SOCIAL DETERMINANTS OF HEALTH RELATED TO THE QUALITY OF LIFE AMONG ELDERLY IN DEVELOPING COUNTRY (STUDY IN CENTRAL JAVA, INDONESIA)

Abstract

Objective: This study aimed to analyze the influence of social determinants of health to the quality of life among elderly

 

Methods: This quantitative study was cross sectional design conducted in Surakarta City and three Regencies (Sragen, Karanganyar, and Klaten), Central Java Province from January to March 2017. Multi stage random sampling was choosed as a sampling technic to determine posyandu lansia†which used as a place for taking data and incidental sampling was used to determine middle age and elder people as subjects at posyandu lansiaâ€. There were 224 middle age and elder people selected as research subjects. The dependent variable is the quality of life. The independent variables are: age, education, income, behaviour, locus of control, family support, peer support, and support of community institutions (posyandu lansia). Data were collected using questionnaires and analyzed using path analysis.

 

Results: The results showed that quality of life in middle age and elderly was positively correlated with education ≥ senior high school (b = 0.43, SE = 0.43, p = 0.668), income ≥Rp 876,420 per month  (b = 0.92; SE <0.001; p = 0.357), positive behaviour (b = 2.07; SE = 0.18; p = 0.039), and peer support (b = 7.35; SE = 0.22; p <0.001). The quality of life of middle age and elderly showed a negative relationship with age (b = -1.06; SE = 0.05; p = 0.290) and external  locus of control (b = -1.07; SE = 0.25; p = 0.284).

 

Conclusion: Quality of life in  middle age and elderly increases with increasing levels of education, income, positive behaviour, and peer support. The quality of life of middle age and elderly decreases with increasing age and external locus of control.