The University of Southampton
University of Southampton Institutional Repository

Quality of life in older outpatients living alone in the community in Italy

Quality of life in older outpatients living alone in the community in Italy
Quality of life in older outpatients living alone in the community in Italy
There is limited knowledge on the relationship between the living conditions of community-dwelling older people and their quality of life (QOL) considered in all its specific domains. The purpose of this study was to determine (1) which dimensions of QOL were independently associated with living alone and (2) the independent correlates of these dimensions of QOL amongst older outpatients. We conducted a cross-sectional survey of 239 community-dwelling outpatients aged 65+ (mean age 81.5 years) consecutively referred to a geriatric medicine clinic in Italy between June and November 2009 (response rate 93%). Subjects underwent a comprehensive geriatric assessment including QOL, which was evaluated by using the Older People’s QOL questionnaire. In multivariate logistic regression analyses, living alone was associated with the lowest score-based tertile of two specific dimensions of QOL out of seven, namely ‘social relationships and participation’ [odds ratio (OR) 2.73, 95% confidence interval (CI) 1.08–6.91] and ‘home and neighbourhood’ (OR 4.96, 95% CI 1.75–14.07), independently of the main demographic, social, functional and clinical characteristics of the subjects. Amongst the 107 subjects living alone, independent correlates of these dimensions of QOL were depression, having no caregiver and having never been married. Depression, having no caregiver and having never been married could provide a valuable means of identifying older people living alone who are at greater risk of a poor QOL and who would most benefit from effective social and medical interventions
depression, living alone, marital status, older age, quality of life, social participation
0966-0410
32-41
Bilotta, Claudio
73eb899a-aa84-4641-9b4b-42152b95f8a5
Bowling, Ann
796ca209-687f-4079-8a40-572076251936
Nicolini, Paola
2ef11260-5e34-438f-8c3f-8c0f91ad77f6
Casè, Alessandra
2ee0da5e-c36c-4a6a-9dda-e37b2c94893d
Vergani, Carlo
fc150272-4bf4-4cf1-a63d-d26306bd2995
Bilotta, Claudio
73eb899a-aa84-4641-9b4b-42152b95f8a5
Bowling, Ann
796ca209-687f-4079-8a40-572076251936
Nicolini, Paola
2ef11260-5e34-438f-8c3f-8c0f91ad77f6
Casè, Alessandra
2ee0da5e-c36c-4a6a-9dda-e37b2c94893d
Vergani, Carlo
fc150272-4bf4-4cf1-a63d-d26306bd2995

Bilotta, Claudio, Bowling, Ann, Nicolini, Paola, Casè, Alessandra and Vergani, Carlo (2012) Quality of life in older outpatients living alone in the community in Italy. Health & Social Care in the Community, 20 (1), 32-41. (doi:10.1111/j.1365-2524.2011.01011.x). (PMID:21718376)

Record type: Article

Abstract

There is limited knowledge on the relationship between the living conditions of community-dwelling older people and their quality of life (QOL) considered in all its specific domains. The purpose of this study was to determine (1) which dimensions of QOL were independently associated with living alone and (2) the independent correlates of these dimensions of QOL amongst older outpatients. We conducted a cross-sectional survey of 239 community-dwelling outpatients aged 65+ (mean age 81.5 years) consecutively referred to a geriatric medicine clinic in Italy between June and November 2009 (response rate 93%). Subjects underwent a comprehensive geriatric assessment including QOL, which was evaluated by using the Older People’s QOL questionnaire. In multivariate logistic regression analyses, living alone was associated with the lowest score-based tertile of two specific dimensions of QOL out of seven, namely ‘social relationships and participation’ [odds ratio (OR) 2.73, 95% confidence interval (CI) 1.08–6.91] and ‘home and neighbourhood’ (OR 4.96, 95% CI 1.75–14.07), independently of the main demographic, social, functional and clinical characteristics of the subjects. Amongst the 107 subjects living alone, independent correlates of these dimensions of QOL were depression, having no caregiver and having never been married. Depression, having no caregiver and having never been married could provide a valuable means of identifying older people living alone who are at greater risk of a poor QOL and who would most benefit from effective social and medical interventions

Full text not available from this repository.

More information

e-pub ahead of print date: July 2011
Published date: January 2012
Keywords: depression, living alone, marital status, older age, quality of life, social participation
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 337601
URI: https://eprints.soton.ac.uk/id/eprint/337601
ISSN: 0966-0410
PURE UUID: eebb3d9e-0414-41f8-bc62-028d8ef4b30a

Catalogue record

Date deposited: 30 Apr 2012 14:30
Last modified: 16 Jul 2019 22:06

Export record

Altmetrics

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×