Skip to main content
Log in

Factors affecting perceived quality of life of older persons with self-reported visual disability

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Purpose

The purpose of this paper was to determine the extent to which factors thought to be related to quality of life (QoL) among older persons with a visual disability impact on their perceived QoL (PQol).

Method

Analysis was conducted on responses from the second wave of a large population-based longitudinal study of those aged 57–72 years (i.e., HWR Study). The sample was split between those who identified as having difficulty seeing newsprint (n = 265) and those who did not (n = 1987). The groups were compared on 11 variables thought to affect QoL plus their response to a single-item measure of PQoL. Variables found to differ across the groups were entered into a standard multiple regression to determine the extent to which they predicted PQoL among those who had difficulty seeing.

Results and conclusions

Significant differences were found between the groups on PQoL and seven of the other variables assessed. Of those, three were found to make a significant and unique contribution to the prediction of PQoL. These were satisfaction with life, ability to get around, and number of diagnosed health conditions reported in that order. Together, they accounted for 64% of the observed variance in PQoL.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Horowitz, A., Brennan, M., & Reinhardt, J. P. (2005). Prevalence and risk factors for self-reported visual impairment among middle–aged older adults. Research on Aging, 27, 307–326.

    Article  Google Scholar 

  2. LaForge, R. G., Spector, W. D., & Sternberg, J. (1992). The relationship of vision and hearing impairment to one-year mortality and functional decline. Journal of Aging and Health, 4, 126–148.

    Article  Google Scholar 

  3. Jin, Y. P., & Wong, D. T. (2008). Self-reported visual impairment in elderly canadians and its impact on healthy living. Canadian Journal of Ophthalmology, 48, 407–413.

    Article  Google Scholar 

  4. Crews, J. E. (1994). The demographic, social and conceptual contexts of aging and vision loss. Journal of the American Optometric Association, 65, 63–68.

    PubMed  CAS  Google Scholar 

  5. Branch, L. G., Horowitz, A., & Carr, C. (1989). The implications for everyday life of incident self-reported visual decline among people over age 65 living in the community. The Gerontologist, 29, 359–365.

    PubMed  CAS  Google Scholar 

  6. Crews, J. E., & Campbell, V. A. (2001). Health conditions, activity limitations, and participation restrictions among older people with visual impairments. Journal of Visual Impairment and Blindness, 95, 453–467.

    Google Scholar 

  7. Wang, J. J., Mitchell, P., & Smith, W. (2000). Vision and low self-rated health: the Blue Mountains Eye Study. Investigative Ophthalmology and Visual Science, 41, 49–54.

    PubMed  CAS  Google Scholar 

  8. Good, G. A., La Grow, S., & Alpass, F. (2008). An age-cohort study of older adults with visual impairments: Activity, independence and life satisfaction. Journal of Visual Impairment and Blindness, 102, 517–527.

    Google Scholar 

  9. Bekibele, C. O., & Gureje, O. (2008). Impact of self-reported visual impairment on quality of life in the Ibadan study of ageing. British Journal of Ophthalmology, 92, 612–615.

    Article  PubMed  CAS  Google Scholar 

  10. Chia, E. M., Wang, J. J., Rochtchina, E., Smith, W., Cumming, R. R., & Mitchell, P. (2004). Impact of bilateral visual impairment on health-related quality of life: The blue mountains eye study. Investigative Ophthalmology and Visual Science, 45, 71–76.

    Article  PubMed  Google Scholar 

  11. Frost, A., Eachus, J., Sparrow, J., Peters, T. J., Hopper, C., Davey-Smith, G., et al. (2001). Vision-related quality of life impairment in an elderly UK population: Associations with age, sex, social class and material deprivation. Eye, 15, 739–744.

    PubMed  CAS  Google Scholar 

  12. Knudtson, M. D., Klein, B. E. K., Klein, R., Cruikshanks, K. J., & Lee, K. E. (2005). Age-related eye disease, quality of life, and functional activity. Archives of Ophthalmology, 123, 807–814.

    Article  PubMed  Google Scholar 

  13. La Grow, S., Alpass, F., & Stevenson, C. (2009). Economic standing, health status and social isolation among visually impaired persons aged 55 to 70 in New Zealand. Journal of Optometry, 2, 155–158.

    Article  Google Scholar 

  14. Carabellese, C., Appolloni, I., Rozzini, R., Bianchetti, A., Frisoini, G. B., Frattola, L., et al. (1993). Sensory impairment and quality of life in a community elderly population. Journal of the American Geriatrics Society, 41, 401–407.

    PubMed  CAS  Google Scholar 

  15. Stelmack, J. A., Stelmack, T. R., & Massof, R. W. (2002). Measuring low-vision rehabilitationoutcomes with the NEI VFQ-25. Investigative Ophthalmology and Visual Science, 43, 2859–2868.

    PubMed  Google Scholar 

  16. Bowling, A. (1997). Measuring health: A review of quality of life measurement scales (2nd ed.). Buckingham, UK: Open University Press.

    Google Scholar 

  17. de Boer, M. R., Moll, A. C., de Vet, H. C., Terwee, C. B., Volker-Dieben, H. J., & van Rens, G. H. (2004). Psychometric properties of vision-related quality of life questionnaires: A systematic review. Ophthalmic and Physiological Optics, 24, 257–273.

    Article  PubMed  Google Scholar 

  18. La Grow, S. (2007). Predicting perceived quality of life scores from the National Eye Institute 25-item visual function questionnaire. Optometry and Vision Science, 84, 785–788.

    Article  PubMed  Google Scholar 

  19. de Boer, A. G. E. M., van Lanschot, J. J. B., Stalmeier, P. F. M., van Sandick, J. W., Hulscher, J. B. F., de Haes, J. C. J. M., et al. (2004). Is a single-item visual analogue scale as valid, reliable and responsive as multi-item scales in measuring quality of life? Quality of Life Research, 13, 311–320.

    Article  PubMed  Google Scholar 

  20. Sloan, J. A., Aaronson, N., Cappelleri, J. C., Fairclough, D. L., & Varricchio, C. (2002). Assessing the clinical significance of single items relative to summated scores. Mayo Clinic Proceedings, 77, 479–487.

    Article  PubMed  Google Scholar 

  21. Crane, H. M., Van Rompaey, S. E., Dillingham, P. W., Herman, E., Diehr, P., & Kitahata, M. M. (2006). A single-item measure of health-related quality-of-life for HIV-infected patients in routine clinical care. AIDS Patient Care and STDs, 20, 161–174.

    Article  PubMed  Google Scholar 

  22. Alpass, F. M., Stephens, C., Towers, A. J., & Noone, J. H. (2009). The health effects of reason for retirement on older New Zealand workers. The Journal of Nutrition, Health and Ageing, 2009(1), S195–S196.

    Google Scholar 

  23. Health, Work and Retirement Longitudinal Study. (2009). About the Study. Available at http://hwr.massey.ac.nz. Accessed March 30, 2009.

  24. Jensen, J., Spittal, M., Crichton, S., Sathiyandra, S., & Krishnan, V. (2002). Direct measurement of living standards: the New Zealand ELSI scale. Ng whakaaturanga ahuatanga noho. Wellington, New Zealand: The Ministry of Social Development. Te Manata Whakahiato Ora.

    Google Scholar 

  25. Ware, J. E., Kosinski, M., & Dewey, J. E. (2000). How to score version 2 of the SF36® health survey. Lincoln, RI: Quality Metric Incorporated.

    Google Scholar 

  26. Cutrona, C. E., & Russell, D. W. (1987). The provisions of social relationships and adaptation to stress. Advances in Personal Relationships, 1, 37–67.

    Google Scholar 

  27. Pallant, J. (2001). SPS survival manual: A step by step guide to data analysis using SPSS. Crows Nest, NSW, Australia: Allen and Unwin.

    Google Scholar 

  28. Tabachnick, B. G. (2007). Fidell LS. Using multivariate statistics (5th ed.). Boston: Pearson Education Inc.

    Google Scholar 

  29. Cohen, J. W. (1988). Statistical power analysis for the behavioural sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  30. Higgins, K. E., & Bailey, I. L. (2000). Visual disorder and performance of specific tasks requiring vision. In B. Silverstone, M. A. Lang, B. P. Rosenthal, & E. E. Faye (Eds.), The lighthouse handbook on vision impairment and vision rehabilitation (pp. 287–316). Oxford: Oxford University Press.

    Google Scholar 

  31. La Grow, S. J., & Weessies, M. J. (1994). Orientation and mobility: Techniques for independence. Palmerston North, New Zealand: Dunmore Press.

    Google Scholar 

  32. Massoff, R. W. (2002). A model of prevalence and incidence of low vision and blindness among adults in the US. Optometry and Vision Science, 79, 31–38.

    Article  Google Scholar 

Download references

Acknowledgments

The Health, Work and Retirement Study was funded by the New Zealand Health Research Council.

Conflicts of interest

The authors declare that they have no conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Steven La Grow.

Rights and permissions

Reprints and permissions

About this article

Cite this article

La Grow, S., Alpass, F., Stephens, C. et al. Factors affecting perceived quality of life of older persons with self-reported visual disability. Qual Life Res 20, 407–413 (2011). https://doi.org/10.1007/s11136-010-9758-6

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-010-9758-6

Keywords

Navigation