Providing informal care to adults, especially elderly people, may affect many aspects of caregivers’ life, such as: physical and mental health, financial situation, social contacts, etc. Supporting dependent seniors is associated to a higher level of stress, burden and depression as well as higher mortality. The main purpose of this paper is to analyse the relationship between caregiving for adults and the subjective quality of life among Poles aged 50–69. We took into account not only the fact of providing care to adult people, but also its beginning, continuation and ending between waves. We assumed that subjective quality of life may be expressed by two variables: one describing life satisfaction, and the second one – loneliness. We used the panel subsample from the Generation and Gender Surveys (GGS) carried out in Poland in 2010/2011 and in 2014. We found a negative effect of stopping caregiving between waves on wellbeing of women-carers, which may be related to the loss of a close person. Moreover, providing care for a longer period of time increases loneliness, which confirms that providing support to others may lead to isolation and smaller social networks.
This study aims at identifying determinants of health related quality of life in Poland, and in particular at verifying whether health domains are complements or substitutes and what the impact of heterogeneity of population on the health state valuation is. The paper uses data in panel structure coming from a survey conducted in Poland and consisting of 6700 valuations (after data cleaning) of EQ-5D health states with time trade-off method. Several econometric models are built in order to detect the impact of complementarity and heterogeneity. Random effects models as well as random parameters models estimated using Bayesian approach are used. The results show that health domains are complementary goods. Especially the lack of pain/discomfort is a complement to other health domains. Demographic factors influence how health state change impacts utility. These factors encompass sex, education, respondent’s health state and even belief in life after death.
I n t r o d u c t i o n: Peripheral arterial occlusive disease (PAOD) is a disease with worldwide increasing occurrence. Diabetic patients are greatly exposed on the risk of PAOD and its complications. The aim of the study was to check the influence of preoperative HbA1C on the outcomes of patients with diabetes undergoing PAOD related endovascular treatment.
M a t e r i a l a n d Me t h o d s: The study was conducted among 59 patients with PAOD referred from the diabetic foot outpatient for endovascular treatment. They were included in one-year observation based on follow-up visits in 1, 3, 6 and 12 months after angioplasty and divided into 2 groups basing on their preoperative glycaemia. Th e clinical condition of the lower limbs was assessed by use of the Rutherford classification, ankle-brachial index (ABI) and toe-brachial index (TBI). Changes in patients’ quality of life (QoL) were also evaluated.
R e s u l t s: Reintervention within 12 months were less frequent in patients with HbA1C ≤8.0% than in HbA1C >8.0% patients (9.09% vs. 35.48%, p = 0.03). TBI of the treated limb was lower in patients with elevated than in patients with proper glycaemia at 6 month [0.2 (0.0–0.38) vs. 0.38 (0.31–0.46); p <0.008] and 12 month follow-up [0.17 (0.0–0.27) vs. 0.32 (0.25–0.38); p <0,001]. The rate of healed ulcerations after 6 months was higher in patients HbA1C ≤8.0% (45.0% vs. 16.13%; p = 0.02) and they had significantly greater improvement of QoL.
C on c l u s i o n: Results of this study shows that preoperative level of glycaemia is an important factor for long-term prognosis in diabetic patients with PAOD. Elevated HbA1C level decreases significantly long-term improvement of QoL in DM patients undergoing endovascular treatment.
O b j e c t i v e s: The aim of study was to investigate the association between anxiety, depression, stress and determinants of quality of life among Iranian students.
M e t h o d s: The questionnaires were completed by 275 students. The random sampling was conducted in two phases, the stratified sampling which some classes were selected among different classes of faculty of health and at the second phase, in each class the number of students who had the requirements to enter in the study were selected randomly. the logistic regression to find out the association between demographic characteristics with the quality of life was run and according to the normality status of the distribution of data the parametric or non-parametric tests were used.
R e s u l t s: In the univariable model, the students that were living in their own homes had the odds of 2.18 times more than the others to have a higher quality of life level (95% CI: 1.07–4.45). In the multi variable model the anxiety and stress were significantly related to the quality of life and for increasing each 1 unit in the amount of anxiety and stress the odds of a better quality of life decreases 0.19 and 0.03 respectively. Even after adjusting for other covariates – in the multivariable model – both anxiety and stress were associated with the quality of life.
C o n c l u s i o n: It is useful for the universities to understand different aspects of the students’ lives which are under the influence of stress, anxiety and depression, and also determining the resources from which they are originated.
The main objective of the article is an attempt to indicate factors which determine the image of a city as a good place to live as well as to reveal the ways in which they affect the citizens’ quality of life. In order to do so, the author selected the city of Gdynia which is perceived as the best city to live in by its citizens. Among the most important factors determining the quality of life in general there are: the scale of a city, local identity, public spaces, symbolic places, housing environment, perception of a place, personal satisfaction of a place where a particular person lives, urban policies as well as presence and activeness of local leaders. The article presents the results of a social study carried out by the author herself during two periods of time – in 2004 and 2014 as well as the results of the Social Diagnosis 2015.
The work assessed the diversity of the natural potential in communes of Szczecin Metropolitan Area with particular emphasis on the areas of natural and valuable nature, protected area, forests and green areas. Established links between natural resources of municipalities and their valorisation using the SWOT analysis method (included in development strategies) and planned development goals. The basic method of use of the natural potential of the municipality are: to improve the quality of life of residents and tourism development. The impact of the natural potential on the quality of life is noticed primarily by urban centres, where a large share of green areas is noticed. The commune with a dominant share of protected areas (include Natura 2000) draws attention to the development of tourism based on natural potential. This is particularly evident in the communities that are characterized by a favourable location in relation to watercourses and reservoirs (freshwater and marine). However, in the socio-economic development, the natural potential is used in both these directions: to improve the quality of life and the development of tourism. In local strategic documents, it can be noticed that the transport system based on bicycle, pedestrian and water routes related to the natural potential can be eff ectively used in building cooperation between the central and other municipalities associated in Szczecin Metropolitan Area.