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ROLE OF SOCIAL INTERACTION ON QUALITY OF LIFE

Authors:
  • Sai Nath University
  • Gouri Devi Institute of Medical Sciences, Durgapur

Abstract

Introduction: Society plays an important role in determining quality of life of human beings particularly in case of loneliness, physical inability and loss of income. In this background there is a great role of social interaction in improving quality of life of geriatric population. Methodology: This community-based interventional longitudinal study was done among the study population using Quality of Life Questionnaire developed by World Health Organization (WHOQOL-BREF) by conducting interviews by house to house visit. The selected study subjects according to gender and place of residence were told to conduct regular social interaction session as per their convenient time and place. After 8 weeks of social interaction sessions again the participants were asked about their quality of life by conducting interviews using WHOQOL-BREF questionnaire. Results: It was found that mean transformed scores of quality of life improved significantly in all domains after social interaction as compared to score at the beginning of the study. Further, the difference of score (before and after social interaction) was significantly higher among those who attended social interaction session for more number of days. Conclusion: Social interaction has a significant role in improving the quality of life of elderly people. Keywords: Social interaction, quality of life, WHOQOL-BREF Questionnaire
NATIONAL JOURNAL OF MEDICAL RESEARCH print ISSN: 2249 4995eISSN: 2277 8810
NJMRVolume 5Issue 4Oct – Dec 2015 Page 290
ORIGINAL ARTICLE
ROLE OF SOCIAL INTERACTION ON QUALITY OF LIFE
Debalina Datta1, Pratyay Pratim Datta2, Kunal Kanti Majumdar3
Author’s Affiliations: 1Ph.D Scholar, Public Health, Sai Nath University, Ranchi; 2Assistant Professor, Dept.
Pharmacology, Gouri Devi Medical College, Durgapur, W.B.; 3Professor, Dept. Community Medicine, KPC Medical
College, Kolkata, India
Correspondence: Dr. Pratyay Pratim Datta Email: pratyaypratimdatta@gmail.com
ABSTRACT
Introduction: Society plays an important role in determining quality of life of human beings particularly
in case of loneliness, physical inability and loss of income. In this background there is a great role of so-
cial interaction in improving quality of life of geriatric population.
Methodology: This community-based interventional longitudinal study was done among the study popu-
lation using Quality of Life Questionnaire developed by World Health Organization (WHOQOL-BREF)
by conducting interviews by house to house visit. The selected study subjects according to gender and
place of residence were told to conduct regular social interaction session as per their convenient time and
place. After 8 weeks of social interaction sessions again the participants were asked about their quality of
life by conducting interviews using WHOQOL-BREF questionnaire.
Results: It was found that mean transformed scores of quality of life improved significantly in all do-
mains after social interaction as compared to score at the beginning of the study. Further, the difference
of score (before and after social interaction) was significantly higher among those who attended social
interaction session for more number of days.
Conclusion: Social interaction has a significant role in improving the quality of life of elderly people.
Keywords: Social interaction, quality of life, WHOQOL-BREF Questionnaire.
INTRODUCTION
Man is a social animal. Society plays an important
role in determining physical, psychological, beha-
vioral and attitudinal factors. Perception, values
and expectations are also greatly influenced by the
society where an individual belongs to. The role of
social support enhance particularly in case of dis-
ablement, pain, anxiety and loss of income of a
person. It ultimately reflects on the person’s vari-
ous domains of quality of life of a person. It has
been seen that supportive social interactions is re-
lated to higher quality of life in all of the four do-
mains.1 It is seen in various studies that lack of
social interaction has caused anxiety, insomnia,
stress, social dysfunction and severe depression
which ultimately affects on physical as well as psy-
chological morbidity and hence quality of life of a
person decreases1. More often this deterioration is
significantly associated with poor quality of life of
a person. There is a positive correlation between
social interaction and quality of life.2 Family plays
vital role in this social support system. In spite of
physical and psychological morbidity, one’s quality
of life may be better enough due to strong social
support and association of supportive family
members. This finding is supported by other stu-
dies also.3, 4 Stress, loneliness, loss of income, ill
health, feeling of neglect, loss of superiority in
family are very common problems faced by elderly
in our society which ultimately leads to poor quali-
ty of life of elderly.
India is the second largest country in the world
next to China. It has been projected that by the
year 2025 there will be 177 million elderly popula-
tions in India which would constitute 14 percent of
the whole population.5, 6 & 7 The life expectancy is
expected to cross 70 years by the year 2020. So,
they should be provided substantial importance for
betterment of our society. There are new chal-
lenges and opportunities to work on various prob-
lems of different aspects faced by this aged group
of people for betterment of their life as well as the
whole society. This can be done by allowing them
for making important family decisions, supporting
NATIONAL JOURNAL OF MEDICAL RESEARCH print ISSN: 2249 4995eISSN: 2277 8810
NJMRVolume 5Issue 4Oct – Dec 2015 Page 291
in case of physical and mental pain, supporting
economically. Government, policy makers, pro-
gramme managers play important role by provid-
ing special scheme, facilities based on their needs;
e.g. old age pension, travel related concessions by
Indian Railway, Indian Airlines and state transport
corporations, income tax concessions and health
care provided by rural group life insurance
schemes and Bhabisyo Arogyo Mediclaim to the
older persons.
Social interaction may play a critical role in better-
ment of quality of life. But there was no study pre-
viously indicating the effect of social interaction on
quality of life of elderly. In this background the
present study was conducted in urban area of West
Bengal, India to assess the effect of social interac-
tion on different domains of quality of life of el-
derly.
METHODOLOGY
Study area: This study was conducted in urban
municipal area of Sonarpur and Kolkata Municipal
Corporation of West Bengal, India.
Study population: This study was conducted
among people aged 60 years and above.
Study tool: WHO-QOL BREF questionnaire hav-
ing four domains namely physical health domain,
psychological health domain, social relationship
domain and environmental health domain was
used as study tool in the present study. 8
Study technique: At first interview was con-
ducted using WHOQOL-BREF questionnaire
among study population by house to house visit
after taking informed consent from them in writ-
ing. The participants were divided into groups ac-
cording to gender and place of their residence.
Each participant in every group was called upon at
local place where they were told to regularly inte-
ract among themselves as per their convenience.
Attendance register notebooks were supplied at
the proposed places where they met for taking sig-
nature or thumb imprint (for illiterates). After 8
weeks of social interaction session the attendance
register notebooks were collected and all the par-
ticipants were again interviewed using WHOQOL-
BREF questionnaire.
Before conducting the study permission was taken
from Institutional Ethics Committee.
Statistical analysis: Statistical analysis was done
to identify the difference between mean quality of
life score between first and last interview. Correla-
tion was done between the number of attended
days of the participants and the differences of
score in each domain.
RESULTS
Scores of quality of life in different domains were
assessed at the beginning and after completion of 8
weeks social interaction session. In social interac-
tion sessions different persons attended for differ-
ent number of days. Accordingly correlation was
calculated between differences of score in different
domains with number of days attended social inte-
raction session. This has been shown in Table 1.
Table 1: Transformed score of different domains (0-100) before and after intervention (n=348)
Domain Before Interven-
tion Mean ± S.D.
A
fter Intervention
Mean ± S.D.
95% Confidence Interval P Value
Lower Upper
Physical 44.80±14.07 49.63±12.86 5.45 4.21 <0.001
Psychological 42.68±14.42 53.68±12.75 11.86 10.13 <0.001
Social Interaction 41.67±16.03 48.38±17.42 7.80 5.61 <0.001
Environmental 49.95±12.50 58.22±12.45 9.01 7.54 <0.001
Table 2: Correlation between differences of score in different domains of quality of life with
number of days attended social interaction session (According to intervention group) (n=348)
Comparing variables Pearson corre
l
a-
tion coefficient P value
Difference of score in physical domain with number of days met 0.559 <0.001
Difference of score in psychological domain with number of days met 0.641 <0.001
Difference of score in social relationship domain with number of days met 0.820 <0.001
Difference of score in environmental domain with number of days met 0.755 <0.001
Difference of score in overall quality o
f
life with number of days met 0.802 <0.001
Difference of score in overall health status with number of days met 0.778 <0.001
NATIONAL JOURNAL OF MEDICAL RESEARCH print ISSN: 2249 4995eISSN: 2277 8810
NJMRVolume 5Issue 4Oct – Dec 2015 Page 292
It is seen that in physical, psychological, social rela-
tionship and environmental domain the differences
of score of quality of life was significantly more
among elderly people who participated in social
interaction session as compared to those who par-
ticipated lesser number of days than them.
In Table 2 the difference between transformed
score of different domains before and after inter-
vention were shown. In all domains the mean
score increased significantly after completion of
social interaction session than before starting ses-
sion.
CONCLUSION
The present study has highlighted that social inte-
raction has a significant role in improving the qual-
ity of life of elderly. The social interaction helps
elderly in preventing their loneliness and thus im-
proves their mental health. By sharing their feel-
ings the elderly people can help each other in im-
proving their quality of life. They can find the
meaning of their life.
REFERENCE
1. Yanos PT, Rosenfield S, Horwitz AV. Negative and
supportive social interactions and quality of life among
persons diagnosed with severe mental illness. Commu-
nity Ment Health J. 2001 Oct;37(5):405-19. PubMed
PMID: 11419518.
2. Ono E, Nozawa T, Ogata T, Motohashi M, Higo N,
Kobayashi T, Ishikawa K, Ara K, Yano K and Miyake
Y. Relationship between Social Interaction and Mental
Health. SI International 2011
3. Umberson D, Montez K J. Relationships and health.
Journal of health and social behavior. Nov 2010. 51(1),
S54-S66.
4. Sapp AL, Trentham-Dietz A, Newcomb PA, Hampton
JM, Moinpour CM, Remington PL. Social networks and
quality of life among female long-term colorectal can-
cersurvivors. Cancer. 2003 Oct 15;98(8):1749-58.
5. Lena A, Ashok K, Padma M, Kamath V, Kamath A –
Health & social problem of elderly: A cross sectional
study in udpi taluk, Karnataka, Indian journal of Com-
munity Medicine, vol-34/issue2/ april 2009.
6. Ingle GK, Nath A. Geriatric health in India: Concerns
and solutions. Indian J Community Med 2008;33:214-
218
7. Health of elderly; WHO technical report series 779,
1989.
8. WHO Quality of Life BREF [Homepage in the inter-
net]. Available at
http://www.who.int/substance_abuse/research_tools/
whoqolbref/en/
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Journal of health and social behavior
  • D Umberson
  • K J Montez
Umberson D, Montez K J. Relationships and health. Journal of health and social behavior. Nov 2010. 51(1), S54-S66.