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Background <p>Population ageing is increasing globally, highlighting the need to promote not only longevity but also optimal quality of life (QoL) in later life. The World Health Organization’s Active Ageing framework emphasizes health, participation, and security as key determinants of well-being in older age. However, evidence on awareness of active ageing and its association with QoL remains limited in Saudi Arabia.</p> Methods <p>A cross-sectional study was conducted among adults aged ≥ 60 years attending Family Medicine Clinics at a tertiary care hospital in Riyadh, Saudi Arabia. Participants completed the World Health Organization Quality of Life–BREF (WHOQOL-BREF) and the Active Ageing Awareness Questionnaire (AAAQ). Descriptive statistics were used to summarize participant characteristics and questionnaire scores. Bivariate and multivariable regression analyses were performed to examine associations between active ageing awareness and QoL domains while adjusting for relevant sociodemographic and health-related factors.</p> Results <p>A total of 351 older adults participated (mean age 68.2 ± 7.1 years). Most participants (79.8%) reported no prior awareness of the term “active ageing.” Nevertheless, higher active ageing awareness scores were significantly associated with higher QoL across all four WHOQOL-BREF domains (physical, psychological, social, and environmental; <i>p</i> &lt; 0.001). In fully adjusted multivariable models, each one-point increase in the AAAQ awareness score was independently associated with higher odds of better QoL in the physical (adjusted OR 1.02, 95% CI 1.01–1.03), psychological (aOR 1.02, 95% CI 1.01–1.03), social relationships (aOR 1.01, 95% CI 1.00-1.03), and environmental (aOR 1.02, 95% CI 1.01–1.03) domains. The strongest associations were observed in the psychological and environmental domains. Higher education level and better financial status were also independently associated with improved QoL outcomes.</p> Conclusions <p>The study findings showed a low level of awareness of the concept of active ageing among older adults in a tertiary care clinic in Saudi Arabia. Greater awareness of active ageing was positively associated with better quality of life among older adults, despite limited familiarity with the concept. These findings highlight the importance of integrating active ageing education into healthcare services and public health initiatives to support healthier and more fulfilling ageing trajectories.</p>

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Awareness of active ageing and its association with quality of life among older adults in a tertiary care setting in Saudi Arabia: a cross-sectional study

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  • 发表日期：

    2026年6月15日

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  • Halah F. Alenizi,
  • Eman Alanazi,
  • Ali Alzahrani,
  • Aiman Y. Alwadi,
  • Sadeq B. Abu-Dawas,
  • Fouad F. Jabri,
  • Meshal Alqahtani,
  • Haneen Alotaibi,
  • Peter M.B. Cahusac,
  • Abdullah I. Alsharif,
  • Mohammad H. Rajab,
  • Abdullah Alkhenizan,
  • Noara K. Alhusseini

摘要

Background

Population ageing is increasing globally, highlighting the need to promote not only longevity but also optimal quality of life (QoL) in later life. The World Health Organization’s Active Ageing framework emphasizes health, participation, and security as key determinants of well-being in older age. However, evidence on awareness of active ageing and its association with QoL remains limited in Saudi Arabia.

Methods

A cross-sectional study was conducted among adults aged ≥ 60 years attending Family Medicine Clinics at a tertiary care hospital in Riyadh, Saudi Arabia. Participants completed the World Health Organization Quality of Life–BREF (WHOQOL-BREF) and the Active Ageing Awareness Questionnaire (AAAQ). Descriptive statistics were used to summarize participant characteristics and questionnaire scores. Bivariate and multivariable regression analyses were performed to examine associations between active ageing awareness and QoL domains while adjusting for relevant sociodemographic and health-related factors.

Results

A total of 351 older adults participated (mean age 68.2 ± 7.1 years). Most participants (79.8%) reported no prior awareness of the term “active ageing.” Nevertheless, higher active ageing awareness scores were significantly associated with higher QoL across all four WHOQOL-BREF domains (physical, psychological, social, and environmental; p < 0.001). In fully adjusted multivariable models, each one-point increase in the AAAQ awareness score was independently associated with higher odds of better QoL in the physical (adjusted OR 1.02, 95% CI 1.01–1.03), psychological (aOR 1.02, 95% CI 1.01–1.03), social relationships (aOR 1.01, 95% CI 1.00-1.03), and environmental (aOR 1.02, 95% CI 1.01–1.03) domains. The strongest associations were observed in the psychological and environmental domains. Higher education level and better financial status were also independently associated with improved QoL outcomes.

Conclusions

The study findings showed a low level of awareness of the concept of active ageing among older adults in a tertiary care clinic in Saudi Arabia. Greater awareness of active ageing was positively associated with better quality of life among older adults, despite limited familiarity with the concept. These findings highlight the importance of integrating active ageing education into healthcare services and public health initiatives to support healthier and more fulfilling ageing trajectories.