Key Predictors of Quality of Life Among the Elderly in Kampar regency: A Multidimensional Approach
DOI:
10.29303/jppipa.v11i4.11005Published:
2025-04-25Issue:
Vol. 11 No. 4 (2025): AprilKeywords:
Elderly, Key predictors, Quality of lifeResearch Articles
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Abstract
This research investigates many factors that affect the quality of life of the elderly in Kampar Regency, Riau. This research, with 402 people aged 60 and above, indicated that the elderly's perception of their own health is the most significant predictor of their overall health-related quality of life. Social support—assistance from family, friends, and the community has been shown to be very impactful, highlighting the significance of social connections for well-being in later life. Leisure activities —spanning from morning walks to engaging in religious practices or gardening—substantially enhance well-being. Interestingly, the elderly's perception of justice in healthcare services also affects their quality of life. Elderly individuals who feel that access to healthcare services is distributed fairly tend to have a better quality of life. Meanwhile, aging does show negative effects, but this emphasizes the importance of programs that specifically target the needs of the elderly across various age groups, especially the very elderly. The utilization of community-based care services also plays an important role in improving the quality of life, demonstrating the value of a local support system that is easily accessible to the elderly. These findings provide a comprehensive picture of what is truly important for the elderly in Kampar Regency, and can serve as a foundation for the development of more effective programs to enhance well-being in old age.
References
Adams, K. B., Leibbrandt, S., & Moon, H. (2011). A critical review of the literature on social and leisure activity and wellbeing in later life. Ageing & Society, 31(4), 683–712. https://doi.org/10.1017/S0144686X10001091
Allin, S., Masseria, C., & Mossialos, E. (2011). Equity in health care use among older people in the UK: An analysis of panel data. Applied Economics, 43(18), 2229–2239. https://doi.org/10.1080/00036840903196621
Bowling, A. (2011). Do older and younger people differ in their reported well-being? A national survey of adults in Britain. Family Practice, 28(2), 145–155. https://doi.org/10.1093/fampra/cmq082
Bowling, A. (2014). Research methods in health: Investigating health and health services (4th ed.). Open University Press. Retrieved from https://eprints.soton.ac.uk/371922/
BPS, K. (2024). Kabupaten Kampar Dalam Angka Tahun 2024. Badan Pusat Statistik Kabupaten Kampar. Retrieved from https://kamparkab.bps.go.id/publication/2021/02/26/139190ffa3d30e682998f14d/kabupaten-kampar-dalam-angka-2021.html
Cepeda-Carrión, G., Hair, J. F., Ringle, C. M., Roldán, J. L., & Garc’ia-Fernández, J. (2022). Guest editorial: Sports management research using partial least squares structural equation modeling (PLS-SEM). International Journal of Sports Marketing and Sponsorship, 23(2), 229–240. https://doi.org/10.1108/ijsms-05-2022-242
Cochrane, A., Furlong, M., McGilloway, S., Molloy, D. W., Stevenson, M., & Donnelly, M. (2016). Time‐limited home‐care reablement services for maintaining and improving the functional independence of older adults. Cochrane Library. https://doi.org/10.1002/14651858.CD010825.pub2
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Routledge. https://doi.org/10.4324/9780203771587
Dai, H., Jia, G., & Liu, K. (2015). Health-related quality of life and related factors among elderly people in Jinzhou, China: A cross-sectional study. Public Health, 129(6), 667–673. https://doi.org/10.1016/j.puhe.2015.02.022
Dambi, J. M., Corten, L., Chiwaridzo, M., Jack, H., Mlambo, T., & Jelsma, J. (2018). A systematic review of the psychometric properties of the cross-cultural translations and adaptations of the Multidimensional Perceived Social Support Scale (MSPSS. Health and Quality of Life Outcomes, 16(1), 80. https://doi.org/10.1186/s12955-018-0912-0
Fincham, J. E. (2008). Response Rates and Responsiveness for Surveys Standards, and the Journal. American Journal of Pharmaceutical Education, 72(2). https://doi.org/10.5688/aj720243
Friedman, E. M., Ruini, C., Foy, R., Jaros, L., Sampson, H., & Ryff, C. D. (2017). Lighten UP! A community-based group intervention to promote psychological well-being in older adults. Aging & Mental Health, 21(2), 199–205. https://doi.org/10.1080/13607863.2015.1093605
Friedman, S. M., Steinwachs, D. M., Rathouz, P. J., Burton, L. C., & Mukamel, D. B. (2005). Characteristics predicting nursing home admission in the program of all-inclusive care for elderly people. The Gerontologist, 45(2), 157–166. https://doi.org/10.1093/geront/45.2.157
Hertzog, C., Kramer, A. F., Wilson, R. S., & Lindenberger, U. (2008). Enrichment Effects on Adult Cognitive Development: Can the Functional Capacity of Older Adults Be Preserved and Enhanced? Psychological Science in the Public Interest, 9(1), 1–65. https://doi.org/10.1111/j.1539-6053.2009.01034.x
Hosmer, J., W, D., Lemeshow, S., & Sturdivant, R. X. (2013). Applied Logistic Regression. John Wiley & Sons.
Hung, J. (2023). Smart Elderly Care Services in China: Challenges, Progress, and Policy Development. Sustainability, 15(1). https://doi.org/10.3390/su15010178
Hwang, J., Wang, L., Siever, J., Medico, T. Del, & Jones, C. A. (2019). Loneliness and social isolation among older adults in a community exercise program: A qualitative study. Aging & Mental Health, 23(6), 736–742. https://doi.org/10.1080/13607863.2018.1450835
Ibrahim, N., Din, N. C., Ahmad, M., Ghazali, S. E., Said, Z., Shahar, S., Ghazali, A. R., & Razali, R. (2013). Relationships between social support and depression, and quality of life of the elderly in a rural community in Malaysia. Asia-Pacific Psychiatry: Official Journal of the Pacific Rim College of Psychiatrists, 5(1), 59–66. https://doi.org/10.1111/appy.12068
Iwasaki, Y., & Mannell, R. C. (2000). Hierarchical Dimensions of Leisure Stress Coping. Leisure Sciences, 22(3), 163–181. https://doi.org/10.1080/01490409950121843
Khan, A. R., & Tahir, I. (2014). Influence of social factors to the quality of life of the elderly in Malaysia. The Open Medicine Journal, 1(1). Retrieved from https://benthamopen.com/ABSTRACT/MEDJ-1-29
Lee, K. H., Xu, H., & Wu, B. (2020). Gender differences in quality of life among community-dwelling older adults in low- and middle-income countries: Results from the Study on global AGEing and adult health (SAGE. BMC Public Health, 20(1), 114. https://doi.org/10.1186/s12889-020-8212-0
Liljas, A. E. M., Walters, K., Jovicic, A., Iliffe, S., Manthorpe, J., Goodman, C., & Kharicha, K. (2017). Strategies to improve engagement of ‘hard to reach’ older people in research on health promotion: A systematic review. BMC Public Health, 17(1), 349. https://doi.org/10.1186/s12889-017-4241-8
Litwin, H., & Shiovitz-Ezra, S. (2011). Social network type and subjective well-being in a national sample of older Americans. The Gerontologist, 51(3), 379–388. https://doi.org/10.1093/geront/gnq094
Liu, L.-J., & Guo, Q. (2008). Life satisfaction in a sample of empty-nest elderly: A survey in the rural area of a mountainous county in China. International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 17(6), 823–830. https://doi.org/10.1007/s11136-008-9370-1
Ma, J., & Liang, L. (2019). The Evolution of China’s Aged Service Supply Model (pp. 275–278). https://doi.org/10.2991/ichssd-19.2019.55
Makai, P., Brouwer, W. B., Koopmanschap, M. A., Stolk, E. A., & Nieboer, A. P. (2014). Quality of life instruments for economic evaluations in health and social care for older people: A systematic review. Social Science & Medicine, 102, 83–93. https://doi.org/10.1016/j.socscimed.2013.11.050
Marek, K. D., Popejoy, L., Petroski, G., Mehr, D., Rantz, M., & Lin, W.-C. (2005). Clinical outcomes of aging in place. Nursing Research, 54(3), 202–211. https://doi.org/10.1097/00006199-200505000-00008
Netuveli, G., & Blane, D. (2008). Quality of life in older ages. British Medical Bulletin, 85, 113–126. https://doi.org/10.1093/bmb/ldn003
Noh, E.-Y., Park, Y.-H., Cho, B., Huh, I., Lim, K.-C., Ryu, S. I., Han, A.-R., & Lee, S. (2021). Effectiveness of a community-based integrated service model for older adults living alone: A nonrandomized prospective study. Geriatric Nursing, 42(6), 1488–1496. https://doi.org/10.1016/j.gerinurse.2021.10.006
Nygren, B., Aléx, L., Jonsén, E., Gustafson, Y., Norberg, A., & Lundman, B. (2005). Resilience, sense of coherence, purpose in life and self-transcendence in relation to perceived physical and mental health among the oldest old. Aging & Mental Health, 9(4), 354–362. https://doi.org/10.1080/1360500114415
Onunkwor, O. F., Al-Dubai, S. A. R., George, P. P., Arokiasamy, J., Yadav, H., Barua, A., & Shuaibu, H. O. (2016). A cross-sectional study on quality of life among the elderly in non-governmental organizations’ elderly homes in Kuala Lumpur. Health and Quality of Life Outcomes, 14, 6. https://doi.org/10.1186/s12955-016-0408-8
Rey-Beiro, S., & Martínez-Roget, F. (2024). Rural-urban differences in older adults’ life satisfaction and its determining factors. Heliyon, 10(9). https://doi.org/10.1016/j.heliyon.2024.e30842
Rony, M. K. K., Parvin, M. R., Wahiduzzaman, M., Akter, K., & Ullah, M. (2024). Challenges and Advancements in the Health-Related Quality of Life of Older People. Advances in Public Health, 1–18. https://doi.org/10.1155/2024/8839631
Sala, G., Jopp, D., Gobet, F., Ogawa, M., Ishioka, Y., Masui, Y., Inagaki, H., Nakagawa, T., Yasumoto, S., & Ishizaki, T. (2019). The impact of leisure activities on older adults’ cognitive function, physical function, and mental health. PloS One, 14(11), 225006. https://doi.org/10.1371/journal.pone.0225006
Schmidt, S., Mühlan, H., & Power, M. (2006). The EUROHIS-QOL 8-item index: Psychometric results of a cross-cultural field study. European Journal of Public Health, 16(4), 420–428. https://doi.org/10.1093/eurpub/cki155
Silverstein, M., & Parker, M. G. (2002). Leisure activities and quality of life among the oldest old in Sweden. Research on Aging, 24(5), 528–547. https://doi.org/10.1177/0164027502245003
Siqeca, F., Yip, O., Mendieta, M. J., Schwenkglenks, M., Zeller, A., Geest, S., Zúñiga, F., Stenz, S., Briel, M., Quinto, C., Blozik, E., Deschodt, M., Obas, K., & Dhaini, S. (2022). Factors associated with health-related quality of life among home-dwelling older adults aged 75 or older in Switzerland: A cross-sectional study. Health and Quality of Life Outcomes, 20(1), 166. https://doi.org/10.1186/s12955-022-02080-z
Skevington, S. M., Lotfy, M., & O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A Report from the WHOQOL Group. Quality of Life Research, 13(2), 299–310. https://doi.org/10.1023/B:QURE.0000018486.91360.00
Song, H., & Li, Z. (2023). Community-based service, psychological resilience and life satisfaction among Chinese older adults: A longitudinal study. Geriatric Nursing, 54, 148–154. https://doi.org/10.1016/j.gerinurse.2023.09.004
Sun, W., Aodeng, S., Tanimoto, Y., Watanabe, M., Han, J., Wang, B., Yu, L., & Kono, K. (2015). Quality of life (QOL) of the community-dwelling elderly and associated factors: A population-based study in urban areas of China. Archives of Gerontology and Geriatrics, 60(2), 311–316. https://doi.org/10.1016/j.archger.2014.12.002
Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53–55. https://doi.org/10.5116/ijme.4dfb.8dfd
Wang, X., & Cheng, Z. (2020). Cross-sectional studies: strengths, weaknesses, and recommendations. Chest, 158(1), S65--S71. https://doi.org/10.1016/j.chest.2020.03.012
Wang, Y., Wang, J., Maitland, E., Zhao, Y., Nicholas, S., & Lu, M. (2012). Growing old before growing rich: Inequality in health service utilization among the mid-aged and elderly in Gansu and Zhejiang Provinces, China. BMC Health Services Research, 12(1), 302. https://doi.org/10.1186/1472-6963-12-302
Watkinson, R. E., Sutton, M., & Turner, A. J. (2021). Ethnic inequalities in health-related quality of life among older adults in England: Secondary analysis of a national cross-sectional survey. The Lancet Public Health, 6(3), 145– 154. Retrieved from https://www.thelancet.com/article/S2468-2667(20)30287-5/fulltext
WHO. (2024). Ageing and health. World Health Organization Regional Office for South-East. Retrieved from https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
Woo, J., Chan, R., Leung, J., & Wong, M. (2010). Relative contributions of geographic, socioeconomic, and lifestyle factors to quality of life, frailty, and mortality in elderly. PLoS One, 5(1), 8775. https://doi.org/10.1371/journal.pone.0008775
Xia, Y., Wang, G., & Yang, F. (2024). A nationwide study of the impact of social quality factors on life satisfaction among older adults in rural China. Scientific Reports, 14(1), 11614. https://doi.org/10.1038/s41598-024-61398-4
Zaninotto, P., Falaschetti, E., & Sacker, A. (2009). Age trajectories of quality of life among older adults: Results from the English Longitudinal Study of Ageing. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 18(10), 1301–1309. https://doi.org/10.1007/s11136-009-9543-6
Zhan, H. J., Liu, G., Guan, X., & Bai, H. (2006). Recent developments in institutional elder care in China: Changing concepts and attitudes. Journal of Aging & Social Policy, 18(2), 85–108. https://doi.org/10.1300/J031v18n02_06
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52(1), 30–41. https://doi.org/10.1207/s15327752jpa5201_2
Zon, S. K. R., Scholtens, S., Reijneveld, S. A., Smidt, N., & Bültmann, U. (2016). Active recruitment and limited participant-load related to high participation in large population-based biobank studies. Journal of Clinical Epidemiology, 78, 52–62. https://doi.org/10.1016/j.jclinepi.2016.03.009
Author Biographies
Indrawati, Universitas Pahlawan Tuanku Tambusai
Gusman Virgo, Universitas Pahlawan Tuanku Tambusai
Putri Eka Sudiarti, Universitas Pahlawan Tuanku Tambusai
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