Document Type : Original Article


Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran


BACKGROUND: This study aimed to identify the quality of life (QoL) and its predictive factors based
on the Andersen’s behavioral model among the elderly in Iran.
MATERIALS AND METHODS: A quantitative cross‑sectional study was conducted on 400 people
aged 60+ resident in Zanjan, Iran, in 2019. Data were collected based on the Andersen’s behavioral
model constructs by the questionnaires. Path analysis was used to determine both direct and indirect
effects of variables and also for estimating the values of coefficients in the underpinning linear model.
RESULTS: In this study, 50% of the participants were female, and 83% were married. The participant’s
QoL was 37.4 (9.8). The results confirmed that financial level and physical activity were the most
significant predictor of the elder’s QoL. Chronic diseases and activities of daily living as need factors
affect the QoL of participant indirectly.
CONCLUSION: The results showed that the participant’s QoL was at a moderate level. Utilizing of
primary health‑care services was the weakest predictors of QoL. Sex, marital status, and education
level were not reliable predictors of QoL in elders. Other predisposing, enabling, and need factors
should be investigated to find the main determinants to improve elder’s QoL.


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