Hierarchical Regression of Wellbeing and Self-Rated Health among Older Adults in Abu Dhabi
Abstract
:1. Introduction
2. Review of Literature
3. Methods
3.1. Study Sample of Older People and Measurements
- Having a longstanding illness or not (Binary yes and no).
- Overall housing satisfaction (1–5 scale).
- Satisfaction with household income (1–5 scale).
- Frequency of practicing sport (1–5 scale).
- Frequency of having lots of energy (1–5 scale).
- Frequency of feeling downhearted and depressed (1–5 scale).
- Size of support network (1–5 scale).
- Satisfaction with family life (1–5 scale).
- Life satisfaction (0–10 scale).
- Frequency of having informal activities with friends (1–6 scale).
- Relationships with other acquainted people (1–5 scale).
- The number of family members living together (continuous scale starting from zero).
- Importance of maintaining family ties (1–5 scale).
3.2. Analysis Methods
3.3. Regression Assumptions
4. Results
5. Discussions
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Godchaux-Berezhnova, I.; Moonesar, I. Using Global Practices & Policies to Inform the UAE Quality of Life & Wellbeing in the 21st Century. Mohammed Bin Rashid School of Government POLICY BRIEF, Policy Brief No. 56. 2021. Available online: https://mbrsgcdn.azureedge.net/cmsstorage/mbrsg/files/7b/7b907250-3c84-4dee-b2d5-9176e2e6f8a4.pdf (accessed on 16 April 2021).
- Abu Dhabi Executive Council. Decree Forming the Quality of Life and Wellbeing for Abu Dhabi. 2021. Available online: https://wam.ae/en/details/1395302835611 (accessed on 16 April 2021).
- Department of Community Development. Meeting Agenda—Good Health and Wellbeing. 2021. Available online: https://u.ae/en/about-the-uae/leaving-no-one-behind/3goodhealthandwellbeing (accessed on 21 March 2021).
- Badri, M.; Al Khaili, M.; Al Bahr, M.; Guang, Y.; Al Rashdi, A. Elderly happiness—A path analytic model exploration of determinants of wellbeing in Abu Dhabi. In Proceedings of the Asian Conference on Aging & Gerontology (AGen2019), Tokyo, Japan, 20–22 May 2019. [Google Scholar]
- Palladino, R.; Tayu Lee, J.; Ashworth, M.; Triassi, M.; Millett, C. Associations between multimorbidity, healthcare utilisation and health status: Evidence from 16 European countries. Age Ageing 2016, 45, 431–435. [Google Scholar] [CrossRef] [Green Version]
- Wang, N.; Motoki, I.; Tetsuya, O.; Rumiko, H.; Hiroko, M.; Liu, X.; Sasazawa, Y.; Shosuke, H.; Tetsuo, S. Perceived health as related to income, socio-economic status, lifestyle, and social support factors in middle-aged Japanese. J. Epidemiol. 2005, 15, 155–162. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Sun, W.; Watanabe, M.; Tanimoto, Y.; Shibutani, T.; Kono, R.; Saito, M.; Usuda, K.; Kono, K. Factors associated with good self-rated health of non-disabled elderly living alone in Japan: A cross-sectional study. BMC Public Health 2007, 7, 297. [Google Scholar] [CrossRef] [Green Version]
- Damian, J.; Pastor-Barriuso, R.; Valaderama-Gama, E. Factors associated with self-rated health in older people living in institutions. BioMed Cent. 2008, 8, 5. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Darviri, C.; Fouka, G.; Gnardellis, C.; Artemiadis, A.K.; Tigani, X.; Alexopoulos, E.C. Determinants of self-rated health in a representative sample of a rural population: A cross-sectional study in Greece. Int. J. Environ. Res. Public Health 2012, 9, 943–954. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Beenackers, A.; Kamphuis, C.B.; Giskes, K.; Brug, J. Socioeconomic inequalities in occupational, leisure-time, and transport-related physical activity among European adults: A systematic review. Int. J. Behav. Nutr. Phys. Act. 2012, 9, 116. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Santiago, L.M.; Novaes, C.D.O.; Mattos, I.E. Self-rated health (SRH) as a predictor of mortality in elderly men living in a medium-size city in Brazil. Arch. Gerontol. Geriatr. 2010, 51, e88–e93. [Google Scholar] [CrossRef]
- Organization for Economic Co-operation and Development (OECD). Measuring Wellbeing and Progress. 2020. Available online: https://www.oecd.org/sdd/OECD-Better-Life-Initiative.pdf (accessed on 18 January 2021).
- Roos, N.; Havens, B. Predictors of successful aging: A twelve-year study of Manitoba elderly. Am. J. Public Health 1991, 81, 63–68. [Google Scholar] [CrossRef] [Green Version]
- Mor, V.; Wilcox, V.; Rakowski, W.; Hiris, J. Functional transitions among the elderly: Patterns, predictors, and related hospital use. Am. J. Public Health 1994, 84, 1274–1280. [Google Scholar] [CrossRef] [Green Version]
- Paradies, Y. A systematic review of empirical research on self-reported racism and health. Int. J. Epidemiol. 2006, 35, 888–901. [Google Scholar] [CrossRef] [Green Version]
- Fan, A.; Strasser, S.; Zhang, X.; Fang, J.; Crawford, C. State socioeconomic indicators and self-reported hypertension among US adults—2011 Behavioral Risk Factor Surveillance System. Prev. Chronic Dis. 2015, 12. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kunst, A.; Bos, V.; Lahelma, E.; Bartley, M.; Lissau, I.; Regidor, E. Trends in socioeconomic inequalities in self-assessed health in 10 European countries. Int. J. Epidemiol. 2005, 34, 295–305. [Google Scholar] [CrossRef]
- Kunst, A.; Geurts, J.; van den Berg, J. International variation in socioeconomic inequalities in self-reported health. J. Epidemiol. Community Health 1995, 49, 117–123. [Google Scholar] [CrossRef] [Green Version]
- Millán-Calenti, J.C.; Sánchez, A.; Lorenzo, T.; Maseda, A. Depressive symptoms and other factors associated with poor self-rated health in the elderly: Gender differences. Geriatr. Gerontol. Int. 2012, 12, 198–206. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Campos, A.; Albala, C.; Lera, L.; Sánchez, H.; Vargas, A.; Ferreira, E. Gender differences in predictors of self-rated health among older adults in Brazil and Chile. BMC Public Health 2015, 15, 365. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Carlson, P. Risk behaviors and self-rated health in Russia. J. Epidemiol. Community Health 2001, 55, 806–817. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kaleta, D.; Polańska, K.; Dziankowska-Zaborszczyk, E.; Hanke, W.; Drygas, W. Factors influencing self-perception of health status. Central Eur. J. Public Health 2009, 17, 122–127. [Google Scholar] [CrossRef] [Green Version]
- Ocampo, J. Self-rated health: Importance of use in elderly adults. Colomb. Médica 2010, 41, 275–289. [Google Scholar]
- Piko, B. Health-related predictors of self-perceived health in a student population: The importance of physical activity. J. Community Health 2000, 25, 25–37. [Google Scholar] [CrossRef]
- Fernández, B.; Rosero-Bixby, L.; Koivumaa-Honkanen, H. Effects of self-rated health and self-rated economic situation on depressed mood via life satisfaction among older adults in Costa Rica. J. Aging Health 2016, 28, 225–243. [Google Scholar] [CrossRef] [Green Version]
- Erginoz, E.; Alikasifoglu, M.; Ercan, O.; Uysal, O.; Ercan, G.; Albayrak-Kaymak, D. Perceived health status in a Turkish adolescent sample: Risk and protective factors. Eur. J. Pediatrics 2004, 163, 485–494. [Google Scholar] [CrossRef]
- Kaleta, D.; Makowiec-Dąbrowska, T.; Jegier, A. Leisure-time physical activity, cardiorespiratory fitness and work ability: A study in randomly selected residents of Lodz. Int. J. Occup. Med. Environ. Health 2004, 17, 457–464. [Google Scholar] [PubMed]
- Geib, L.T.C. Social determinants of health in the elderly. Cien. Saude Colet. 2012, 17, 123–133. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Brummett, B.H.; Barefoot, J.C.; Siegler, I.C.; Clapp-Channing, N.E.; Lytle, B.L.; Bosworth, H.B.; Williams, R.B., Jr.; Mark, D.B. Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality. Psychosom. Med. 2001, 63, 267–272. [Google Scholar] [CrossRef]
- Cornwell, B.; Schumm, L.P.; Laumann, E.O.; Kim, J.; Kim, Y. Assessment of social network change in a longitudinal survey. J. Gerontol. Ser. B 2014, 69, S75–S82. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Fiori, K.L.; Antonucci, T.C.; Cortina, K.S. Social network typologies and mental health among older adults. J. Gerontol. Ser. B 2006, 61, 25–32. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Armer, A.; Proulx, C. Associations between social connectedness, emotional wellbeing, and self-rated health among older adults: Difference by relationship status. Res. Aging 2019, 41, 336–361. [Google Scholar] [CrossRef]
- Bongaarts, J.; Zimmer, Z. Living arrangements of older adults in the developing world: An analysis of demographic and health survey household surveys. J. Gerontol. Ser. B 2002, 57, S145–S157. [Google Scholar] [CrossRef] [Green Version]
- Xu, D.; Arling, G.; Wang, K. A cross-sectional study of self-rated health among older adults: A comparison of China and the United States. BMJ Open 2019, 9, e027895. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Nowak, M. Factors determining physical fitness self-evaluation and health self-evaluation in physically active women. New Med. 2006, 9, 19–25. [Google Scholar]
- Kwaśniewska, M.; Bielecki, W.; Drygas, W. Sociodemographic and clinical determinants of quality of life in urban population of Poland. Cent. Eur. J. Public Health 2004, 12, 63–68. [Google Scholar] [PubMed]
- Marques, A.; Peralta, M.; Gouveia, E.; Chávez, F.; Valeiro, M. Physical activity buffers the negative relationship between multi-morbidity, self-rated health and life satisfaction. J. Public Health 2018, 40, e328–e335. [Google Scholar] [CrossRef] [PubMed]
- Maher, J.; Pincus, A.; Ram, N. Daily physical activity and life satisfaction across adulthood. Dev. Psychol. 2015, 51, 1407–1419. [Google Scholar] [CrossRef] [PubMed]
- Chirico, F.; Sharma, M.; Zaffina, S.; Magnavita, N. Spirituality and prayer on teacher stress and burnout in an Italian cohort: A pilot, before-after controlled study. Front. Psychol. 2020, 10, 2933. [Google Scholar] [CrossRef] [Green Version]
- Chirico, F.; Nucera, G. An Italian experience of spirituality from the Coronavirus Pandemic. J. Relig. Health 2020, 59, 2193–2195. [Google Scholar] [CrossRef]
- Chirico, F. Spiritual wellbeing in the 21st century: It is time to review the current WHO’s health definition. J. Health Soc. Sci. 2016, 1, 11–16. [Google Scholar] [CrossRef]
- Ardelt, M. Effects of religion and purpose in life on elders’ subjective wellbeing and attitudes toward death. J. Relig. Gerontol. 2003, 14, 55–77. [Google Scholar] [CrossRef]
- Chatters, L.M.; Bullard, K.M.; Taylor, R.J.; Woodward, A.T.; Neighbors, H.W.; Jackson, J.S. Religious participation and DSM-IV disorders among older African Americans: Findings from the National Survey of American Life (NSAL). Am. J. Geriatr. Psychiatry 2008, 16, 957–965. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Krause, N.; Hayward, R.D. Religious involvement, practical wisdom, and self-rated health. J. Aging Health 2014, 26, 540–558. [Google Scholar] [CrossRef] [PubMed]
- Anstey, K.; Luszcz, M.; Giles, L.; Andrews, G. Demographic, health, cognitive, and sensory variables as predictors of mortality in very old adults. Psychol. Aging 2001, 16, 3–11. [Google Scholar] [CrossRef]
- Griep, R.; Toivanen, S.; van Diepen, C.; Guimarães, J.; Camelo, L.; Juvanhol, L.; Aquino, E.; Chor, D. Work-family conflict and self-rated health: The role of gender and educational level. Baseline data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Int. J. Behav. Med. 2016, 23, 372–382. [Google Scholar] [CrossRef] [Green Version]
- Jürges, H. True health vs response styles: Exploring cross-country differences in self-reported health. Health Econ. 2007, 16, 168–178. [Google Scholar] [CrossRef]
- van der Made, C.I.; Simons, A.; Schuurs-Hoeijmakers, J.; van den Heuvel, G.; Mantere, T.; Kersten, S.; van Deuren, R.C.; Steehouwer, M.; van Reijmersdal, S.V.; Jaeger, M.; et al. Presence of genetic variants among young men with severe COVID-19. JAMA 2020, 324, 663–673. [Google Scholar] [CrossRef]
- Lavretsky, H.; Kumar, A. Clinically significant non-major depression: Old concepts, new insights. Am. J. Geriatr. Psychiatry 2002, 10, 239–255. [Google Scholar] [CrossRef]
- Singh-Manoux, A.; Martikainen, P.; Ferrie, J.; Zins, M.; Marmot, M.; Goldberg, M. What does self-rated health measure? Results from the British Whitehall II and French Gazel cohort studies. J. Epidemiol. Community Health 2006, 60, 364–372. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Berglund, E.; Westerling, R.; Lytsy, P. Housing type and neighborhood safety behavior predicts self-rated health, psychological wellbeing and frequency of recent unhealthy days: A comparative cross-sectional study of the general population in Sweden. Plan. Pract. Res. 2017, 32, 444–465. [Google Scholar] [CrossRef] [Green Version]
- Gallup Global. Gallup Global Wellbeing. 2020. Available online: https://news.gallup.com/poll/126965/gallup-global-wellbeing.aspx (accessed on 25 January 2021).
- World Happiness. World Happiness Report. 2020. Available online: https://happiness-report.s3.amazonaws.com/2020/WHR20.pdf (accessed on 25 January 2021).
- Eurofound. European Quality of Life Survey (EQLS). 2020. Available online: https://www.src.isr.umich.edu/international/european-quality-of-life-survey-eqls/ (accessed on 11 May 2021).
- Graham, C.L.; Nikolova, M. Bentham or Aristotle in the development process? An empirical investigation of capabilities and subjective wellbeing. World Dev. 2015, 68, 163–179. [Google Scholar] [CrossRef] [Green Version]
- Ford, J.; Spallek, M.; Dobsin, A. Self-rated health and a healthy lifestyle are the most important predictors of survival in elderly women. Age Ageing 2008, 37, 194–200. [Google Scholar] [CrossRef] [Green Version]
- Flores, G.; Ingenhaag, M.; Maurer, J. An anatomy of old-age disability: Time use, affect and experienced utility. J. Health Econ. 2015, 44, 150–160. [Google Scholar] [CrossRef] [PubMed]
- Jagodzinski, W. Economic, social, and cultural determinants of life satisfaction: Are there differences between Asia and Europe? Soc. Indic. Res. 2010, 97, 85–104. [Google Scholar] [CrossRef]
- Lou, V.W.Q. Life satisfaction of older adults in Hong Kong: The role of social support from grandchildren. Soc. Indic. Res. 2010, 95, 377–391. [Google Scholar] [CrossRef]
- Diener, E.; Inglehart, R.; Tay, L. Theory and validity of life satisfaction scales. Soc. Indic. Res. 2013, 112, 497–527. [Google Scholar] [CrossRef]
- Alarcão, V.; Guiomar, S.; Oliveira, A.; Severo, M.; Correia, D.; Torres, D.; Lopes, C. Food insecurity and social determinants of health among immigrants and natives in Portugal. Food Secur. 2020, 12, 579–589. [Google Scholar] [CrossRef]
- Zhou, X.; Hetrick, S.E.; Cuijpers, P.; Qin, B.; Barth, J.; Whittington, C.J.; Cohen, D.; Del Giovane, C.; Liu, Y.; Michael, K.D.; et al. Comparative efficacy and acceptability of psychotherapies for depression in children and adolescents: A systematic review and network meta-analysis. World Psychiatry 2015, 14, 207–222. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Bonner, W.; Weiler, R.; Orisatoki, R.; Lu, X.; Andkhoie, M.; Ramsay, D.; Yaghoubi, M.; Steeves, M.; Szafron, M.; Farag, M. Determinants of self-perceived health for Canadians aged 40 and older and policy implications. Int. J. Equity Health 2017, 16, 94. [Google Scholar] [CrossRef] [Green Version]
- Nayak, S.; Hubbard, A.; Sidney, S.; Syme, S.L. Characteristics associated with self-rated health in the CARDIA study: Contextualizing health determinants by income group. Prev. Med. Rep. 2016, 4, 199–208. [Google Scholar] [CrossRef] [Green Version]
- Maniscalco, L.; Miceli, S.; Bono, F.; Matranga, D. Self-perceived health, objective health, and quality of life among people aged 50 and over: Interrelationship among health indicators in Italy, Spain, and Greece. Int. J. Environ. Res. Public Health 2020, 17, 2414. [Google Scholar] [CrossRef] [Green Version]
Characteristics | Sample Percent |
---|---|
Gender | |
Male | 54.7% |
Female | 45.3% |
Marital status | |
Single | 9.4% |
Married | 86.7% |
Divorced | 3.9% |
Education | |
Below secondary | 10.2% |
Secondary | 7.1% |
College diploma | 12.4% |
College bachelor’s degree | 38.7% |
Masters/Doctoral degree | 27.6% |
Location | |
Abu Dhabi | 74.6% |
Al Ain | 18.9% |
Al Dhafra | 6.6% |
Nationality | |
Emirati | 73.5% |
Categories | Poor | Fair | Good | Very Good | Excellent |
---|---|---|---|---|---|
Total | 3.03% | 17.57% | 43.27% | 26.52% | 9.61% |
Male | 2.64% | 16.24% | 44.90% | 26.65% | 9.58% |
Female | 4.16% | 21.39% | 38.61% | 26.14% | 9.70% |
UAE national | 2.78% | 16.75% | 43.15% | 27.03% | 10.28% |
Non-UAE national | 3.75% | 19.92% | 43.59% | 25.05% | 7.69% |
Have long-standing illness | 6.69% | 34.59% | 43.17% | 12.94% | 2.62% |
Does not have long-standing illness | 0.61% | 7.88% | 42.68% | 35.67% | 13.16% |
Model | R | R Square | Adjusted R Square | Std. Error of the Estimate | R Square Change | F Change | df1 | df2 | Sig. F Change |
---|---|---|---|---|---|---|---|---|---|
1 | 0.130 | 0.017 | 0.003 | 0.953 | 0.017 | 1.263 | 1 | 74 | 0.265 |
2 | 0.453 | 0.205 | 0.183 | 0.863 | 0.188 | 17.29 | 1 | 73 | 0.0001 |
3 | 0.918 | 0.842 | 0.748 | 0.479 | 0.637 | 7.306 | 26 | 47 | 0.0001 |
Model | Sum of Squares | d.f. | Mean Square | F | Sig. | Sum of Squares |
---|---|---|---|---|---|---|
1 | Regression | 1.148 | 1 | 1.148 | 1.263 | 0.265 |
Residual | 67.273 | 74 | 0.909 | |||
Total | 68.421 | 75 | ||||
2 | Regression | 14.032 | 2 | 7.016 | 9.417 | 0.000 |
Residual | 54.389 | 73 | 0.745 | |||
Total | 68.421 | 75 | ||||
3 | Regression | 57.633 | 28 | 2.058 | 8.967 | 0.000 |
Residual | 10.789 | 47 | 0.230 | |||
Total | 68.421 | 75 |
Unstandardized Coefficients | Standardized Coefficients | ||||
---|---|---|---|---|---|
B | Std. Error | Beta | t | Sig. | |
Model 1 | |||||
(Constant) | 3.727 | 0.382 | --------- | 9.755 | 0.001 |
Gender | −0.364 | 0.324 | −0.130 | −1.124 | 0.265 |
Nationality | 0.029 | 0.064 | 0.016 | 0.462 | 0.644 |
Model 2 | |||||
(Constant) | 4.041 | 0.354 | --------- | 11.414 | 0.001 |
Gender | −0.313 | 0.293 | −0.112 | −1.069 | 0.289 |
Nationality | 0.144 | 0.058 | 0.076 | 1.426 | 0.115 |
Having a long-standing illness or not | −0.767 | 0.056 | −0.431 | −13.806 | 0.000 |
Model 3 | |||||
(Constant) | −1.297 | 0.174 | --------- | 7.470 | 0.000 |
Gender | 0.003 | 0.072 | 0.001 | 0.047 | 0.963 |
Nationality | 0.118 | 0.052 | 0.063 | 1.256 | 0.124 |
Having longstanding illness or not | −0.578 | 0.050 | −0.325 | −11.551 | 0.001 |
Overall housing satisfaction | 0.058 | 0.025 | 0.066 | 2.274 | 0.023 |
Satisfaction with household income | 0.108 | 0.022 | 0.150 | 2.997 | 0.005 |
Frequency of practicing sport | 0.079 | 0.016 | 0.136 | 4.825 | 0.001 |
Frequency of having lots of energy | 0.237 | 0.030 | 0.234 | 7.829 | 0.001 |
Frequency of feeling downhearted/depressed | −0.124 | 0.131 | −0.127 | 2.331 | 0.024 |
Size of support network | 0.057 | 0.020 | 0.083 | 2.891 | 0.004 |
Satisfaction with family life | 0.411 | 0.178 | 0.229 | 2.682 | 0.009 |
Life satisfaction | 0.041 | 0.015 | 0.085 | 2.762 | 0.006 |
Frequency having informal activities (friends) | −0.286 | 0.071 | −0.368 | −4.028 | 0.001 |
Relationships with other acquainted people | 0.600 | 0.158 | 0.297 | 3.798 | 0.001 |
Number of family members living together | 0.061 | 0.016 | 0.278 | 3.725 | 0.001 |
Importance of maintaining family ties | 0.480 | 0.189 | 0.241 | 2.539 | 0.014 |
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Badri, M.A.; Yang, G.; Al Khaili, M.; Al Bahar, M.; Al Rashdi, A.; Al Hyas, L. Hierarchical Regression of Wellbeing and Self-Rated Health among Older Adults in Abu Dhabi. Int. J. Environ. Res. Public Health 2021, 18, 8006. https://doi.org/10.3390/ijerph18158006
Badri MA, Yang G, Al Khaili M, Al Bahar M, Al Rashdi A, Al Hyas L. Hierarchical Regression of Wellbeing and Self-Rated Health among Older Adults in Abu Dhabi. International Journal of Environmental Research and Public Health. 2021; 18(15):8006. https://doi.org/10.3390/ijerph18158006
Chicago/Turabian StyleBadri, Masood A., Guang Yang, Mugheer Al Khaili, Muna Al Bahar, Asma Al Rashdi, and Layla Al Hyas. 2021. "Hierarchical Regression of Wellbeing and Self-Rated Health among Older Adults in Abu Dhabi" International Journal of Environmental Research and Public Health 18, no. 15: 8006. https://doi.org/10.3390/ijerph18158006