Quality of life in older outpatients living alone in the community in Italy

被引:33
作者
Bilotta, Claudio [1 ,2 ]
Bowling, Ann [3 ,4 ]
Nicolini, Paola
Case, Alessandra
Vergani, Carlo
机构
[1] Univ Milan, Dept Internal Med, Geriatr Med Unit, Fdn IRCCS Ca Granda Osped Maggiore Policlin, Milan, Italy
[2] Ist Clin Perfezionamento Hosp, Dept Urban Outpatient Serv, Geriatr Med Outpatient Serv, Milan, Italy
[3] Univ London, St Georges Hosp, Fac Hlth & Social Care, London, England
[4] Kingston Univ, London, England
关键词
depression; living alone; marital status; older age; quality of life; social participation; 2 FRAILTY INDEXES; ELDERLY-PEOPLE; DISABILITY; SCALE; LONELINESS; VALIDATION; HEALTH; ADULTS; CARE; ARRANGEMENTS;
D O I
10.1111/j.1365-2524.2011.01011.x
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
There is limited knowledge on the relationship between the living conditions of community-dwelling older people and their quality of life (QOL) considered in all its specific domains. The purpose of this study was to determine (1) which dimensions of QOL were independently associated with living alone and (2) the independent correlates of these dimensions of QOL amongst older outpatients. We conducted a cross-sectional survey of 239 community-dwelling outpatients aged 65+ (mean age 81.5 years) consecutively referred to a geriatric medicine clinic in Italy between June and November 2009 (response rate 93%). Subjects underwent a comprehensive geriatric assessment including QOL, which was evaluated by using the Older Peoples QOL questionnaire. In multivariate logistic regression analyses, living alone was associated with the lowest score-based tertile of two specific dimensions of QOL out of seven, namely social relationships and participation [odds ratio (OR) 2.73, 95% confidence interval (CI) 1.086.91] and home and neighbourhood (OR 4.96, 95% CI 1.7514.07), independently of the main demographic, social, functional and clinical characteristics of the subjects. Amongst the 107 subjects living alone, independent correlates of these dimensions of QOL were depression, having no caregiver and having never been married. Depression, having no caregiver and having never been married could provide a valuable means of identifying older people living alone who are at greater risk of a poor QOL and who would most benefit from effective social and medical interventions.
引用
收藏
页码:32 / 41
页数:10
相关论文
共 53 条
  • [1] CORNELL SCALE FOR DEPRESSION IN DEMENTIA
    ALEXOPOULOS, GS
    ABRAMS, RC
    YOUNG, RC
    SHAMOIAN, CA
    [J]. BIOLOGICAL PSYCHIATRY, 1988, 23 (03) : 271 - 284
  • [2] American Psychiatric Association, 2013, Diagnostic and statistical manual of mental disorders, DOI 10.1176/appi.books.9780890425596
  • [3] [Anonymous], 1993, MEAS QUAL LIF DEV WH
  • [4] Quality of private personal care for elderly people with a disability living at home: correlates and potential outcomes
    Bilotta, Claudio
    Vergani, Carlo
    [J]. HEALTH & SOCIAL CARE IN THE COMMUNITY, 2008, 16 (04) : 354 - 362
  • [5] One-year predictors of turnover among personal-care workers for older adults living at home in Italy
    Bilotta, Claudio
    Nicolini, Paola
    Vergani, Carlo
    [J]. AGEING & SOCIETY, 2011, 31 : 611 - 624
  • [6] Social vulnerability, mental health and correlates of frailty in older outpatients living alone in the community in Italy
    Bilotta, Claudio
    Case, Alessandra
    Nicolini, Paola
    Mauri, Sabrina
    Castelli, Manuela
    Vergani, Carlo
    [J]. AGING & MENTAL HEALTH, 2010, 14 (08) : 1024 - 1036
  • [7] Dimensions and correlates of quality of life according to frailty status: a cross-sectional study on community-dwelling older adults referred to an outpatient geriatric service in Italy
    Bilotta, Claudio
    Bowling, Ann
    Case, Alessandra
    Nicolini, Paola
    Mauri, Sabrina
    Castelli, Manuela
    Vergani, Carlo
    [J]. HEALTH AND QUALITY OF LIFE OUTCOMES, 2010, 8
  • [8] Day care centre attendance and quality of life in depressed older adults living in the community
    Bilotta, Claudio
    Bergamaschini, Luigi
    Spreafico, Sibilla
    Vergani, Carlo
    [J]. EUROPEAN JOURNAL OF AGEING, 2010, 7 (01) : 29 - 35
  • [9] Bowling A., 2005, Ageing well: Quality of life in old age
  • [10] Which measure of quality of life performs best in older age? A comparison of the OPQOL, CASP-19 and WHOQOL-OLD
    Bowling, Ann
    Stenner, Paul
    [J]. JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2011, 65 (03) : 273 - 280