Change in quality of life among community-dwelling older adults: population-based longitudinal study.

Détails

Ressource 1Demande d'une copie Sous embargo jusqu'au 01/05/2020.
Etat: Public
Version: Author's accepted manuscript
Licence: Non spécifiée
ID Serval
serval:BIB_DF271117285A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Change in quality of life among community-dwelling older adults: population-based longitudinal study.
Périodique
Quality of life research
Auteur(s)
Henchoz Y., Abolhassani N., Büla C., Guessous I., Goy R., Santos-Eggimann B.
ISSN
1573-2649 (Electronic)
ISSN-L
0962-9343
Statut éditorial
Publié
Date de publication
05/2019
Peer-reviewed
Oui
Volume
28
Numéro
5
Pages
1305-1314
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
This population-based study aimed to determine 5-year change in multidimensional QoL among community-dwelling older people, and to identify predictors of QoL change among demographic, socioeconomic, and health characteristics.
Data of the 2011 and 2016 annual assessments of 1845 older men and women (age range 68-77 years) from the Lc65 + cohort study were used. QoL was assessed using a 28-item instrument yielding a QoL overall score and seven domain-specific QoL subscores. Additional ratings of QoL included a single item (excellent; very good; good; fair; poor), expected QoL in 1 year (better; worse; same as today), and retrospective assessment of QoL 5-year change (better; worse; same as 5 years ago). The predictors of 5-year change in the QoL score were assessed using linear regression, controlling for baseline QoL score.
All prospective and retrospective indicators of QoL converged towards a slight deterioration over 5 years. QoL subscores significantly decreased in domains "Close entourage" (P = 0.004), "Social and cultural life" (P < 0.001), "Esteem and recognition" (P = 0.001), "Health and mobility" (P < 0.001), and "Autonomy" (P < 0.001), whereas "Material resources" (P = 0.345) and "Feeling of safety" (P = 0.380) remained stable. A stronger decrease in QoL was observed in the most vulnerable profiles at baseline in terms of demographic, socioeconomic, and health characteristics. Changes in depressive symptoms and in disability-either worsening or improving-predicted QoL change in the expected direction.
Age-related decline in QoL may be limited through the prevention of disability and depressive symptoms, and more generally by devoting special attention to vulnerable profiles.
Mots-clé
Aged, Aging/psychology, Cohort Studies, Data Collection, Depression/psychology, Disabled Persons/psychology, Female, Health Status, Humans, Independent Living/psychology, Longitudinal Studies, Male, Prospective Studies, Quality of Life/psychology, Research Design, Retrospective Studies, Cohort studies, Epidemiology of ageing, Gerontology, Quality of life
Pubmed
Web of science
Création de la notice
24/01/2019 15:52
Dernière modification de la notice
20/08/2019 16:03
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