{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:34:45Z","timestamp":1777768485533,"version":"3.51.4"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Population aging and chronic diseases among older adults pose significant challenges for healthcare systems worldwide. Asia, Japan, and India represent contrasting cases in their approach to these challenges. This study examined factors associated with quality of life (QOL) among older adults with chronic diseases and compared these factors between Japan and India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This cross\u2010sectional study included outpatients aged \u226565 years with chronic diseases attending university hospitals in Japan (\n                      <jats:italic>n<\/jats:italic>\n                      = 230) and India (\n                      <jats:italic>n<\/jats:italic>\n                      = 265). The World Health Organization's Quality of Life assessment measured QOL across physical, psychological, social, and environmental domains. Demographic characteristics, social activities, and socioeconomic status were assessed. Multiple regression analysis identified factors associated with QOL in each country.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Living arrangements differed between the countries, with 90.2% of Indian participants living with grandchildren, compared with 4.8% in Japan. Japanese participants had significantly higher psychological and environmental QOL scores. In Japanese participants, social activities and financial management were strongly associated with QOL across all domains (adjusted\n                      <jats:italic>\n                        R\n                        <jats:sup>2<\/jats:sup>\n                      <\/jats:italic>\n                      = 0.145\u20130.378). Indian participants showed minimal associations (adjusted\n                      <jats:italic>\n                        R\n                        <jats:sup>2<\/jats:sup>\n                      <\/jats:italic>\n                      = 0.008\u20130.048).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study reveals distinct patterns in QOL determinants between Japan and India, suggesting that cultural context significantly influences factors affecting QOL among older adults with chronic diseases. These findings emphasize the need for culturally sensitive approaches to older adults\u2019 care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/phn.70081","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T08:10:11Z","timestamp":1770711011000},"page":"554-563","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Quality of Life and Associated Factors Among Older Adults With Chronic Diseases in Japan and India: A Cross\u2010Sectional Comparative Study"],"prefix":"10.1111","volume":"43","author":[{"given":"Masatoshi","family":"Saiki","sequence":"first","affiliation":[{"name":"Graduate School of Nursing Chiba University  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasneet","family":"Kaur","sequence":"additional","affiliation":[{"name":"Symbiosis College of Nursing Symbiosis International (Deemed University)  Pune India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonopant","family":"Joshi","sequence":"additional","affiliation":[{"name":"Symbiosis College of Nursing Symbiosis International (Deemed University)  Pune India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheela","family":"Upendra","sequence":"additional","affiliation":[{"name":"Symbiosis College of Nursing Symbiosis International (Deemed University)  Pune India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Izumi","family":"Usui","sequence":"additional","affiliation":[{"name":"Health Professional Development Center Chiba University Hospital  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomomi","family":"Goto","sequence":"additional","affiliation":[{"name":"Doctoral program, Graduate School of Nursing Chiba University  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhito","family":"Hirota","sequence":"additional","affiliation":[{"name":"Doctoral program, Graduate School of Nursing Chiba University  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaku","family":"Nishimiya","sequence":"additional","affiliation":[{"name":"Nursing Department Chiba University Hospital  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akiko","family":"Nosaki","sequence":"additional","affiliation":[{"name":"Graduate School of Nursing Chiba University  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyoko","family":"Amai","sequence":"additional","affiliation":[{"name":"The Center for Early Childhood Development, Education, and Policy Research The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Narumi","family":"Ide","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Tokyo University of Information Sciences  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sun","family":"Jiaru","sequence":"additional","affiliation":[{"name":"Graduate School of Nursing Chiba University  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1715-0331","authenticated-orcid":false,"given":"Ikuko","family":"Sakai","sequence":"additional","affiliation":[{"name":"Graduate School of Nursing Chiba University  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,10]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-10-0230-4_13"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010021\u201010773\u20101"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(15)00516\u20104"},{"key":"e_1_2_13_5_1","unstructured":"Cabinet Office Japan.2022.Annual Report on the Ageing Society [Summary] FY2022.https:\/\/www8.cao.go.jp\/kourei\/english\/annualreport\/2022\/pdf\/2022.pdf."},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10433\u2010014\u20100329\u20105"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010025\u201005919\u20104"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.8094"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/2516602620911835"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11205\u2010006\u20109032\u2010z"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966\u2010017\u20100509\u20108"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2019.04.005"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.748157"},{"key":"e_1_2_13_16_1","unstructured":"Ministry of Health Labour and Welfare.2022.2022 Summary of Vital Statistics Monthly Report Annual Total (approximate number).https:\/\/www.mhlw.go.jp\/toukei\/saikin\/hw\/jinkou\/geppo\/nengai22\/dl\/gaikyouR4.pdf."},{"key":"e_1_2_13_17_1","unstructured":"OECD\/World Health Organization.2020.\u201cAgeing\u201d in Health at a Glance: Asia\/Pacific 2020: Measuring Progress Towards Universal Health Coverage.https:\/\/doi.org\/10.1787\/1ad1c42a\u2010en."},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2019.01255"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010016\u20101421\u20107"},{"issue":"2","key":"e_1_2_13_20_1","first-page":"233","article-title":"Health Status of Elderly: Evidence From India and Japan","volume":"27","author":"Ramachandran R.","year":"2013","journal-title":"Indian Journal of Gerontology"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010020\u201008833\u2010z"},{"issue":"1","key":"e_1_2_13_22_1","article-title":"Japan Health System Review [Review of Japan health system review]","volume":"8","author":"Sakamoto H.","year":"2018","journal-title":"Health Systems in Transition"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vhri.2020.11.003"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12111135"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:QURE.0000018486.91360.00"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13300\u2010021\u201001035\u20109"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cities.2023.104561"},{"key":"e_1_2_13_28_1","volume-title":"Nihongo\u2010Ban WHO\/QOL26 [A Guide to WHOQOL\u201026]","author":"Tazaki M.","year":"1997"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcsm.12076"},{"key":"e_1_2_13_30_1","unstructured":"United Nations.2019.World population prospects: highlights.https:\/\/doi.org\/10.18356\/13bf5476\u2010en."},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/gly110#supplementary\u2010data"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(20)30925\u20109"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2005.08.001"},{"key":"e_1_2_13_34_1","volume-title":"WHOQOL: Measuring Quality of Life","author":"World Health Organization","year":"2012"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.53555\/kuey.v30i5.4251"}],"container-title":["Public Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.70081","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/phn.70081","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.70081","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T16:00:38Z","timestamp":1777478438000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/phn.70081"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,10]]},"references-count":34,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1111\/phn.70081"],"URL":"https:\/\/doi.org\/10.1111\/phn.70081","archive":["Portico"],"relation":{},"ISSN":["0737-1209","1525-1446"],"issn-type":[{"value":"0737-1209","type":"print"},{"value":"1525-1446","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,10]]},"assertion":[{"value":"2024-12-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}