Health-related quality of life in aging population in Colombia. Literature and policy review

Health-related quality of life captures individuals’ subjective perception of well-being across different dimensions, particularly in relation to how their health condition influences daily functioning and life experiences. This review describes health-related quality of life among older adults in Colombia using scientific literature published between 2010 and 2025 and national public policies on aging. A scoping review and a macro-level policy analysis was conducted in parallel. Selected studies were synthesized to identify factors associated with HRQoL. Eight studies measured HRQoL using validated instruments, primarily WHOQOL-BREF, SF-36, and EQ-5D. Overall HRQoL was reported as favorable among Colombian older adults. Higher scores appeared in social and mental dimensions, while the physical dimension showed greater limitations, especially related to pain and mobility. Environmental outcomes were influenced by social and contextual conditions. Public policies addressing aging demonstrated progressive recognition of older adults’ rights, protection, and well-being. Although perceived HRQoL is positive, it is shaped by multiple interrelated factors beyond disease. The findings emphasize promoting emotional, social, and economic well-being and strengthening comprehensive public policies that move beyond welfare-based models to support dignified aging, autonomy, and meaningful social participation across the life course. Future research should expand longitudinal evidence, include rural and vulnerable populations, and evaluate policy implementation outcomes to better inform targeted interventions and equitable resource allocation nationwide across different health and social sector.