Exploring the relationship between functional limitations of the older adults and the health-related quality of life of their spouse in Shaanxi Province, China

Abstract Background With trends towards longer life expectancy, lifetime with disability has also been prolonged. It is increasingly recognized that not only the person with disability but also those around them are affected. The relationship between functional limitation (FL) of the older adults an...

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Main Authors: Wanyue Dong, Anthony B. Zwi, Chi Shen, Yue Wu, Jianmin Gao
Format: Article
Language:English
Published: BMC 2021-08-01
Series:Health and Quality of Life Outcomes
Subjects:
Online Access:https://doi.org/10.1186/s12955-021-01835-4
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author Wanyue Dong
Anthony B. Zwi
Chi Shen
Yue Wu
Jianmin Gao
author_facet Wanyue Dong
Anthony B. Zwi
Chi Shen
Yue Wu
Jianmin Gao
author_sort Wanyue Dong
collection DOAJ
description Abstract Background With trends towards longer life expectancy, lifetime with disability has also been prolonged. It is increasingly recognized that not only the person with disability but also those around them are affected. The relationship between functional limitation (FL) of the older adults and health-related quality of life (HRQoL) of their spouse is of interest. So too is the determination of the factors aside from FL that influence HRQoL. Methods The sample was derived from the 2013 National Health Service Survey conducted in Shaanxi Province in China. Married couples aged ≥ 60 years were selected (n = 3463). The European quality of life five dimensions (EQ-5D) and visual analogue scale were used to measure HRQoL. Results Both wife and husband reported lower HRQoL if either the male or female partner had some or serious FLs (P < 0.001). Other factors associated with lower HRQoL of the spouse included age, lower educational level, presence of chronic disease, and lower household economic status. Family size was associated with wife's HRQoL only when the male had no FL and lived with another 1–2 persons, or when the male had some FLs and lived in a larger family (n ≥ 5). Residential status did not relate to the HRQoL of spouses regardless of FL status. Conclusions Older adults in Shaanxi province who have partners with FLs tend to report poorer EQ-5D, suggesting that couples amongst whom one has FL may be particularly vulnerable to lower HRQoL.
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spelling doaj.art-3ad27523c9e24ba4893f98c8a19f13fe2022-12-21T21:49:29ZengBMCHealth and Quality of Life Outcomes1477-75252021-08-0119111010.1186/s12955-021-01835-4Exploring the relationship between functional limitations of the older adults and the health-related quality of life of their spouse in Shaanxi Province, ChinaWanyue Dong0Anthony B. Zwi1Chi Shen2Yue Wu3Jianmin Gao4School of Health Economics and Management, Nanjing University of Chinese MedicineSchool of Social Sciences, The University of New South WalesSchool of Public Policy and Administration, Xi’an Jiaotong UniversitySchool of Public Policy and Administration, Xi’an Jiaotong UniversitySchool of Public Policy and Administration, Xi’an Jiaotong UniversityAbstract Background With trends towards longer life expectancy, lifetime with disability has also been prolonged. It is increasingly recognized that not only the person with disability but also those around them are affected. The relationship between functional limitation (FL) of the older adults and health-related quality of life (HRQoL) of their spouse is of interest. So too is the determination of the factors aside from FL that influence HRQoL. Methods The sample was derived from the 2013 National Health Service Survey conducted in Shaanxi Province in China. Married couples aged ≥ 60 years were selected (n = 3463). The European quality of life five dimensions (EQ-5D) and visual analogue scale were used to measure HRQoL. Results Both wife and husband reported lower HRQoL if either the male or female partner had some or serious FLs (P < 0.001). Other factors associated with lower HRQoL of the spouse included age, lower educational level, presence of chronic disease, and lower household economic status. Family size was associated with wife's HRQoL only when the male had no FL and lived with another 1–2 persons, or when the male had some FLs and lived in a larger family (n ≥ 5). Residential status did not relate to the HRQoL of spouses regardless of FL status. Conclusions Older adults in Shaanxi province who have partners with FLs tend to report poorer EQ-5D, suggesting that couples amongst whom one has FL may be particularly vulnerable to lower HRQoL.https://doi.org/10.1186/s12955-021-01835-4Health-related quality of lifeFunctional limitationsSpousal healthDisabilityAging
spellingShingle Wanyue Dong
Anthony B. Zwi
Chi Shen
Yue Wu
Jianmin Gao
Exploring the relationship between functional limitations of the older adults and the health-related quality of life of their spouse in Shaanxi Province, China
Health and Quality of Life Outcomes
Health-related quality of life
Functional limitations
Spousal health
Disability
Aging
title Exploring the relationship between functional limitations of the older adults and the health-related quality of life of their spouse in Shaanxi Province, China
title_full Exploring the relationship between functional limitations of the older adults and the health-related quality of life of their spouse in Shaanxi Province, China
title_fullStr Exploring the relationship between functional limitations of the older adults and the health-related quality of life of their spouse in Shaanxi Province, China
title_full_unstemmed Exploring the relationship between functional limitations of the older adults and the health-related quality of life of their spouse in Shaanxi Province, China
title_short Exploring the relationship between functional limitations of the older adults and the health-related quality of life of their spouse in Shaanxi Province, China
title_sort exploring the relationship between functional limitations of the older adults and the health related quality of life of their spouse in shaanxi province china
topic Health-related quality of life
Functional limitations
Spousal health
Disability
Aging
url https://doi.org/10.1186/s12955-021-01835-4
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