Determinants of Quality of Life of Elderly Patients Attending a General Practice Clinic in Southwest Nigeria

Int Q Community Health Educ. 2018 Oct;39(1):3-7. doi: 10.1177/0272684X18781781. Epub 2018 Jun 12.

Abstract

Background: Aging is associated with change in health status and decreasing functional capacity affecting the general well-being of individuals with increase in the prevalence of chronic noncommunicable diseases.

Objective: This study aimed to assess the quality of life (QoL) and its determinants in elderly patients attending a general practice clinic in Southwest Nigeria.

Method: Descriptive cross-sectional study of consenting elderly patients completed an interviewer-administered questionnaire on QoL and its determinants. Data were analyzed using descriptive and inferential analysis. Logistic regression was done to identify predictors of QoL.

Results: A total of 216 older adults were interviewed. Only 25% had good QoL with majority having multiple morbidities which was associated with poorer QoL. Predictors of QoL were family support (odds ratio = 0.249, 95% confidence interval [0.079, 0.850], p = .026) and socioeconomic class (odds ratio = 3.66, 95% confidence interval [1.47, 7.87], p = .004) of the respondents.

Conclusion: QoL was found to be poor among the study population and worst in those with multiple morbidities. There is a need for policy direction to advocate for preventive strategies for risk of chronic diseases as well as provide better access to primary care through National Health Insurance Scheme (NHIS).

Keywords: elderly; family support; multiple morbidities; quality of life.

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aging*
  • Ambulatory Care Facilities / statistics & numerical data*
  • Cross-Sectional Studies
  • Female
  • General Practice / statistics & numerical data*
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Multimorbidity
  • Nigeria
  • Quality of Life*
  • Sex Factors
  • Socioeconomic Factors