The Association between Physical Frailty and Psycho-Social Health in Determining Geriatric Health-Related Quality of Life in Rural West Bengal, India

IF 1 Q4 GERONTOLOGY Ageing International Pub Date : 2022-11-03 DOI:10.1007/s12126-022-09511-8

Sayani Das, Susmita Mukhopadhyay, Barun Mukhopadhyay

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引用次数: 1

Abstract

The association of physical frailty and psycho-social health is well established. However, it appears no study on the interaction of these conditions in determining the Health-related Quality of Life (HRQoL) has yet been attempted in India. Hence, present study aims to investigate the interaction effects of physical frailty and psycho-social health in determining the HRQoL. A cross-sectional survey was conducted on 500 community-dwelling rural older adults from West Bengal, India. The modified Fried’s Frailty instrument was assessed physical frailty status. Psycho-social characteristics investigated were depression, anxiety and stress using the 21-item DASS instrument, loneliness using the UCLA Loneliness instrument, and cognitive function using the Mini-Mental State Examination instrument. HRQoL was assessed by the 36-items Short Form health survey questionnaire. Overall prevalence of frail, pre-frail and non-frail was 26.2%, 60.2%, and 13.6%, respectively. One-way ANOVA highlighted that mean scores of psycho-social traits are significantly differed among different physical frailty status groups (p < 0.01). All the participants were clustered with their psycho-social characteristics instrument scores as clustering variables using Hierarchical Cluster Analysis to understand psycho-social health of the participants. Two-way ANCOVA showed significant interaction of physical frailty status (frail, pre-frail and non-frail) and empirically occurring clusters of psycho-social health (low, moderate and good) in determining the overall HRQoL [F(8,491) = 8.904,p < 0.01]. Thus, the study findings suggest that consideration of physical frailty and psycho-social health status will be a prudent approach for a better diagnosis of HRQoL and challenges related to the same.

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身体虚弱和心理社会健康在决定印度西孟加拉邦农村老年人健康相关生活质量中的关系

身体虚弱和心理社会健康之间的联系已经建立起来。然而，印度似乎尚未尝试研究这些条件在确定健康相关生活质量（HRQoL）方面的相互作用。因此，本研究旨在探讨身体虚弱和心理社会健康在确定HRQoL中的交互作用。对来自印度西孟加拉邦的500名居住在社区的农村老年人进行了横断面调查。对改良的弗里德虚弱仪进行身体虚弱状态评估。使用21项DASS工具调查的心理社会特征为抑郁、焦虑和压力，使用加州大学洛杉矶分校孤独感工具调查的孤独感，以及使用迷你精神状态检查工具调查的认知功能。HRQoL采用36项简式健康调查问卷进行评估。体弱、体弱前期和非体弱的总患病率分别为26.2%、60.2%和13.6%。单因素方差分析强调，不同身体虚弱状态组的心理社会特征平均得分存在显著差异（p<；0.01）。所有参与者都以其心理社会特征工具得分作为聚类变量，使用层次聚类分析来了解参与者的心理社会健康。双向ANCOVA显示，在确定总体HRQoL时，身体虚弱状态（虚弱、前期虚弱和非虚弱）和经验上出现的心理社会健康集群（低、中度和良好）之间存在显著的相互作用[F（8491）=8.904，p<；0.01]。因此，研究结果表明，考虑身体虚弱和心理社会健康状况将是更好地诊断HRQoL及其相关挑战的谨慎方法。

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来源期刊

Ageing International GERONTOLOGY-

CiteScore

2.70

自引率

6.70%

发文量

期刊介绍： As a quarterly peer-reviewed journal that has existed for over three decades, Ageing International serves all professionals who deal with complex ageing issues. The journal is dedicated to improving the life of ageing populations worldwide through providing an intellectual forum for communicating common concerns, exchanging analyses and discoveries in scientific research, crystallizing significant issues, and offering recommendations in ageing-related service delivery and policy making. Besides encouraging the submission of high-quality research and review papers, Ageing International seeks to bring together researchers, policy analysts, and service program administrators who are committed to reducing the ''implementation gap'' between good science and effective service, between evidence-based protocol and culturally suitable programs, and between unique innovative solutions and generalizable policies. For significant issues that are common across countries, Ageing International will organize special forums for scholars and investigators from different disciplines to present their regional perspectives as well as to provide more comprehensive analysis. The editors strongly believe that such discourse has the potential to foster a wide range of coordinated efforts that will lead to improvements in the quality of life of older persons worldwide. Abstracted and Indexed in: ABI/INFORM, Academic OneFile, Academic Search, CSA/Proquest, Current Abstracts, EBSCO, Ergonomics Abstracts, Expanded Academic, Gale, Google Scholar, Health Reference Center Academic, OCLC, PsychINFO, PsyARTICLES, SCOPUS, Social Science Abstracts, and Summon by Serial Solutions.