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Quality of life across three groups of older adults differing in cognitive status and place of residence
Author(s) -
LeónSalas Beatriz,
Ayala Alba,
BlayaNováková Vendula,
AvilaVillanueva Marina,
RodríguezBlázquez Carmen,
RojoPérez Fermina,
FernándezMayoralas Gloria,
MartínezMartín Pablo,
Forjaz Maria João
Publication year - 2015
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.12325
Subject(s) - medicine , quality of life (healthcare) , dementia , gerontology , residence , comorbidity , logistic regression , activities of daily living , anxiety , depression (economics) , mental health , demography , psychiatry , disease , nursing , pathology , sociology , economics , macroeconomics
Background Health‐related quality of life ( HRQOL ) in older adults is determined by personal conditions, as well as by the social and physical environment. The purpose of the present study was to describe the factors related to health conditions and residential environment that influence HRQOL of older adults. Methods Data from 1815 cases came from three cross‐sectional surveys on quality of life in older adults in S pain: non‐institutionalized older adults ( n = 1106), institutionalized older adults without dementia ( n = 234) and institutionalized older adults with dementia ( n = 475). Assessment instruments used were: B arthel I ndex, S hort P ortable M ental S tatus Q uestionnaire, C omorbidity I ndex, EQ ‐ 5D ‐ 3L (5 dimensions, EQ ‐index and EQ‐VAS ), and information about sociodemographic characteristics and social networks. Partial correlation and multivariate logistic regression analyses were carried out. Results In group comparisons, institutionalized older adults showed a higher percentage of problems in the EQ ‐ 5D ‐ 3L dimensions than the non‐institutionalized ones. Also, older adults with dementia presented less pain/discomfort and anxiety/depression than the other groups, but showed more problems in mobility, self‐care and usual activities. EQ ‐Index showed a high association with functional independence, perceived health status and comorbidity. According to the logistic regression models, the Barthel Index was the most common determinant for most of EQ ‐ 5D ‐ 3L dimensions in all groups. Conclusion Institutionalized older adults with dementia presented lower HRQOL than the other groups. Functional independence, comorbidity and cognitive status were the main HRQOL determinants in all groups. Maintenance and improvement of the functional condition might be translated into a higher HRQOL of older adults. Geriatr Gerontol Int 2015; 15: 627–635.