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Factors affecting Quality of Life among adultsaged 50 years and older with self-reported diabetes mellitus in China and India:: Findings from WHO SAGE Wave 1.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
2017 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: As people are living longer, it is increasingly more important to ensure that the additional years of life are lived at the highest possible attainable quality of life (QoL). Ageing, chronic highly prevalent conditions such as diabetes mellitus (DM) and socio-demographic factors affect QoL. The world’s two most populous countries, China and India, have ageing populations with high prevalence of DM. This study assesses and compares factors that affect QoL in adults aged 50 years and over with DM in China and India.

Methods: The study was based on data collected by the World Health Organisation (WHO) in their Study on global AGEing and adult health (SAGE) Wave 1. The study included adults aged 50 years and older who had self-reported DM in China (N=731) and India (N=454) and had complete data on all study variables. The dependent variable, QoL, was measured using the standardised WHOQoL-8 instrument. Weighted simple and multiple linear regression methods were used to describe association between independent variables (socio-demographic characteristics and treatment options) and QoL. Statistical significance was set at p<0.05. Analysis was performed using STATA version 13.

Results: Mean QoL scores were 62.61 and 62.69 in China and India respectively. In the multiple linear regression, the 70-79 years (β = 3.77) and the 80+ years (β = 7.58) age groups in China were associated with significantly higher QoL while in India, the 80+ years (β = -9.83) age group was associated with significantly lower QoL. Having university level education (β = 6.61) was associated with significantly higher QoL in China but not in India. Higher household wealth was a significant predictor of higher QoL in both China (β = 15.9) and India (β = 16.53) and obesity was also significant in association with higher QoL in both China (β = 13.45) and India (β = 7.32).

Conclusion: This study highlights differences in the way in which socio-demographic factors impact upon QoL in both China and India. The findings suggest that it is important to take social and cultural context into account when deriving interventions to address factors that can improve QoL in individuals living with DM.

Place, publisher, year, edition, pages
2017. , p. 20
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2017:12
Keywords [en]
Quality of Life, diabetes, China, India
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-141106OAI: oai:DiVA.org:umu-141106DiVA, id: diva2:1152502
External cooperation
WHO SAGE - Paul Kowal
Educational program
Master's Programme in Public Health
Presentation
2017-05-23, Natural Sciences building N210, Umeå University, Umeå, 08:00 (English)
Supervisors
Examiners
Available from: 2017-12-19 Created: 2017-10-25 Last updated: 2017-12-19Bibliographically approved

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