The Ecological Effect of Village and Biopsychosocial Factors Affecting the Quality of Life of Elderly in Surakarta, Central Java

Dwi Tour Kumalasari, Bhisma Murti, Vitri Widyaningsih

Abstract

Background: Along with the increasing number of the elderly, there are many problems expe­ri­enced by the elderly including not educated, do not get access to health, do not have old age insurance, and do not have social support from family or friends to care for them. Elderly people had high vulnerable risk to experience various psychological and physical problems. This study aimed to analyze the influence of biopsychosocial and contextual village social capital in the elderly.

Subjects and Method: This was a cross sec­ti­o­nal study conducted in Surakarta, Central Java, in December 2019. A sample of 200 elderly was sel­ected by simple random sampling at the individual level and stratified simple random sampling at the village level. The dependent vari­able was quality of life. The independent vari­ables were education, income, marital status, BMI, physical activity, locus of control, family sup­­port, social support, and social capital. The data was collected by ques­tion­naire. The data were analyzed by a multiple logistic regression run on Stata 13

Results: Quality of life improved by education ≥elementary school (b= 2.72; 95% CI= 0.17 to 5.26; p= 0.036), income ≥Rp 1,800,000 (b= 2.90; 95% CI= 0.71 to 5.10; p= 0.010), married (b= 2.37; 95% CI= 0.13 to 4.62; p= 0.038), BMI (b= 4.01; 95% CI= 1.50 to 6.53; p= 0.002), good physical activity (b= 2.26; 95 % CI= 0.33 to 4.20; p= 0.022), internal locus of control (b= 2.69; 95% CI= 0.41 to 4.98; p= 0.021), strong family support (b= 2.88; 95% CI= 0.48 to 5.28; p= 0.018), strong social support (b= 2.28; 95% CI= 0.02 to 4.55; p= 0.048), and good social capital (b= 2.30; 95% CI= 0.11 to 4.51; p= 0.040). Village had a contextual effect on the quality of life of el­derly with intra-class correlation (ICC)= 40.52%.

Conclusion: Quality of life improves by educa­tion ≥elementary school, high income, married, BMI, good physical activity, internal locus of control, strong family support, strong social sup­port, and good social capital. Village has a con­textual effect on the quality of life of elderly.

Keywords: quality of life, biopsychosocial, elderly, multilevel analysis

Correspondence: Dwi Tour Kumalasari. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ku­ma­lasari.az­zah­ra@­gmail.com. Mobile: +6281­216­417536.

Journal of Epidemiology and Public Health 5(1): 31-44
https://doi.org/10.26911/jepublichealth.2020.05.01.04

Full Text:

PDF

References

Cao W, Guo C, Ping W, Tan Z, Guo Y (2016). A community-based study of quality of life and depression among older adults. Int J Environ Res Public Health. 13(7): 693. https://doi.org/10.3390/ijerph13070693.


Damião R., Meneguci J, Santos, ÁDAS, Matijasevich A, Menezes PR (2018). Nutritional risk and quality of life in community-dwelling elderly: A cross-sectional study. J Nutr Health Aging. 22(1): 111–116. https://doi.org/10.1007/s12603-017-0935-y.


Gallegos-carrillo K, Honorato-cabañas Y, Ma-cías N (2019). Preventive health services and physical activity improve health-related quality of life in Mexican older adults. Salud Pública de México. 61(2): 106. https://doi.org/10.21149/9400.


Ghimire S, Baral BK, Pokhrel BR, Pokhrel A, Acharya A, Amatya D (2018). Depression, malnutrition, and health related quality of life among Nepali older patients. BMC Geriatrics. 18(1): 1–15. https://doi.org/10.1186/s12877-018-0881-5.


Giandalia A, Russo G, Piano FLo, Elia G, Ruffo MC, Forte F, Cucinotta D (2019). Multidimensional assessment of quality of life and locus of control in elderly patients with type 2 diabetes: role of gender. APMB | Medical and Biological Sciences. 107(1). https://doi.org/10.6092/18286550/APMB.107.1.2019.OS2.


Haaf DSM, Dongen EJI, Van, Nuijten MAH (2018). Protein intake and distribution in relation to physical functioning and quality of life in community-dwelling elderly people. Nutrients. 10(4): 1–13. https://doi.org/10.3390/nu10040506.


Hajiantilaki K, Heidari B, Hajiantilaki A. (2017). Health related quality of life and its socio-demographic determinants among iranian elderly people: a population based cross-sectional study. Tabriz University of medical sciences. 6(1): 39–47. https://doi.org/10.15171/jcs.2017.005.


Hanevold G, Corazzini K, Selbæk G (2016). Are coping strategies and locus of control orientation associated with health-related quality of life in older adults with and without depression? Archives of Gerontology and Geriatrics. 64: 130–137. https://doi.org/10.1016/j.archger.2016.01.014.


Hanim, Agustina E (2007). Pemberdayaan kelompok lanjut usia miskin melalui usaha kredit kecil sebagai upaya ketida ktergantungan bank plecit di pasar tradisional Kota Surakarta (Empowerment of the Poor Elderly Group through Small Credit Businesses as a Dependent Effort of Bank Plecit in Surakarta Traditional Market). Laporan Penelitian (Tidak Dipublikasikan). Surakarta.


Kadarwati, Soemanto RB, Murti B (2017). The influence of family support, social capital, self-efficacy, education, employment, income, and residential status on the quality of life among the elderly in Salatiga, Central Java. J Public Health. 2(1):

–69. https://doi.org/10.26911/jepublichealth.2017.02.01.06.


Kang H, Park M, Poock J, Hernandez W (2018). The impact of perceived social support, loneliness, and physical activity on quality of life in South Korean older adults. j.jshs. 7(2): 237–244. https://doi.org/10.1016/j.jshs.2016.05.003.


Kyung-Sook K (2017). Effects of the health status and health behavior on health related quality of life of the elderly living alone and living with their families: using data from the 2014 community health survey. J Korean Acad Community Health Nurs. 28(1): 78–87. https://doi.org/10.12799/jkachn.2017.28.1.78.


Lane AP, Wong CH, Mo Š, Song S (2019). Association of neighborhood social capital with quality of life among older people in Singapore. Journal of Aging and Health. 1–20. https://doi.org/10.1177/08982-64319857990.


Li H, Ji Y, Chen T (2014). The roles of different sources of social support on emotional well-being among Chinese elderly. 9(3): 1–8. https://doi.org/10.1371/journal.pone.0090051.


Medhi GK, Sarma J, Pala S, Bhattacharya H, Bora PJ, Visi V (2019). Association between health related quality of life (HRQOL) and activity of daily living (ADL) among elderly in an urban setting of Assam. India. J Family Med Prim Care. 8(5): 1760–1764. https://doi.org/10.4103%2Fjfmpc.jfmpc_270_19.


Muckenhuber J, Fernandez K, Burkert NT, Großscha’dl F, Freidl W, Sky ER (2014). Trends in inequalities in health, risk and preventive behaviour among the advanced-age population in Austria: 1983-2007. 9(5): e97400. https://doi.org/10.1371/journal.pone.0097400.


Murti B (2018). Teori Promosi dan Perilaku Kesehatan. Surakarta: Universitas Sebelas Maret.


Ogbeide ODE (2017). Effects of locus of control orientation, financial status and marital quality on life satisfaction among local government retirees In South-East Nigeria. Online Journal of Arts, Management and Social Sciences. 2(2): 99–112.


Onunkwor OF, Al-Dubai SAR, George PP, Arokiasamy J, Yadav H, Barua A, Shuaibu HO (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(1): 1–10. https://doi.org/10.1186/s12955-016-0408-8.


Patra P, Alikari V, Fradelos EC, Sachlas A, Kourakos M, Paola A, Zyga S (2017). Assessment of depression in elderly. Is perceived social support related? A nursing home study depression and social support in elderly. Advances in Experimental Medicine and Biology. https://doi.org/10.1007/978-3-319-5-7379-3.


Saejong HK, Park PS, Woo Y, Lee BCC, Yeom JS (2017). The significance of frailty in the relationship between socioeconomic status and health related quality of life in the Korean community-dwelling elderly population: Mediation analysis with bootstrapping. Quality of Life Research. 26(12): 3323–3330. https://doi.org/10.1007/s11136-017-1672-8.


Setiyorini E, Wulandari NA, Sari Y, Kartika (2018). Upaya untuk meningkatkan kualitas hidup lansia melalui perlahat (persatuan lansia ingin hidup sehat) di Kelurahan Jatidowo Kecamatan Rejotangan Kabupaten Tulungagung (Efforts to improve the quality of life of the elderly through perlahat (unity of the elderly want to live healthy) in Jatidowo Village Rejotangan District Tulungagung Regency). Journal UNUSA. 2(2): 354. Retrieved from http://journal2.unusa.ac.id/index.php/CDJ/article/view/652/553.


Silviliyana M, Maylasari I, Agustina R, Karuniawati DR, Rini S, Linda A, Rosmala DFW (2018). Statistik penduduk lanjut usia (Elderly population statistics.). Badan Pusat Statistik.


Sulaeman E, Murti B, Waryana W (2015b). Peran kepemimpinan, modal sosial, akses informasi serta petugas dan fasilitator kesehatan dalam pemberdayaan masyarakat bidang kesehatan (The role of leadership, social capital, access to information and health officers and facilitators in community health empowerment). Jurnal Kesehatan Masyarakat Nasio-nal. 9(4): 353–361. http://dx.doi.org/10.21109/kesmas.v9i4.749.g472.


Suwarni S, Soemanto RB, Sudiyanto A (2018). Effect of dementia, family support, peer support, type of residence, and marital status on quality of life of the elderly in Surakarta, Central Java. J Public Health. 3(1): 83–94. Retrieved from https://doi.org/10.26911/jepublichealth.2018.03.01.07.


United Nations (2017). World aging population 2017. United Nations New York. Retrieved from https://doi.org/10.1049/el:20000788.


Yodmai K, Somrongthong R, Kumar R (2018). Determinants of quality of life among rural elderly population in Khonkean Province of Thailand. J Liaquat Uni Med Health Sci. 17(03): 180–184. Retrieved from https://doi.org/10.22442/jlumhs.181730574.


Refbacks

  • There are currently no refbacks.