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Predictors of health related-quality of life among elderly with disabilities

Authorized Users Only
2019
Authors
Janjušević, Ana
Ćirković, Ivana
Lukić, Iva
Janjušević, Vesna
Jevtić, Ksenija
Grgurević, Anita
Article (Published version)
Metadata
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Abstract
Aim There have been no previous studies of health-related quality of life (HRQOL) among adults aged 65 years and older with disabilities in Serbia. The aim of study was to identify predictors of HRQOL in the context of sociodemographic characteristics, disability aetiology, comorbid diseases, indices of comorbidities, realization of social rights, and domestic violence. Methods The cross-sectional study involved 275 consecutive elderly outpatients with disabilities. They were recruited by general practitioners at Primary Health Centers in Belgrade, Serbia, from March to May 2015. Data were acquired through face-to-face interviews and general practitioners' charts, while the generic 36-item Short Form Health Survey was used to assess HRQOL. In statistical analysis, Student's t-test, Z-test, Spearman's correlation test, and both univariate and multivariate linear regression were performed. Results Multivariate analysis revealed that a higher Functional Comorbidity Index (beta = -0.194, P... lt 0.01) and not asking for realization of right to assistance and care financial benefits (beta = -0.142, P lt 0.05) were predictors of a lower scores Mental Composite Score (F = 9.262; P lt 0.001). Not asking for realization of right to assistance and care financial benefits (beta = -0.187, P lt 0.01), congestive heart failure (beta = -0.123, P lt 0.05), and stroke (beta = -0.120, P lt 0.05) were predictors of a lower Physical Composite Score (F = 7.169, P lt 0.001). Conclusions This study provides valuable data for better understanding the underlying factors associated with the HRQOL of elderly persons with disabilities, and currently, these are the only available data of their kind in Serbia. National authorities could identify predictors of HRQOL as a basic starting point for improving the social welfare and health-care systems. Better prevention and management of clinical factors, increased access to social services, and enhanced delivery of social services will improve the ageing process and HRQOL of this vulnerable population.

Keywords:
aged / civil rights / disability / quality of life / regression analysis / SF-36
Source:
Psychogeriatrics, 2019, 19, 2, 141-149
Publisher:
  • Wiley, Hoboken
Funding / projects:
  • Epidemiological investigations of risk factors for selected diseases (RS-175042)
  • Epidemiological investigation of neurological disorders: global measurement of disease impact (RS-175087)

DOI: 10.1111/psyg.12376

ISSN: 1346-3500

PubMed: 30302855

WoS: 000461838100008

Scopus: 2-s2.0-85054643448
[ Google Scholar ]
1
1
URI
http://intor.torlakinstitut.com/handle/123456789/537
Collections
  • Radovi istraživača / Researchers’ publications
Institution/Community
Torlak
TY  - JOUR
AU  - Janjušević, Ana
AU  - Ćirković, Ivana
AU  - Lukić, Iva
AU  - Janjušević, Vesna
AU  - Jevtić, Ksenija
AU  - Grgurević, Anita
PY  - 2019
UR  - http://intor.torlakinstitut.com/handle/123456789/537
AB  - Aim There have been no previous studies of health-related quality of life (HRQOL) among adults aged 65 years and older with disabilities in Serbia. The aim of study was to identify predictors of HRQOL in the context of sociodemographic characteristics, disability aetiology, comorbid diseases, indices of comorbidities, realization of social rights, and domestic violence. Methods The cross-sectional study involved 275 consecutive elderly outpatients with disabilities. They were recruited by general practitioners at Primary Health Centers in Belgrade, Serbia, from March to May 2015. Data were acquired through face-to-face interviews and general practitioners' charts, while the generic 36-item Short Form Health Survey was used to assess HRQOL. In statistical analysis, Student's t-test, Z-test, Spearman's correlation test, and both univariate and multivariate linear regression were performed. Results Multivariate analysis revealed that a higher Functional Comorbidity Index (beta = -0.194, P  lt  0.01) and not asking for realization of right to assistance and care financial benefits (beta = -0.142, P  lt  0.05) were predictors of a lower scores Mental Composite Score (F = 9.262; P  lt  0.001). Not asking for realization of right to assistance and care financial benefits (beta = -0.187, P  lt  0.01), congestive heart failure (beta = -0.123, P  lt  0.05), and stroke (beta = -0.120, P  lt  0.05) were predictors of a lower Physical Composite Score (F = 7.169, P  lt  0.001). Conclusions This study provides valuable data for better understanding the underlying factors associated with the HRQOL of elderly persons with disabilities, and currently, these are the only available data of their kind in Serbia. National authorities could identify predictors of HRQOL as a basic starting point for improving the social welfare and health-care systems. Better prevention and management of clinical factors, increased access to social services, and enhanced delivery of social services will improve the ageing process and HRQOL of this vulnerable population.
PB  - Wiley, Hoboken
T2  - Psychogeriatrics
T1  - Predictors of health related-quality of life among elderly with disabilities
EP  - 149
IS  - 2
SP  - 141
VL  - 19
DO  - 10.1111/psyg.12376
UR  - conv_450
ER  - 
@article{
author = "Janjušević, Ana and Ćirković, Ivana and Lukić, Iva and Janjušević, Vesna and Jevtić, Ksenija and Grgurević, Anita",
year = "2019",
abstract = "Aim There have been no previous studies of health-related quality of life (HRQOL) among adults aged 65 years and older with disabilities in Serbia. The aim of study was to identify predictors of HRQOL in the context of sociodemographic characteristics, disability aetiology, comorbid diseases, indices of comorbidities, realization of social rights, and domestic violence. Methods The cross-sectional study involved 275 consecutive elderly outpatients with disabilities. They were recruited by general practitioners at Primary Health Centers in Belgrade, Serbia, from March to May 2015. Data were acquired through face-to-face interviews and general practitioners' charts, while the generic 36-item Short Form Health Survey was used to assess HRQOL. In statistical analysis, Student's t-test, Z-test, Spearman's correlation test, and both univariate and multivariate linear regression were performed. Results Multivariate analysis revealed that a higher Functional Comorbidity Index (beta = -0.194, P  lt  0.01) and not asking for realization of right to assistance and care financial benefits (beta = -0.142, P  lt  0.05) were predictors of a lower scores Mental Composite Score (F = 9.262; P  lt  0.001). Not asking for realization of right to assistance and care financial benefits (beta = -0.187, P  lt  0.01), congestive heart failure (beta = -0.123, P  lt  0.05), and stroke (beta = -0.120, P  lt  0.05) were predictors of a lower Physical Composite Score (F = 7.169, P  lt  0.001). Conclusions This study provides valuable data for better understanding the underlying factors associated with the HRQOL of elderly persons with disabilities, and currently, these are the only available data of their kind in Serbia. National authorities could identify predictors of HRQOL as a basic starting point for improving the social welfare and health-care systems. Better prevention and management of clinical factors, increased access to social services, and enhanced delivery of social services will improve the ageing process and HRQOL of this vulnerable population.",
publisher = "Wiley, Hoboken",
journal = "Psychogeriatrics",
title = "Predictors of health related-quality of life among elderly with disabilities",
pages = "149-141",
number = "2",
volume = "19",
doi = "10.1111/psyg.12376",
url = "conv_450"
}
Janjušević, A., Ćirković, I., Lukić, I., Janjušević, V., Jevtić, K.,& Grgurević, A.. (2019). Predictors of health related-quality of life among elderly with disabilities. in Psychogeriatrics
Wiley, Hoboken., 19(2), 141-149.
https://doi.org/10.1111/psyg.12376
conv_450
Janjušević A, Ćirković I, Lukić I, Janjušević V, Jevtić K, Grgurević A. Predictors of health related-quality of life among elderly with disabilities. in Psychogeriatrics. 2019;19(2):141-149.
doi:10.1111/psyg.12376
conv_450 .
Janjušević, Ana, Ćirković, Ivana, Lukić, Iva, Janjušević, Vesna, Jevtić, Ksenija, Grgurević, Anita, "Predictors of health related-quality of life among elderly with disabilities" in Psychogeriatrics, 19, no. 2 (2019):141-149,
https://doi.org/10.1111/psyg.12376 .,
conv_450 .

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