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Lay theories of quality of life in older age


This paper presents findings from a national survey of quality of life (QoL) in older age. The main aim of the analyses was to examine the definitions of quality of life given by people aged 65 or more years and the underlying reasons. Open-ended questions were used to elicit their perceptions of QoL. These were followed by structured measures of self-rated QoL overall, and of domains of QoL commonly reported in the literature. The main things said by the respondents to give their lives quality were categorised into ‘themes’. These were: social relationships; social roles and activities; leisure activities enjoyed alone; health; psychological outlook and wellbeing; home and neighbourhood; financial circumstances; and independence. The reasons people gave to explain why these things were important to their QoL focused on: the freedom to do the things they wanted to do without restriction (whether in the home or socially); pleasure, enjoyment and satisfaction with life; mental harmony; social attachment and having access to companionship, intimacy, love, social contact and involvement, help; social roles; and feeling secure. This paper also presents data that demonstrates the ability of theoretically informed, structured survey indicators of QoL to predict respondents' self-rated overall QoL. Logistic regression analyses showed that most of these indicators were strong, independent predictors of self-ratings of QoL, although those that were not significant in the model did not fully incorporate lay reasons of QoL in their measurement scales. In conclusion, the indicators which were not significant in the model did not fully incorporate lay values in their measurement properties. It is also likely that those indicators that were significant could have been improved.

Corresponding author
Address for correspondence:Department of Primary Care and Population Sciences, University College London, Hampstead Campus, London NW3 2PF. email:
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F. M. Andrews and S. B. Withey 1976. Social Indicators of Well-being: American's Perceptions of Life Quality. Plenum, New York.

R. C. Atchley 1989. The continuity theory of normal aging. The Gerontologist, 29, 183–90.

A. Bowling and Z. Gabriel 2004. An integrational model of quality of life in older age: a comparison of analytic and lay models of quality of life. Social Indicators Research, 69, 136.

A. Bowling , D. Banister , S. Sutton , O. Evans and J. Windsor 2002. A multidimensional model of QoL in older age. Ageing and Mental Health, 6, 355–71.

D. J. Carver , C. A. Chapman , V. S. Thomas , K. J. Stadnyk and K. Rockwood 1999. Validity and reliability of the Medical Outcomes Study Short Form-20 questionnaire as a measure of quality of life in elderly people living at home. Age and Ageing, 28, 169–74.

S. Cohen 1988. Psychosocial models of the role of social support in the etiology of physical disease. Health Psychology, 7, 269–97.

L. Doyal and I. Gough 1991. A Theory of Human Need. Macmillan, London.

B. J. Fisher 1995. Successful aging, life satisfaction, and generativity in later life. International Journal of Aging and Human Development, 41, 239–50.

Z. Gabriel and A. Bowling 2004. Perspectives on quality of life in older age: older people talking. Ageing and Society, 24, 675–91.

E. Grundy and A. Bowling 1999. Enhancing the quality of extended life years. Identification of the oldest old with a very good and very poor quality of life. Ageing and Mental Health, 3, 199212.

P. Higgs , M. Hyde , R. Wiggins and D. Blane 2003. Researching quality of life in early old age: the importance of the sociological dimension. Social Policy and Administration, 37, 239–52.

M. Hyde , R. D. Wiggins , P. Higgs and D. Blane 2003. A measure of quality of life in early old age: the theory, development and properties of a needs satisfaction model (CASP-19). Ageing and Mental Health, 7, 186–94.

R. R. Lau , K. A. Hartman and J. E. Ware 1986. Health as a value: methodological and theoretical considerations. Health Psychology, 5, 2543.

M. P. Lawton 1983 a. Environment and other determinants of well-being in older people. Gerontologist, 23, 349–57.

M. P. Lawton 1983 b. The varieties of wellbeing. Experimental Aging Research, 9, 6572.

M. P. Lawton 1996. Quality of life and affect in later life. In C. Magai and S. H. McFadden (eds), Handbook of emotion, human development, and aging. pp. 327–48. Academic Press, San Diego, CA.

A. Maslow 1954. Motivation and Personality. Harper, New York.

B. Miller and S. McFall 1991. Stability and change in the informal task social support network of frail older persons. The Gerontologist, 31, 735–45.

J. Popay 2006. Whose theory is it anyway? Journal of Epidemiology and Community Health, 60, 571–72.

M. E. Procidano and K. Heller 1983. Measures of perceived social support from friends and from family: three validation studies. American Journal of Community Psychology, 11, 124.

R. J. Rogerson , A. M. Findlay , M. G. Coombe and A. Morris 1989. Indicators of quality of life. Environment and Planning, 21, 1655–66.

A. Sarvimäki and H. B. Stenbock-Hult 2000. Quality of life in old age described as a sense of well-being, meaning and value. Journal of Advanced Nursing, 32, 1025–33.

M. F. Scheier and C. S. Carver 1985. Optimism, coping, and health: assessment and implications of generalised outcome expectancies. Health Psychology, 4, 219–47.

T. E. Seeman , T. M. Lusignolo , M. Albert and L. Berkman 2001. Social relationships, social support, and patterns of cognitive aging in healthy, high functioning older adults: MacArthur studies of successful ageing. Health Psychology, 20, 243–55.

C. D. Sherbourne and A. L. Stewart 1991. The MOS social support survey. Social Science and Medicine, 32, 705–14.

S. M. Skevington 1999. Measuring quality of life in Britain: introducing the WHOQOL-100. Psychomatic Research, 47, 449–59.

S. M. Skevington , K. A. O'Connell and the WHOQOL Group. 2004. Can we identify the poorest quality of life? Assessing the importance of quality of life using the WHOQOL-100. Quality of Life Research, 13, 2334.

S. M. Skevington , M. Lotfy and K. A. O'Connell 2004. The World Health Organization's WHOQOL-BREF quality of life assessment: psychometric properties and results from international field trials. A report from the WHOQOL Group. Quality of Life Research, 13, 299310.

P. H. D. Stenner , D. Cooper and S. M. Skevington 2003. Putting the Q into quality of life; the identification of subjective constructions of health-related quality of life using Q methodology. Social Science and Medicine, 57, 2161–72.

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Ageing & Society
  • ISSN: 0144-686X
  • EISSN: 1469-1779
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