Page 27 - RUFARS 2021 - Proceedings
P. 27

ISSN: 2659-2029
               Proceedings of the 4  Research Symposium of the Faculty of Allied Health Sciences
                             th
               University of Ruhuna, Galle, Sri Lanka
               August 26, 2021



               FP 02

                  The Impact of Gender and Age on Health and Quality of Life of Older
                                    People in Galle District, Sri Lanka

                                                        2
                                                                              2
                                                                     2
                                  De Silva K. , Liyanage C. , Wijesinghe C. , Perera B.
                                            1#
                 1 Department of Nursing, Faculty of Allied Health Sciences, University of Ruhuna, Sri Lanka
                 2 Department of Community Medicine, Faculty of Medicine, University of Ruhuna, Sri Lanka

                                 #
                                  Corresponding author: manojadsilva@gmail.com

               Abstract

               Background: Sri Lanka’s population is rapidly aging. Quality of Life (QOL) of older people in
               many countries is in jeopardy at present and Sri Lanka is no exception. QOL among the older
               people is often associated with physical deterioration along with their health conditions.

               Objectives: This paper describes QOL and health status of older people in Galle and the impact
               of gender and age on QOL of them.

                Methods: A cross sectional study was done using a random sample of older people aged 60
               years and above living in Galle district. A pre-tested interviewer administered questionnaire was
               used to collect data. Activities of Daily Living (ADL) scale, World Health Organization Quality
               Of Life-BREF (WHOQOL-BREF) scale, Mini Mental Status Examination (MMSE) scale and
               Center  for  Epidemiologic  Studies  depression  scale  (CES-D  Scale)  were  used  to  collect  data.
               These scales were validated and used in community surveys in Sri Lanka. Health status was
               measured  by  assessing  health  conditions  using  available  health  records.  Descriptive  statistics
               and  t-test  were  used  in  the  analysis.  Ethical  approval  was  obtained  from  the  Ethics  Review
               Committee, Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka.

               Results: A total of 396 older people participated in the study. Mean age of the participants was
               69 (±7.2) years, and the majority were females (n = 268, 67.7%). Hypertension, cardiovascular
               diseases,  diabetes,  joint  related  diseases  and  vision  problems  were  common  in  this  target
               population. Older women were more likely than older men to suffer from joint related disease
               and older men were more likely than older women to suffer from cardiovascular diseases and
               hearing deficiencies. There was no gender difference of the mean ADL values, but those of aged
               70 or more years reported slightly lower mean ADL value than those of 60-69 years (98.46 vs
               99.60, p < 0.01). No gender or age differences of the mean CES-D values and mean MMSE
               scores were found. The mean value of QOL of younger older people were slightly higher than
               that of others (308.4 vs 296.6, p < 0.01), but no gender difference was found.

               Conclusion:  Cardiovascular  diseases, diabetes, arthritis and vision problems are prevalent in
               older people in Galle. Health authorities should pay attention to reduce incidence rates of these
               diseases and particular attention should be paid to provide healthcare facilities to older women
               with joint diseases. Interventions that support active lifestyle in older people in advanced ages
               would probably facilitate them to enhance their QOL.

               Keywords: Health status, older people, Quality of Life, gender & age, Sri Lanka.








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