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Quality of life of older people in China: a systematic review

Published online by Cambridge University Press:  28 November 2012

Yu Chen ,
Allan Hicks  and
Alison E While
Yu Chen
Affiliation:
Florence Nightingale School of Nursing and Midwifery, King's College London, UK School of Nursing, Fudan University, China
Allan Hicks
Affiliation:
Florence Nightingale School of Nursing and Midwifery, King's College London, UK
Alison E While*
Affiliation:
Florence Nightingale School of Nursing and Midwifery, King's College London, UK
*
Address for correspondence: Alison While, 57 Waterloo Road, London SE1 8WA, UK. Email: [email protected]
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Summary

The quality of life (QoL) of older people is of increasing interest in China, due to its ageing population. A systematic review of published QoL studies was undertaken to examine different measurements and related factors of QoL of older people in China. Papers were identified by searching the following electronic databases: Web of Science, PsycINFO, MEDLINE, PubMed, CINAHL, China Academic Journal and VIP Database for Chinese Technical Periodicals. Fifteen studies were included in the review, using eight different QoL measurement tools. Health status, psychological well-being, social well-being, housing and socio-demographic factors were identified as important related factors of QoL. Further studies are needed using valid measurement tools to explore more factors, especially culturally specific contributors, to the QoL of older people.

Keywords

Chinameasurementolder peoplequality of life
Type
International research and practice
Information
Reviews in Clinical Gerontology , Volume 23 , Issue 1 , February 2013 , pp. 88 - 100
Copyright
Copyright © Cambridge University Press 2012

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References

1United Nations. Department of Economic and Social Affairs. World population ageing 2009. Available at: http://www.un.org/esa/population/publications/WPA2009/WPA2009_WorkingPaper.pdf (accessed 19 July 2012).Google Scholar
2World Health Organization. Healthy ageing. Available at: http://www.euro.who.int (accessed 19 July 2012).Google Scholar
3Dragomirecká, E, Bartonová, J, Eisemann, M, Kalfoss, M, Kilian, R, Martiny, K, von Steinbüchel, N, Schmidt, S. Demographic and psychosocial correlates of quality of life in the elderly from a cross-cultural perspective. Clin Psychol Psychother 2008; 15: 193–204.CrossRefGoogle ScholarPubMed
4Bowling, A. The psychometric properties of the older people's quality of life questionnaire, compared with the CASP-19 and the WHOQOL-OLD. Curr Gerontol Geriatr Res 2009; doi: 10.1155/2009/298950.CrossRefGoogle ScholarPubMed
5The WHOQOL Group. The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 1995; 41: 1403–9.CrossRefGoogle Scholar
6Larson, J, Franzen-Dahlin, A, Billing, E, von Arbin, M, Murray, V, Wredling, R. Predictors of quality of life among spouses of stroke patients during the first year after the stroke event. Scand J Caring Sci 2005; 19: 439–45.CrossRefGoogle ScholarPubMed
7Shek, DTL, Lee, BM. A comprehensive review of quality of life (QOL) research in Hong Kong. Scientific World J 2007; 7: 1222–29.CrossRefGoogle ScholarPubMed
8National Bureau of Statistics of China. Major figures of the 2010 national population census. Available at: http://www.stats.gov.cn/zgrkpc/dlc/yw/t20110428_402722384.htm (accessed 19 July 2012).Google Scholar
9United Nations Economic Commission for Europe: statistical database. Available at: http://w3.unece.org/pxweb/dialog/varval.asp?ma=ZZZ_CoSummary_r&path=../database/STAT/10-CountryOverviews/01-Figures/&lang=1&ti Country±Overview±by±Country±and±Time (accessed 18 September 2012).Google Scholar
10Kincannon, CL, He, W, West, LA. Demography of aging in China and the United States and the economic well-being of their older populations. J Cross Cult Gerontol 2005; 20: 243–55.CrossRefGoogle Scholar
11Cao, XC, Xiang, PP, Dong, HZ. The Intervention report about gross national happiness index of Tangshan's elderly people 2008. J Hebei Polytechnic University 2010; 10: 33–36.Google Scholar
12Kalfoss, MH, Low, G, Molzahn, AE. Reliability and validity of the attitudes to ageing questionnaire for Canadian and Norwegian older adults. Scand J Caring Sci 2010; 24: 75–85.CrossRefGoogle Scholar
13Lowenstein, A, Katz, R, Prilutzky, D, Mehlhausen-Hassoen, D. The intergenerational solidarity paradigm. In Daatland, SO, Herlofson, K (eds). Aging, intergenerational relations, care systems and quality of life: an introduction to the OASIS project. Oslo: NOVA Rapport, 2001; 11–30.Google Scholar
14Shek, DTL, Chan, YK, Lee, PSN. Quality of life in the global context: a Chinese response. Soc Indic Res 2005; 71: 1–10.CrossRefGoogle Scholar
15Altman, DG, Egger, M, Gotzsche, PC, Pocock, SJ, Vandenbroucke, JP, von Elm, E. STROBE checklist for cohort, case-control, and cross-sectional studies (combined). Available at: http://www.strobe-statement.org/index.php?id available-checklists (accessed 19 July 2012).Google Scholar
16The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med 1998; 28: 551–58.CrossRefGoogle Scholar
17Chan, SWC, Chien, WT, Thompson, DR, Chou, HFK, Lam, L. Quality of life measures for depressed and non-depressed Chinese older people. Int J Geriatr Psychiatry 2006; 21: 1086–92.CrossRefGoogle ScholarPubMed
18Lin, PC, Yen, MF, Fetzer, SJ. Quality of life in elders living alone in Taiwan. J Clin Nurs 2008; 17: 1610–17.CrossRefGoogle ScholarPubMed
19Skevington, SM, Sartorius, N, Amir, M, The WHOQOL-Group. Developing methods for assessing quality of life in different cultural settings. Soc Psychiatry Psychiatr Epidemiol 2004; 39: 1–8.CrossRefGoogle ScholarPubMed
20Yao, G, Chung, CW, Yu, CF, Wang, JD. Development and verification of validity and reliability of the WHOQOL-BREF Taiwan version. J Formos Med Assoc 2002; 101: 342–51.Google ScholarPubMed
21Hwang, HH, Liang, WM, Chiu, YN, Lin, MR. Suitability of the WHOQOL-BREF for community-dwelling older people in Taiwan. Age Ageing 2003; 32: 593–600.CrossRefGoogle ScholarPubMed
22Leung, KF, Wong, WW, Tay, MSM, Chu, MML, Ng, SSW. Development and validation of the interview version of the Hong Kong Chinese WHOQOL-BREF. Qual Life Res 2005; 14: 1413–19.CrossRefGoogle Scholar
23Chan, SWC, Chiu, HFK, Chien, WT, Thompson, DR, Lam, L. Quality of life in Chinese elderly people with depression. Int J Geriatr Psychiatry 2006; 21: 312–18.CrossRefGoogle ScholarPubMed
24Wang, WL. Research on the quality of life for the rural elderly and the ways of living – a study in Guizhou. J Guizhou University 2009; 27: 84–91.Google Scholar
25Yu, PL, Yang, CY, He, HD. Recommended content and evaluation criteria of quality of life of older people (draft). Chinese J Geriatr 1996; 15: 320.Google Scholar
26Sun, YW, Jiang, BF, Xu, T, Huang, YM, Zeng, YY, Zhong, SH. The reliability and validity of life quality survey scales for elderly population. Practical Preventive Med 2003; 10: 476–78.Google Scholar
27Zhang, L, Li, LS, Fan, FM, Huang, JY. Study on the relationship between social support with quality of life for elderly population. Chinese J Behav Med Sci 2002; 11: 82–84.Google Scholar
28Ware, JE, Grandeket, B. Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project. J Clin Epidemiol 1998; 51: 903–12.CrossRefGoogle ScholarPubMed
29Zhao, HS, Xu, AQ, Jin, YL, Huang, SP. Quality of life of rural empty-nest older people in Xuzhou. Chinese J Gerontol 2009; 29: 1006–8.Google Scholar
30Jia, SM, Feng, ZY, Hu, Y, Wang, JQ. Survey of the living quality and its effect factors for the aged people in urban community of Shanghai city. J Nurses Training 2004; 19: 420–23.Google Scholar
31Li, L, Wang, HM, Shen, Y. Development and psychometric tests of a Chinese version of the SF-36 health survey scales. Chinese J Preventive Med 2002; 36: 109–13.Google ScholarPubMed
32Zhang, L, Shao, C, Wang, B, Long, Y, Zhang, ZY, Li, LS. An evaluation of validity and reliability on Chinese version of the SF-36 health survey scales using for the Chinese military elderly. Chinese J Geriatrics 2004; 23: 112–14.Google Scholar
33Li, B, Mao, FZ. An evaluation of reliability and validity on SF-36 using for older people living in rural nursing home. Guangdong Medical J 2008; 29: 1731–33.Google Scholar
34The EuroQol Group. EuroQol – a new facility of the measurement of health-related quality of life. Health Policy 1990; 16: 199–208.CrossRefGoogle Scholar
35EuroQol Group Executive Office. EQ-5D-3L user guide: basic information on how to use the EQ-5D-3L instrument. Version 4.0. Available at: http://www.euroqol.org/fileadmin/user_upload/Documenten/PDF/Folders_Flyers/UserGuide_EQ-5D-3L.pdf (accessed 18 September 2012).Google Scholar
36Sun, XJ, Lucas, H, Meng, QY, Zhang, YG. Associations between living arrangements and health-related quality of life of urban elderly people: a study from China. Qual Life Res 2011; 20: 359–69.CrossRefGoogle ScholarPubMed
37Zhang, Q, Zhang, Q, Li, NX. Analysis of quality of life and its influence factors of elderly persons in urban in Chengdu. J Hygiene Res 2007; 36: 584–86.Google Scholar
38Vanagt, HME, Essink-Bot, ML, Krabbe, PFM, Bonsel, GJ. Test-retest reliability of health state valuations collected with the EuroQol questionnaire. Soc Sci Med 1994; 39: 1537–44.CrossRefGoogle Scholar
39Zeng, YC, Ching, SSY, Loke, AY. Quality of life measurement in women with cervical cancer: implications for Chinese cervical cancer survivors. Health Qual Life Outcomes 2010; doi: 10.1186/1477–7525-8-30.CrossRefGoogle ScholarPubMed
40Zhao, FL, Yue, M, Yang, H, Wang, T, Wu, JH, Li, SC. Validation and comparison of EuroQol and short form 6D in chronic prostatitis patients. Value Health 2010; 13: 649–56.CrossRefGoogle ScholarPubMed
41Wang, H, Kindig, DA, Mullahy, J. Variation in Chinese population health related quality of life: results from a EuroQol study in Beijing, China. Qual Life Res 2005; 14: 119–32.CrossRefGoogle ScholarPubMed
42Lawton, MP. The Philadelphia geriatric center morale scale: a revision. Gerontology 1975; 30: 85–89.CrossRefGoogle ScholarPubMed
43Wong, E, Woo, J, Hui, E, Ho, SC. Examination of the Philadelphia geriatric morale scale as a subjective quality-of-life measure in elderly Hong Kong Chinese. Gerontologist 2004; 44: 408–17.CrossRefGoogle ScholarPubMed
44Woo, J, Ho, SC, Wong, EMC. Depression is the predominant factor contributing to morale as measured by the Philadelphia geriatric morale scale in elderly Chinese aged 70 years and over. Int J Geriatr Psychiatry 2005; 20: 1052–59.CrossRefGoogle ScholarPubMed
45Fan, XD. Philadelphia geriatric center (PGC) morael scale. In Wang, XD, Wang, XL, Ma, H (eds). The Handbook of Mental Health Rating Scales, 2nd edn.Beijing: Chinese Mental Health Journal Press, 1999; pp. 80–81.Google Scholar
46Deng, JL, Hu, JM, Wu, WL, Dong, BR, Wu, HM. Subjective well-being, social support, and age-related functioning among the very old in China. Int J Geriatr Psychiatry 2010; 25: 697–703.CrossRefGoogle ScholarPubMed
47Campbell, A, Converse, PE, Rodgers, WL. The Quality of American Life: Perceptions, Evaluations and Satisfactions. New York: Russell Sage, 1976.Google Scholar
48Zhang, JP, Huang, HS, Ye, M, Zeng, H. Factors influencing the subjective well being (SWB) in a sample of older adults in an economically depressed area of China. Arch Gerontol Geriatr 2008; 46: 335–47.CrossRefGoogle Scholar
49Fan, XD. Index of well-being, index of general affect. In Wang, XD, Wang, XL, Ma, H (eds). The Handbook of Mental Health Rating Scales, 2nd edn.Beijing: Chinese Mental Health Journal Press, 1999; pp. 82–83.Google Scholar
50Chou, KL, Chi, I. Determinants of life satisfaction in Hong Kong Chinese elderly: a longitudinal study. Aging Ment Health 1999; 3: 328–35.CrossRefGoogle Scholar
51Neurgarten, BL, Havighurst, RJ, Tobin, SS. The measurement of life satisfaction. J Gerontology 1961; 16: 134–43.CrossRefGoogle Scholar
52Wood, V, Wylie, ML, Sheafor, B. An analysis of a short self-report measure of life satisfaction: correlation with rater judgements. J Gerontology 1969; 24: 465–69.CrossRefGoogle Scholar
53Liu, LJ, Guo, Q. Life satisfaction in a sample of empty-nest elderly: a survey in the rural area of a mountainous county in China. Qual Life Res 2008; 17: 823–30.CrossRefGoogle Scholar
54Lee, JJ. An exploratory study on the quality of life of older Chinese people living alone in Hong Kong. Soc Indic Res 2005; 71: 335–61.CrossRefGoogle Scholar
55Cheng, ST, Chan, ACM, Phillips, DR. Quality of life in old age: an investigation of well older persons in Hong Kong. J Community Psychol 2004; 32: 309–26.CrossRefGoogle Scholar
56Lau, A, Chi, I, Mckenna, K. Self-perceived quality of life of Chinese elderly people in Hong Kong. Occup Ther Int 1998; 5: 118–39.CrossRefGoogle Scholar
57Ocampo, JM. Self-rated health: importance of use in elderly adults. Colombia Medica 2010; 41: 275–89.CrossRefGoogle Scholar
58World Health Organization. Regional Office for the Western Pacific. Ageing and health: a health promotion approach for developing countries. Available at: http://www.wpro.who.int/publications/docs/Ageing_and_Health.pdf (accessed 1 July 2012).Google Scholar
59Radloff, LS. The CES-D: A self-report depression scale for research in the general population. Appl Psych Meas 1977; 1: 385–401.CrossRefGoogle Scholar
60Sheikh, JL, Yesavage, JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clin Gerontol 1986; 5: 165–73.Google Scholar
61Yesavage, JA, Brink, TL, Rose, TL, Lum, O, Huang, V, Adey, M, Leirer, VO. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1983; 17: 37–49.CrossRefGoogle Scholar
62Folstein, M, Folstein, S, McHugh, P. Mini-mental state: a practical method for grading the cognitive state of patients for clinician. J Psychiatr Res 1975; 12: 189–98.CrossRefGoogle Scholar
63Mahoney, FI, Barthel, DW. Functional evaluation: the Barthel Index: reliability study. MD Med J 1965; 14: 61–65.Google Scholar
64Woo, J, Ho, SC, Lau, J, Yuen, YK, Chiu, H, Lee, HC, Chi, I. The prevalence of depressive symptoms and predisposing factors in an elderly Chinese population. Acta Psychiatr Scand 1994; 89: 8–13.CrossRefGoogle Scholar
65Lawton, MP, Brody, EM. Assessment of older people: self maintaining and instrumental activities of daily living. Gerontologist 1969; 9: 179–86.CrossRefGoogle ScholarPubMed
66Zhang, MY, Elena, Y, He, YL. Activity of daily living scale and its instruction. Shanghai Arch Psychiatr 1995; Special: 5–6.Google Scholar
67Rosenberg, M.Society and the adolescent self-image. Princeton: Princeton University Press, 1965.CrossRefGoogle Scholar
68Liu, SJ. Health conceptions and health behaviours of older women in Taiwan. J National Taipei College of Nursing 1995; 3: 1–52.Google Scholar
69Smilkstein, G. The Family APGAR: a proposal for family function test and its use by physicians. J Fam Pract 1978; 6: 1231–39.Google Scholar
70Xiao, SY. The Social Support Rate Scale. In Wang, XD, Wang, XL, Ma, H (eds). The Handbook of Mental Health Rating Scales, 2nd edn.Beijing: Chinese Mental Health Journal Press, 1999; pp. 127–31.Google Scholar
71Lubben, JE. Assessing social networks among elderly populations. Fam Community Health 1988; 11: 42–52.CrossRefGoogle Scholar
72Russell, DW. UCLA Loneliness Scale (Version 3): reliability, validity, and factor structure. J Personality Assess 1996; 66: 20–40.CrossRefGoogle ScholarPubMed
73Ren, ZH. The life and health status of urban elderly people in Beijing, China. PhD thesis, University of Oslo, Oslo; 2002.Google Scholar
74Brown, J, Bowling, A, Flynn, T. Models of quality of life: a taxonomy, overview and systematic review of the literature. Proceedings of The European Forum on Population Ageing Research, Sheffield; 2004.Google Scholar
75Iwarsson, S, Isacsson, A. Quality of life in the elderly population: an example exploring interrelationships among subjective well-being, ADL dependence, and housing accessibility. Arch Gerontol Geriatr 1999; 26: 71–83.CrossRefGoogle Scholar
76Leung, KK, Wu, EC, Lue, BH, Tang, LY. The use of focus groups in evaluating quality of life components among elderly Chinese people. Qual Life Res 2004; 13: 179–90.CrossRefGoogle ScholarPubMed
77Gabriel, Z, Bowling, A. Quality of life from the perspectives of older people. Ageing Soc 2004; 24: 675–91.CrossRefGoogle Scholar
78Wong, ST, Yoo, GJ, Stewart, AL. An empirical evaluation of social support and psychological well-being in older Chinese and Korean immigrants. Ethn Health 2007; 12: 43–67.CrossRefGoogle ScholarPubMed
79Yeh, SCJ, Lo, SK. Living alone, social support and feeling lonely among the elderly. Soc Behav Pers 2004; 32: 129–38.Google Scholar
80Chalise, HN, Kai, I, Saito, T. Social support and its correlation with loneliness: a cross-cultural study of Nepalese older adults. Int J Aging Hum Dev 2010; 71: 115–38.CrossRefGoogle ScholarPubMed
81Pinquart, M, Sorensen, S. Influence on loneliness in older adults: a meta-analysis. Basic Appl Soc Psych 2001; 23: 245–66.CrossRefGoogle Scholar
82Lauder, W, Sharkey, S, Mummery, K. A community survey of loneliness. J Adv Nurs 2004; 46: 88–94.CrossRefGoogle ScholarPubMed
83Bongaartis, J, Zimmer, Z. Living arrangements of older adults in the developing world: an analysis of demographic and health survey household surveys. J Gerontol B Psychol Sci Soc Sci 2002; 57: S145–57.CrossRefGoogle Scholar
84Perez, FR, Fernandez-Mayoralas, G, Rivera, FEP, Abuin, JMR. Ageing in place: predictors of the residential satisfaction of elderly. Soc Indic Res 2001; 54: 173–208.CrossRefGoogle Scholar
85Tseng, SZ, Wang, RH. Quality of life and related factors among elderly nursing home residents in Southern Taiwan. Public Health Nurs 2001; 18: 304–11.CrossRefGoogle ScholarPubMed