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. 2012 Apr;21(3):527-34.
doi: 10.1007/s11136-011-9954-z. Epub 2011 Jun 25.

Factors associated with quality of life in older adults in the United States

Marianne Baernholdt  1 , Ivora Hinton, Guofen Yan, Karen Rose, Meghan Mattos
Affiliations

Factors associated with quality of life in older adults in the United States

Marianne Baernholdt et al. Qual Life Res. 2012 Apr.

Abstract

Purpose: According to the World Health Organization, quality of life (QOL) includes physical and mental health, emotional well-being, and social functioning. Using an adaptation of Andersen's behavioral model, we examined the associations between the three dimensions of QOL and needs and health behaviors in a nationally representative sample of adults 65 years and older.

Methods: A representative sample from the 2005-2006 National Health and Nutrition Examination Survey (NHANES) was used. NHANES over-samples persons 60 years and older, African Americans, and Hispanics. Frequencies and distribution patterns were assessed, followed by bivariate and multiple regression analyses.

Results: These older adults reported high levels of QOL. However, associations between needs and health behaviors and QOL varied across dimensions. Activities of daily living (ADL) were associated with all three dimensions. Depression was associated with two dimensions and memory problems with one dimension. Physical activity was linked to social functioning, and health care utilization was linked to emotional well-being.

Conclusions: The differences in associations with different dimensions of QOL confirm that this is a multidimensional concept. Since depression, memory problems, and ADL function were all associated with some dimension of QOL, future interventions to improve QOL in older adults should include screening and treatment for these problems.

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Figures

Fig. 1
Fig. 1
Conceptual model. Adapted from Andersen's behavioral model [9]. Factors associated with quality of life in older adults in the United States
See this image and copyright information in PMC

References

    1. National Institute on Aging . Why population aging matters: A global perspective. National Institute of Health Publication # 07–6134; 2007.
    1. Zahran HS, Kobau R, Moriarty DG, Zack MM, Holt J, Donehoo R, et al. Health-related quality of life surveillance-United States, 1993–2002. MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries/CDC. 2005;54(4):1–35. - PubMed
    1. World Health Organization . Measuring quality of life: The development of the world health organization quality of life instrument (WHOQOL) World Health Organization; Geneva, Switzerland: 1993.
    1. Hambleton P, Keeling S, McKenzie M. The jungle of quality of life: Mapping measures and meanings for elders. Australasian Journal on Ageing. 2009;28(1):3–6. - PubMed
    1. White SM, Wojcicki TR, McAuley E. Physical activity and quality of life in community dwelling older adults. [Dec 12, 2010];Health and Quality of Life Outcomes. 2009 7(10) http://www.hqlo.com/content/7/1/10. - PMC - PubMed

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