Volume 10, Issue 4 (Summer 2025)
Health in Emergencies and Disasters Quarterly 2025, 10(4): 291-300 |
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Ethics code: IR.MAZUMS.REC.1401.536
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Jorbonyan A, Hosseinnataj A, Naseri F, Najafi H, Rezapour V, Alizadeh M et al . COVID-19 Risk Perception and Its Relationship With Quality of Life and Mental Health Conditions in Older Diabetic Woman. Health in Emergencies and Disasters Quarterly 2025; 10 (4) :291-300
URL: http://hdq.uswr.ac.ir/article-1-621-en.html
URL: http://hdq.uswr.ac.ir/article-1-621-en.html
Abdolhakim Jorbonyan1 
, Abolfazl Hosseinnataj2 , Farzaneh Naseri3 , Hadi Najafi4 , Vahideh Rezapour5 , Mohammadreza Alizadeh6 , Shahab Papi *7
, Abolfazl Hosseinnataj2 , Farzaneh Naseri3 , Hadi Najafi4 , Vahideh Rezapour5 , Mohammadreza Alizadeh6 , Shahab Papi *7
1- Department of Geriatric Health, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran. & Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
2- Department of Biostatistics and Epidemiology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.
3- Student Research Committee, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
4- Department of Geriatric Health, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
5- Department of Geriatric Health, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
6- Department of Geriatric Health, School of Public Health, Babol University of Medical Sciences, Babol, Iran.
7- Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran. & Department of Nursing, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran. ,shahabpapi@yahoo.com
2- Department of Biostatistics and Epidemiology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.
3- Student Research Committee, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
4- Department of Geriatric Health, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
5- Department of Geriatric Health, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
6- Department of Geriatric Health, School of Public Health, Babol University of Medical Sciences, Babol, Iran.
7- Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran. & Department of Nursing, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran. ,
Abstract: (407 Views)
Background: The COVID-19 pandemic has posed significant challenges to older people with diabetes, especially women. This study aimed to examine the relationship between the perceived risk of COVID-19 and quality of life, stress, anxiety and depression among older diabetic women.
Materials and Methods: A cross-sectional study was conducted on 250 diabetic women aged 60 and above living in Sari City, Iran, in 2023. Multistage random sampling was used to choose the samples. Data were collected using a demographic information form; COVID-19 perceived risk questionnaire; depression, anxiety and stress scale (DASS-21) and diabetes quality of life (DQOL) questionnaire
Results: The mean age of the participants was 67.04 years, with a moderate mean quality of life score of 54.05±7.76. Anxiety showed the highest mean levels (11.46±2.86). Higher self-efficacy and perceived effectiveness were associated with improved mental health outcomes and quality of life (P˂0.05).
Conclusion: The findings highlight the complex interplay between psychological perceptions of disease risk and mental health outcomes in vulnerable populations. The inverse relationship between defensive responses and well-being suggests that maladaptive coping strategies may exacerbate psychological distress. These results align with previous studies showing that risk perception significantly influences health outcomes in chronic disease management. The results demonstrate how psychological factors related to the perception of COVID-19 risk can impact mental health outcomes and quality of life in older women with diabetes. Considering the possible emergence of new and re-emerging diseases, health systems must prioritize the mental health of frail older adults.
Materials and Methods: A cross-sectional study was conducted on 250 diabetic women aged 60 and above living in Sari City, Iran, in 2023. Multistage random sampling was used to choose the samples. Data were collected using a demographic information form; COVID-19 perceived risk questionnaire; depression, anxiety and stress scale (DASS-21) and diabetes quality of life (DQOL) questionnaire
Results: The mean age of the participants was 67.04 years, with a moderate mean quality of life score of 54.05±7.76. Anxiety showed the highest mean levels (11.46±2.86). Higher self-efficacy and perceived effectiveness were associated with improved mental health outcomes and quality of life (P˂0.05).
Conclusion: The findings highlight the complex interplay between psychological perceptions of disease risk and mental health outcomes in vulnerable populations. The inverse relationship between defensive responses and well-being suggests that maladaptive coping strategies may exacerbate psychological distress. These results align with previous studies showing that risk perception significantly influences health outcomes in chronic disease management. The results demonstrate how psychological factors related to the perception of COVID-19 risk can impact mental health outcomes and quality of life in older women with diabetes. Considering the possible emergence of new and re-emerging diseases, health systems must prioritize the mental health of frail older adults.
Type of Study: Research |
Subject:
Elderly
Received: 2024/05/26 | Accepted: 2024/12/30 | Published: 2025/07/9
Received: 2024/05/26 | Accepted: 2024/12/30 | Published: 2025/07/9
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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