Association between educational level and health related quality of life in Spanish adults

Regidor, Enrique; Barrio, Gregorio; Fuente, Luis de la; Domingo, Ashleigh; Rodríguez, Concepción Fernández; Alonso, José Eugenio Lozano

doi:10.1136/jech.53.2.75

Cited by 97 publications

(72 citation statements)

References 27 publications

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“…Individuals with a higher education are more likely to undergo screening (Liu et al, 2001). Moreover, higher levels of education are also associated with higher levels of quality of life (Regidor et al, 1999). Women who refrained from participation in the health-status study all opted for intensive surveillance.…”

Section: Discussionmentioning

confidence: 99%

Impact of screening for breast cancer in high-risk women on health-related quality of life

et al. 2004

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The effectiveness of intensive surveillance in women at high risk for breast cancer due to a familial or genetic predisposition is uncertain and is currently being evaluated in a Dutch magnetic resonance imaging (MRI) screening (MRISC) study, in which annual imaging consists of mammography and MRI. Unfavourable side effects on health-related quality of life may arise from this screening process. We examined the short-term effects of screening for breast cancer in high-risk women on generic health-related quality of life and distress. A total of 519 participants in the MRISC study were asked to complete generic health-status questionnaires (SF-36, EQ-5D) as well as additional questionnaires for distress and items relating to breast cancer screening, at three different time points around screening. The study population showed significantly better generic health-related quality of life scores compared to age-/sexadjusted reference scores from the general population. Neither generic health-related quality of life scores nor distress scores among the study sample (n ¼ 334) showed significant changes over time. The impact of the screening process on generic health status did not differ between risk categories. Relatively more women reported mammography as quite to very painful (30.1%) compared to MRI. Anxiety was experienced by 37% of the women undergoing MRI. We conclude that screening for breast cancer in high-risk women does not have an unfavourable impact on short-term generic health-related quality of life and general distress. In this study, high-risk women who opted for regular breast cancer screening had a better health status than women from the general population.

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Section: Discussionmentioning

confidence: 99%

Impact of screening for breast cancer in high-risk women on health-related quality of life

et al. 2004

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“…Spanish reference data for the SF-36 were sex-specific. For the study by Escobar et al [28] we decided to use female reference data from Spain [23], because most patients in this Spanish study were female (TKA 56% and THA 71%).…”

Section: Discussionmentioning

confidence: 99%

“…To examine the impact of hip and knee disorders on HRQL we compared the scores on the SF-36 or SF-12 with scores obtained from country-specific reference populations [14][15][16][17][18][19][20][21][22][23]. These reference populations consist of a representative sample from the general population and are usually used as normative data.…”

Section: Data Extractionmentioning

confidence: 99%

The impact of non-traumatic hip and knee disorders on health-related quality of life as measured with the SF-36 or SF-12. A systematic review

Waal¹,

Terwee²,

Windt

et al. 2005

Qual Life Res

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Objectives: The purpose of this review is to summarize the available evidence on the impact of nontraumatic hip or knee disorders on health-related quality of life (HRQL), as measured with the Short Form 36 Health Survey (SF-36) or Short Form 12 Health Survey (SF-12), by comparing this with data from reference populations. Methods: Studies were identified by an electronic search of the MEDLINE, PsychInfo and Cinahl databases. Studies with the following features were included: study population included patients with non-traumatic hip or knee disorders, the SF-36 or SF-12 was used as an outcome measure and mean scores on these HRQL measures were presented. Using mean HRQL scores from the selected studies and scores from reference populations, z-scores were computed. Pooled estimates were computed for subgroups of studies with similar patients in similar settings. Results: A total of 40 studies met the inclusion criteria. Patients with non-traumatic hip and knee disorders scored up to 2.5 standard deviations (SDs) below reference population values, especially on the physical aspects of HRQL. Social and mental aspects were up to 1 SD below reference population values, especially in patients in clinical settings. Conclusions: The impact of non-traumatic hip or knee disorders on HRQL is substantial, especially on the physical aspects of HRQL.

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“…The Spanish literature contains relevant antecedents in the topic. Regidor et al [11,12,13] have found a significant pro-rich bias in the relationship between socio-economic class (as defined by several combinations of education levels and occupation) and outcomes such as the SF-36 instrument, self-assessed health, prevalence of chronic diseases, standardised death rates and risky habits. Van Doorslaer et al [19] use data from the Encuesta Nacional de Salud 1987 and find that there is pro-rich inequality in self-assessed health as measured by the concentration index.…”

Section: Regional Differences In Health Care Arrangements At the Starmentioning

confidence: 99%

Regional Differences in Socio-Economic Health Inequalities in Spain

García-Gómez

Nicolás

2004

SSRN Journal

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. This paper derives from the project "La dinámica del estado de salud y los factores socieconómicos a lo largo del ciclo vital. Implicaciones para las políticas públicas", which is supported by the Fundación BBVA. We are grateful to Guillem López and two anonymous referees for useful comments and suggestions. The views expressed in this paper are those of the authors and not necessarily those of the funders or the authors' em ployers. AbstractThis paper reports an analysis of income related health inequalities at the Autonomous Community level in Spain using the self assessed health measure in the 2001 edition of the Encuesta Nacional de Salud. We use recently developed methods in order to cardinalise and model self assessed health within a regression framework, decompose the sources of inequality and explain the observed differences across regions. We find that the regions with the highest levels of mean health tend to enjoy the lowest degrees of income related health inequality and vice-versa. The main feature characterizing regions where income related health inequality is low is the absence of a positive gradient between income and health. In turn, the regions where income related health inequality is greater are characterized by a strong and significant positive gradient between health and income. These results suggest that policies aimed at eliminating the gradient between health and income can potentially lead to greate r reductions in socio-economic health inequalities than policies aimed at redistributing income.JEL classification: D63, I12, C21

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Association between educational level and health related quality of life in Spanish adults

Cited by 97 publications

References 27 publications

Impact of screening for breast cancer in high-risk women on health-related quality of life

Impact of screening for breast cancer in high-risk women on health-related quality of life

The impact of non-traumatic hip and knee disorders on health-related quality of life as measured with the SF-36 or SF-12. A systematic review

Regional Differences in Socio-Economic Health Inequalities in Spain

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