Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study

被引：5

作者：

Ko, Hana ^{[1
]}

Cho, Belong ^{[2
]}

Lim, Kyung-Choon ^{[3
]}

Jang, Soong-Nang ^{[4
]}

Chang, Sun Ju ^{[5
,6
]}

Yi, Yu Mi ^{[7
]}

Cho, Hye Ryung ^{[5
]}

Ryu, So Im ^{[8
]}

Noh, Eun-Young ^{[9
]}

Park, Yeon-Hwan ^{[5
,6
]}

机构：

[1] Gachon Univ, Coll Nursing, Incheon, South Korea

[2] Seoul Natl Univ, Coll Med, Dept Family Med, Seoul, South Korea

[3] Sungshin Univ, Coll Nursing, Seoul, South Korea

[4] Chung Ang Univ, Red Cross Coll Nursing, Seoul, South Korea

[5] Seoul Natl Univ, Coll Nursing, Seoul, South Korea

[6] Seoul Natl Univ, Inst Nursing Sci, Coll Nursing, Seoul, South Korea

[7] Kyungnam Coll Informat & Technol, Dept Nursing, Pusan, South Korea

[8] Changwon Natl Univ, Dept Nursing, Changwon Si, South Korea

[9] Konkuk Univ, Dept Nursing, Chungju, South Korea

来源：

FRONTIERS IN PUBLIC HEALTH | 2023年 / 11卷

关键词：

health-related quality of life; living arrangements; health outcomes; aged; cohort; QUESTIONNAIRE; PEOPLE; RISK;

D O I：

10.3389/fpubh.2023.1278008

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background The percentage of older adults living alone is rapidly increasing, improving the health status and health-related quality of life (HRQoL) in this group is becoming a more significant public health issue. This study aimed to examine the changes in the HRQoL of older South Korean adults living alone and identify the factors that affect their HRQoL.Methods A longitudinal study design was followed. Data were collected at baseline and 1-year follow-up. Participants consisting of 789 older adults living alone in S*City aged>65 years completed a cohort survey regarding health status and HRQoL from August 2018 to August 2019. Trained interviewers conducted face-to-face interviews with the participants using a validated questionnaire (physical health, mental health, social health, and HRQoL). Generalized estimating equations were used to assess the change in health status and the interaction effect of time and gender. Then, a stepwise multiple logistic regression analysis was performed to identify factors related to HRQoL.Results Time differences were observed in the subjective evaluation of health status (SEH), IPAQ scores, frailty, nutritional status, and depression. Gender differences were observed in the SEH, IPAQ, frailty, loneliness, depression, and social support. The interaction between time and gender was observed in the IPAQ and HRQoL. At baseline, SEH, depressive symptoms, gender, frailty, and age were associated with HRQoL. After one year, HRQoL was associated with SEH, frailty, depressive symptoms, cost of living, suicidal thoughts, gender, social support, loneliness, and suicide attempts.Conclusion Our results highlight that HRQoL is associated with physical health, mental health, and social support. Future detailed studies are needed to determine whether governments and communities can prevent depression, loneliness, and suicidal thoughts through psychological support and provide economic support to improve the quality of life of older adults living alone.

引用

页数：9

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