Abstract
INTRODUCTION: Elderly people is susceptible to poor health outcomes that impair their quality of life (QoL). QoL among the elderly provides information on potential modifiable risk factors that affects later life well-being. This study aims to describe the QoL and related factors of older persons in Malaysia. METHODS: We used a validated instrument of the 19-item Control, Autonomy, Self-realization and Pleasure (CASP-19) scale that measures psychological well-being related to QoL in older persons. Scores range from 0 to 57, and higher scores indicate better QoL. We included potential variables that influence QoL such as sociodemographic, food security, functional limitation, depression scores, social networking and self-reported abuse. Data were analysed in account of sample weights using STATA 15. Linear regression analysis was used to identify psychosocial factors which influence QoL. RESULTS: 3,444 individuals aged 60 years and above completed all CASP-19 items. The estimated mean QoL score was 47.01 (95%CI: 46.30, 47.72). Adjusted for covariates, QoL continued to deteriorate with lower education, probable depression (-1.042, 95%CI: -1.212, -0.871) and food insecurity (-0.815, 95%CI: -1.083, -0.548). QoL continued to improve with improved ADL score (0.302, 95%CI: 0.052, 0.552), IADL score (0.646, 95%CI: 0.382, 0.909) and better social support (0.308, 95%CI: 0.187, 0.429). DISCUSSION: Factors that influence QoL in older Malaysian include Education, depression, food insecurity, functional status and social support. Accessibility to mental health services, active participation in social activities and food banks should be evaluated as potential interventions to enhance QoL.
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@proceedings{APCPH-2019-26, title = {Quality of Life Among the Elderly and Related Factors in Malaysia}, author = {Mohd Hatta Abdul Mutalip and Faizul Akmal Abdul Rahim. and Faizah Paiwai. and Hasmah Mohamed Haris. and Ahzairin Ahmad and MEnvMg and Raja Nurzatul Efah Raja Adnan. and Tan Maw Pin and MRCP}, year = {2019}, date = {2019-07-22}, urldate = {2019-07-22}, journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings}, issue = {6}, abstract = {INTRODUCTION: Elderly people is susceptible to poor health outcomes that impair their quality of life (QoL). QoL among the elderly provides information on potential modifiable risk factors that affects later life well-being. This study aims to describe the QoL and related factors of older persons in Malaysia. METHODS: We used a validated instrument of the 19-item Control, Autonomy, Self-realization and Pleasure (CASP-19) scale that measures psychological well-being related to QoL in older persons. Scores range from 0 to 57, and higher scores indicate better QoL. We included potential variables that influence QoL such as sociodemographic, food security, functional limitation, depression scores, social networking and self-reported abuse. Data were analysed in account of sample weights using STATA 15. Linear regression analysis was used to identify psychosocial factors which influence QoL. RESULTS: 3,444 individuals aged 60 years and above completed all CASP-19 items. The estimated mean QoL score was 47.01 (95%CI: 46.30, 47.72). Adjusted for covariates, QoL continued to deteriorate with lower education, probable depression (-1.042, 95%CI: -1.212, -0.871) and food insecurity (-0.815, 95%CI: -1.083, -0.548). QoL continued to improve with improved ADL score (0.302, 95%CI: 0.052, 0.552), IADL score (0.646, 95%CI: 0.382, 0.909) and better social support (0.308, 95%CI: 0.187, 0.429). DISCUSSION: Factors that influence QoL in older Malaysian include Education, depression, food insecurity, functional status and social support. Accessibility to mental health services, active participation in social activities and food banks should be evaluated as potential interventions to enhance QoL.}, note = {Type: PLENARY AND SYMPOSIUM; Organisation: 1Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, 2Malaysian Research Institute on Ageing, University Putra Malaysia, Serdang, Selangor, 3University of Malaya, Kuala Lumpur.}, keywords = {CASP-19, Elderly, Factors, Quality of Life}, pubstate = {published}, tppubtype = {proceedings} }