Health-related quality of life of younger and older lower-income households in Malaysia

Globally, a lower income is associated with poorer health status and reduced quality of life (QOL). However, more research is needed on how being older may influence QOL in lower-income households, particularly as older age is associated with an increased risk of chronic diseases and care needs. To...

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Veröffentlicht in:PloS one 2022-02, Vol.17 (2), p.e0263751-e0263751
Hauptverfasser: Rizal, Hussein, Said, Mas Ayu, Abdul Majid, Hazreen, Su, Tin Tin, Maw Pin, Tan, Ismail, Rozmi, Shah Zaidi, Mohd Azlan
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Said, Mas Ayu
Abdul Majid, Hazreen
Su, Tin Tin
Maw Pin, Tan
Ismail, Rozmi
Shah Zaidi, Mohd Azlan
description Globally, a lower income is associated with poorer health status and reduced quality of life (QOL). However, more research is needed on how being older may influence QOL in lower-income households, particularly as older age is associated with an increased risk of chronic diseases and care needs. To this end, the current study attempts to determine the health-related QOL (HRQOL) among individuals from lower-income households aged 60 years and over compared to lower-income adults aged less than 60 years. Participants were identified from the Department of Statistics Malaysia sampling frame. Surveys were carried out with individual households aged 18 years and older through self-administered questionnaires. Information was collected on demographics, household income, employment status, number of diseases, and HRQOL assessed using the EuroQol 5-Dimension 5-Level (EQ-5D-5L) tool. Out of a total of 1899 participants, 620 (32.6%) were female and 328 (17.3%) were aged 60 years and above. The mean (SD) age was 45.2 (14.1) and mean (SD) household income was RM2124 (1356). Compared with younger individuals, older respondents were more likely to experience difficulties in mobility (32.1% vs 9.7%, p
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However, more research is needed on how being older may influence QOL in lower-income households, particularly as older age is associated with an increased risk of chronic diseases and care needs. To this end, the current study attempts to determine the health-related QOL (HRQOL) among individuals from lower-income households aged 60 years and over compared to lower-income adults aged less than 60 years. Participants were identified from the Department of Statistics Malaysia sampling frame. Surveys were carried out with individual households aged 18 years and older through self-administered questionnaires. Information was collected on demographics, household income, employment status, number of diseases, and HRQOL assessed using the EuroQol 5-Dimension 5-Level (EQ-5D-5L) tool. Out of a total of 1899 participants, 620 (32.6%) were female and 328 (17.3%) were aged 60 years and above. The mean (SD) age was 45.2 (14.1) and mean (SD) household income was RM2124 (1356). Compared with younger individuals, older respondents were more likely to experience difficulties in mobility (32.1% vs 9.7%, p&lt;0.001), self-care (11.6% vs 3.8%, p&lt;0.001), usual activities (24.5% vs 9.1%, p&lt;0.001), pain/discomfort (38.8% vs 16.5%, p&lt;0.001) and anxiety/depression (21.4% vs 13.5%, p&lt;0.001). The mean (SD) EQ-5D index scores were lower among older respondents, 0.89 (0.16) vs 0.95 (0.13), p = 0.001. After adjusting for covariates, age was a significant influencing factor (p = 0.001) for mobility (OR = 2.038, 95% CI:1.439-2.885), usual activities (OR = 1.957, 95% CI:1.353-2.832) and pain or discomfort (OR = 2.241, 95% CI:1.690-2.972). Lower-income older adults had poorer HRQOL compared to their younger counterparts. 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However, more research is needed on how being older may influence QOL in lower-income households, particularly as older age is associated with an increased risk of chronic diseases and care needs. To this end, the current study attempts to determine the health-related QOL (HRQOL) among individuals from lower-income households aged 60 years and over compared to lower-income adults aged less than 60 years. Participants were identified from the Department of Statistics Malaysia sampling frame. Surveys were carried out with individual households aged 18 years and older through self-administered questionnaires. Information was collected on demographics, household income, employment status, number of diseases, and HRQOL assessed using the EuroQol 5-Dimension 5-Level (EQ-5D-5L) tool. Out of a total of 1899 participants, 620 (32.6%) were female and 328 (17.3%) were aged 60 years and above. The mean (SD) age was 45.2 (14.1) and mean (SD) household income was RM2124 (1356). Compared with younger individuals, older respondents were more likely to experience difficulties in mobility (32.1% vs 9.7%, p&lt;0.001), self-care (11.6% vs 3.8%, p&lt;0.001), usual activities (24.5% vs 9.1%, p&lt;0.001), pain/discomfort (38.8% vs 16.5%, p&lt;0.001) and anxiety/depression (21.4% vs 13.5%, p&lt;0.001). The mean (SD) EQ-5D index scores were lower among older respondents, 0.89 (0.16) vs 0.95 (0.13), p = 0.001. After adjusting for covariates, age was a significant influencing factor (p = 0.001) for mobility (OR = 2.038, 95% CI:1.439-2.885), usual activities (OR = 1.957, 95% CI:1.353-2.832) and pain or discomfort (OR = 2.241, 95% CI:1.690-2.972). Lower-income older adults had poorer HRQOL compared to their younger counterparts. 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source MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry
subjects Adult
Adults
Age
Age Factors
Aged
Aged, 80 and over
Aging
Biology and Life Sciences
Chronic illnesses
COVID-19
Cross-Sectional Studies
Demographic aspects
Demographics
Demography
Developing Countries - economics
Discomfort
Economic aspects
Female
Health aspects
Health risks
Health Status
Households
Humans
Income
Malaysia - ethnology
Male
Medicine and Health Sciences
Middle Aged
Mobility
Older people
Pain
People and Places
Personal income
Preventive medicine
Quality of life
Quality of Life - psychology
Self Care
Self-care, Health
Social Sciences
Sociodemographic Factors
Socioeconomic Factors
Surveys and Questionnaires
title Health-related quality of life of younger and older lower-income households in Malaysia
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