biro Pusat Statistik.Cutrona. 1996. Social support in couple: Marriage as a resources in time of stress. California: Sage Publication. IncCutrona C.E & Russel D.w. 1994. Type of social support and specific stress : Toward a theory of optimal matching. In B.R Sarason, I G. Sarason & G.R. Pierce (Eds), Social support : an international view (pp. 319-366). New York : WileyFelton Bj, Berry C. 1992. Psychology and Aging Do The Source Of Urban Elderly Social support, Determine its Psychological Consequance. Journal Of Pernonality and Social Psychology. Vol 7. 89-87Hardywinoto, Setiabudhi. 2005. Panduan Gerontologi ; Tinjauan dari Berbagai Aspek. Jakarta. PT Gramedia Pustaka UtamaJauhari M. 2003. Status Gizi, Kesehatan dan Kondisi Mental Lansia di Panti Sosial Tresna Werdha Mulia 4 Jakarta (Thesis). Sekolah Pasca Sarjana IPBKuntjico, Zainuddin Sr, 2002 . Dukungan Sosial Pada Lansia, http://www.epsikologi.com/usia/160402.htm, diakses 2 Desember 2016Suhartini R. 2004. Faktor-faktor Yang Mempengaruhi Kemandirian Orang Lanjut Usia (Studi Kasus di Kelurahan Jambangan). [Thesis] . Pasca Sarja. Universitas Airlangga. Surabaya.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Chichen Zhang ◽  
Yuan Cai ◽  
Yaqing Xue ◽  
Xiao Zheng ◽  
Xiaozhao Yang ◽  
...  

Abstract Background As China’s aging trend intensifies and the proportion of empty nests increases, the health-related quality of life of the elderly is the focus of social attention. Previous studies focused on the quality of life of the elderly, rather than empty nesters, and lacked the discussion of the mechanism of influencing factors. Thus, this study aimed to explore the influencing factors of the quality of life (QOL) and interaction mechanisms among empty nesters in Shanxi Province, China, so as to provide practical reference for improving the QOL of empty nesters. Methods A total of 4901 empty nesters in Shanxi Province, China, were selected using multi-stage random cluster sampling method in this cross-sectional study. The quality of life was assessed with the Short Form 36 Health Survey (SF-36). Multiple linear regression analysis (stepwise) was performed to examine the factor associated with QOL. Structural equation model (SEM) approach was conducted to test the direct and indirect association between QOL influencing factors with QOL. Results The average QOL score of empty nesters was 63.34 (SD = 17.23). The multiple linear regression revealed that gender, age, education, monthly income, drinking status, exercise frequency, physical examination frequency, attention to daily nutritional health, relationship with a spouse and relationship with children were significant predictors of the empty nester’s QOL (P < 0.05) (R2 = 0.128). SEM showed that behavioral lifestyle had a direct effect on QOL (β = 0.446, P < 0.001). Socio-economic status had an indirect effect (β = 0.288, P < 0.001) on QOL through behavioral lifestyle. The family relationship had an indirect effect (β = 0.115, P < 0.001) on QOL. Conclusion Behavioral lifestyle was the strongest influencing factor in the quality of life among empty nesters, followed by socio-economic status and family relationships. Thus, maintaining a healthy behavioral lifestyle was important to improve the QOL of the empty nesters. Our findings provide a concrete and strong reference for the formulation of targeted intervention strategies.


2021 ◽  
Vol 15 ◽  
Author(s):  
Roumayne Costa ◽  
Márcia Carrera ◽  
Ana Paula Marques

OBJECTIVE: The objective of this study was to assess global quality of life and the factors associated with it in long-lived older adults registered with family health centers. Global quality of life was measured using the two general questions on the World Health Organization Quality of Life instrument. METHODOLOGY: This was a cross-sectional, quantitative study based on secondary data from a sample of 100 older adults. RESULTS: The results of analyses revealed a mean age of 84.20 years, 77% of the sample were female, 46% had spent between 1 and 4 years in education, 63% were widowed, 76% had an income equivalent to one to two times the minimum wage, 77% had systemic arterial hypertension, 34% had diabetes mellitus, 27% had cardiovascular disease, 74% had social support, and 63% exhibited depressive symptomology. The frequency of satisfactory global quality of life in the sample studied was 35%. CONCLUSIONS: In relation to global quality of life, assessed in terms of interviewees’ satisfaction with their lives and health in conjunction, the majority of the study population reported not being satisfied. After completion of all statistical analyses, factors associated with dissatisfaction were social support, depression, and osteoarthritis.


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