Quality of life and its predictors among aging people in urban and rural Nepal (original) (raw)
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https://www.ijhsr.org/IJHSR\_Vol.8\_Issue.11\_Nov2018/IJHSR\_Abstract.028.html, 2018
Introduction: Globally, identifying factors associated with quality of life of senior citizens have become a public health concern. Quality of life (QoL) of senior citizen is affected by many factors associated with age related changes in physical in health status, psychological status and changing social role in family. Thus, this study aims to identify factors associated with QoL of senior citizens. Methodology: This study followed descriptive cross sectional research design. Four hundred sixty two senior citizens aged 70 and above, residing in Tarakeshwor Municipality, Kathmandu was included in a study by using non-probability purposive sampling technique. Data was collected from December 25 th 2017 to March 23 rd 2018 by team members of faculty research through individual interview method by using pretested structured interview guideline in Nepali version. Data was analyzed by using descriptive statistics and inferential statistics specifically Chi square and Pearson's correlation coefficient tests. Results: This study findings shows that most of the senior citizens were self-dependent on their activities of daily living. Likewise, most of them had good relation with spouses, children, and grand children, family as well as with friends and neighbours. Beside this majority of them had never experienced physical torture, insecurity; humiliation, neglect, sadness, stress where as more than two third experienced loneliness and boredom. Nearly half of them had some level of depression. On overall score of quality of life (QoL) revealed that More than four fifth of senior citizens had at fair level of QoL. Factors associated with low QoL of senior citizens were demographical factors such as increased age, female sex, living alone low, education and economic status. Also status of dependency on performing moderate household activities of daily living. Also findings revealed negative relationship between increased level of depression and QoL score. Conclusion: Overall quality of life was fair among these senior citizens. These identified factors as increased age, female sex, living alone, low education and economic status, dependency on performing moderate household activities of daily living and relationship between depression and QoL need to be highly considered while planning health program for senior citizens in Nepalese context from concern authorities.
Assessing the Quality of Life of Elderly People in Different Settings of Chitwan District, Nepal
Journal of Chitwan medical college, 2023
Background: Nepal is experiencing a notable rise in life expectancy and increase the number of elderlies as well. The significance of enhancing the quality of life for the elderly is growing within societies, yet it remains an overlooked matter, particularly in developing nations. The objective of the study was to access and compare the QOL of elderly living with their family and in old age homes. Methods: A cross-sectional analytical study was conducted among 156 elderly (≥60 years) in the Bharatpur Metropolitan, Chitwan, Nepal. A total of 78 elderly were recruited from an old age home, and an equal number from a family setting. WHOQOL-BREF questionnaire was used to assess QOL, and descriptive and inferential statistics were used to analyze the data. Results: Overall QOL among the family setting is better than old age homes (p=0.009). Except for the social relationship domain of OAH, overall QOL and overall health perception were found to be significantly correlated with all domains of QOL (p=0.05 and p=0.01). Age, gender, caste, education, land ownership, high blood sugar, taking various types of medicine, and smoking habit were statistically associated with the different domains of QOL in both groups. Conclusions: Overall QOL tends to be better within a family setting and it is notable that the social domain of QOL is specifically linked to overall health. In order to promote a healthy and fulfilling life for the elderly, it is crucial to prioritize efforts towards improving their health and addressing their physical, psychological, and social wellbeing.
2019
Background The increasing elderly population worldwide is likely to increase mental health problems such as geriatric depression, which has mostly been studied in high-income countries. Similar studies are scarce in low-and-middle-income-countries like Nepal. Methods A cross-sectional, population-based, door-to-door survey was conducted in randomly selected rural and urban population clusters of the Kavre district, Nepal. Trained nurses (field interviewers) administered structured questionnaires that included a validated Nepali version of the Geriatric Depression Scale short form (GDS-15) for identifying geriatric depression among elderly (≥60 years) participants (N=460). Those scoring ≥6 on GDS-15 were considered depressed. Logistic regression analysis explored the associations of geriatric depression with regard to socio-demographic information, life style, family support and physical well-being variables. Results Of the total 460 selected elderly participants, 439 took part in th...
Demographic and socio-economic differentials of quality of life of elderly people in rural Nepal
Background: Quality of life (QOL) is one of the central concepts in ageing research with an increasing elderly population worldwide. Objective: The main objective of this research paper is to assess the different levels of QOL of elderly population in different sociodemographic strata in the rural areas of Nepal. Methods: This is a cross-sectional study carried out in 2017 in Kailali district, Far West Province of Nepal involving 547 elderly. QOL was assessed by World Health Organization Quality of Life-BREF. Results: The mean score of overall QOL index for all respondents was 12.93. On disaggregation of data by selected background variables showed that the mean score of overall QOL index was observed to be highest for the respondents (14.13) who were frequently involved in social activities with low variability [Coefficient of variance (CV) ±0.12]; and the lowest (9.93) for those respondents who were living with other family members (i.e., nephew/niece in law) with the highest variability (CV± 0.18). Variables such as sex, marital status, involvement in social activities, involvement of decision making in the family, living arrangement, caste/ethnicity, educational status, medical care and land property ownership were positively correlated with QOL. On the other hand age, household size, elderly abuse, stress in life and old age security allowance was negatively correlated with QOL. Conclusions: Policy makers and programme managers need to prioritize investments in healthcare and dealing with the stress of elderly people to improve their QOL.
2020
Background The ageing population in most low-and middle-income countries is accompanied by an increased risk of non-communicable diseases culminating in a poor quality of life. However, the factors accelerating this poor quality of life (QOL) have not been fully examined. Therefore, this study examined the factors influencing the quality of life of Nepali older adults. Methods Data from a previous cross-sectional study, conducted between January and April 2018 in eastern Nepal, was used. The analytical sample included 794 older adults aged ≥60 years, selected by a multi-stage cluster sampling approach. QOL was measured using the Older People’s Quality of Life tool; dichotomized as poor and good QOL. Other measures used included age, gender, ethnicity, religion, marital status, physical activity and chronic diseases such as osteoarthritis, cardiovascular disease, diabetes, chronic obstructive pulmonary disease (COPD), and depression. The factors associated with quality of life were e...
Factors Associated with Geriatric Depression in Rural Nepal: A Cross-Sectional Community Survey
2022
Objective: To estimate the prevalence and factors associated with depression among the geriatric population in rural Nepal. Materials and Methods: A community-based cross-sectional study design was conducted in Thabang Rural Municipality of Rolpa District. A total of 405 elderly persons above the age of 60 years were interviewed. The respondents were administered through the Geriatric Depression Scale (GDS-15) and sociodemographic questionnaire. Logistic regression analysis was used to determine the factors associated with geriatric depression. Results: The prevalence of depression was found to be 68.04%. Sociodemographic characteristics such as age (OR 2.25; 95% CI 1.27 to 3.98 p<0.005), gender (OR 2.60; 95% CI 1.27 to 3.98, p<0.005), presence of chronic disease (OR 2.79; 95% CI 1.64 to 4.76, p<0.001), income sufficiency (OR 2.81; 95% CI 1.69 to 4.68, p<0.001), and health service access (OR 4.72; 95% CI 2.75 to 8.11, p<0.001) were significantly associated with geriatric depression. Conclusion: The present study suggests that as depression is a significant issue amongst the elderly, standard routine health screening activities should be conducted. The study suggests stakeholders to design strategies that encourage healthy aging in Nepal. Keywords: Depression; Elderly; Rural Nepal; GDS-15
2019
Background: The increasing elderly population worldwide is likely to increase mental health problems such as geriatric depression, which has mostly been studied in high-income countries. Similar studies are scarce in low-and-middle-income-countries like Nepal. Methods: A cross-sectional, population-based, door-to-door survey was conducted in randomly selected rural and urban population clusters of the Kavre district, Nepal. Trained nurses (field interviewers) administered structured questionnaires that included a validated Nepali version of the Geriatric Depression Scale short form (GDS-15) for identifying geriatric depression among the elderly (≥60 years) participants (N=460). Those scoring ≥6 on GDS-15 were considered depressed. Logistic regression analysis explored the associations of geriatric depression with regard to sociodemographic information, life style, family support and physical well-being. Results: Of the total 460 selected elderly participants, 439 (95.4%) took part in the study. More than half of them were females (54.2%). The mean age was 70.9 (± 8.6) years. Approximately half (50.6%) were rural inhabitants, the majority (86.1%) were illiterate, and about three-fifths (60.1%) were living with their spouses. The gender-and-age adjusted prevalence of geriatric depression was 53.1%. Geriatric depression was significantly associated with rural habitation (AOR 1.6), illiteracy (AOR 2.1), limited time provided by families (AOR 1.8), and exposure to verbal and/or physical abuse (AOR 2.6). Conclusion: Geriatric depression is highly prevalent in Kavre, Nepal. The findings call for urgent prioritization of delivery of elderly mental health care services in the country.
Quality of life and associated factors amongst older adults in a remote community, Nepal
Journal of Health Research
PurposeThe purpose of the study is to assess the quality of life (QOL) of older adults and explore factors associated with it.Design/methodology/approachA cross-sectional study was conducted in a remote community in Nepal. A total of 671 older adults aged 60 years were enrolled in the study. QOL was measured by WHOQOL-OLD questionnaire. Data were analyzed using multiple logistic regression.FindingsMost participants were female (53.0%), illiterate (70.6%), married (64.2%) and living with family (59.3%). Among participants, 82.4% had fair QOL, and the autonomy domain received the lowest score (average = 10.98). After adjusting the model, the elderly aged <70 years had 11.07 times better QOL (aOR = 11.070; 95% CI = 2.546–48.123), elderly with high sufficient income had 2.73 times better QOL (aOR = 2.738; 95% CI = 1.183–6.337) and elderly free from depression had 9.45 times better QOL (aOR = 9.452; 95% CI = 3.466–25.773) compared to their counterparts. The elderly receiving social su...
Prevalence and Correlates of Depression among Nepalese Rai Older Adults
Gerontology & Geriatric Research, 2013
Introduction: Depression is a common public health issue with the increasing life expectancy worldwide and depression is associated with morbidity as well as disability among the elderly. There are very few studies related with depression among elderly from developing countries. Objective: The purpose of this study was to analyze the situation of depression and its correlates among the Nepali Rai elderly. Methods: This is a cross-sectional study carried out in 2010. Data were collected by face-to-face interview in using Geriatric Depression Scale (GDS) and prepared with a translation and back translation technique from English into Nepalese. The data were analyzed using percentage, mean, simple correlation and regression. Results: The subjects (N=165) were member of the Rai caste/ethnicity living in Kathmandu valley, aged 60 years and above. Mean age of the subjects was 69.77 (± 5.75) years and 52 % were male. The average family size was 4.47 and more than 70 percent (73.3%) elderly were living with their family members. Finding shows the prevalence of depression among Nepalese Rai older adults was 29.7 %. A statistically significant correlation was found between feelings of depression with age, sex, marital status, family size, instrumental activities of daily living (IADL), loneliness and participation in household activities. Regression analysis shows that higher the age, larger the family size, being widow/widower, higher the dependency in IADL and illiteracy were associated with depression. Conclusion: The present results indicate many Nepalese older adult experiences some form of depression although they are living in the joint family size. However, this result may not be generalized to the greater population of Nepalese older adults and the external validity of the GDS Scale is an important criterion to examine in future research
Depression and its Associated Risk Factors among Residents of a Geriatric Home in Western Nepal
Journal of Lumbini Medical College
Introduction: Elderly people suffer from many acute and chronic illnesses and also show higher prevalence of depression. The trend of old age homes is rising in Nepal. The aim of this study was to assess depression in the residents of a geriatric home and compare it to that in the elderly population living in their own homes. Methods: This was an observational cross-sectional study in which residents of a geriatric home above 60 years of age were selected as cases, and those living in their own homes were selected from the local community as a comparison group. Depression was measured with Geriatric Depression Scale (GDS) comprising 30 questions. Chi-square (or Fisher Exact) test was used to compare categorical variables. Results: There were 52 participants in both groups. Thirty-six (69.2%) participants from the study group had depression whereas only 10 (19.2%) from the comparison group had depression. This difference was statistically significant, the odds ratio being 9.45. Concl...