Document Type : Original Articles

Authors

1 Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

2 Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.

3 Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran

4 Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

5 Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

6 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

7 Department of Neurosurgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

8 Social Determinants of Health Research Center, Health Research Institute, Department of Biostatistics & Epidemiology, School of Public Health, Babol University of Medical Sciences, Babol, Iran.

9 Division of GI/Liver, Department of Medicine, Keck school of Medicine, University of Southern California, Los Angeles, CA, USA.

10 Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.

10.30476/jrsr.2023.99026.1378

Abstract

Background: The growing number of aging people, ensuring their quality of life (QoL), and the social services designed for this population group are becoming increasingly significant concerns. This study explored how socioeconomic status and self-care affect older adults’ QoL.
 
Methods: This cross-sectional study included 322 older people living in Tabriz in 2021. The subjects were recruited using a multi-stage sampling method. Older persons were asked to complete the Socio-Economic Status (SES) questionnaire, the Self-Care Behavior Questionnaire, and the Iranian version of the 12-item Short Form Health Survey (SF-12).
 
Results: A hierarchical logistic regression analysis model was used to investigate the factors influencing QoL. The regression analysis showed that marital status, social self-care, and self-care during illness significantly impacted the older person’s quality of life (p < 0.05). Twenty-nine and twenty-seven percent of the variance in the mental and physical health dimensions, respectively, were predicted by the variables included in the model.
Conclusion: Promoting social self-care and self-care during illness had a positive relationship with the QoL of older persons. These results can serve as a reference for future studies pertinent to self-care for older adults.
 

Highlights

Keywords

  1. Rudnicka E, Napierała P, Podfigurna A, Męczekalski B, Smolarczyk R, Grymowicz M. The World Health Organization (WHO) approach to healthy ageing. Maturitas. 2020;139:6-11.
  2. Afshar PF, Asgari P, Shiri M, Bahramnezhad F. A review of the Iran's elderly status according to the census records. Galen Medical Journal. 2016;5(1):1-6.
  3. Hopman P, De Bruin SR, Forjaz MJ, Rodriguez-Blazquez C, Tonnara G, Lemmens LC, et al. Effectiveness of comprehensive care programs for patients with multiple chronic conditions or frailty: a systematic literature review. Health policy. 2016;120(7):818-32.
  4. MacLeod S, Musich S, Hawkins K, Armstrong DG. The growing need for resources to help older adults manage their financial and healthcare choices. BMC geriatrics. 2017;17(1):1-9.
  5. Yun K, Paul P, Subedi P, Kuikel L, Nguyen GT, Barg FK. Help-seeking behavior and health care navigation by Bhutanese refugees. Journal of community health. 2016;41(3):526-34.
  6. Kirk S, Beatty S, Callery P, Gellatly J, Milnes L, Pryjmachuk S. The effectiveness of self‐care support interventions for children and young people with long‐term conditions: A systematic review. Child: care, health and development. 2013;39(3):305-24.
  7. Di Nitto M, Sollazzo F, Biagioli V, Pucciarelli G, Torino F, Alvaro R, et al. Self-care behaviors in patients with cancer treated with oral anticancer agents: a systematic review. Supportive Care in Cancer. 2022;30(10):8465-83.
  8. Klainin P, Ounnapiruk L. A meta-analysis of self-care behavior research on elders in Thailand: an update. Nursing science quarterly. 2010;23(2):156-63.
  9. Goudarzi H, Salehi L. Self-care and relevant factors shaping quality of life among the elderly with and without chronic disease. Preventive Care in Nursing & Midwifery Journal. 2017;7(2):25-32.
  10. Erci B, Yilmaz D, Budak F. Effect of Self-Care Ability and Life Satisfaction on the Levels of Hope in Elderly People. Journal of Psychiatric Nursing/Psikiyatri Hemsireleri Dernegi. 2017;8(2).
  11. Mielck A, Vogelmann M, Leidl R. Health-related quality of life and socioeconomic status: inequalities among adults with a chronic disease. Health and quality of life outcomes. 2014;12(1):1-10.
  12. Didsbury MS, Kim S, Medway MM, Tong A, McTaggart SJ, Walker AM, et al. Socio‐economic status and quality of life in children with chronic disease: a systematic review. Journal of paediatrics and child health. 2016;52(12):1062-9.
  13. Knorst JK, Sfreddo CS, de F. Meira G, Zanatta FB, Vettore MV, Ardenghi TM. Socioeconomic status and oral health‐related quality of life: A systematic review and meta‐analysis. Community dentistry and oral epidemiology. 2021;49(2):95-102.
  14. Tomas JM, Sancho P, Blanco-Molina M, Pinazo-Hernandis S. Measurement invariance of the self-care Scale for older people in Costa Rica and Spain. Educational Gerontology. 2023;49(3):190-200.
  15. Shishavan MK, Jafarabadi MA, Aminisani N, Shahbazi M, Alizadeh M. The association between self-care and quality of life in hypertensive patients: findings from the Azar cohort study in the North West of Iran. Health promotion perspectives. 2018;8(2):139.
  16. Abobakri O, Sadeghi-Bazargani H, Asghari-Jafarabadi M, Aghdam MBA, Imani A, Tabrizi J, et al. Development and psychometric evaluation of a socioeconomic status questionnaire for urban households (SESIran): the preliminary version. Health promotion perspectives. 2015;5(4):250.
  17. HEMMATI MM, Hashemlo L. Design and psychometric properties of a self-care questionnaire for the elderly. 2015.
  18. Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian version of 12-item Short Form Health Survey (SF-12): factor structure, internal consistency and construct validity. BMC public health. 2009;9(1):1-10.
  19. Rohani C, Abedi HA, Langius A. The Iranian SF-12 Health Survey version 2 (SF-12v2): Factorial and convergent validity, internal Consistency and test-retest in a healthy sample. Iranian Rehabilitation Journal. 2010;8(2):4-14.
  20. Han K-T, Park E-C, Kim J-H, Kim SJ, Park S. Is marital status associated with quality of life? Health and quality of life outcomes. 2014;12(1):1-10.
  21. Gutiérrez-Vega M, Esparza-Del Villar OA, Carrillo-Saucedo IC, Montañez-Alvarado P. The possible protective effect of marital status in quality of life among elders in a US-Mexico border city. Community mental health journal. 2018;54(4):480-4.
  22. Han KT, Kim SJ, Song H, Chun SY, Kim CO, Kim JS, et al. Associations between quality of life and marital status in cancer patients and survivors. Asian Pacific journal of cancer prevention : APJCP. 2014;15(13):5287-91. Epub 2014/07/22. doi: 10.7314/apjcp.2014.15.13.5287. PubMed PMID: 25040990.
  23. García EL, Banegas J, Perez-Regadera AG, Cabrera RH, Rodriguez-Artalejo F. Social network and health-related quality of life in older adults: a population-based study in Spain. Quality of life research. 2005;14(2):511-20.
  24. Dongre AR, Deshmukh PR. Social determinants of quality of elderly life in a rural setting of India. Indian Journal of Palliative Care. 2012;18(3):181.
  25. Momenabadi V, Kaveh MH, Nazari M, Ghahremani L. Socio-Demographic Determinants of Quality of Life among Older People, a Population-Based Study. Elderly Health Journal. 2018;4(2):60-7.
  26. Zhuang Y, Ma Q-H, Pan C-W, Lu J. Health-related quality of life in older Chinese patients with diabetes. PloS one. 2020;15(2):e0229652.
  27. Yang Y, Wang S, Chen L, Luo M, Xue L, Cui D, et al. Socioeconomic status, social capital, health risk behaviors, and health-related quality of life among Chinese older adults. Health and quality of life outcomes. 2020;18(1):1-8.
  28. Acharya Samadarshi SC, Taechaboonsermsak P, Tipayamongkholgul M, Yodmai K. Quality of life and associated factors amongst older adults in a remote community, Nepal. Journal of Health Research. 2021;ahead-of-print(ahead-of-print):https://doi.org/10.1108/JHR-01-2020-0023. doi: 10.1108/JHR-01-2020-0023.
  29. Khooshemehri G, Kaviani M, Asmari M, Rajabian H, Naserkhaki V. Comparison of Quality of Life for Elderly Men and Women Elderly Nursing Home Resident by Alborz Province in 1390. Alborz University Medical Journal. 2013;2(1):19-24. doi: 10.18869/acadpub.aums.2.1.19.
  30. Cunningham C, O'Sullivan R, Caserotti P, Tully MA. Consequences of physical inactivity in older adults: A systematic review of reviews and meta‐analyses. Scandinavian journal of medicine & science in sports. 2020;30(5):816-27.
  31. Kang H-W, Park M, Wallace JP. The impact of perceived social support, loneliness, and physical activity on quality of life in South Korean older adults. Journal of sport and health science. 2018;7(2):237-44.
  32. Bélanger E, Ahmed T, Vafaei A, Curcio CL, Phillips SP, Zunzunegui MV. Sources of social support associated with health and quality of life: a cross-sectional study among Canadian and Latin American older adults. BMJ open. 2016;6(6):e011503.
  33. Vahia IV, Jeste DV, Reynolds CF. Older adults and the mental health effects of COVID-19. Jama. 2020;324(22):2253-4.
  34. Seraji M, Shojaezade D, Rakhshani F. The relationship between spiritual well-being and quality of life among the elderly people residing in Zahedan city (South-East of Iran). Elderly Health Journal. 2016;2(2):84-8.
  35. Jafaripoor H, Safarabadi M, Pourandish Y, Khanmohammadi A, Mohammad Aghaiepoor S, Rahbarian A, et al. The elders’ spiritual well-being and their quality of life: a cross-sectional study. Journal of Client-Centered Nursing Care. 2018;4(3):145-54.
  36. Sadrollahi A. Spiritual Well-being and associated factors among the elderly population in Kashan. Iranian Journal of Geriatric Nursing. 2015;1(2):94-104.
  37. Lynch CP, Hernandez-Tejada MA, Strom JL, Egede LE. Association between spirituality and depression in adults with type 2 diabetes. Diabetes Educ. 2012;38(3):427-35. Epub 2012/03/20. doi: 10.1177/0145721712440335. PubMed PMID: 22438283.