Abstract

The purpose of this study was to compare the factors affecting change in quality of life in old age in the UK and Taiwan. Data were derived from the 1989 and 1993 waves of two nationally representative samples: the Nottingham Longitudinal Study of Activity and Ageing (NLSAA) in the UK and the Survey of Health and Living Status of the Elderlyin Taiwan (SHLSET). Quality of life was assessed using comparable measures of life satisfaction. Analysis consisted of stepwise multiple regressions, Mann-Whitney U, Chi-square, and multivariate logistic regression models to identify the factors related to changes in quality of life.There are common variables in that participants in both studies selected the factors “better perceived health relative to peers” and “improvement in self-rated health” in the stepwise regression models. Additional variables (e.g., age in the UK and satisfaction with income, walking difficulties, and having a TV or radio in Taiwan) were selected individually at different time periods in the two studies.Related to these various factors and change in quality of life, this research has helped to identify the prospect of clarifying the most important factors affecting the change in quality of life among older people in the two countries.

Highlights

  • Quality of life is a broad, multidimensional concept, which may be affected by such objective conditions and subjective experiences as physical functioning, social factors, perceived health, and psychological well-being

  • The finding shows that change in the standardized LSI score for the Nottingham Longitudinal Study of Activity and Ageing (NLSAA) study, the SHLSET study, and the combined dataset exhibited a distribution that was not normal

  • In the SHLSET study, one person had a change of 100 points because he/she had a score of 0 points in 1989

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Summary

Introduction

Quality of life is a broad, multidimensional concept, which may be affected by such objective conditions and subjective experiences as physical functioning, social factors, perceived health, and psychological well-being. Older people tend to experience general health problems, difficult financial situations, limited social relationships, disruptive changes in their roles in society, loss of basic functional ability, and anxiety as they age and approach the end of life. Such problems have become major concerns in the field of gerontology and for health authorities in many countries. Factors are the most important?” This study seeks to provide a better understanding of what factors affect change in quality of life among older people. To understand the differences in predictors of change in life satisfaction, the author proceeded to (1) identify the factors that predict a change in life satisfaction among older people in the UK and Taiwan and (2) understand how these factors are different between the two countries

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