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Article

Factors Associated with Health-Related Quality of Life in Community-Dwelling Older Adults: A Multinomial Logistic Analysis

1
Pharmacology and Therapeutics Department, School of Medicine, Instituto de Investigación Biomédica de Málaga-IBIMA, University of Málaga, 29016 Málaga, Spain
2
Health District of Málaga-Guadalhorce, 29009 Málaga, Spain
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Escuela Andaluza de Salud Pública, 18011 Granada, Spain
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Instituto de Investigación Biosanitaria ibs.GRANADA, 18012 Granada, Spain
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Health District of Córdoba Sur, 14940 Córdoba, Spain
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Physical Medicine and Rehabilitation Department, Hospital Regional Universitario, 29010 Málaga, Spain
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Geriatrics Department, Complejo Hospitalario Universitario, 02006 Albacete, Spain
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(11), 1810; https://doi.org/10.3390/jcm8111810
Received: 19 September 2019 / Revised: 23 October 2019 / Accepted: 25 October 2019 / Published: 1 November 2019
(This article belongs to the Special Issue Clinical Medicine for Healthcare and Sustainability)
The main aim of this study was to determine the association of various clinical, functional and pharmacological factors with the physical (PCS) and mental (MCS) summary components of the health-related quality of life (HRQoL) of community-dwelling older adults. Design: Cross-sectional study. Patients and setting: Sample of 573 persons aged over 65 years, recruited at 12 primary healthcare centres in Málaga, Spain. Sociodemographic, clinical, functional, and comprehensive drug therapy data were collected. The main outcome was HRQoL assessed on the basis of the SF-12 questionnaire. A multinomial logistic regression model was constructed to study the relationship between independent variables and the HRQoL variable, divided into intervals. The average self-perceived HRQoL score was 43.2 (± 11.02) for the PCS and 48.5 (± 11.04) for the MCS. The factors associated with a poorer PCS were dependence for the instrumental activities of daily living (IADL), higher body mass index (BMI), number of medications, and presence of osteoarticular pathology. Female gender and the presence of a psychopathological disorder were associated with worse scores for the MCS. The condition that was most strongly associated with a poorer HRQoL (in both components, PCS and MCS) was that of frailty (odds ratio (OR) = 37.42, 95% confidence interval (CI) = 8.96–156.22, and OR = 20.95, 95% CI = 7.55–58.17, respectively). It is important to identify the determinant factors of a diminished HRQoL, especially if they are preventable or modifiable. View Full-Text
Keywords: health-related quality of life; older adults; frailty; medication; primary care health-related quality of life; older adults; frailty; medication; primary care
MDPI and ACS Style

Blanco-Reina, E.; Valdellós, J.; Ocaña-Riola, R.; García-Merino, M.R.; Aguilar-Cano, L.; Ariza-Zafra, G.; Bellido-Estévez, I. Factors Associated with Health-Related Quality of Life in Community-Dwelling Older Adults: A Multinomial Logistic Analysis. J. Clin. Med. 2019, 8, 1810. https://doi.org/10.3390/jcm8111810

AMA Style

Blanco-Reina E, Valdellós J, Ocaña-Riola R, García-Merino MR, Aguilar-Cano L, Ariza-Zafra G, Bellido-Estévez I. Factors Associated with Health-Related Quality of Life in Community-Dwelling Older Adults: A Multinomial Logistic Analysis. Journal of Clinical Medicine. 2019; 8(11):1810. https://doi.org/10.3390/jcm8111810

Chicago/Turabian Style

Blanco-Reina, Encarnación, Jenifer Valdellós, Ricardo Ocaña-Riola, María R. García-Merino, Lorena Aguilar-Cano, Gabriel Ariza-Zafra, and Inmaculada Bellido-Estévez. 2019. "Factors Associated with Health-Related Quality of Life in Community-Dwelling Older Adults: A Multinomial Logistic Analysis" Journal of Clinical Medicine 8, no. 11: 1810. https://doi.org/10.3390/jcm8111810

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