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da Silva Dantas BA, Cavalcante ACV, de Miranda JMA, da Silva Toscano GA, Nobre TTX, Mendes FRP, de Miranda FAN, Maia EMC, Torres GDV. Depression and quality of life in Brazilian and Portuguese older people communities: Analysis of association. Medicine (Baltimore) 2021; 100:e27830. [PMID: 34797312 PMCID: PMC8601332 DOI: 10.1097/md.0000000000027830] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Accepted: 10/29/2021] [Indexed: 01/05/2023] Open
Abstract
We aimed to compare the association of depression with aspects of quality of life (QoL) among older people users of primary health care (PHC) living in Brazil and Portugal.We carried out an observational, cross-sectional and comparative study with a quantitative approach in the PHC scope in Brazil and Portugal, where we obtained a nonrandom sample of 150 participants aged 65 years or older (100 Brazilians and 50 Portuguese). We used the socioeconomic and health data questionnaire, the Medical Outcomes Short-Form Health Survey QoL (SF-36) questionnaire and the Beck Inventory.Among the socioeconomic profiles, most were females aged between 65 and 80 years in both countries. There was a significant difference between groups in the income variable, with 100.0% of Portuguese people earning up to 1 minimum wage (P value <.001), and the presence of chronic diseases in 92.0% of respondents in Portugal (P value = .033). In the association analysis, most aspects of QoL had a higher median score (>50.0) within the categorical variables of "absent" and "mild" depression. The Emotional role functioning, Physical role functioning, Physical functioning, Mental health, Total score domains and the Mental health and Physical health summary measures stood out with this behavior in Brazil and in Portugal, where these latter 2 presented moderate to strong correlation values (ρ > 0.400) in Portugal. Greater associations of depression on QoL were revealed in Portugal than in Brazil. Among their most expressive associations, the Physical role functioning (odds ratio [OR] = 4.776; 95.0% confidence interval [CI]: 2.41-9.43), Physical functioning (OR = 3.037; 95.0% CI: 3.037), Vitality (OR = 6.000; 95.0% CI: 1.56-23.07) and Total score (OR = 3.727; 95.0% CI: 2.24-6.17) domains and the Mental health summary measure (OR = 3.870; 95.0% CI: 2.13-7.02) stood out.Aspects related to the emotional, physical, functional and mental health components stood out. The association and correlation with depression were more expressive in Portugal compared to Brazil. However, similar results were obtained in Brazil but with less relevance.
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Affiliation(s)
| | | | | | | | | | | | | | - Eulália Maria Chaves Maia
- Department of Psychology, Health Sciences Center, Federal University of Rio Grande do Norte, Natal, RN, Brazil
| | - Gilson de Vasconcelos Torres
- Postgraduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal-RN, Brazil
- Department of Nursing, Federal University of Rio Grande do Norte, Natal, RN, Brazil
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Durgun H, Turan N, Kaya H. Relationship between fall behavior and quality of life of elderly individuals. PSYCHOL HEALTH MED 2021; 27:1366-1372. [PMID: 33559480 DOI: 10.1080/13548506.2021.1883686] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The aim of this study was to examine the association between the quality of life and the fall behavior in elderly individuals. The study was conducted as a descriptive and correlational study design. Data were collected with the Patient Information Form, The Fall Behavior Scale for the Elderly and the World Health Organization Quality of Life module for the elderly. There were 110 older people included in study. When the relationship between the Fall Behavior Scale for the Elderly and the World Health Organization Quality of Life Module for the Elderly sub-scale and total scores were examined, there was a statistically significant negative correlation between the Fall Behavior Scale for the Elderly safe movement sub-scale and the World Health Organization Quality of Life Module social participation sub-scale scores (p < .01).
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Affiliation(s)
- Hanife Durgun
- Health Science Faculty, Department of Nursing, Ordu University, Altınordu/Ordu, Turkey
| | - Nuray Turan
- Department of Fundamental of Nursing, Florence Nightingale Nursing Faculty, Istanbul University-Cerrahpasa, Sisli/Istanbul, Turkey
| | - Hatice Kaya
- Department of Fundamental of Nursing, Florence Nightingale Nursing Faculty, Istanbul University-Cerrahpasa, Sisli/Istanbul, Turkey
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Dantas BADS, de Miranda JMA, Cavalcante ACV, Toscano GADS, Torres LSS, Rossignolo SCDO, Nobre TTX, Maia EMC, de Miranda FAN, Torres GDV. Impact of multidimensional interventions on quality of life and depression among older adults in a primary care setting in Brazil: a quasi-experimental study. ACTA ACUST UNITED AC 2019; 42:201-208. [PMID: 31826082 PMCID: PMC7115439 DOI: 10.1590/1516-4446-2019-0577] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2019] [Accepted: 08/26/2019] [Indexed: 12/30/2022]
Abstract
OBJECTIVE To evaluate the impact of multidimensional interventions on quality of life (QoL) and depressive symptoms in Brazilian older adults living in the community. METHODS Longitudinal, quasi-experimental study of older adults receiving conventional primary health care (PHC). The interventions were designed in response to a first round of data collection and validated through pilot testing in groups of older adults from another community. The validated interventions were then applied to an intervention group (IG). To measure their effect, we used the Medical Outcomes Short-Form Health Survey (SF-36) quality of life scale and the Geriatric Depression Scale (GDS-30). RESULTS The sample comprised 118 participants. IG participants exhibited significant improvement in several QoL domains (SF-36): mental health (p = 0.010), general health perceptions (p = 0.016), and physical functioning (p = 0.045). No such improvement occurred in controls (p > 0.050). The prevalence of depression (GDS-30) fell from 36.7 to 23.3% in the IG, despite no significant difference (p = 0.272). Controls also reported a reduction in depressive symptoms, but only from 44.8 to 41.4% (p = 0.112). CONCLUSIONS This multidimensional intervention was associated with significant improvement in mental health, general health perceptions, and physical functioning in a sample of Brazilian older adults. CLINICAL TRIAL REGISTRATION RBR-92dbtx.
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Affiliation(s)
- Bruno A da S Dantas
- Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN, Brazil
| | - Jessica M A de Miranda
- Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN, Brazil
| | - Anna C V Cavalcante
- Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN, Brazil
| | - Gislani A da S Toscano
- Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN, Brazil
| | | | | | - Thaiza T X Nobre
- Faculdade de Ciências da Saúde do Trairi, UFRN, Santa Cruz, RN, Brazil
| | - Eulália M C Maia
- Departamento de Psicologia, Centro de Ciências da Saúde, UFRN, Natal, RN, Brazil
| | | | - Gilson de V Torres
- Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN, Brazil
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Singh K, Kondal D, Shivashankar R, Ali MK, Pradeepa R, Ajay VS, Mohan V, Kadir MM, Sullivan MD, Tandon N, Narayan KMV, Prabhakaran D. Health-related quality of life variations by sociodemographic factors and chronic conditions in three metropolitan cities of South Asia: the CARRS study. BMJ Open 2017; 7:e018424. [PMID: 29038187 PMCID: PMC5652573 DOI: 10.1136/bmjopen-2017-018424] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
OBJECTIVES Health-related quality of life (HRQOL) is a key indicator of health. However, HRQOL data from representative populations in South Asia are lacking. This study aims to describe HRQOL overall, by age, gender and socioeconomic status, and examine the associations between selected chronic conditions and HRQOL in adults from three urban cities in South Asia. METHODS We used data from 16 287 adults aged ≥20 years from the baseline survey of the Centre for Cardiometabolic Risk Reduction in South Asia cohort (2010-2011). HRQOL was measured using the European Quality of Life Five Dimension-Visual Analogue Scale (EQ5D-VAS), which measures health status on a scale of 0 (worst health status) to 100 (best possible health status). RESULTS 16 284 participants completed the EQ5D-VAS. Mean age was 42.4 (±13.3) years and 52.4% were women. 14% of the respondents reported problems in mobility and pain/discomfort domains. Mean VAS score was 74 (95% CI 73.7 to 74.2). Significantly lower health status was found in elderly (64.1), women (71.6), unemployed (68.4), less educated (71.2) and low-income group (73.4). Individuals with chronic conditions reported worse health status than those without (67.4 vs 76.2): prevalence ratio, 1.8 (95% CI 1.61 to 2.04). CONCLUSIONS Our data demonstrate significantly lower HRQOL in key demographic groups and those with chronic conditions, which is consistent with previous studies. These data provide insights on inequalities in population health status, and potentially reveal unmet needs in the community to guide health policies.
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Affiliation(s)
- Kavita Singh
- Centre for Control of Chronic Conditions (4C), New Delhi, India
- Public Health Foundation of India, New Delhi, India
- Centre for Chronic Disease Control, New Delhi, India
- Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, Delhi, India
| | - Dimple Kondal
- Centre for Control of Chronic Conditions (4C), New Delhi, India
- Public Health Foundation of India, New Delhi, India
- Centre for Chronic Disease Control, New Delhi, India
| | - Roopa Shivashankar
- Centre for Control of Chronic Conditions (4C), New Delhi, India
- Public Health Foundation of India, New Delhi, India
- Centre for Chronic Disease Control, New Delhi, India
| | - Mohammed K Ali
- Centre for Control of Chronic Conditions (4C), New Delhi, India
- Hubert Department of Global Health, Emory University, Atlanta, Georgia, USA
- Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
| | - Rajendra Pradeepa
- Madras Diabetes Research Foundation and, Dr. Mohan’s Diabetes Specialties Centre, Chennai, Tamil Nadu, India
| | - Vamadevan S Ajay
- Centre for Control of Chronic Conditions (4C), New Delhi, India
- Public Health Foundation of India, New Delhi, India
- Centre for Chronic Disease Control, New Delhi, India
| | - Viswanathan Mohan
- Madras Diabetes Research Foundation and, Dr. Mohan’s Diabetes Specialties Centre, Chennai, Tamil Nadu, India
| | - Muhammad M Kadir
- Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan
| | | | - Nikhil Tandon
- Centre for Control of Chronic Conditions (4C), New Delhi, India
- Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, Delhi, India
| | - K M Venkat Narayan
- Centre for Control of Chronic Conditions (4C), New Delhi, India
- Hubert Department of Global Health, Emory University, Atlanta, Georgia, USA
- Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
| | - Dorairaj Prabhakaran
- Centre for Control of Chronic Conditions (4C), New Delhi, India
- Public Health Foundation of India, New Delhi, India
- Centre for Chronic Disease Control, New Delhi, India
- London School of Hygiene and Tropical Medicine, London, United Kingdom
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Scocco P, Nassuato M. The role of social relationships among elderly community-dwelling and nursing-home residents: findings from a quality of life study. Psychogeriatrics 2017; 17:231-237. [PMID: 28130822 DOI: 10.1111/psyg.12219] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Revised: 05/04/2016] [Accepted: 08/09/2016] [Indexed: 11/30/2022]
Abstract
AIM In Western countries, older adults' needs are often managed through institutionalization. Based on the assumption that quality of life, particularly social relationships, may be perceived differently according to residential setting, the aims of this study were to compare World Health Organization Quality of Life brief version (WHOQOL-BREF) scores of elderly community-dwelling residents and nursing home residents. METHODS A sample of 207 older adults (135 community-dwelling residents, 72 nursing home residents) was evaluated with Mini-Mental State Examination (MMSE), WHOQOL-BREF, and Geriatric Depression Scale (GDS). RESULTS Nursing home residents achieved lower WHOQOL-BREF scores on the physical health scale only (P = 0.002). In a linear regression model, physical score correlated negatively with GDS score (P = 0.0001) and Mini-Mental State Examination score (P = 0.04), but positively with male gender (P = 0.02) and community-dwelling residence (P = 0.001); psychological score correlated negatively with GDS score (P = 0.0001) and being married (P = 0.03), but positively with male gender (P = 0.009) and being unmarried (P = 0.03). The social relationships score correlated negatively with the GDS score (P = 0.0001) and male gender (P = 0.02), but positively with high education level (P = 0.04). The environment score negatively correlated with GDS score (P = 0.0001). In a logistic regression model, living in a nursing home correlated with female gender (P = 0.001), age (P = 0.0001), a lower physical score (P = 0.0001), and a higher social relationships score (P = 0.02). CONCLUSION Depressive symptoms correlated with low scores in all WHOQOL-BREF domains. The variables that correlated with living conditions in a nursing home were older age, male gender, lower physical domain scores, and higher social relationship scores. Opportunities for socialization in nursing homes may thus improve perception of quality of life in this domain.
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Affiliation(s)
- Paolo Scocco
- Department of Mental Health, Padua University, Padua, Italy
| | - Mario Nassuato
- Department of Neuroscience, Padua University, Padua, Italy
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