Document Type : Original Article

Authors

1 Department of Midwifery, Nursing and Midwifery School, Ahvaz University of Medical Sciences, Ahvaz, Iran

2 Department of Nursing, Nursing School, Islamic Azad University, Qaen, Iran

3 Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran, Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran

Abstract

BACKGROUND: Due to increasing number of the world population, elderly individual’s quality of
life (QOL) is a matter of concern and marital status as one of the objective measures of QOL is of
paramount importance. This study was done to compare the QOL between single and remarried
elderly.
MATERIALS AND METHODS: This case–control study was conducted on 200 elderly people in
Qaen (Southern Khorasan province), Iran. The research sample consisted of two groups of single
and remarried elderly, 100 in each group. A demographic and LEIPAD (an acronym deriving from
the name of Leiden and Padua universities) QOL questionnaires were completed by the participants
via interview.
RESULTS: There was a significant difference between single and remarried elderly groups
in the QOL (P < 0.001). Linear regression showed that marital status (P < 0.000), economic
situation (P < 001), primary education (P < 0.0002), and diploma (P < 0.030) opposed to the illiterate
were significantly related to the QOL. In other words, being married and higher economic situation and
education increase the QOL. There was a significant negative correlation between the age (P < 0.000)
and QOL. The strongest factor was age.
CONCLUSIONS: Marital status, income, and education play an important role in all aspects of QOL in
older adults. Thus, being married can be a protective factor against physical, psychological, and social
problems in old age. Realizing this issue in consultation process of elderly peoples is recommended.

Keywords

1. Shakir WA, Mohammed SH. Psychological problems among
elderly people at geriatric homes in the Middle Euphrates
Governorates. Int J PharmTech Res 2016;9:722‑33.
2. Bilgili N, Arpacı F. Quality of life of older adults in Turkey. Arch
Gerontol Geriatr 2014;59:415‑21.
3. Sherizadeh Y, Sarkhoshi R, Babazadeh T, Moradi F, Shariat F,
Mirzaeian K. The quality of life and its related factors in the elderly
covered by health care centers in Khoy city, Iran. J Anal Res Clin
Med 2016;4:139‑45.
4. Lok N, Lok S, Canbaz M. The effect of physical activity on
depressive symptoms and quality of life among elderly nursing
home residents: Randomized controlled trial. Arch Gerontol
Geriatr 2017;70:92‑8.
5. T h e W o r l d H e a l t h O r g a n i z a t i o n Q u a l i t y o f L i f e
assessment (WHOQOL): Position paper from the World Health
Organization. Soc Sci Med 1995;41:1403‑9.
6. Fidecki W, Widomska E, Wysokiński M, Wrońska I,
Kędziora‑Kornatowska K, Kryś J, et al. Selected quality of
life elements in elderly inhabitants of lublin. Gerontol Pol
2015;4:143‑58.
7. Borglin G, Jakobsson U, Edberg AK, Hallberg IR. Self‑reported
health complaints and their prediction of overall and health‑related
quality of life among elderly people. Int J Nurs Stud 2005;42:147‑58.
8. Stutzer A, Frey BS. Does marriage make people happy, or do
happy people get married? Int J Soc Econ 2006;35:326‑47.
9. Han KT, Park EC, Kim JH, Kim SJ, Park S. Is marital status
associated with quality of life? Health Qual Life Outcomes
2014;12:109.
10. Lima MG, Barros MB, César CL, Goldbaum M, Carandina L,
Ciconelli RM. Health related quality of life among the elderly:
A population‑based study using SF‑36 survey. Cad Saude Publica
2009;25:2159‑67.
11. Narimani K. A study of the effect of self‑care training on
the hemodialysis patients’ quality of life. Daneshvar Med
2009;16:63‑70.
12. Nabavi S, Shoja M, Mohammadi S, Rashedi V. Health‑related
quality of life in community‑dwelling older adults of Bojnurd in
2014. J North Khorasan Univ Med Sci 2014;6:433‑9.
13. Ghasemi H, Harirchi M, Masnavi A, Rahgozar M, Akbarian M.
Comparing quality of life between seniors living in families and
institutionalized in nursing homes. Soc Welfare 2011;10:177‑200.
14. Gupta A, Mohan U, Tiwari SC, Singh SK, Singh VK. Dimensions
and determinants of quality of life among senior citizens
of Lucknow, India. Int J Community Med Public Health
2014;4 (4);477‑481.
15. Soósová MS. Determinants of quality of life in the elderly. Cent
Eur J Nurs Midwifery 2016;7:484‑93.
16. Alexandre Tda S, Cordeiro RC, Ramos LR. Factors associated to
quality of life in active elderly. Rev Saude Publica 2009;43:613‑21.
17. Hajian‑Tilaki K, Heidari B, Hajian‑Tilaki A. Health related quality
of life and its socio‑demographic determinants among Iranian
elderly people: A population based cross‑sectional study. J Caring
Sci 2017;6:39‑47.
18. Williams K, Umberson D. Marital status, marital transitions, and
health: A gendered life course perspective. J Health Soc Behav
2004;45:81‑98.
19. Luo JY, Kong LL, Zhang ZX, Ye YS, Bao CY, Tu LJ, et al. An
investigation of the health value and self‑care capabilities of the
elderly in urban‑rural fringe area nursing homes and the related
influencing factors. Chin Nurs Res 2016;3:125‑8.
20. Yan XY, Huang S, Huang CQ, Wu WH, Qin Y. Marital status
and risk for late life depression: a meta‑analysis of the published
literature. J Int Med Res 2011;39:1142‑54.
21. Hoppmann C, Gerstorf D. Spousal interrelations in old age‑a
mini‑review. J Gerontol 2009;55:449‑59.
22. Dykstra PA, Fokkema T. Social and emotional loneliness among
divorced and married men and women: Comparing the deficit
and cognitive perspectives. Basic Appl Soc Psychol 2007;29:1‑12.
23. Botha F, Booysen F. The relationship between marital status
and life satisfaction among South African adults. Acta Acad
2013;45:150‑78.
24. Albou KM, Ramezani M, Arizi F. A study on the quality of life
among elderly Shahinshahr area of Isfahan province in year 2004.
Jundishapur scientific medical journal 2007;4 (51):701‑707.