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Global Health Economics and
            Sustainability
                                                                           Social support and quality of life in Indian elderly


            Similarly, Khan et al. (2014), in their investigation of the   The findings of this study highlight that the participants
            elderly population in rural Bangladesh using WHOQOL-  perceived the highest social support from their families.
            BREF, found that the social relationship domain had the   This trend is possibly attributed to the robust family bonds
            highest average score. Ghosh et al. (2014), in their study   prevalent in Northern India, where familial connections
            involving 132 older individuals in Burdwan Municipality,   are integral and often serve as a significant form of social
            reported the maximum mean score in the social domain.   support. This outcome aligns with earlier research, such
            In contrast, Praveen & Rani (2016), in their study involving   as the study by Banovcinova & Baskova (2016), which
            50 older individuals in the Thiruvallur district of Tamil   also identified family as the primary source of perceived
            Nādu, discovered that the domain of social relationships   social support. A  study from Pakistan conducted by
            scored the lowest among all QOL domains. Likewise, Datta   Naz  et al. (2014) similarly emphasized the pivotal role
            et al. (2015), in their research among older individuals in   of family as the immediate source of social support.
            the urban municipal zone of Sonarpur and Kolkata in   However, it is important to note that there are variations
            West Bengal, India, revealed that the average score in the   in findings. For instance, Mahmoud  et al. (2017) found
            social domain was notably low. The outcomes of our study   that patients perceived the highest social support from
            revealed that the physical domain attained the lowest mean   significant others. This discrepancy may be explained by
            QOL score. Likewise, Mondal et al. (2020) also reported   the nature of support provided to mental health patients;
            the lowest mean score in the physical health domain   where significant others such as doctors, nurses, clerks, or
            among all four domains of QOL in their study. Conversely,   partners play a crucial role in offering assistance beyond
            Thadathil et al. (2015), in their study involving 220 elderly   that provided by family members.
            individuals using the WHOQOL-BREF scale in a rural   The results observed in the present study emphasized
            setting of Kerala, observed that the highest mean scores for   noteworthy  and  statistically  significant  positive
            QOL were identified in the domain of physical health.  associations between overall QOL and the comprehensive
              A  study  conducted  by  Sowmiya  &  Nagarani  (2012),   social support received from family, friends, and significant
            involving 476 elderly individuals in Tamil Nadu, revealed   others. This positive relationship underscores the
            that the social relationships domain garnered the highest   pivotal role that close relationships – family, friends, and
            mean  QOL  score,  while  the  physical  domain  obtained   significant others – play in shaping individuals’ lives. Social
            the lowest mean QOL score. Similarly, findings from   support emerges as a crucial factor with a beneficial impact
            the study by Qadri et al. (2013) in the Ambala district of   on both the physical and psychological well-being of the
            Haryana indicated that the domain with the greatest mean   elderly population. It acts as a buffer against the adverse
            QOL score was social interactions, contrasting with the   effects of life stressors, fostering coping mechanisms
            lowest mean QOL score observed in the physical domain.   and resilience. These findings align with prior research.
            Another investigation by Kumar & Shankar (2018) on 402   For  instance,  Mahmoud  et al.  (2017)  found  statistically
            older residents in remote areas in the Varanasi district   significant positive associations between perceived social
            demonstrated that the mean score in the social relationship   support and QOL among psychiatric patients in Egypt.
            domain surpassed all other  domains of QOL. These   Yanos et al. (2001) similarly identified positive associations
            consistent findings resonate with the results obtained in   between social interactions and QOL among individuals
            our present study.                                 diagnosed with severe mental illness in the United States.
              The present study indicates that people in their later   In addition, Eom et al. (2013) observed that declined QOL
            years continue to view their QOL as moderate, aligning   was linked to lower perceived social support, while studies
            with previous research findings (Ercan Şahin & Emiroğlu,   by Smith et al. (2010) and Zhou et al. (2010) indicated that
            2014; Arpaci et al., 2015; Altay et al., 2016). Furthermore,   higher  perceived social support correlated  with elevated
            our results reveal positive associations among the various   QOL. Charles & Kulandai (2020) also found statistically
            domains of QOL and with the total QOL score. In addition,   significant positive associations  between  total QOL  and
            perceived social support from family, friends, and   total social support, suggesting that individuals with higher
            significant others exhibits positive correlations with each   perceived social support scores exhibited a superior QOL.
            other and with the overall perceived social support. This   The results of the regression analysis conducted
            finding is consistent with a study conducted in Egypt by   by Şahin  et al. (2019) further substantiate a positive
            Banovcinova & Baskova (2016), which identified a positive   relationship between  MSPSS and QOL, with increased
            correlation between all functional domains of QOL, total   social support associated with improved QOL. Similarly,
            QOL, and the total social support from family, friends, and   Kumcagiz & Shahin (2017) identified a positive
            significant others subscale.                       relationship between support from friends and family



            Volume 2 Issue 3 (2024)                         7                        https://doi.org/10.36922/ghes.2358
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