Gender differences and burden of chronic conditions: impact on quality of life among the elderly in Taiwan View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-01-02

AUTHORS

Tsung Yu, Nomin Enkh-Amgalan, Ganchimeg Zorigt, Yea-Jen Hsu, Hsin-Jen Chen, Hsing-Yu Yang

ABSTRACT

BackgroundMultiple chronic conditions affect people’s health-related quality of life (QoL) and the distributions of the conditions may differ between genders. Our goal was to examine gender differences in chronic conditions and QoL among community-living elderly in Taiwan and to examine whether differences in QoL between genders, if present, were attributable to the distribution of chronic conditions.MethodsWe used data from the Nutrition and Health Survey in Taiwan (NAHSIT, 2005–2008), which interviewed a representative sample of the Taiwanese population. The survey questions included the SF-36 questionnaire to assess participants’ QoL and items for participants’ medical history. We used multiple linear regressions to examine the difference in QoL between genders.ResultsWe included 1179 elders for our analysis; men accounted for 52% (612/1179). The mean age was 73; women were slightly younger. The mean (standard deviation) of SF-36 physical and mental health component score (PCS and MCS) was 44.5 (11.1) and 55.6 (9.0), respectively, and women reported a significantly lower PCS than men (difference − 4.85, p < 0.001). Urinary incontinence, arthritis, stroke, and kidney disease were associated with a clinically meaningful decrease in PCS (≤ − 6.5 points). The difference in PCS between genders was not attenuated after we accounted for chronic conditions in regression analysis.ConclusionsOur findings suggest that women tend to report that their physical health-related QoL is poorer than that of men, and such a difference does not seem to be attributable to the distribution of chronic conditions. Elderly men and women may perceive health-related QoL differently. More... »

PAGES

1625-1633

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s40520-018-1099-2

DOI

http://dx.doi.org/10.1007/s40520-018-1099-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1111058863

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30604210


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