Health-Related Quality of Life in Older Adults: Its Association with Health Literacy, Self-Efficacy, Social Support, and Health-Promoting Behavior
Abstract
:1. Introduction
2. Materials and Methods
2.1. Measurement
2.1.1. Health Literacy
2.1.2. Social Support
2.1.3. Self-Efficacy
2.1.4. Health-Promoting Behavior
2.1.5. Health-Related Quality of Life
2.2. Ethical Considerations
2.3. Statistical Analyses
3. Results
3.1. Participants’ General Characteristics and Differences
3.2. Scores for HL, Social Support, Self-Efficacy, Health-Promoting Behavior, and HRQOL
3.3. Correlations between HRQOL and HL, Social Support, and Health-Promoting Behavior
3.4. Factors Affecting HRQOL
4. Discussion
4.1. Implication for Nursing Practice
4.2. Limitations
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
- Statistics Korea. World and Korea Population Prospects. 2018. Available online: http://kosis.kr/eng/statisticsList/statisticsListIndex.do (accessed on 15 October 2020).
- Feng, Z.; Cramm, J.M.; Nieboer, A.P. Social participation is an important health behaviour for health and quality of life among chronically ill older Chinese people. BMC Geriatr. 2020, 20, 299. [Google Scholar] [CrossRef] [PubMed]
- Kostka, T.; Jachimowicz, V. Relationship of quality of life to dispositional optimism, health locus of control and self-efficacy in older participants living in different environments. Qual. Life Res. 2010, 19, 351–361. [Google Scholar] [CrossRef] [PubMed]
- Panagioti, M.; Skevington, S.M.; Hann, M.; Howells, K.; Blakemore, A.; Reeves, D.; Bower, P. Effect of health literacy on the quality of life of older patients with long-term conditions: A large cohort study in UK general practice. Qual. Life Res. 2018, 27, 1257–1268. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Stretton, C.M.; Latham, N.K.; Carter, K.N.; Lee, A.C.; Anderson, C.S. Determinants of physical health in frail older people: The importance of self-efficacy. Clin. Rehabil. 2006, 20, 357–366. [Google Scholar] [CrossRef]
- Rootman, I.; Gordon-El-Bihbety, D. A Vision for a Health Literate Canada; Canadian Public Health Association: Ottawa, ON, Canada, 2008. [Google Scholar]
- Kim, Y.S.; Park, B.H.; Lee, H.Y. A study on predicting health literacy of Korean elderly using Andersen’s health behavior model. J. Welf. Aged Inst. 2014, 65, 35–57. [Google Scholar]
- National Institute of the Korean Language. The National Literacy Survey; The National Institute of the Korean Language: Seoul, Korea, 2018. [Google Scholar]
- Kim, S.H.; Yu, X. The mediating effect of self-efficacy on the relationship between health literacy and health status in Korean older adults: A short report. Aging Mental Health 2010, 14, 870–873. [Google Scholar] [CrossRef]
- Boyle, P.A.; Yu, L.; Wilson, R.S.; Segawa, E.; Buchman, A.S.; Bennett, D.A. Cognitive decline impairs financial and health literacy among community-based older persons without dementia. Psychol. Aging 2013, 28, 614. [Google Scholar] [CrossRef] [Green Version]
- Liu, Y.B.; Liu, L.; Li, Y.F.; Chen, Y.L. Relationship between health literacy, health-related behaviors and health status: A survey of elderly Chinese. Int. J. Environ. Res. Public Health 2015, 12, 9714–9725. [Google Scholar] [CrossRef] [Green Version]
- Soones, T.N.; Lin, J.L.; Wolf, M.S.; O’Conor, R.; Martynenko, M.; Wisnivesky, J.P.; Federman, A.D. Pathways linking health literacy, health beliefs, and cognition to medication adherence in older adults with asthma. J. Allergy Clin. Immunol. 2017, 139, 804–809. [Google Scholar] [CrossRef] [Green Version]
- Barlow, J.H.; Williams, B.; Wright, C. The Generalized Self-Efficacy Scale in people with arthritis. Arthritis Care Res. 1996, 9, 189–196. [Google Scholar] [CrossRef]
- Bandura, A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol. Rev. 1977, 84, 191–215. [Google Scholar] [CrossRef] [PubMed]
- Schwarzer, R.; Jerusalem, M.; Weinman, J.; Wright, S.; Johnston, M. Measures in Health Psychology: A User’s Portfolio. In Causal and Control Beliefs; Nfer-Nelson: Windsor, UK, 1995; pp. 35–37. [Google Scholar]
- Waller, K.V.; Bates, R.C. Health locus of control and self-efficacy beliefs in a healthy elderly sample. Am. J. Health Promot. 1992, 6, 302–309. [Google Scholar] [CrossRef] [PubMed]
- Ayalon, R.; Bachner, Y.G. Medical, social, and personal factors as correlates of quality of life among older cancer patients with permanent stoma. Eur. J. Oncol. Nurs. 2019, 38, 50–56. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Lara, R.; Vázquez, M.L.; Ogallar, A.; Godoy-Izquierdo, D. Psychosocial resources for hedonic balance, life satisfaction and happiness in the elderly: A path analysis. Int. J. Environ. Res. Public Health 2020, 17, 5684. [Google Scholar] [CrossRef]
- Aminuddin, H.B.; Jiao, N.; Jiang, Y.; Hong, J.; Wang, W. Effectiveness of smartphone-based self-management interventions on self-efficacy, self-care activities, health-related quality of life and clinical outcomes in patients with type 2 diabetes: A systematic review and meta-analysis. Int. J. Nurs. Stud. 2019, 103286, in press. [Google Scholar] [CrossRef] [PubMed]
- Gurung, R. Coping and social support. In Health Psychology: A Cultural Approach; Thomson: Belmont, CA, USA, 2006; pp. 131–171. [Google Scholar]
- Bélangerm, E.; Ahmedm, T.; Vafaei, M.A.; Curciom, C.L.; Phillipsm, S.P.; Zunzuneguim, M.V. Sources of social support associated with health and quality of life: A cross-sectional study among Canadian and Latin American older adults. BMJ Open 2016, 6, e011503. [Google Scholar] [CrossRef] [Green Version]
- Sarla, E.; Lambrinou, E.; Galanis, P.; Kalokairinou, A.; Sourtzi, P. Factors that influence the relationship Between social support and health-related quality of life of older people living in the community. Gerontol. Geriatr. Med. 2020, 6, 2333721420911474. [Google Scholar] [CrossRef] [Green Version]
- Geffen, L.N.; Kelly, G.; Morris, J.N.; Howard, E.P. Peer-to-peer support model to improve quality of life among highly vulnerable, low-income older adults in Cape Town, South Africa. BMC Geriatr. 2019, 19, 279. [Google Scholar] [CrossRef]
- Lee, S.M. The Effects of Lifestyle of the Older Women on the Health Promotion Hehaviors and Life Satisfaction. Ph.D. Thesis, Hoseo University Asan-si, Chungcheongnam-do, Korea, 2012. in press. [Google Scholar]
- Mofrad, Z.P.; Jahantigh, M.; Arbabisarjou, A. Health Promotion behaviors and chronic diseases of aging in the elderly people of Iranshahr-IR Iran. Glob. J. Health Sci. 2016, 8, 139. [Google Scholar] [CrossRef] [Green Version]
- Buffart, L.M.; Newton, R.U.; Chinapaw, M.J.; Taaffe, D.R.; Spry, N.A.; Denham, J.W.; Joseph, D.J.; Lamb, D.S.; Brug, J.; Galvão, D.A. The effect, moderators, and mediators of resistance and aerobic exercise on health-related quality of life in older long-term survivors of prostate cancer. Cancer 2015, 121, 2821–2830. [Google Scholar] [CrossRef] [Green Version]
- Kong, L.N.; Hu, P.; Yao, Y.; Zhao, Q.H. Social support as a mediator between depression and quality of life in Chinese community-dwelling older adults with chronic disease. Geriatr. Nurs. 2019, 40, 252–256. [Google Scholar] [CrossRef] [PubMed]
- Niedermeier, M.; Herzog, S.; Kopp-Wilfling, P.; Burtscher, M.; Kopp, M. Is the effect of physical activity on quality of life in older adults mediated by social support? Gerontology 2019, 65, 375–382. [Google Scholar] [CrossRef] [PubMed]
- Fransen, M.P.; Von Wagner, C.; Essink-Bot, M.L. Diabetes self-management in patients with low health literacy: Ordering findings from literature in a health literacy framework. Patient Educ. Couns. 2012, 88, 44–53. [Google Scholar] [CrossRef] [PubMed]
- Lee, E.H.; Lee, Y.W.; Moon, S.H. A structural equation model linking health literacy to self-efficacy, self-care activities, and health-related quality of life in patients with type 2 diabetes. Asian Nurs. Res. 2016, 10, 82–87. [Google Scholar] [CrossRef] [Green Version]
- Lee, S.H.; Lee, K.H.; Chang, S.J. Do health literacy and self-care behaviours affect quality of life in older persons with lung cancer receiving chemotherapy? Int. J. Nurs. Pract. 2018, 24, e12691. [Google Scholar] [CrossRef]
- Bowling, A.; Iliffe, S. Psychological approach to successful ageing predicts future quality of life in older adults. Health Qual. Life Outcomes 2011, 9, 13. [Google Scholar] [CrossRef] [Green Version]
- Choi, J.S.; Kim, B.H.; Chang, S.J. Gender-specific factors influencing diabetes self-care behaviors and health-related quality of life Among older adults With Type 2 diabetes in South Korea. Res. Gerontol. Nurs. 2015, 8, 231–239. [Google Scholar] [CrossRef]
- Kim, H.K.; Hisata, M.; Kai, I.; Lee, S.K. Social support exchange and quality of life among the Korean elderly. J. Cross Cult. Gerontol. 2000, 15, 331–347. [Google Scholar] [CrossRef]
- Borson, S.; Scanlan, J.M.; Chen, P.; Ganguli, M. The mini-cog as a screen for dementia: Validation in a population-based sample. J. Am. Geriatr. Soc. 2003, 51, 1451–1454. [Google Scholar] [CrossRef]
- Lee, T.W.; Kang, S.J. Development of the short form of the Korean health literacy scale for the elderly. Res. Nurs. Health 2013, 36, 524–534. [Google Scholar] [CrossRef]
- Sherbourne, C.D.; Stewart, A.L. The MOS social support survey. Soc. Sci. Med. 1991, 32, 705–714. [Google Scholar] [CrossRef]
- Walker, N.; Sechrist, K.; Pender, N. The Health Promoting Lifestyle Profile II Questionnaire; University of Nebraska Medical Center, Nebraska’s Health Science Center: Omaha, NE, USA, 1995. [Google Scholar]
- Ware, J.E., Jr.; Kosinski, M.; Keller, S.D. A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Med. Care 1996, 34, 220–233. [Google Scholar] [CrossRef] [Green Version]
- Sygit, K.; Siedlecka-Pasierbiak, K.; Sygit, M.; Cipora, E. The Quality of Life of Seniors Hospitalized Due to Cardiovascular Diseases in Poland. Int. J. Environ. Res. Public Health 2020, 17, 3721. [Google Scholar] [CrossRef] [PubMed]
- Lacson, E.; Xu, J.; Lin, S.F.; Dean, S.G.; Lazarus, J.M.; Hakim, R.M. A comparison of SF-36 and SF-12 composite scores and subsequent hospitalization and mortality risks in long-term dialysis patients. Clin. J. Am. Soc. Nephrol. 2010, 5, 252–260. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Son, Y.J.; Yu, H.Y. Influence of health literacy on HRQoL in patients After PCI. West. J. Nurs. Res. 2016, 38, 1611–1626. [Google Scholar] [CrossRef]
- Safeer, R.S.; Keenan, J. Health literacy: The gap between physicians and patients. Am. Fam. Phys. 2005, 72, 463–468. [Google Scholar]
- Davis, T.C.; Wolf, M.S.; Bass, P.F., III; Thompson, J.A.; Tilson, H.H.; Neuberger, M.; Parker, R.M. Literacy and misunderstanding prescription drug labels. Ann. Intern. Med. 2006, 145, 887–894. [Google Scholar] [CrossRef]
- Wolf, M.S.; Feinglass, J.; Thompson, J.; Baker, D.W. In search of ‘low health literacy’: Threshold vs. gradient effect of literacy on health status and mortality. Soc. Sci. Med. 2010, 70, 1335–1341. [Google Scholar] [CrossRef]
- Patel, P.J.; Joel, S.; Rovena, G.; Pedireddy, S.; Saad, S.; Rachmale, R.; Shukla, M.; Deol, B.B.; Cardozo, L. Testing the utility of the newest vital sign (NVS) health literacy assessment tool in older African-American patients. Patient Educ. Couns. 2011, 85, 505–507. [Google Scholar] [CrossRef]
- Ennis, K.; Hawthorne, K.; Frownfelter, D. How physical therapists can strategically effect health outcomes for older adults with limited health literacy. J. Geriatr. Phys. Ther. 2012, 35, 148–154. [Google Scholar] [CrossRef]
- Zheng, M.; Jin, H.; Shi, N.; Duan, C.; Wang, D.; Yu, X.; Li, X. The relationship between health literacy and quality of life: A systematic review and meta-analysis. Health Qual. Life Outcomes 2018, 16, 201. [Google Scholar] [CrossRef] [Green Version]
- Mudrak, J.; Stochl, J.; Slepicka, P.; Elavsky, S. Physical activity, self-efficacy, and quality of life in older Czech adults. Eur. J. Ageing 2016, 13, 5–14. [Google Scholar] [CrossRef] [Green Version]
- Yazdi-Ravandi, S.; Taslimi, Z.; Jamshidian, N.; Saberi, H.; Shams, J.; Haghparast, A. Prediction of quality of life by Self-Efficacy, Pain Intensity and Pain Duration in Patient with Pain Disorders. Basic Clin. Neurosci. 2013, 4, 117–124. [Google Scholar]
- Bowen, P.G.; Clay, O.J.; Lee, L.T.; Vice, J.; Ovalle, F.; Crowe, M. Associations of social support and self-efficacy with quality of life in older adults with diabetes. J. Gerontol. Nurs. 2015, 41, 21–29, quiz 30–21. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Costa, L.C.; Maher, C.G.; McAuley, J.H.; Hancock, M.J.; Smeets, R.J. Self-efficacy is more important than fear of movement in mediating the relationship between pain and disability in chronic low back pain. Eur. J. Pain. 2011, 15, 213–219. [Google Scholar] [CrossRef] [PubMed]
- Kratz, A.L.; Molton, I.R.; Jensen, M.P.; Ehde, D.M.; Nielson, W.R. Further evaluation of the Motivational Model of Pain Self-Management: Coping with chronic pain in multiple sclerosis. Ann. Behav. Med. 2011, 41, 391–400. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kreitler, S.; Peleg, D.; Ehrenfeld, M. Stress, self-efficacy and quality of life in cancer patients. Psychooncology 2007, 16, 329–341. [Google Scholar] [CrossRef]
- Karademas, E.C. Self-efficacy, social support and well-being: The mediating role of optimism. Pers. Individ. Dif. 2006, 40, 1281–1290. [Google Scholar] [CrossRef]
- Han, K.; Lee, P.; Lee, S.; Park, E. Factors influencing quality of life in people with chronic illness in Korea. J. Nurs. Scholarsh. 2003, 35, 139–144. [Google Scholar] [CrossRef]
- Afendy, A.; Kallman, J.B.; Stepanova, M.; Younoszai, Z.; Aquino, R.D.; Bianchi, G.; Marchesini, G.; Younossi, Z.M. Predictors of health-related quality of life in patients with chronic liver disease. Aliment. Pharmacol. Ther. 2009, 30, 469–476. [Google Scholar] [CrossRef]
- Chen, Y.J.; Wang, J.K.; Liu, C.Y.; Yang, C.Y.; Chiang, Y.T.; Chen, C.W. Healthcare needs and quality of life in youths with congenital heart disease: Health-promoting behaviors as a mediator. J. Pediatr. Nurs. 2020, 50, e113–e118. [Google Scholar] [CrossRef] [PubMed]
- De Maria, M.; Tagliabue, S.; Ausili, D.; Vellone, E.; Matarese, M. Perceived social support and health-related quality of life in older adults who have multiple chronic conditions and their caregivers: A dyadic analysis. Soc. Sci. Med. 2020, 262, 113193. [Google Scholar] [CrossRef] [PubMed]
- Wen, Q.; Shao, Z.; Zhang, P.; Zhu, T.; Li, D.; Wang, S. Mental distress, quality of life and social support in recurrent ovarian cancer patients during active chemotherapy. Eur. J. Obstet. Gynecol. Reprod. Biol. 2017, 216, 85–91. [Google Scholar] [CrossRef] [PubMed]
- Zhang, H.; Xiong, R.H.; Hujiken, S.; Zhang, J.J.; Zhang, X.Q. Psychological distress, family functioning, and social support in family caregivers for patients with dementia in the mainland of China. Chin. Med. J. 2013, 126, 3417–3421. [Google Scholar] [PubMed]
- Liao, J.; Brunner, E.J. Structural and functional measures of social relationships and quality of life among older adults: Does chronic disease status matter? Qual. Life Res. 2016, 25, 153–164. [Google Scholar] [CrossRef] [PubMed]
- Sok, S.R.; Yun, E.K. A comparison of physical health status, self-esteem, family support and health-promoting behaviours between aged living alone and living with family in Korea. J. Clin. Nurs. 2011, 20, 1606–1612. [Google Scholar] [CrossRef] [PubMed]
- Ma, V.; Schoeneman, T.J. Individualism versus collectivism: A comparison of Kenyan and American self-concepts. Basic Appl. Soc. Psychol. 1997, 19, 261–273. [Google Scholar] [CrossRef]
- Reinhard, S.C.; Given, B.; Petlick, N.H.; Bemis, A. Supporting family caregivers in providing care. In Patient Safety and Quality: An Evidence-Based Handbook for Nurses; Agency for Healthcare Research and Quality: Rockville, MD, USA, 2008. [Google Scholar]
- Foottit, J.; Anderson, D. Associations between perception of wellness and health-related quality of life, comorbidities, modifiable lifestyle factors and demographics in older Australians. Australas. J. Ageing 2012, 31, 22–27. [Google Scholar] [CrossRef]
- Ohaeri, J.U.; Awadalla, A.W.; Farah, A.A. Quality of life in people with epilepsy and their family caregivers. An Arab experience using the short version of the World Health Organization quality of life instrument. Saudi Med. J. 2009, 30, 1328–1335. [Google Scholar]
Characteristics | Mean | Range | n (%) | PCS-12 | MCS-12 | ||
---|---|---|---|---|---|---|---|
Mean | t or F (p) Scheffé | Mean | t or F (p) Scheffé | ||||
Age (year) | 75.6 (6.3) | 65–95 | |||||
≥65, <75 | 108 (45.0) | 64.4 (14.9) | 78.4 (15.9) | ||||
≥75, <95 | 132 (55.0) | 59.1 (15.9) | 2.652 (0.008) | 74.9 (15.2) | 1.731 (0.085) | ||
Sex | |||||||
Male | 139 (57.9) | 60.3 (15.9) | 76.7 (75.1) | ||||
Female | 101 (42.1) | 63.1 (15.2) | −1.34 (0.182) | 76.2 (16.4) | 0.23 (0.822) | ||
Education | |||||||
No education or elementary school | 104 (43.3) | 59.3 (15.1) | 75.2 (15.7) | ||||
Middle school | 51 (21.3) | 62.4 (17.5) | 76.9 (16.8) | ||||
≥High school | 85 (35.4) | 63.6 (15.0) | 1.84 (0.161) | 77.8 (14.9) | 0.64 (0.530) | ||
Marital status | |||||||
Single | 17 (7.1) | 55.3 (20.9) | 70.2 (22.4) | ||||
Married | 156 (65.0) | 63.5 (14.5) | 77.3 (15.1) | ||||
Divorced/Widowed | 67 (27.9) | 58.5 (16.1) | 3.92 (0.021) | 76.2 (14.7) | 1.60 (0.203) | ||
Religion | |||||||
Yes | 167 (69.6) | 60.8 (15.9) | 75.7 (15.9) | ||||
No | 73 (30.5) | 63.0 (15.1) | −1.00 (0.319) | 78.3 (15.0) | −1.18 (0.241) | ||
Economic status | |||||||
≥Middle | 141 (58.8) | 63.7 (14.7) | 78.8 (15.2) | ||||
Low | 99 (41.3) | 58.6 (16.6) | 2.60 (0.010) | 73.2 (15.7) | 2.76 (0.006) | ||
Number of comorbidities | |||||||
0 | 75 (31.3) | 68.6 (14.6) | 81.6 (14.7) | ||||
1 | 112 (46.7) | 59.6 (14.9) | 74.5 (15.1) | ||||
≥2 | 53 (22.1) | 55.4 (15.2) | 13.82 (<0.001) a > b, c | 73.4 (16.5) | 6.22 (0.002) a > b, c |
Variables | Range | Mean [SD] |
---|---|---|
Health literacy | ||
Health-related terms | 0–5 | 4.3 (1.0) |
Comprehension and numeracy | 0–7 | 5.0 (1.6) |
Social support | ||
Tangible | 4–20 | 14.8 (4.7) |
Affectionate | 3–15 | 11.5 (3.4) |
Positive social interaction | 4–20 | 14.9 (4.5) |
Emotional-informational | 8–40 | 30.0 (8.2) |
Self-efficacy | 10–40 | 30.8 (5.8) |
Health-promoting behavior | ||
Physical area | 5–25 | 21.4 (3.6) |
Social area | 5–25 | 18.0 (4.5) |
Emotional area | 3–15 | 11.7 (2.7) |
HRQOL (SF-12) | ||
Physical health (PCS-12) | 36.7–90.0 | 63.6 (7.8) |
Mental health (MCS-12) | 37.5–97.5 | 67.8 (10.8) |
Variables | r (p) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Health Literacy | Social Support | Self-Efficacy | HPB | SF-12 | ||||||||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | |
1. Health-related terms | ― | |||||||||||
2. Comprehension and numeracy | 0.30 (<0.001) | ― | ||||||||||
3. Tangible | 0.06 (0.380) | 0.05 (0.479) | ― | |||||||||
4. Affectionate | 0.04 (0.563) | 0.10 (0.131) | 0.71 (<0.001) | ― | ||||||||
5. Positive social interaction | 0.05 (0.427) | 0.09 (0.151) | 0.76 (<0.001) | 0.85 (<0.001) | ― | |||||||
6. Emotional-informational | 0.08 (0.200) | 0.14 (0.026) | 0.74 (<0.001) | 0.85 (<0.001) | 0.83 (<0.001) | ― | ||||||
7. Self-efficacy | 0.03 (0.698) | −0.13 (0.040) | 0.17 (0.008) | 0.27 (<0.001) | 0.21 (<0.001) | 0.32 (<0.001) | ― | |||||
8. Physical area | 0.05 (0.428) | −0.003 (0.967) | 0.06 (0.337) | 0.07 (0.316) | 0.07 (0.316) | 0.15 (0.023) | 0.34 (<0.001) | ― | ||||
9. Social area | 0.05 (0.447) | −0.06 (0.375) | 0.19 (0.003) | 0.25 (<0.001) | 0.29 (<0.001) | 0.29 (<0.001) | 0.30 (<0.001) | 0.44 (<0.001) | ― | |||
10. Emotional area | 0.07 (0.285) | −0.07 (0.273) | 0.13 (0.052) | 0.14 (0.027) | 0.09 (0.151) | 0.18 (0.005) | 0.19 (0.004) | 0.39 (<0.001) | 0.28 (<0.001) | ― | ||
11. PCS | 0.05 (0.428) | 0.16 (0.011) | 0.27 (<0.001) | 0.20 (0.002) | 0.25 (<0.001) | 0.30 (<0.001) | 0.23 (<0.001) | 0.28 (<0.001) | 0.21 (<0.001) | 0.18 (0.004) | ― | |
12. MCS | 0.13 (0.047) | 0.20 (0.002) | 0.24 (<0.001) | 0.31 (<0.001) | 0.29 (<0.001) | 0.36 (<0.001) | 0.30 (<0.001) | 0.23 (<0.001) | 0.17 (<0.001) | 0.18 (0.006) | 0.64 (<0.001) | ― |
Variable | PCS | MCS | ||||
---|---|---|---|---|---|---|
β (SE) | t | p | β (SE) | t | p | |
Constant | 8.27 (2.03) | 4.08 | <0.001 | 8.49 (2.24) | 4.08 | <0.001 |
Reading comprehension and numeracy | 0.40 (0.17) | 2.31 | 0.022 | 0.59 (0.18) | 3.34 | 0.001 |
Self-efficacy | ― | ― | ― | 0.16 (0.05) | 3.09 | 0.002 |
Physical area | 0.30 (0.08) | 3.92 | <0.001 | 0.16 (0.08) | 2.07 | 0.040 |
Emotional-informational | 0.11 (0.03) | 3.28 | 0.001 | 0.13 (0.03) | 3.48 | 0.001 |
Number of comorbidities | −1.66 (0.38) | −4.37 | <0.001 | −0.78 (0.38) | −2.06 | 0.004 |
Adjusted R2 | 0.212 | 0.216 |
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Lee, M.K.; Oh, J. Health-Related Quality of Life in Older Adults: Its Association with Health Literacy, Self-Efficacy, Social Support, and Health-Promoting Behavior. Healthcare 2020, 8, 407. https://doi.org/10.3390/healthcare8040407
Lee MK, Oh J. Health-Related Quality of Life in Older Adults: Its Association with Health Literacy, Self-Efficacy, Social Support, and Health-Promoting Behavior. Healthcare. 2020; 8(4):407. https://doi.org/10.3390/healthcare8040407
Chicago/Turabian StyleLee, Myung Kyung, and Jihyun Oh. 2020. "Health-Related Quality of Life in Older Adults: Its Association with Health Literacy, Self-Efficacy, Social Support, and Health-Promoting Behavior" Healthcare 8, no. 4: 407. https://doi.org/10.3390/healthcare8040407
APA StyleLee, M. K., & Oh, J. (2020). Health-Related Quality of Life in Older Adults: Its Association with Health Literacy, Self-Efficacy, Social Support, and Health-Promoting Behavior. Healthcare, 8(4), 407. https://doi.org/10.3390/healthcare8040407