Health-Related Quality of Life After the 2015 Gorkha Earthquakes, Among Older Adults Living in Lalitpur District of Central Nepal

• Published in: Disaster medicine and public health preparedness Vol. 15; no. 3; pp. 298 - 307
• Main Authors: Wagle, Sabina, Amnatsatsue, Kwanjai, Adhikari, Bipin, Kerdmongkol, Patcharaporn, Van der Putten, Marc, Silpasuwan, Pimpan
• Format: Journal Article
• Language: English
• Published: New York, USA Cambridge University Press 01.06.2021
• Subjects: Aged; Developing countries; Disasters; Earthquakes; Emergency preparedness; Humans; LDCs; Multivariate analysis; Natural disasters; Nepal; Older people; Original Research; Post traumatic stress disorder; Quality of Life; Seismic activity; Social support; Stress Disorders, Post-Traumatic; Nepal; New York; United States > US; China; older adults; Gorkha earthquakes 2015; health-related quality of life; Nepal
• ISSN: 1935-7893; 1938-744X
• DOI: 10.1017/dmp.2019.154

Health-related quality of life (HQL) among older adults is often neglected and underprioritized in developing countries and is further burdened during natural disasters, such as earthquakes. The main objective of this study was to explore the factors affecting HQL among older adults living in Lalitpur District of Nepal. A total of 362 older adults participated in this study. Questionnaires were used to interview the respondents on various aspects, such as posttraumatic stress disorder (PTSD) and depression, functional ability, and social support. An analysis was made to explore the factors affecting HQL. HQL scores ranged between 3.13 and 90.63. A majority of the respondents (215/362; 59.4%) scored ≤ 50, indicating poorer HQL. The multivariate analysis found the impact of the following factors on HQL: functional status (β = 0.295; P < 0.001), PTSD (β = -0.225; P < 0.001), chronic disease (β = -0.168; P < 0.001), social support (β = 0.120; P = 0.019), injury (β = -0.104; P = 0.024), age (β = -0.116; P < 0.001), and accessibility to resources. Poor HQL of older adults was dependent on various factors. The disaster preparedness program in Nepal needs urgent attention to address the concerns of older adults by incorporating the findings from this study.