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. 2018 Oct 25;52Suppl 2(Suppl 2):16s.
doi: 10.11606/S1518-8787.2018052000613.

Factors associated with perceived quality of life in older adults: ELSI-Brazil

[Article in English, Portuguese]
Anita Liberalesso Neri  1 , Flávia Silva Arbex Borim  1 , Arlete Portella Fontes  1 , Dóris Firmino Rabello  2 , Meire Cachioni  1   3 , Samila Sathler Tavares Batistoni  1   3 , Mônica Sanches Yassuda  1   3 , Paulo Roberto Borges de Souza Júnior  4 , Fabiola Bof de Andrade  5   6 , Maria Fernanda Lima-Costa  5   6
Affiliations

Factors associated with perceived quality of life in older adults: ELSI-Brazil

[Article in English, Portuguese]
Anita Liberalesso Neri et al. Rev Saude Publica. .

Abstract
in English, Portuguese

Objective: To identify factors associated with perceived quality of life in a representative national sample of the population aged 50 or over.

Methods: Data from 7,651 participants of the baseline ELSI-Brazil (Brazilian Longitudinal Study of Aging), conducted between 2015 and 2016, were used. The perceived quality of life was measured by the CASP-19 scale - (CASP - control, autonomy, self-fulfillment and pleasure), considering the highest tertile as good quality of life. The independent variables included socio-demographic characteristics, mobility, loneliness, and indicators of sociability (social network, social support and social participation). The associations were tested using multivariate Poisson regression.

Results: The best perceived quality of life showed a positive and independent association with the frequency of contacts with friends (PR = 1.25 for at least once every 2-3 months and PR = 1.36 for at least once a week), instrumental support from spouse or partner in the household (PR = 1.69), and emotional support from other relatives (PR = 1.45), children or children in law (PR = 1.41) and spouse or partner (PR = 1.33). Negative associations were observed for participants aged 80 and over (RP = 0.77), with 4 to 7 or 8 or more years of schooling (PR = 0.78 and 0.75, respectively) and with difficulty in mobility (PR = 0.83).

Conclusions: In addition to age and schooling, mobility, sociability and instrumental and emotional support are associated with perceived quality of life among older Brazilian adults. These characteristics must be considered when actions are taken, aiming to promote quality of life in this population.

OBJETIVO: Identificar fatores associados à qualidade de vida percebida em amostra nacional representativa da população com 50 anos ou mais.

MÉTODOS: Foram utilizados dados de 7.651 participantes da linha de base do ELSI-Brasil, conduzida entre 2015 e 2016. A qualidade de vida percebida foi aferida pela escala CASP-19, considerando-se como boa qualidade de vida percebida o tercil mais alto. As variáveis independentes incluíram características sociodemográficas, mobilidade, solidão, redes sociais, apoio social e participação social. As associações foram testadas por meio de regressão de Poisson multivariada.

RESULTADOS: A melhor qualidade de vida percebida apresentou associação positiva e independente com a frequência de encontros com amigos (RP = 1,25 para pelo menos uma vez a cada 2–3 meses e RP = 1,36 para pelo menos uma vez por semana), suporte instrumental dentro de casa, de cônjuge ou companheiro (RP = 1,69) e suporte emocional de outros parentes (RP = 1,45), de filho, nora ou genro (RP = 1,41) e do cônjuge ou companheiro(a) (RP = 1,33). Associações negativas foram observadas para idade igual ou superior a 80 anos (RP = 0,77), escolaridade igual a 4–7 e 8 anos ou mais (RP = 0,78 e 0,75, respectivamente) e dificuldade na mobilidade (RP = 0,83).

CONCLUSÕES: Além da idade e da escolaridade, a mobilidade, a sociabilidade e o suporte instrumental e emocional estão associados à qualidade de vida percebida entre adultos mais velhos brasileiros. Essas características devem ser consideradas nas ações visando à promoção da qualidade de vida dessa população.

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Conflict of interest statement

Conflict of interests: The authors declared that there were no conflicts of interest.

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