Background: Quality of life (QOL) is a useful component in assessing the health of people and society. There are many reports on the validity of the four-domain structure of the World Health Organization Quality of Life-BREF (WHOQOL-BREF), but few studies have investigated the possibility of a better alternative model fit among the general population.The objectives of the study were to perform exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using the WHOQOL-BREF and to generate a model that fits among the general population of western Gujarat.A community-based cross-sectional study was conducted from September 2022 to February 2023 using the Gujarati version of the WHOQOL-BREF questionnaire among the general population of urban and rural areas. Factor analysis was performed to check the model fit.Factor analysis gave a five-factor structure, and the CFA suggested that the model was acceptable.Based on the findings, this model can better explain QOL and can be used as a reliable and valid instrument for evaluating QOL in the general population of Gujarat.The horrible coronavirus disease 2019 (COVID-19) pandemic has led to devastating disturbances in all aspects of human life, from health to the economy. This has ultimately led to disturbances in people's quality of life (QOL). QOL is a useful component in assessing the health of people and society. It is a subjective perception of various aspects that focuses on physical and mental health, social support, living and nonliving surrounding environment, functional performance of individuals, satisfaction with personal things, etc., However, QOL can be measured in a broad range of ways.[1,2]The development authorities will be able to identify problem areas and make effective management proposals for the improvement of the well-being of the people in that society by measuring the QOL in that society.[3]There are many instruments and scales that quantify the QOL. The World Health Organization (WHO) has developed a QOL instrument, the World Health Organization Quality of Life-BREF (WHOQOL-BREF), which assesses QOL in four domains: physical health, psychological, social relationships, and environment. The QOL in the four domains can be affected by different factors, such as age, gender, occupation, education, place of residence, and health and disease status.[4-6] It also considers environmental factors that affect general health and QOL.[7-9] The WHOQOL-BREF is available in more than 40 languages and has been developed for cross-cultural comparisons of QOL. Domain scores of WHOQOL-BREF have demonstrated good discriminant validity, content validity, internal consistency, and test-retest reliability.[10,11] Validation in other languages and countries is also very well documented.[12-14]There are many reports on the validity of the four-domain structure of the WHOQOL-BREF, but few studies have investigated the possibility of a better alternative model fit among the general population. Given this background, the study was conducted to generate the factor structure by performing exploratory factor analysis (EFA) using the WHOQOL-BREF in an adult population of western Gujarat. This study also explored how well this generated factor structure fits into the sample using confirmatory factor analysis (CFA).Background: Quality of life (QOL) is a useful component in assessing the health of people and society. There are many reports on the validity of the four-domain structure of the World Health Organization Quality of Life-BREF (WHOQOL-BREF), but few studies have investigated the possibility of a better alternative model fit among the general population.The objectives of the study were to perform exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using the WHOQOL-BREF and to generate a model that fits among the general population of western Gujarat.A community-based cross-sectional study was conducted from September 2022 to February 2023 using the Gujarati version of the WHOQOL-BREF questionnaire among the general population of urban and rural areas. Factor analysis was performed to check the model fit.Factor analysis gave a five-factor structure, and the CFA suggested that the model was acceptable.Based on the findings, this model can better explain QOL and can be used as a reliable and valid instrument for evaluating QOL in the general population of Gujarat.The horrible coronavirus disease 2019 (COVID-19) pandemic has led to devastating disturbances in all aspects of human life, from health to the economy. This has ultimately led to disturbances in people's quality of life (QOL). QOL is a useful component in assessing the health of people and society. It is a subjective perception of various aspects that focuses on physical and mental health, social support, living and nonliving surrounding environment, functional performance of individuals, satisfaction with personal things, etc., However, QOL can be measured in a broad range of ways.[1,2]The development authorities will be able to identify problem areas and make effective management proposals for the improvement of the well-being of the people in that society by measuring the QOL in that society.[3]There are many instruments and scales that quantify the QOL. The World Health Organization (WHO) has developed a QOL instrument, the World Health Organization Quality of Life-BREF (WHOQOL-BREF), which assesses QOL in four domains: physical health, psychological, social relationships, and environment. The QOL in the four domains can be affected by different factors, such as age, gender, occupation, education, place of residence, and health and disease status.[4-6] It also considers environmental factors that affect general health and QOL.[7-9] The WHOQOL-BREF is available in more than 40 languages and has been developed for cross-cultural comparisons of QOL. Domain scores of WHOQOL-BREF have demonstrated good discriminant validity, content validity, internal consistency, and test-retest reliability.[10,11] Validation in other languages and countries is also very well documented.[12-14]There are many reports on the validity of the four-domain structure of the WHOQOL-BREF, but few studies have investigated the possibility of a better alternative model fit among the general population. Given this background, the study was conducted to generate the factor structure by performing exploratory factor analysis (EFA) using the WHOQOL-BREF in an adult population of western Gujarat. This study also explored how well this generated factor structure fits into the sample using confirmatory factor analysis (CFA).Background: Quality of life (QOL) is a useful component in assessing the health of people and society. There are many reports on the validity of the four-domain structure of the World Health Organization Quality of Life-BREF (WHOQOL-BREF), but few studies have investigated the possibility of a better alternative model fit among the general population. The objectives of the study were to perform exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using the WHOQOL-BREF and to generate a model that fits among the general population of western Gujarat.A community-based cross-sectional study was conducted from September 2022 to February 2023 using the Gujarati version of the WHOQOL-BREF questionnaire among the general population of urban and rural areas. Factor analysis was performed to check the model fit.Factor analysis gave a five-factor structure, and the CFA suggested that the model was acceptable.Based on the findings, this model can better explain QOL and can be used as a reliable and valid instrument for evaluating QOL in the general population of Gujarat.The horrible coronavirus disease 2019 (COVID-19) pandemic has led to devastating disturbances in all aspects of human life, from health to the economy. This has ultimately led to disturbances in people's quality of life (QOL). QOL is a useful component in assessing the health of people and society. It is a subjective perception of various aspects that focuses on physical and mental health, social support, living and nonliving surrounding environment, functional performance of individuals, satisfaction with personal things, etc., However, QOL can be measured in a broad range of ways.[1,2]The development authorities will be able to identify problem areas and make effective management proposals for the improvement of the well-being of the people in that society by measuring the QOL in that society.[3]There are many instruments and scales that quantify the QOL. The World Health Organization (WHO) has developed a QOL instrument, the World Health Organization Quality of Life-BREF (WHOQOL-BREF), which assesses QOL in four domains: physical health, psychological, social relationships, and environment. The QOL in the four domains can be affected by different factors, such as age, gender, occupation, education, place of residence, and health and disease status.[4-6] It also considers environmental factors that affect general health and QOL.[7-9] The WHOQOL-BREF is available in more than 40 languages and has been developed for cross-cultural comparisons of QOL. Domain scores of WHOQOL-BREF have demonstrated good discriminant validity, content validity, internal consistency, and test-retest reliability.[10,11] Validation in other languages and countries is also very well documented.[12-14]There are many reports on the validity of the four-domain structure of the WHOQOL-BREF, but few studies have investigated the possibility of a better alternative model fit among the general population. Given this background, the study was conducted to generate the factor structure by performing exploratory factor analysis (EFA) using the WHOQOL-BREF in an adult population of western Gujarat. This study also explored how well this generated factor structure fits into the sample using confirmatory factor analysis (CFA).Background: Quality of life (QOL) is a useful component in assessing the health of people and society. There are many reports on the validity of the four-domain structure of the World Health Organization Quality of Life-BREF (WHOQOL-BREF), but few studies have investigated the possibility of a better alternative model fit among the general population.The objectives of the study were to perform exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using the WHOQOL-BREF and to generate a model that fits among the general population of western Gujarat. A community-based cross-sectional study was conducted from September 2022 to February 2023 using the Gujarati version of the WHOQOL-BREF questionnaire among the general population of urban and rural areas. Factor analysis was performed to check the model fit.Factor analysis gave a five-factor structure, and the CFA suggested that the model was acceptable.Based on the findings, this model can better explain QOL and can be used as a reliable and valid instrument for evaluating QOL in the general population of Gujarat.The horrible coronavirus disease 2019 (COVID-19) pandemic has led to devastating disturbances in all aspects of human life, from health to the economy. This has ultimately led to disturbances in people's quality of life (QOL). QOL is a useful component in assessing the health of people and society. It is a subjective perception of various aspects that focuses on physical and mental health, social support, living and nonliving surrounding environment, functional performance of individuals, satisfaction with personal things, etc., However, QOL can be measured in a broad range of ways.[1,2]The development authorities will be able to identify problem areas and make effective management proposals for the improvement of the well-being of the people in that society by measuring the QOL in that society.[3]There are many instruments and scales that quantify the QOL. The World Health Organization (WHO) has developed a QOL instrument, the World Health Organization Quality of Life-BREF (WHOQOL-BREF), which assesses QOL in four domains: physical health, psychological, social relationships, and environment. The QOL in the four domains can be affected by different factors, such as age, gender, occupation, education, place of residence, and health and disease status.[4-6] It also considers environmental factors that affect general health and QOL.[7-9] The WHOQOL-BREF is available in more than 40 languages and has been developed for cross-cultural comparisons of QOL. Domain scores of WHOQOL-BREF have demonstrated good discriminant validity, content validity, internal consistency, and test-retest reliability.[10,11] Validation in other languages and countries is also very well documented.[12-14]There are many reports on the validity of the four-domain structure of the WHOQOL-BREF, but few studies have investigated the possibility of a better alternative model fit among the general population. Given this background, the study was conducted to generate the factor structure by performing exploratory factor analysis (EFA) using the WHOQOL-BREF in an adult population of western Gujarat. This study also explored how well this generated factor structure fits into the sample using confirmatory factor analysis (CFA).Background: Quality of life (QOL) is a useful component in assessing the health of people and society. There are many reports on the validity of the four-domain structure of the World Health Organization Quality of Life-BREF (WHOQOL-BREF), but few studies have investigated the possibility of a better alternative model fit among the general population.The objectives of the study were to perform exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using the WHOQOL-BREF and to generate a model that fits among the general population of western Gujarat.A community-based cross-sectional study was conducted from September 2022 to February 2023 using the Gujarati version of the WHOQOL-BREF questionnaire among the general population of urban and rural areas. Factor analysis was performed to check the model fit. Factor analysis gave a five-factor structure, and the CFA suggested that the model was acceptable.Based on the findings, this model can better explain QOL and can be used as a reliable and valid instrument for evaluating QOL in the general population of Gujarat.The horrible coronavirus disease 2019 (COVID-19) pandemic has led to devastating disturbances in all aspects of human life, from health to the economy. This has ultimately led to disturbances in people's quality of life (QOL). QOL is a useful component in assessing the health of people and society. It is a subjective perception of various aspects that focuses on physical and mental health, social support, living and nonliving surrounding environment, functional performance of individuals, satisfaction with personal things, etc., However, QOL can be measured in a broad range of ways.[1,2]The development authorities will be able to identify problem areas and make effective management proposals for the improvement of the well-being of the people in that society by measuring the QOL in that society.[3]There are many instruments and scales that quantify the QOL. The World Health Organization (WHO) has developed a QOL instrument, the World Health Organization Quality of Life-BREF (WHOQOL-BREF), which assesses QOL in four domains: physical health, psychological, social relationships, and environment. The QOL in the four domains can be affected by different factors, such as age, gender, occupation, education, place of residence, and health and disease status.[4-6] It also considers environmental factors that affect general health and QOL.[7-9] The WHOQOL-BREF is available in more than 40 languages and has been developed for cross-cultural comparisons of QOL. Domain scores of WHOQOL-BREF have demonstrated good discriminant validity, content validity, internal consistency, and test-retest reliability.[10,11] Validation in other languages and countries is also very well documented.[12-14]There are many reports on the validity of the four-domain structure of the WHOQOL-BREF, but few studies have investigated the possibility of a better alternative model fit among the general population. Given this background, the study was conducted to generate the factor structure by performing exploratory factor analysis (EFA) using the WHOQOL-BREF in an adult population of western Gujarat. This study also explored how well this generated factor structure fits into the sample using confirmatory factor analysis (CFA).Background: Quality of life (QOL) is a useful component in assessing the health of people and society. There are many reports on the validity of the four-domain structure of the World Health Organization Quality of Life-BREF (WHOQOL-BREF), but few studies have investigated the possibility of a better alternative model fit among the general population.The objectives of the study were to perform exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using the WHOQOL-BREF and to generate a model that fits among the general population of western Gujarat.A community-based cross-sectional study was conducted from September 2022 to February 2023 using the Gujarati version of the WHOQOL-BREF questionnaire among the general population of urban and rural areas. Factor analysis was performed to check the model fit.Factor analysis gave a five-factor structure, and the CFA suggested that the model was acceptable.Based on the findings, this model can better explain QOL and can be used as a reliable and valid instrument for evaluating QOL in the general population of Gujarat. The horrible coronavirus disease 2019 (COVID-19) pandemic has led to devastating disturbances in all aspects of human life, from health to the economy. This has ultimately led to disturbances in people's quality of life (QOL). QOL is a useful component in assessing the health of people and society. It is a subjective perception of various aspects that focuses on physical and mental health, social support, living and nonliving surrounding environment, functional performance of individuals, satisfaction with personal things, etc., However, QOL can be measured in a broad range of ways.[1,2]The development authorities will be able to identify problem areas and make effective management proposals for the improvement of the well-being of the people in that society by measuring the QOL in that society.[3]There are many instruments and scales that quantify the QOL. The World Health Organization (WHO) has developed a QOL instrument, the World Health Organization Quality of Life-BREF (WHOQOL-BREF), which assesses QOL in four domains: physical health, psychological, social relationships, and environment. The QOL in the four domains can be affected by different factors, such as age, gender, occupation, education, place of residence, and health and disease status.[4-6] It also considers environmental factors that affect general health and QOL.[7-9] The WHOQOL-BREF is available in more than 40 languages and has been developed for cross-cultural comparisons of QOL. Domain scores of WHOQOL-BREF have demonstrated good discriminant validity, content validity, internal consistency, and test-retest reliability.[10,11] Validation in other languages and countries is also very well documented.[12-14]There are many reports on the validity of the four-domain structure of the WHOQOL-BREF, but few studies have investigated the possibility of a better alternative model fit among the general population. Given this background, the study was conducted to generate the factor structure by performing exploratory factor analysis (EFA) using the WHOQOL-BREF in an adult population of western Gujarat. This study also explored how well this generated factor structure fits into the sample using confirmatory factor analysis (CFA).Background: Quality of life (QOL) is a useful component in assessing the health of people and society. There are many reports on the validity of the four-domain structure of the World Health Organization Quality of Life-BREF (WHOQOL-BREF), but few studies have investigated the possibility of a better alternative model fit among the general population.The objectives of the study were to perform exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using the WHOQOL-BREF and to generate a model that fits among the general population of western Gujarat.A community-based cross-sectional study was conducted from September 2022 to February 2023 using the Gujarati version of the WHOQOL-BREF questionnaire among the general population of urban and rural areas. Factor analysis was performed to check the model fit.Factor analysis gave a five-factor structure, and the CFA suggested that the model was acceptable.Based on the findings, this model can better explain QOL and can be used as a reliable and valid instrument for evaluating QOL in the general population of Gujarat.The horrible coronavirus disease 2019 (COVID-19) pandemic has led to devastating disturbances in all aspects of human life, from health to the economy. This has ultimately led to disturbances in people's quality of life (QOL). QOL is a useful component in assessing the health of people and society. It is a subjective perception of various aspects that focuses on physical and mental health, social support, living and nonliving surrounding environment, functional performance of individuals, satisfaction with personal things, etc., However, QOL can be measured in a broad range of ways.[1,2]The development authorities will be able to identify problem areas and make effective management proposals for the improvement of the well-being of the people in that society by measuring the QOL in that society.[3]There are many instruments and scales that quantify the QOL. The World Health Organization (WHO) has developed a QOL instrument, the World Health Organization Quality of Life-BREF (WHOQOL-BREF), which assesses QOL in four domains: physical health, psychological, social relationships, and environment. The QOL in the four domains can be affected by different factors, such as age, gender, occupation, education, place of residence, and health and disease status.[4-6] It also considers environmental factors that affect general health and QOL.[7-9] The WHOQOL-BREF is available in more than 40 languages and has been developed for cross-cultural comparisons of QOL. Domain scores of WHOQOL-BREF have demonstrated good discriminant validity, content validity, internal consistency, and test-retest reliability.[10,11] Validation in other languages and countries is also very well documented.[12-14]There are many reports on the validity of the four-domain structure of the WHOQOL-BREF, but few studies have investigated the possibility of a better alternative model fit among the general population. Given this background, the study was conducted to generate the factor structure by performing exploratory factor analysis (EFA) using the WHOQOL-BREF in an adult population of western Gujarat. This study also explored how well this generated factor structure fits into the sample using confirmatory factor analysis (CFA).Background: Quality of life (QOL) is a useful component in assessing the health of people and society. There are many reports on the validity of the four-domain structure of the World Health Organization Quality of Life-BREF (WHOQOL-BREF), but few studies have investigated the possibility of a better alternative model fit among the general population.The objectives of the study were to perform exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using the WHOQOL-BREF and to generate a model that fits among the general population of western Gujarat.A community-based cross-sectional study was conducted from September 2022 to February 2023 using the Gujarati version of the WHOQOL-BREF questionnaire among the general population of urban and rural areas. Factor analysis was performed to check the model fit.Factor analysis gave a five-factor structure, and the CFA suggested that the model was acceptable.Based on the findings, this model can better explain QOL and can be used as a reliable and valid instrument for evaluating QOL in the general population of Gujarat.The horrible coronavirus disease 2019 (COVID-19) pandemic has led to devastating disturbances in all aspects of human life, from health to the economy. This has ultimately led to disturbances in people's quality of life (QOL). QOL is a useful component in assessing the health of people and society. It is a subjective perception of various aspects that focuses on physical and mental health, social support, living and nonliving surrounding environment, functional performance of individuals, satisfaction with personal things, etc., However, QOL can be measured in a broad range of ways.[1,2]The development authorities will be able to identify problem areas and make effective management proposals for the improvement of the well-being of the people in that society by measuring the QOL in that society.[3]There are many instruments and scales that quantify the QOL. The World Health Organization (WHO) has developed a QOL instrument, the World Health Organization Quality of Life-BREF (WHOQOL-BREF), which assesses QOL in four domains: physical health, psychological, social relationships, and environment. The QOL in the four domains can be affected by different factors, such as age, gender, occupation, education, place of residence, and health and disease status.[4-6] It also considers environmental factors that affect general health and QOL.[7-9] The WHOQOL-BREF is available in more than 40 languages and has been developed for cross-cultural comparisons of QOL. Domain scores of WHOQOL-BREF have demonstrated good discriminant validity, content validity, internal consistency, and test-retest reliability.[10,11] Validation in other languages and countries is also very well documented.[12-14]There are many reports on the validity of the four-domain structure of the WHOQOL-BREF, but few studies have investigated the possibility of a better alternative model fit among the general population. Given this background, the study was conducted to generate the factor structure by performing exploratory factor analysis (EFA) using the WHOQOL-BREF in an adult population of western Gujarat. This study also explored how well this generated factor structure fits into the sample using confirmatory factor analysis (CFA).Background: Quality of life (QOL) is a useful component in assessing the health of people and society. There are many reports on the validity of the four-domain structure of the World Health Organization Quality of Life-BREF (WHOQOL-BREF), but few studies have investigated the possibility of a better alternative model fit among the general population.The objectives of the study were to perform exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using the WHOQOL-BREF and to generate a model that fits among the general population of western Gujarat.A community-based cross-sectional study was conducted from September 2022 to February 2023 using the Gujarati version of the WHOQOL-BREF questionnaire among the general population of urban and rural areas. Factor analysis was performed to check the model fit.Factor analysis gave a five-factor structure, and the CFA suggested that the model was acceptable.Based on the findings, this model can better explain QOL and can be used as a reliable and valid instrument for evaluating QOL in the general population of Gujarat.The horrible coronavirus disease 2019 (COVID-19) pandemic has led to devastating disturbances in all aspects of human life, from health to the economy. This has ultimately led to disturbances in people's quality of life (QOL). QOL is a useful component in assessing the health of people and society. It is a subjective perception of various aspects that focuses on physical and mental health, social support, living and nonliving surrounding environment, functional performance of individuals, satisfaction with personal things, etc. , However, QOL can be measured in a broad range of ways.[1,2]The development authorities will be able to identify problem areas and make effective management proposals for the improvement of the well-being of the people in that society by measuring the QOL in that society.[3]There are many instruments and scales that quantify the QOL. The World Health Organization (WHO) has developed a QOL instrument, the World Health Organization Quality of Life-BREF (WHOQOL-BREF), which assesses QOL in four domains: physical health, psychological, social relationships, and environment. The QOL in the four domains can be affected by different factors, such as age, gender, occupation, education, place of residence, and health and disease status.[4-6] It also considers environmental factors that affect general health and QOL.[7-9] The WHOQOL-BREF is available in more than 40 languages and has been developed for cross-cultural comparisons of QOL. Domain scores of WHOQOL-BREF have demonstrated good discriminant validity, content validity, internal consistency, and test-retest reliability.[10,11] Validation in other languages and countries is also very well documented.[12-14]There are many reports on the validity of the four-domain structure of the WHOQOL-BREF, but few studies have investigated the possibility of a better alternative model fit among the general population. Given this background, the study was conducted to generate the factor structure by performing exploratory factor analysis (EFA) using the WHOQOL-BREF in an adult population of western Gujarat. This study also explored how well this generated factor structure fits into the sample using confirmatory factor analysis (CFA).