{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T12:11:55Z","timestamp":1789906315465,"version":"4.0.1"},"reference-count":45,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,8,11]],"date-time":"2014-08-11T00:00:00Z","timestamp":1407715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"CIEN Foundation, Carlos III Institute of Health","award":["PI 017\/09"],"award-info":[{"award-number":["PI 017\/09"]}]},{"name":"Spanish Ministry of Science & Innovation (National R+D+i Plan)","award":["SEJ2006-15122-C02-00"],"award-info":[{"award-number":["SEJ2006-15122-C02-00"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2015,5]]},"abstract":"Background<\/jats:title>Health\u2010related quality of life (HRQOL<\/jats:styled-content>) in older adults is determined by personal conditions, as well as by the social and physical environment. The purpose of the present study was to describe the factors related to health conditions and residential environment that influence HRQOL<\/jats:styled-content> of older adults.<\/jats:p><\/jats:sec>Methods<\/jats:title>Data from 1815 cases came from three cross\u2010sectional surveys on quality of life in older adults in S<\/jats:styled-content>pain: non\u2010institutionalized older adults (n<\/jats:italic>\u2009=\u20091106), institutionalized older adults without dementia (n<\/jats:italic>\u2009=\u2009234) and institutionalized older adults with dementia (n<\/jats:italic>\u2009=\u2009475). Assessment instruments used were: B<\/jats:styled-content>arthel I<\/jats:styled-content>ndex, S<\/jats:styled-content>hort P<\/jats:styled-content>ortable M<\/jats:styled-content>ental S<\/jats:styled-content>tatus Q<\/jats:styled-content>uestionnaire, C<\/jats:styled-content>omorbidity I<\/jats:styled-content>ndex, EQ<\/jats:styled-content>\u20105D<\/jats:styled-content>\u20103L<\/jats:styled-content> (5 dimensions, EQ<\/jats:styled-content>\u2010index and EQ\u2010VAS<\/jats:styled-content>), and information about sociodemographic characteristics and social networks. Partial correlation and multivariate logistic regression analyses were carried out.<\/jats:p><\/jats:sec>Results<\/jats:title>In group comparisons, institutionalized older adults showed a higher percentage of problems in the EQ<\/jats:styled-content>\u20105D<\/jats:styled-content>\u20103L<\/jats:styled-content> dimensions than the non\u2010institutionalized ones. Also, older adults with dementia presented less pain\/discomfort and anxiety\/depression than the other groups, but showed more problems in mobility, self\u2010care and usual activities. EQ<\/jats:styled-content>\u2010Index showed a high association with functional independence, perceived health status and comorbidity. According to the logistic regression models, the Barthel Index was the most common determinant for most of EQ<\/jats:styled-content>\u20105D<\/jats:styled-content>\u20103L<\/jats:styled-content> dimensions in all groups.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Institutionalized older adults with dementia presented lower HRQOL<\/jats:styled-content> than the other groups. Functional independence, comorbidity and cognitive status were the main HRQOL<\/jats:styled-content> determinants in all groups. Maintenance and improvement of the functional condition might be translated into a higher HRQOL<\/jats:styled-content> of older adults. 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