scholarly journals Quality of Life in Older Adults: Evidence from Mexico and Ecuador

Geriatrics ◽  
2021 ◽  
Vol 6 (3) ◽  
pp. 92
Author(s):  
Paola Pacheco ◽  
Rafael Pérez ◽  
David Coello-Montecel ◽  
Nancy Pamela Castro Zazueta

Older adults are a growing population group in Latin America, hence the importance of deepening studies, proposals, and policies to guarantee their well-being. This article analyzes the perception of quality of life in older adults from Mexico and Ecuador and its association with several socioeconomic variables. The study design was cross-sectional. The sample comprised 450 older adults, 238 from Mexico and 212 from Ecuador. The WHOQOL-OLD Quality of Life Questionnaire and a set of sociodemographic variables were used. The results showed a higher perception of quality of life in the Mexican sample regarding most of the dimensions, except for sensory skills and social participation. An association was also found between sensory skills and sports practice, as well as between social participation and education level. The study achieves a binational approach to the reality of older adults in Latin America and confirms that there are differences in each sample that are due to the particularities of each reality. This research contributes to deepening the reality of the elderly, especially in Ecuador, where the quality-of-life studies in all age segments must be strengthened.

2005 ◽  
Vol 90 (6) ◽  
pp. 3337-3341 ◽  
Author(s):  
Susannah V. Rowles ◽  
L. Prieto ◽  
X. Badia ◽  
Steven M. Shalet ◽  
Susan M. Webb ◽  
...  

Acromegaly Quality of Life Questionnaire (AcroQoL) is a new disease-generated quality of life (QOL) questionnaire comprising 22 questions covering physical and psychological aspects of acromegaly and subdivided into “appearance” and “personal relations” categories. We have performed a cross-sectional study of QOL in 80 patients [43 male (mean age, 54.2 yr; range, 20–84); median GH, 0.93ng/ml (range, <0.3 to 23.7); IGF-I, 333.1 ng/ml (range, 47.7–899)] with acromegaly. In addition to AcroQoL, patients completed three generic QOL questionnaires: Psychological General Well-Being Schedule (PGWBS), EuroQol, and a signs and symptoms score (SSS). All three generic questionnaires confirmed impairment in QOL [mean scores: PGWBS, 69.6; EuroQol, visual analog scale, 66.4 (range, 20–100) and utility index, 0.7 (range, −0.07 to 0.92); and SSS, 12 (range, 0–27)]. There was no correlation between biochemical control and any measure of QOL. AcroQoL (57.3%; range, 18.2–93.2) correlated with PGWBS (r = 0.73; P < 0.0001); and in patients with active disease, AcroQoL-physical dimension correlated with SSS (r = −0.67; P < 0.0003). In all questionnaires, prior radiotherapy was associated with impaired QOL. In conclusion, these data underline the marked impact that acromegaly has on patients’ QOL and provide the first evidence validating AcroQoL against well-authenticated measures of QOL. This indicates the potential of AcroQoL as a patient-friendly measure of disease activity.


2018 ◽  
Vol 75 (6) ◽  
pp. 611-617
Author(s):  
Gordana Repic ◽  
Suncica Ivanovic ◽  
Cedomirka Stanojevic ◽  
Sanja Trgovcevic

Background/Aim. Colorectal cancer and its treatment can have a negative impact on the quality of life which has become an important outcome measure for cancer patients. The aim of this work was assessment of psychological and spiritual dimension of the quality of life in colostomy patients, regarding the gender and age. Methods. This is a cross-sectional study conducted at the Abdominal Surgery Polyclinic in the Clinical Canter of Vojvodina among colostomy patients operated between January 2010 and June 2011. The instrument used in this study was Quality of Life Questionnaire for a Patient with an Ostomy (QOL-O). Results. Majority of respondents were male (M:F = 50.7% : 49.3%). The age ranged between 36?86 years. Respondents did not report difficulties in adjustment to stoma, but their great difficulty was to look at it and the sense of depression and anxiety. The care of stoma was worse perceived by younger respondents (p = 0.014). Respondents were mostly satisfied with their memorizing ability and having the sense of control. The lowest score was found in sensing satisfaction or enjoyment in life. The age had a significant impact on positive aspects of psychological well-being (p < 0.05). Higher scores were found among younger age groups. The mean score of spiritual well-being (6.47 ? 3.01) was lower than the mean score of psychological well-being (7.76 ? 2.35). There were no statistically significant differences regarding gender (t = -0.738, df = 65, p = 0.463) or age (F = 1.307, p = 0.280). Conclusion. Psychological and spiritual well-being in colostomy patients appeared to be at satisfactory level, but it is necessary to provide tailor made support in order to prevent and resolve negative responses to stoma.


Author(s):  
Christian Oswaldo Acosta Quiroz ◽  
Raquel García-Flores ◽  
Sonia Beatriz Echeverría-Castro

The objective of this study was to evaluate the reliability and validity of the Geriatric Depression Scale in its 15-item version (GDS-15) in Mexican older adults. Participants included 1178 older adults between the ages of 60 and 94 ( M = 69.16, SD = 7.69); 53.9% were women and 55.8% were married or with a partner. They completed the GDS-15, a subjective well-being scale, and a quality-of-life questionnaire. A Kuder–Richardson coefficient of .80 was obtained, which indicates an acceptable internal consistency of the GDS-15, as well as evidence of divergent validity with significant correlations of −.783 with subjective well-being and −.569 with quality of life, in addition to concurrent validity when discriminating between participants with low scores from those with high scores of depressive symptoms. The need for a simple screening tool such as the GDS-15 that helps in the identification of depressive symptoms in Mexican older adults is underlined.


2020 ◽  
Vol 66 (12) ◽  
pp. 23-28
Author(s):  
Emel Gülnar ◽  
Hüsna Özveren ◽  
Ercan Yuvanç

Urinary incontinence (UI) increases the risk of medical complications and psychosocial, physical, and emotional problems. PURPOSE: This cross-sectional descriptive study investigated the correlation between spiritual well-being (SWB) and quality of life (QOL) in patients with UI. METHODS: Patients with UI visiting an outpatient urology clinic of a university hospital in Turkey were invited to participate. Data were collected using the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being 12 Item Scale (FACIT-Sp-12) (range 0–48 with higher scores indicating better SWB) and the Incontinence Quality of Life Questionnaire (I-QOL) (range 0–100 with higher scores indicating better QOL). RESULTS: The sample consisted of 383 patients. Most were female (235; 61%), had completed high school (169; 44%), had experienced UI for an average of 3.54 years (SD 3.44), and were between 21 and 92 years of age (mean 52.7; SD 14). The mean I-QOL score was 65.31 ± 19.71 with subscores ranging from a low of 59.69 for social embarrassment to a high of 71.44 for psychosocial impact. The average FACIT-Sp-12 score was 28.00 ± 6.08. Overall I-QOL and FACIT-Sp-12 scores were weakly positively correlated (r = .235). CONCLUSION: In this study both QOL and SWB scores were good; higher UI-specific QOL scores and some subscores were associated with higher SWB scores and subscores. Incontinence QOL should be determined together with SWB in patients with UI.


2009 ◽  
Vol 67 (2a) ◽  
pp. 203-208 ◽  
Author(s):  
Paula Scalzo ◽  
Arthur Kummer ◽  
Francisco Cardoso ◽  
Antonio Lucio Teixeira

BACKGROUND: Depression has been proposed as a major contributor to poor quality of life (QoL) in Parkinson's disease (PD). OBJECTIVE: To evaluate the relationship between depressive symptoms and QoL in subjects with PD. METHOD: Beck Depression Inventary (BDI) was used to evaluate depressive symptoms and Parkinson's Disease Quality of Life Questionnaire (PDQ-39) to assess the perception of the QoL. RESULTS: Thirty seven patients (19 male/ 18 female) with a typical onset PD and mean disease duration of 7.7 years were studied. Higher scores on BDI correlated with poorer perception of the QoL. This association occurred at the expense of the following PDQ39 domains: mobility, activities of daily living, social support, cognition and emotional well-being dimensions. PD severity also correlated with QoL. CONCLUSION: Our study corroborates the assumption that depressive symptoms contributed significantly to QoL in PD.


2017 ◽  
Vol 73 (1) ◽  
Author(s):  
Lesego M. Ramocha ◽  
Quinette A. Louw ◽  
Muziwakhe D. Tshabalala

Background: The environment of older adults plays an important role in their well-being. It influences their quality of life and physical activity level. In South Africa, there is a dearth of literature concerning this issue.Methods: An analytic cross-sectional sample of 80 older adults living in old age homes and the community was compared in terms of level of physical activity and quality of life. The study was conducted in Soweto, Johannesburg. A computer-generated random sample of older adults aged 60 years and above participated. The Physical Activity Scale for the Elderly (PASE) and RAND 36 questionnaires were used for data collection. Descriptive statistics were used to describe the sample. Unpaired t-tests, Pearson’s correlation coefficient and chi-squared test explored the differences and associations between institutionalised and community living older adults.Results: Quality of life in old age home dwellers (M = 68.53 ± 19.55) was significantly lower (p = 0.025) than in community dwellers (M = 77.74 ± 16.25). The mean physical activity score was also significantly (p = 0.000) lower in old age home dwellers (M = 20.18 ± 24.52) compared with community dwellers (M = 190.31 ± 82.81).Conclusion: Older adults who live in the community have a higher quality of life and physical activity levels compared with those who live in institutions (old age homes).


Ciencia Unemi ◽  
2018 ◽  
Vol 11 (27) ◽  
pp. 87-96
Author(s):  
Cesar Valcárcel ◽  
Mányuri Jatziri ◽  
Jorge Borbor ◽  
Yasel Santiesteban

El embarazo en la adolescencia es un problema vigente en los sistemas de salud del mundo. En  Ecuador 2 de cada 10 partos son de adolescentes siendo el país con mayor índice en la región. La calidad de vida durante el embarazo implica el esfuerzo para que el proceso de gestación, suponga la menor afectación de la autonomía. Se realizó un estudio descriptivo, transversal el cual caracterizó indicadores de calidad de vida de un grupo de adolescentes embarazadas atendidas en el Hospital Gineco-Obstétrico Enrique C. Sotomayor que pertenece a la Junta de Beneficencia de Guayaquil. Se aplicó el Cuestionario de Calidad de Vida en Población Infantil y Adolescente Kindl, y una entrevista semi-estructurada con preguntas centradas en las seis dimensiones del cuestionario. Las adolescentes refieren tener fuerza y energía en el proceso de gestación, el aburrimiento durante esta etapa fue lo más frecuente en cuanto al bienestar emocional, aunque describen sentimientos de soledad, miedo e inseguridad que aparecieron en algunos momentos. Inadecuadas relaciones familiares, una autoestima matizada por una adecuada actitud para afrontar el futuro, se aprecia identificación con sus coetáneos, en la escuela muestran temor por bajas notas. En el embarazo se aprecian estados de tristeza y confianza por haber mantenido una conducta de afrontamiento adecuada.AbstractAdolescent pregnancy is a current problem in health systems around the world. In Ecuador, 2 of every 10 deliveries are of adolescents, being the country with the highest index in the region. The quality of life during pregnancy implies the effort so that the gestation process, involves the least impairment of autonomy. A descriptive, cross-sectional study was carried out which characterized indicators of quality of life of a group of pregnant adolescents attended at the Gynecological and Obstetric Enrique C. Sotomayor Hospital, belonging to the Charity Board of Guayaquil. The Quality of Life Questionnaire on the Kindl Child and Adolescent Population, Spanish adaptation, and a semi-structured interview with questions centered on the six dimensions of the questionnaire were applied. Adolescents report having strength and energy in the process of pregnancy during this stage was the most frequent in terms of emotional well-being, although they describe feelings of loneliness, fear and insecurity that appeared in some moments. Inadequate family relationships, a self-esteem nuanced by an adequate attitude to face the future, identification is appreciated with their peers, at school they show fear of low grades. States of sadness and confidence in pregnancy are appreciated for having maintained an appropriate coping behavior.


2021 ◽  
Vol 7 (1) ◽  
pp. 22-27
Author(s):  
Adella Wahyuningsih ◽  
Tiyas Kusumaningrum ◽  
Gadis Meinar Sari

Quality of menopaused women’s life is influenced by several factors such as age, education level, occupation, and physical activity. Quality of life has concepts such as physical well-being, functional ability, and emotional or social well-being which ultimately lead to changes in individuals. Objective: to analyze factors related to the quality of postmenopausal women’s life. Methods: This observational analytic study used a cross sectional design. The population was all postmenopausal women who filled out online questionnaires using google forms distributed through social media with a sampling technique of convenience sampling with a total of 56 respondents. The instruments used in this study were the MENQoL (Menopause Specific Quality of Life) questionnaire and the husband's support questionnaire. Data were analyzed by using Chi Square Test. Results: This study showed that there was a relationship of physical activity which had a significant value of (p= 0.001) and the distance to health facilities (p= 0.043) to the quality of life of postmenopausal women. Conclusion: Physical activity and distance to health facilities affect the quality of life of postmenopausal women.


2015 ◽  
Vol 12 (11) ◽  
pp. 1513-1519 ◽  
Author(s):  
Joilson Meneguci ◽  
Jeffer Eidi Sasaki ◽  
Alvaro Santos ◽  
Lucia Marina Scatena ◽  
Renata Damião

Background:Quality of life is influenced by several factors and one aspect that has been negatively associated with health is sedentary behavior. Thus, the purpose of this study was to investigate the association between sitting time and quality of life in older adults.Methods:This was a cross-sectional study conducted with individuals ≥60 years old residing in 24 Brazilian municipalities. Total sitting time was evaluated according to self-report of sitting time on a regular weekday and usual weekend day. The quality of life was evaluated by the WHOQOL-BREF and WHOQOL-OLD instruments.Results:3206 older adults were analyzed. In the univariate logistic regression analysis, all domain and facets of quality of life were associated to the longest sitting time; however, in the multivariate analysis, only the physical domain and the social participation facet remained significant in the model. After adjustment for sex, age group, education and regular practice of physical activity, longest sitting time remained associated with the lowest score for the physical domain (OR = 1.80; 95% CI: 1.39–2.34) and social participation facet (OR = 1.42; 95% CI: 1.10–1.84).Conclusions:In this study, older adults who sat the most presented the worst scores in the physical domain and social participation facet of quality of life.


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
M. Banjari ◽  
Y. Kano ◽  
S. Almadani ◽  
A. Basakran ◽  
M. Al-Hindi ◽  
...  

Background. Asthma is a common chronic illness worldwide. Asthmatic children are forced to alter their way of living to avoid its complications or exacerbations, which negatively affects their psychological and social well-being. High prevalence of behavioral and emotional difficulties was noticed among children with asthma. Methods. Cross-sectional study that was conducted over 8 months involving asthmatic children within the ages of 7-17 years presenting to two governmental hospitals in Jeddah, Saudi Arabia. Three questionnaires were used: asthma control test, the strengths and difficulties questionnaire, and the pediatrics asthma quality of life questionnaire. Using SPSS, Pearson’s chi-square and independent sample t-tests were used to find associations. Results. Among the 106 respondents, 84% of the sample had poor asthma control. Significantly poorer quality of life was observed in children with uncontrolled asthma (p = <0.001). Children with controlled and uncontrolled asthma were equally affected psychosocially with no relation between asthma control and their psychosocial well-being (p = 0.58). Conclusion. The majority of asthmatic children were uncontrolled with poor quality of life. This study recommends that the psychosocial well-being should be assessed during clinic visits for a better holistic approach and effective improvement of outcome. Further researches are needed to study the psychological effect of asthma.


Sign in / Sign up

Export Citation Format

Share Document