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1- Department of physiotherapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2- Department of banking ,Azad Islamic University, South Branch Tehran, Iran ,
3- Department of statistics , University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Abstract:   (1907 Views)
Objectives As Iran is one of the countries in the world which movesspeeding toward aging, it is important to consider older adults needs and concerns, which might have impact on their health health-related quality of life. Quality of life is a multi-dimensional concept that encompasses the physical, mental and social components. The present study has been conducted to determine the correlation between economic status and educational level with health-related quality of life in community-dwelling and institutionalized older adults of Mashhad, Iran
Materials &Methods Through a descriptive analytic cross sectional study, 135 community-dwelling older adults (age 71.7 ±5.9 y , 77(57%) man, 58( 43%) female ) and 135 institutionalized older adults (age 71.2±5.6 y , 65(48.1%) man , 70(51.9%) female ) in Mashhad, Iran were participated in this study. During interview demographic characteristics, monthly income and the level of education were examined. The Persian validated version of SF-36 questionnaire was used for assessment of health-related quality of life. The Persian version of SF-36 assesses 8 physical and mental health subscales. The statistical analysis was conducted by using SPSS statistical software version 19.Mann-Whitney U test was used to compare monthly income and health-related quality of life between community-dwelling and institutionalized older adults. Chi-square test was used to compare the educational level of the two groups .Also, the effect of some independent variables on physical and mental health domains of quality of life was assessed by multiple regression models.
Results The proportion of illiteracy and education level was lower in community-dwelling than institutionalized older adults, (p =0.03). In general, in terms of physical and mental dimensions of quality oflife, the institutionalized older adults had lower quality of life than community-dwelling older adults (p<0.01). The other result of this study was that the institutionalized older adults had lower significant monthly income than community-dwelling elderly (p<0.001(. The results of multiple regression model showed that only living place of the elderly(community , nursing home)had a significant effect on both physical and mental dimensions of quality of life (p<0/001) while, the elderly income , education .gender, age, diseases( such as diabetes ,blood pressure) and smoking didn’t show any significant effects.
Conclusion A higher level of education can increase the social class and increase the income of the elderly. Having enough income is a prerequisite of having a high quality of life, although it cannot meet all the basic needs of life. Improving Iranian old adult health-related quality of life is achieved by considering all its dimensions including, physical, emotional and social and using interventional, educational and social supportive programs.  
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Type of Study: Research | Subject: Geriatric
Received: 2018/03/11 | Accepted: 2018/06/26

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