Health Related Quality of Life and it’s Correlates among Older Adults in Rural Pathanamthitta District, India: a Cross Sectional Study Using SF-36
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Data on health-related quality of life (HRQL) from India are limited. We conducted this community based cross sectional study to find out the HRQL and its correlates among older adults in one of the most advanced Indian districts in epidemiologic and demographic transition. We selected 300 older adults aged ≥60 years using a multi stage cluster sampling technique from Pathanamthitta district. Information on socio-demographics and self reported morbidity was collected using a structured interview schedule. HRQL was collected using a validated Short Form (SF)-36. We used multiple linear regression analysis to find out the correlates of HRQL. Mean age of the sample was 70 years (SD 8.4). The study constituted 58% women. The mean score of SF-36 subscales ranged from 28.8 for role physical to 78.2 for role emotional. Compared to mean physical component summary (PCS) score (42.2), mean mental component summary (MCS) score (61.2) was higher. Most of the SF-36 component scores were significantly higher among men, better educated, employed, those who lived with spouse, those who did not report chronic illness and those who belonged to upper caste compared to their counterparts. However, significance of physical component summary (PCS) and mental component summary (MCS) scores was limited to better educated, employed and those who belonged to upper caste. The SF-36 scores on HRQL from this district are likely to be an upper estimate.
KeywordsHealth related quality of life SF-36 Older adults Pathanamthitta India
Compliance with Ethical Standards
Conflict of Interest
There are no conflicts of interest.
Written informed consent was obtained from all the participants before the study.
Ethical Treatment of Experimental Subjects (Animal and Human)
Ethical clearance for the study was obtained from Institute Ethics Committee of a national institute.
- Aghamolaei, T., Tavafian, S. S., & Zare, S. (2010). Health related quality of life in elderly people living in Bandar Abbas, Iran: A population-based study. Acta Medica Iranica, 48(3), 185–191.Google Scholar
- Bennett, S., Woods, T., Liyanage, W. M., & Smith, D. L. (1991). A simplified general method for cluster-sample surveys of health in developing countries. World Health Statistics Quarterly, 44(3), 98–106.Google Scholar
- Bullinger, M., Alonso, J., Apolone, G., Leplège, A., Sullivan, M., Wood-Dauphinee, S., Gandek, B., Wagner, A., Aaronson, N., Bech, P., Fukuhara, S., Kaasa, S., & Ware Jr., J. E. (1998). Translating health status questionnaires and evaluating their quality: The international quality of life assessment project approach. Journal of Clinical Epidemiology, 51(11), 913–923.CrossRefGoogle Scholar
- George, S., Leelamoni, K., & Paul, N. (2016). Determinants of quality of life of elderly in a rural population of Kerala, India. National Journal of Research in Community Medicine, 5(1), 46–51.Google Scholar
- Ghosh, D. (2015). Impact of gender aspect on self-perceived quality of life of elderly. MPRA paper no. 66686,14:19 UTC.Google Scholar
- Guilmoto, C.Z., & Rajan, I. (2013). « Fertility at district level in India: Lessons from the 2011 census », Working paper du CEPED, n°30, UMR 196 CEPED, Université Paris Descartes, INED, IRD), Paris;2013. http://www.ceped.org/wp. Accessed 15 May 2017.
- Heydari, J., Khani, S., & Shahhosseini, Z. (2012). Health-related quality of life of elderly living in nursing home and homes in a district of Iran: Implications for policy makers. Indian Journal of Science and Technology, 5(5), 2782–2787.Google Scholar
- International Institute for Population Studies. (2013). Study on global ageing and adult health (SAGE) wave 1 India National Report. Geneva: World Health Organization.Google Scholar
- Kannan, K. P., Thankappan, K. R., Ramankutty, V., & Aravindan, K. P. (1991). Health and development in rural Kerala: A study of the linkages between socioeconomic status and health status. Trivandrum: Kerala Sastra Sahithya Parishad.Google Scholar
- Liu, N., Zeng, L., Li, Z., & Wang, J. (2013). Health-related quality of life and long-term care needs among elderly individuals living alone: A cross-sectional study in rural areas of Shaanxi Province, China. BMC Public Health, 13, 313. https://doi.org/10.1186/1471-2458-13-313.CrossRefGoogle Scholar
- McDaid, O., Hanly, M. J., Richardson, K., Kee, F., Kenny, R. A., & Savva, G. M. (2013). The effect of multiple chronic conditions on self-rated health, disability and quality of life among the older populations of Northern Ireland and the Republic of Ireland: A comparison of two nationally representative cross-sectional surveys. BMJ Open, 3(6), 6. https://doi.org/10.1136/bmjopen-2013-002571.CrossRefGoogle Scholar
- Office of the registrar general and census commissioner, India (2013). Appendix SRS Based Life Table 2009–13. Available from: http://www.censusindia.gov.in/vital_statistics/Appendix_SRS_Based_Life_Table.html
- Registrar General of India. Census of India (2011). http://www.censusindia.gov.in. Accessed 10 May 2017.
- Shapiro, E. T., Richmondm, J. C., Rockett, S. E., McGrath, M. M., & Donaldson, W. R. (1996). The use of a generic, patient-based health assessment (SF-36) for evaluation of patients with anterior cruciate ligament injuries. The American Journal of Sports Medicine, 24(2), 196–200.CrossRefGoogle Scholar
- Thankappan, K. R., Shah, B., Mathur, P., Sarma, P. S., Srinivas, G., Mini, G. K., et al. (2010). Risk factor profile for chronic non-communicable diseases: Results of a community-based study in Kerala, India. Indian Journal of Medical Research, 131(1), 53–63.Google Scholar
- Varma, G. R., Kusuma, Y. S., & Babu, B. V. (2010). Health-related quality of life of elderly living in the rural community and homes for the elderly in a district of India. Application of the short form 36 (SF-36) health survey questionnaire. Zeitschrift für Gerontologie und Geriatrie, 43(4), 259–263.CrossRefGoogle Scholar
- Vijayakumar, G., Arun, R., & Kutty, V. R. (2009). High prevalence of type 2 diabetes mellitus and other metabolic disorders in rural Central Kerala. Journal of the Association of Physicians of India, 57, 563–567.Google Scholar
- Ware, J. E., Snow, K. K., Kosinski, M., & Gandek, B. (1993). SF-36 Health Survey Manual and Interpretation Guide. Boston: New England Medical Center, The Health Institute.Google Scholar
- Zachariah, K.C., & Rajan, S.I. (2008). Costs of basic services in Kerala 2007, education, health, childbirth and finance (loans). Working paper 406, Centre for Development Studies, Thiruvananthapuram. Available from: www.cds.edu.