Satisfaction with life and associated factors among elderly people living in two cities in northwest Ethiopia: a community-based cross-sectional study.

Journal: BMJ open

Volume: 12

Issue: 9

Year of Publication: 2023

Affiliated Institutions:  School of Nursing, Department of Medical Nursing, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia habtsew@ymail.com. Department of Women's and Children's Health, Karolinska Institutet, Solna, Sweden. College of Health Science, Department of Nursing, Madda Walabu University, Shashamene Campus, Robe, Ethiopia. Institute of Public Health, Department of Health Education and Behavioral Sciences, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia.

Abstract summary 

This study aimed to determine the level of life satisfaction and identify associated factors among elderly people living in two cities in northwest Ethiopia.Community-based cross-sectional study.Two cities in northwest Ethiopia (Gondar and Bahir Dar).816 elderly people age 60 years and above living in Gondar and Bahir Dar, northwest Ethiopia. Systematic random sampling was used to select study participants.Level of life satisfaction. Considering the mean and SD, three levels of satisfaction appeared to suffice as the basis for analysis and discussion: 23.5-34.4 dissatisfied, 34.5-56.5 averagely satisfied and 56.6-67.5 satisfied. Multivariable ordinal regression analysis was done to control the confounders. Since the outcome variable has an ordinal category, ordinal regression analysis is appropriate. A p≤0.05 and AOR (adjusted OR) with a 95% CI were considered to determine the statistically significant variables and strength of the association.The mean age of the respondents was 68.2 years with an SD±7.2. The level of life satisfaction was: dissatisfied 17.2%, moderately satisfied 63.8% and well satisfied 19.0%. Overall, 45.8% (95% CI 42.2% to 49.2%) of the participants had a score equal to or above the mean. Regarding associated factors; retired current occupation (AOR=2.23, 95% CI 1.09 to 4.55), good self-rated health status (AOR=2.54, 95% CI 1.29 to 4.99), having no chronic disease (AOR=1.48, 95% CI 1.03 to 2.11), somewhat-good (AOR=2.15, 95% CI 1.12 to 4.13) and good (AOR=4.51, 95% CI 2.40 to 8.45) self-perception on ageing life, moderate functional impairment on daily living activities (AOR=5.43, 95% CI 1.81 to 16.24), high sense of coherence (AOR=3.80, 95% CI 2.04 to 7.08), house rent as a source of finance (AOR=2.60, 95% CI 1.49 to 4.52) and high perceived social support (AOR=2.13, 95% CI 1.44 to 3.16) had statistically significant association with the life satisfaction.The life satisfaction level in our study group was lower than in some more highly developed countries. To improve the level of life satisfaction in Ethiopia, a holistic programme of nursing care for elderly people, particularly as concerns about their health and psychosocial conditions is crucial in both community and clinical settings.

Authors & Co-authors:  Mekonnen Habtamu Sewunet HS Lindgren Helena H Geda Biftu B Azale Telake T Erlandsson Kerstin K

Study Outcome 

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Statistics
Citations :  Lazar KA. Current life engagement factors as a predictor of elder life satisfaction. Stout: University of Wisconsin, 2000.
Authors :  5
Identifiers
Doi : e061931
SSN : 2044-6055
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
geriatric medicine;mental health;old age psychiatry
Study Design
Case Control Trial,Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Ethiopia
Publication Country
England