Quality of Life in Rural and Urban Adults 65 Years and Older: Findings from the National Health and Nutrition Examination Survey

Autor/inn/en	Baernholdt, Marianne; Yan, Guofen; Hinton, Ivora; Rose, Karen; Mattos, Meghan
Titel	Quality of Life in Rural and Urban Adults 65 Years and Older: Findings from the National Health and Nutrition Examination Survey
Quelle	In: Journal of Rural Health, 28 (2012) 4, S.339-347 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2011.00403.x
Schlagwörter	Geographic Location; Health Behavior; Quality of Life; Older Adults; Whites; Questionnaires; Rural Areas; Nutrition; National Surveys; Correlation; Interpersonal Competence; Mental Health; Well Being; Scores; Racial Differences; Social Isolation; Physical Health; Hispanic Americans; African Americans + Suchen Sie Ihr Suchwort? Health behaviour; Gesundheitsverhalten; Lebensqualität; Älterer Erwachsener; White; Weißer; Fragebogen; Rural area; Ländlicher Raum; Ernährung; Korrelation; Interpersonale Kompetenz; Psychohygiene; Well-being; Wellness; Wohlbefinden; Rassenunterschied; Soziale Isolation; Gesundheitszustand; Hispanic; Hispanoamerikaner; Afroamerikaner
Abstract	Purpose: The proportion of people over 65 years of age is higher in rural areas than in urban areas, and their numbers are expected to increase in the next decade. This study used Andersen's behavioral model to examine quality of life (QOL) in a nationally representative sample of community-dwelling adults 65 years and older according to geographic location. Specifically, associations between 3 dimensions of QOL (health-related QOL [HQOL], social functioning, and emotional well-being) and needs and health behaviors were examined. Methods: The 2005-2006 National Health and Nutrition Examination survey was linked with the 2007 Area Resources File via the National Center for Health Statistics' remote access system. Frequencies and distribution patterns were assessed according to rural, adjacent, and urban locations. Findings: Older adults reported high levels of QOL; however, rural older adults had lower social functioning than their urban counterparts. Older blacks and Hispanics had lower scores than whites on 2 dimensions of QOL. Associations between QOL and needs and health behaviors varied. Although activities of daily living were associated with all 3 dimensions, others were associated with 1 or 2 dimensions. Conclusions: The lower scores on social functioning in rural areas suggest that rural older adults may be socially isolated. Older rural adults may need interventions to maintain physical and mental health, strengthen social relationships and support, and increase their participation in the community to promote QOL. In addition, older blacks and Hispanics seem more vulnerable than whites and may need more assistance. (Contains 2 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10