title: Quality of life and clinical correlates in older adults living in the community and in nursing homes in Macao.
abstract: OBJECTIVE
  There have been no previous studies of quality of life (QOL) in older adults in Macao. This study aimed to examine QOL in relation to the sociodemographic and clinical characteristics of adults aged ≥50 years in Macao.
  
  
  METHODS
  A sample of 451 subjects (203 living in the community, 248 living in nursing homes) was interviewed using standardized instruments. Basic sociodemographic and clinical data including QOL were collected.
  
  
  RESULTS
  There were no significant differences between the community and nursing home groups in any of the QOL domains. Multiple linear regression analyses revealed that poor physical QOL was significantly predicted by severe depressive symptoms, insomnia, major medical conditions, unmarried status, and lower education ( F11,438= 26.2, P < 0.001), which accounted for 38.2% of the variance. Poor psychological QOL was significantly predicted by severe depressive symptoms and lower educational level ( F11,438= 24.3, P < 0.001), which accounted for 36.4% of the variance. Poor social QOL was significantly predicted by severe depressive symptoms, male gender, and unmarried status ( F11,438= 5.6, P < 0.001), which accounted for 12.5% of the variance. Poor environment QOL was significantly predicted by lower educational level, severe depressive symptoms, and younger age ( F11,438= 6.6, P < 0.001), which accounted for 12.1% of the variance.
  
  
  CONCLUSIONS
  Older Macanese adults had poorer scores on physical and social QOL domains than the general Hong Kong Chinese population. Their QOL was more strongly related to severe depressive symptoms, major medical conditions, and insomnia.
authors.affiliation: School of Health Sciences, Macao Polytechnic Institute, Macao SAR, China.
authors.forename: Kenny
authors.initials: K
authors.lastname: C F Kuok
authors.affiliation: Unit of Psychiatry, Faculty of Health Sciences, University of Macau, Macao SAR, China.
authors.forename: Lu
authors.initials: L
authors.lastname: Li
authors.affiliation: Unit of Psychiatry, Faculty of Health Sciences, University of Macau, Macao SAR, China.
authors.forename: Yu-Tao
authors.initials: YT
authors.lastname: Xiang
authors.affiliation: School of Health Sciences, Macao Polytechnic Institute, Macao SAR, China.|Macao Sino-Portuguese Nurses Association, , Macao SAR, China.
authors.forename: Bernice O C Lam
authors.initials: BOCL
authors.lastname: Nogueira
authors.affiliation: School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, , Australia.|University of Notre Dame Australia/Marian Centre, , Perth, , Australia.
authors.forename: Gabor S
authors.initials: GS
authors.lastname: Ungvari
authors.affiliation: Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia.
authors.forename: Chee H
authors.initials: CH
authors.lastname: Ng
authors.affiliation: Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China, .
authors.forename: Helen F K
authors.initials: HFK
authors.lastname: Chiu
authors.affiliation: Macao Sino-Portuguese Nurses Association, , Macao SAR, China.
authors.forename: Linda
authors.initials: L
authors.lastname: Tran
authors.affiliation: School of Health Sciences, Macao Polytechnic Institute, Macao SAR, China.
authors.forename: Li-Rong
authors.initials: LR
authors.lastname: Meng
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000328:Adult; D000368:Aged; D000375:Aging / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000208:ethnology / Q000523:psychology*; D005260:Female; D006801:Humans; D008256:Macau / Q000453:epidemiology; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009735:Nursing Homes; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life / Q000523:psychology*; D012111:Residence Characteristics; D007319:Sleep Initiation and Maintenance Disorders / Q000453:epidemiology / Q000523:psychology; D012959:Socioeconomic Factors
keywords: depressive symptoms; older adults; quality of life