Roselle Margaret G. Dangin
College of Nursing - Cebu Normal University
Medical - Surgical Nursing
Health-related quality of life (or HRQoL) has gained worldwide recognition as a suitable patient-centered approach to any healthcare intervention. Several studies have attempted to define and deconstruct the concept of HRQoL however, not much is known about the factors influencing HRQoL, especially in Filipino adults whom high obesity and malnutrition rates have been observed. Hence, this study aimed to establish the factors influencing physical and mental health, and over-all HRQoL among Filipino adults and to determine the direct and indirect relationships between these factors.
The sample of 217 Filipino adults (mean age= 35, SD=1.37) living in urban communities in Cebu City, Philippines were recruited for this quantitative, descriptive-correlational study. The International Physical Activity Questionnaire (IPAQ) short form and Rapid Eating Assessment for Participants Shortened Version (REAP-S) tools were utilized to collect their sociodemographic qualities, health-risk behaviors (such as dietary habits, alcohol drinking, smoking, physical activity), and existing medical conditions. The body mass index was also calculated from their height and weight measurements. Using these metrics, their individual HRQoL scores were then computed through the RAND 36-Item Short Form Health Survey 1.0 Questionnaire (SF-36). Bivariate correlation was then performed between the HRQoL scores and other independent variables to determine any associations. Finally, a multiple linear regression analysis was performed to generate a path coefficient that illustrates the relationships of the variables.
The findings suggest that fewer medical conditions (p=0.003), increased alcohol consumption (p=0.035) and high physical activity (p=0.008) have a direct positive link to HRQoL among Filipino adults. Other factors such as age, gender, body mass index, and smoking habits were also found to indirectly influence one's physical and mental health, and thus over-all HRQoL. Recommendations are presented in light of these findings. Furthermore, this study has arrived at a new HRQoL model that is suited to Filipino adults and is therefore proposed as a reference for healthcare interventions.