abstract: 'Purpose Physical health-related quality of life (HRQoL) is associated

  with adverse health outcomes, including hospitalizations and all-cause

  mortality. However, little is known about how physical HRQoL changes

  over time in older people and the predictors of this trajectory. This

  study (a) identified trajectories of physical HRQoL among older people

  and (b) explored whether economic factors, social health or stressful

  life events impact physical HRQoL trajectories. Method A cohort of

  12,506 relatively `healthy'' community-dwelling Australians aged >= 70

  years (54.4\% females), enrolled in the ASPREE Longitudinal Study of

  Older Persons (ALSOP) study and was followed for six years. Economic

  factors, social health and life events in the last 12 months were

  assessed through a questionnaire at baseline. Physical HRQoL was

  measured by using the 12-item short form at baseline and annual

  follow-ups. Growth mixture and structural equation modelling were used

  to identify physical HRQoL trajectories and their predictors. Results

  Four physical HRQoL trajectories were identified-stable low (7.1\%),

  declining (9.0\%), stable intermediate (17.9\%) and stable high

  (66.0\%). Living in more disadvantaged areas, having a lower household

  income, no paid work, no voluntary work, loneliness and stressful life

  events (i.e. spousal illness, friend/family illness, financial problem)

  were associated with a 10\%-152\% higher likelihood of being in the

  stable low or declining physical HRQoL trajectory than the stable high

  group. Conclusion Specific stressful life events had a greater impact on

  adverse physical HRQoL trajectories in older people than other factors.

  Volunteering may prevent physical HRQoL decline and requires further

  investigation.'
affiliation: 'Freak-Poli, R (Corresponding Author), Monash Univ, Sch Publ Hlth \&
  Prevent Med, Dept Epidemiol \& Prevent Med, 553 St Kilda Rd, Melbourne, Vic 3004,
  Australia.

  Freak-Poli, R (Corresponding Author), Erasmus MC, Dept Epidemiol, NL-3015 GD Rotterdam,
  Netherlands.

  Phyo, Aung Zaw Zaw; Woods, Robyn L.; Fisher, Jane; Tran, Thach; Owen, Alice J.;
  Ward, Stephanie A.; Britt, Carlene J.; Ryan, Joanne; Freak-Poli, Rosanne, Monash
  Univ, Sch Publ Hlth \& Prevent Med, Dept Epidemiol \& Prevent Med, 553 St Kilda
  Rd, Melbourne, Vic 3004, Australia.

  Gonzalez-Chica, David A.; Stocks, Nigel P., Univ Adelaide, Adelaide Med Sch, Discipline
  Gen Practice, Adelaide, SA 5005, Australia.

  Gonzalez-Chica, David A., Univ Adelaide, Adelaide Rural Clin Sch, Adelaide, SA 5005,
  Australia.

  Ward, Stephanie A., Univ New South Wales, Ctr Hlth Brain Ageing, Sch Psychiat, Sydney,
  NSW 2052, Australia.

  Freak-Poli, Rosanne, Erasmus MC, Dept Epidemiol, NL-3015 GD Rotterdam, Netherlands.'
author: Phyo, Aung Zaw Zaw and Gonzalez-Chica, David A. and Stocks, Nigel P. and Woods,
  Robyn L. and Fisher, Jane and Tran, Thach and Owen, Alice J. and Ward, Stephanie
  A. and Britt, Carlene J. and Ryan, Joanne and Freak-Poli, Rosanne and Grp, ASPREE
  Study
author-email: Rosanne.Freak-Poli@monash.edu
author_list:
- family: Phyo
  given: Aung Zaw Zaw
- family: Gonzalez-Chica
  given: David A.
- family: Stocks
  given: Nigel P.
- family: Woods
  given: Robyn L.
- family: Fisher
  given: Jane
- family: Tran
  given: Thach
- family: Owen
  given: Alice J.
- family: Ward
  given: Stephanie A.
- family: Britt
  given: Carlene J.
- family: Ryan
  given: Joanne
- family: Freak-Poli
  given: Rosanne
- family: Grp
  given: ASPREE Study
da: '2023-09-28'
doi: 10.1007/s11136-021-03021-x
earlyaccessdate: OCT 2021
eissn: 1573-2649
files: []
issn: 0962-9343
journal: QUALITY OF LIFE RESEARCH
keywords: 'Physical health-related quality of life; Economic factors; Social

  health; Stressful life events; Trajectories; Older people'
keywords-plus: LONELINESS; PARTICIPATION; ADULTS; SATISFACTION; PEOPLE
language: English
month: MAY
number: '5'
number-of-cited-references: '65'
orcid-numbers: 'Phyo, Aung Zaw Zaw/0000-0002-8834-4072

  Ryan, Joanne/0000-0002-7039-6325

  Tran, Thach Duc/0000-0002-4686-8601

  Volpi, Elena/0000-0001-8776-0384'
pages: 1321-1333
papis_id: 8a1189b2601cfcacc548d86bcc89f915
ref: Phyo2022impacteconomic
researcherid-numbers: 'Phyo, Aung Zaw Zaw/AAG-9815-2021

  Ryan, Joanne/AAB-8324-2019

  Tran, Thach Duc/H-7734-2014

  Stocks, Nigel P/I-1083-2012

  Tran, Tuan/HMD-9799-2023

  '
times-cited: '3'
title: Impact of economic factors, social health and stressful life events on physical
  health-related quality of life trajectories in older Australians
type: Article
unique-id: WOS:000710096900001
usage-count-last-180-days: '3'
usage-count-since-2013: '15'
volume: '31'
web-of-science-categories: 'Health Care Sciences \& Services; Health Policy \& Services;
  Public,

  Environmental \& Occupational Health'
year: '2022'