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All Journal The Indonesian Journal of Public Health Universa Medicina
Vinsalia, Thania
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Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Life satisfaction is the most significant determinant of quality of life in the elderly Vinsalia, Thania; Handajani, Yvonne Suzy
Universa Medicina Vol. 40 No. 1 (2021)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2021.v40.14-22

Abstract

BackgroundQuality of life tends to decrease as age increases. This study aimed to determine the most significant risk factors (family support, spirituality, and life satisfaction) for the elderly’s quality of life. MethodsThis was a cross-sectional study of 101 subjects aged ³60 years in West Jakarta. The variables were assessed using the World Health Organization Quality of Life–BREF (WHOQOL–BREF), Family Support, Daily Spiritual Experience Scale (DSES), and the Satisfaction with Life Scale (SWLS) instruments. Multivariate logistic regression was used to analyze the association between quality of life and its determinant factors.ResultsBased on sociodemographic characteristics, the respondents were mostly women (66.3%), had more than nine years of education (79.2%), and were married (56.4%). The analysis showed that life satisfaction was significantly associated with overall quality of life (OR=9.71; 95% CI:2.04–46.26; p=0.004) and general health (OR=7.52; 95% CI:1.70–33.25; p=0.008). Life satisfaction was also a risk factor for the environmental domain (OR=36.02; 95% CI:5.07–255.82; p<0.001). Furthermore, spirituality was found to be a risk factor for the physical health domain (OR=4.18; 95% CI:1.51–11.59; p=0.006), psychological domain (OR=6.67; 95% CI:2.4–17.86; p<0.001), and environmental domain (OR=11.46; 95% CI:3.10–42.37; p<0.001).ConclusionLife satisfaction plays a significant role in increasing the environmental domain of quality of life, the overall quality of life, and general health among the elderly. Awareness of these factors can assist providers in identifying people at risk and guide new intervention programs to improve care for these invaluable elderly of our communities.
THE ROLE OF FUNCTIONAL ABILITY, MULTIMORBIDITY, AND DEPRESSION TO QUALITY OF LIFE OF INDONESIAN OLDER ADULTS Handajani, Yvonne Suzy; Vinsalia, Thania; Schröder-Butterfill, Elisabeth; Turana, Yuda
The Indonesian Journal of Public Health Vol. 20 No. 3 (2025): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v20i3.2025.538-551

Abstract

Introduction: Multimorbidity significantly affects older adults' quality of life (QoL). Its prevalence among adults aged ≥60 years ranges from 24% to 83%, increases with age and is closely linked to progressive physical and functional decline. A|ims: To investigate the determinants of QoL among community-dwelling older adults in urban Jakarta, Indonesia. Methods: A cross-sectional study was conducted in several community-based home care centers in West Jakarta, Indonesia, in 2023. From a database of 2,000 older adults, 600 individuals were selected using simple random sampling for screening. After applying inclusion and exclusion criteria, 501 older adults aged ≥60 years were included in the analysis. Sociodemographic and health-related data were collected using structured interviews and direct measurements. Mult|ivar|iate log|ist|ic regress|ion analysis was performed to identify factors associated with QoL. Results: A total of 501 older adults were analyzed; most were female (67.1%) and had multimorbidity (85.6%). The mean WHOQOL-BREF scores exceeded 60, with the highest score in the psychological domain (66.8). Physical health was significantly associated with multimorbidity (OR=2.08; p=0.013), exercise (OR=1.51; p=0.029), IADL (OR=3.54; p=0.007), ADL (OR=1.69; p=0.021), and balance (OR=1.92; p=0.044). Exercise increased the likelihood of better QoL (OR=1.47; p=0.037), while depression predicted poorer quality of life (OR=1.75; p=0.020). Conclusion: Multimorbidity, functional disability, balance impairment, depression, age, and exercise were significantly associated with QoL. Improving chronic disease management, maintaining independence, promoting regular exercise, and supporting mental health can enhance older adults’ well-being. Community-based programs encouraging active lifestyles and balance training may further improve QoL in this population.
Co-Authors Schröder-Butterfill, Elisabeth Yuda Turana Yvonne Suzy Handajani