Mutai Hitoshi, Obuchi Kohei, Yokoi Katsushi, Furukawa Tomomi
Department of Health Sciences, Graduate School of Medicine, Science and Technology, Shinshu University, Nagano, Japan.
Department of Rehabilitation, Nagano Matsushiro General Hospital, Nagano, Japan.
J Appl Gerontol. 2025 Jun;44(6):893-901. doi: 10.1177/07334648241290099. Epub 2024 Oct 8.
This study aimed to identify the characteristics of community-dwelling older adults who exhibited high health-related quality of life (HRQOL) without social participation. This cross-sectional observational study collected data using a mailed questionnaire. This study included 1,183 community-dwelling older adults aged ≥65 years who lived in Japan. HRQOL was assessed via the EuroQol 5-Dimensions 5-Levels (EQ-5D-5L). Multivariate analysis was performed; full health status (EQ-5D-5L = 1) was used as the objective variable, and socio-demographic, lifestyle, and health-related variables were used as the explanatory variables. Driving (OR = 3.846), economic situation (1.938), purpose in life (2.211), primary illness (0.398), low physical function (0.051), and depressive symptoms (0.288) were associated with higher HRQOL among community-dwelling older adults without social participation. This exploratory study suggests the possibility of promoting and improving the HRQOL of community-dwelling older adults without social participation by strengthening specific factors among them.
