Первинна медична допомога, естетична медицина та якість життя людей старшого віку: порівняльне дослідження в Нігерії та Алжирі

The aim of the study was to assess factors associated with quality of life in older adults. The main focus was on the use of primary health care, functional status, multimorbidity, and satisfaction with physical appearance. These indicators were also compared between participants from Nigeria and Algeria.A cross-sectional comparative study included 100 adults aged ≥60 years: 50 from Nigeria and 50 from Algeria. Sociodemographic and clinical characteristics, chronic diseases, multimorbidity, functional limitations, use of primary health care, and satisfaction with physical appearance were assessed. Quality of life was evaluated using the WHOQOL-BREF questionnaire. Between-group comparisons and correlation analyses were performed; p<0.05 was considered statistically significant.The total WHOQOL-BREF score was higher in the Algerian group than in the Nigerian group (65.2±10.7 vs 60.7±11.5; p=0.046), with significant differences in the physical (p=0.025) and environmental (p=0.002) domains. Regular preventive visits were more common in Algeria (68.0 % vs 46.0 %; p=0.026). Functional limitations (r=–0.45; p<0.001) and multimorbidity (r=–0.41; p<0.001) were negatively associated with overall quality of life, whereas regular preventive care showed a positive association (r=0.38; p<0.001). Satisfaction with physical appearance was positively correlated with overall quality of life (r=0.32; p<0.01), particularly with psychological well-being (r=0.42; p<0.001).Quality of life in older adults was associated with functional status, multimorbidity, preventive health care, and satisfaction with physical appearance. The findings support comprehensive healthy-aging strategies integrating primary health care, maintenance of functional independence, and attention to psychological well-being. Due to the cross-sectional design, the observed associations should not be interpreted as causal.