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Background <p>Quality of life (QoL) is crucial in older adults with major impact on their psychological, social, and biological well-being. This is especially important among minorities who suffer from chronic diseases which are prevalent in later life. This study aimed to identify predicting factors associated with QoL among Zoroastrian older adults in Iran due to the unique cultural/religious context.</p> Methods <p>A cross-sectional study was conducted on 200 Zoroastrian older adults and their family caregivers in Yazd, Iran. Participants were recruited using random sampling method from two Urban Comprehensive Health Service Centers (UCHSCs). Data collection tools included a demographics questionnaire, the WHOQOL-OLD module, the Connor-Davidson Resilience Scale, the Brief Religious Coping Measure, the Multidimensional Scale of Perceived Social Support, and the 10-item Burden Scale for Family Caregivers. The multiple linear regression was used for the data analysis.</p> Results <p>The estimated mean QoL score was 79.73 ± 10.26 (range: 24–120). Negative religious coping, lower resilience capacity, weaker social support, and higher caregiver burden were significantly associated with lower QoL in the studied Zoroastrians (<i>p</i> &lt; 0.05) that explained 61% of the observed QoL variance. Negative religious coping and caregiver burden were inversely associated with QoL, whereas resilience capacity and social support revealed a positive association.</p> Conclusions <p>Uncertainties about how QoL determinants act in diverse sociocultural and health conditions and which single antecedent must be given a higher priority to mitigate elder people vulnerabilities are present but the study findings suggest that targeted interventions should address caregiver burden and resilience. Further research is needed to strengthen the evidence about tailored prudential intervention strategies that focus on the alternative routes of promoting QoL in elder minority groups.</p>

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Predictors of perceived quality of life in zoroastrian minority older adults with chronic diseases: a cross-sectional study in Iran

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月25日

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  • Hassan Rezaeipandari,
  • Mohammad Ali Morowatisharifabad,
  • Asghar Mohammadpoorasl,
  • Abdolreza Shaghaghi

摘要

Background

Quality of life (QoL) is crucial in older adults with major impact on their psychological, social, and biological well-being. This is especially important among minorities who suffer from chronic diseases which are prevalent in later life. This study aimed to identify predicting factors associated with QoL among Zoroastrian older adults in Iran due to the unique cultural/religious context.

Methods

A cross-sectional study was conducted on 200 Zoroastrian older adults and their family caregivers in Yazd, Iran. Participants were recruited using random sampling method from two Urban Comprehensive Health Service Centers (UCHSCs). Data collection tools included a demographics questionnaire, the WHOQOL-OLD module, the Connor-Davidson Resilience Scale, the Brief Religious Coping Measure, the Multidimensional Scale of Perceived Social Support, and the 10-item Burden Scale for Family Caregivers. The multiple linear regression was used for the data analysis.

Results

The estimated mean QoL score was 79.73 ± 10.26 (range: 24–120). Negative religious coping, lower resilience capacity, weaker social support, and higher caregiver burden were significantly associated with lower QoL in the studied Zoroastrians (p < 0.05) that explained 61% of the observed QoL variance. Negative religious coping and caregiver burden were inversely associated with QoL, whereas resilience capacity and social support revealed a positive association.

Conclusions

Uncertainties about how QoL determinants act in diverse sociocultural and health conditions and which single antecedent must be given a higher priority to mitigate elder people vulnerabilities are present but the study findings suggest that targeted interventions should address caregiver burden and resilience. Further research is needed to strengthen the evidence about tailored prudential intervention strategies that focus on the alternative routes of promoting QoL in elder minority groups.