{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T18:39:22Z","timestamp":1787423962458,"version":"build-2736575974"},"reference-count":53,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2023,4,11]],"date-time":"2023-04-11T00:00:00Z","timestamp":1681171200000},"content-version":"unspecified","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,3,29]]},"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This community-based cross-sectional study explored the factors affecting overall and domain-specific (physical health, psychological health, social relationships and environmental) quality of life (QOL) of home-dwelling older residents of the District of Colombo, Sri Lanka.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A representative sample (n=723) of older adults aged &gt;65 years was obtained by the multistage cluster sampling technique. QOL was assessed using the validated Sinhala version of WHOQOL BREF Questionnaire. Data analysis was done using SPSS V.20.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean\u00b1SD\u2009age was 72.23\u00b16.3 years with the overall QOL score being (mean\u00b1SD) 56.73\u00b112.57\/100. The mean\u00b1SD\u2009QOL score of physical health, psychological health, social relationships and environmental domains were 55.81\u00b115.80, 59.25\u00b114.68, 46.36\u00b120.08\u2009and 64.61\u00b111.96, respectively. The overall QOL in the adjusted model showed a significant positive association with the educational status, living conditions (with spouse, with spouse and children), participation in religious activities, being visited by friends or relatives and financial independence. The overall QOL was negatively associated with limitations in activities of daily living and instrumental activities of daily living, chronic arthritis and heart disease in the adjusted model. Living with the spouse was positively associated with the psychological domain of QOL. Osteoporosis and chronic arthritis affected the physical health domain, while cancer and disabling stroke affected the psychological domain of QOL negatively. All statistical significances were considered at p&lt;0.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The overall QOL of home-dwelling elders of the Colombo District is moderate, with the lowest score being in social relationships and the highest in the environmental domain. Educational status, engaging in religious activities and financial independence are key factors associated with a better QOL. Limitations in physical activity and chronic diseases are associated with a reduced QOL. Living with the spouse is a key factor associated with the psychological health domain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-068773","type":"journal-article","created":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T13:17:03Z","timestamp":1681305423000},"page":"e068773","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Quality of life and its associated factors among home-dwelling older people residing in the District of Colombo, Sri Lanka: a community-based cross-sectional study"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4515-3265","authenticated-orcid":false,"given":"Hapuarachchige Sewvandi Maliga S K","family":"Wijesiri","sequence":"first","affiliation":[{"name":"Nursing and Midwifery, General Sir John Kotelawala Defence University, Ratmalana, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudharshani","family":"Wasalathanthri","sequence":"additional","affiliation":[{"name":"Department of Physiology, University of Colombo, Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2429-8860","authenticated-orcid":false,"given":"Shreenika","family":"De Silva Weliange","sequence":"additional","affiliation":[{"name":"Community Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandrika N","family":"Wijeyaratne","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Colombo, Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,4,12]]},"reference":[{"key":"2025121513435664000_13.4.e068773.1","unstructured":"WHOQOL Group . 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