Contextual Effect of Integrated Health Post, Socioeconomic and Physical and Mental Health Determinants on the Quality of Life among Elderly in Klaten, Central Java

Abstract

Background: The increase in life expectancy has an impact on the number of elderly which has increased from 9.3% (2018) to 15.8% (2035). Decreased body function in the elderly disturbs health and inhibits activities so that quality of life decreases. The purpose of this study was to ana­lyze the contextual effect of Elderly Integrated Health Post, socioeconomic determinant, physical and psychological health on the quality of life of the elderly. Subjects and Method: The design of the study was cross sectional. This study was conducted in Klaten, Central Java, from August to September 2019. A sample of 200 elderly people aged ≥60 years was selected by simple random sampling. The dependent variable was the quality of life of the elderly. The dependent variables were marital status, employment status, income, eating pattern, physical activity, nap, sexual activity, and activeness to participate in Integrated Health Post. The data was obtained by using questionnaires. Eating patterns were measured by DDS ques­tionnaire. Physical activity data were measured by PASE. Data on quality of life of the elderly were measured using WHOQOL-OLD. The data were analyzed by multilevel. Results: The quality of life in elderly improved with marriage (b= 4.94; 95% CI= 2.49 to 7.34; p<0.001), working (b= 6.47; 95% CI = 3.18 to 9.76; p<0.001), high income (b= 3.91; 95% CI= 1.45 to 6.37; p= 0.002), good eating pattern (b= 2.08; 95% CI= 0.14 to 4.02; p= 0.036), high physical activity (b= 3.87; 95% CI= 0.80 to 6.93; p= 0.013), adequate nap time (b= 6.29; 95% CI= 3.05 to 9.55; p <0.001), active sexual activity (b= 2.97; 95% CI= 0.93 to 5.02; p= 0.004), and often attend integrated health post (b= 2.18; 95% CI= 0.28 to 4.09; p= 0.025). Elderly integrated health post had a contextual effect on the quality of life of the elderly with ICC= 45.65%. Conclusion: The quality of life in elderly improves with marriage, working, high income, good eating pattern, high physical activity, adequate nap time, active sexual activity, and often attend integrated health post. Elderly integrated health post has a contextual effect on the quality of life of the elderly. Keywords: quality of life, elderly, integrated health post Correspondence: Annisa Nur Fauziyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: annisafauziyah03@gmail.com. Mobile: +628233­51­97211. Journal of Epidemiology and Public Health (2020), 5(1): 15-25 https://doi.org/10.26911/jepublichealth.2020.05.01.02