Biosocial and disease conditions are associated with good quality of life among older adults in rural eastern Nepal: Findings from a cross-sectional study

• DOI: 10.1371/journal.pone.0242942
• Publication Date: 2020-11-30T13:36:27Z
• Authors: Uday Narayan Yadav; Tarka Bahadur Thapa; Sabuj Kanti Mistry; Saruna Ghimire; Krishna Kumar Yadav; Godfred O. Boateng; Cathy O’Callaghan
• Keywords: Marital status; Cross-sectional study; Depression

Background The ageing population in most low-and middle-income countries is accompanied by an increased risk of non-communicable diseases culminating a poor quality life (QOL). However, the factors accelerating this QOL have not been fully examined Nepal. Therefore, study associated with older adults residing rural setting Methods Data from previous cross-sectional conducted among between January and April 2018 Nepal was used study. analytical sample included 794 aged ≥60 years, selected multi-stage cluster sampling approach. measured using Older People’s Quality Life tool; dichotomized as good QOL. Other measures age, gender, ethnicity, religion, marital status, physical activity, chronic such osteoarthritis, cardiovascular disease, diabetes, obstructive pulmonary disease (COPD), depression. were mixed-effects logistic regression. Results Seven ten respondents (70.4%) reported At bivariate level, increasing unemployment, intake alcohol, lack activity well COPD depression significantly lower likelihood adjusted model showed that age (AOR = 0.50, 95% CI: 0.28–0.90), Christian religion 0.38, 0.20–0.70), Indigenous (AOR: 0.25; 0.14–0.47), Dalit 0.23; 0.10–0.56), Madheshi 0.29; 0.14–0.60) ethnic background odds higher income >NRs 10,000 3.34, 1.43–3.99), daily 3.33; 2.55–4.34), absence osteoarthritis 1.9; 1.09–3.49) 3.34; 2.14–5.22) Conclusion findings reinforce need improving through implementing programs aimed at addressing identified biosocial conditions catalyse parts