Health-related quality of life and self-reported long-term conditions: a population-based survey

Zimmermann, Ivan Ricardo; Silva, Marcus Tolentino; Galvão, Taís Freire; Pereira, Maúrício Gomes

doi:10.1590/1516-4446-2015-1853

Cited by 17 publications

(11 citation statements)

References 39 publications

(42 reference statements)

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“…Pain/discomfort and anxiety/depression were the most common health problems among the general population in Kermanshah. These findings are similar to the findings of previous studies in Iran [ 17 ] and other countries [ 22 , 23 ]. One of the potential factors contributing to the higher proportion of these 2 health problems in Kermanshah is the high unemployment rate of 23.2% in this province [ 24 ], which leads to a lower QoL among adults living in this city.…”

Section: Discussionsupporting

confidence: 93%

Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional study

Rezaei¹,

Hajizadeh²,

Kazemi³

et al. 2017

Epidemiol Health

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OBJECTIVESThis study aimed to measure the level and determinants of health-related quality of life (HRQoL) in adults in Kermanshah, a city in the western region of Iran.METHODSConvenience sampling was employed to obtain a sample of 998 adults aged 18 years and older (646 males and 352 females) in the city of Kermanshah. A 2-part self-administered questionnaire was used to collect data over the period between March 1 and May 30, 2017. The first part was designed to collect information on socio-demographic characteristics, socioeconomic status, and lifestyle factors (10 items). The second part consisted of the EuroQoL 5-dimensions (EQ-5D) EuroQoL-3-level and the EuroQoL visual analog scale (EQ-VAS) questions. A multiple linear regression model was used to determine the factors associated with the EQ-5D index and EQ-VAS score among study participants.RESULTSThe mean values for the EQ-5D index and the EQ-VAS score were 0.74 (standard deviation [SD], 0.19) and 80.9 (SD, 16.5), respectively. The highest percentage of self-reported problems (‘some’ and ‘severe’ problems) across the 5 dimensions of the EQ-5D index were associated with the dimensions of anxiety/depression (35.3%) and pain/discomfort (32.9%). The percentage of self-reported problems for the dimensions of usual activities, mobility, and self-care were 19.0, 12.8, and 8.9%, respectively. Our regression analyses indicated that there were statistically significant positive associations between being physically active, monthly household income per capita, and post-secondary education and the EQ-5D index and EQ-VAS score. In contrast, negative associations were found between older age, being married, having a chronic disease, and smoking and the EQ-5D index and EQ-VAS score. A negative association was also found between being uninsured and the EQ-5D index.CONCLUSIONSOur findings suggest that interventions aiming to improve physical activity, to prevent chronic diseases, and to reduce the smoking rate among adults living in the city of Kermanshah may improve their HRQoL.

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Section: Discussionsupporting

confidence: 93%

Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional study

Rezaei¹,

Hajizadeh²,

Kazemi³

et al. 2017

Epidemiol Health

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“…Adverse events reduced QALY in 0.195 ( Appendix A ). The QALY for the healthy state was 0.885, the mean QALY measured in two population-based Brazilian studies (Zimmermann et al, 2016; Silva et al, 2017). QALY for death was 0 ( Table 2 ).…”

Section: Resultsmentioning

confidence: 87%

“…The primary outcome of our study was based on QALY from the Spanish context, due to lack of utility data for influenza in Brazil. QALY for healthy state was based in Brazilian population data (Zimmermann et al, 2016; Silva et al, 2017). We evaluated the prevention of influenza as a secondary outcome, which does not involve population perception and favored prophylaxis.…”

Section: Discussionmentioning

confidence: 99%

Cost-Effectiveness Analysis of Influenza A (H1N1) Chemoprophylaxis in Brazil

et al. 2019

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Background: Oseltamivir and zanamivir are recommended for treating and preventing influenza A (H1N1) worldwide. In Brazil, this official recommendation lacks an economic evaluation. Our objective was to assess the efficiency of influenza A chemoprophylaxis in the Brazilian context. Methods: We assessed the cost-effectiveness of oseltamivir and zanamivir for prophylaxis of influenza for high risk population, compared to no prophylaxis, in the perspective of Brazilian public health system. Quality-adjusted life years (QALY) and effectiveness data were based on literature review and costs in Brazilian real (BRL) were estimated from official sources and micro-costing of 2016’s H1N1 admissions at a university hospital. We used a decision-tree model considering prophylaxis and no prophylaxis and the probabilities of H1N1, ambulatory care, admission to hospital, intensive care, patient discharge, and death. Adherence and adverse events from prophylaxis were included. Incremental cost-effectiveness ratio was converted to 2016 United States dollar (USD). Uncertainty was assessed with univariated and probabilistic sensitivity analysis. Results: Adherence to prophylaxis was 0.70 [95% confidence interval (CI) 0.54; 0.83]; adverse events, 0.09 (95% CI 0.02; 0.18); relative risk of H1N1 infection in chemoprophylaxis, 0.43 (95% CI 0.33; 0.57); incidence of H1N1, 0.14 (95% CI 0.11; 0.16); ambulatory care, 0.67 (95% CI 0.58; 0.75); hospital admission, 0.43 (CI 95% 0.39; 0.42); hospital mortality, 0.14 (CI 95% 0.12; 0.15); intensive care unit admission, 0.23 (95% CI 0.20; 0.27); and intensive care mortality, 0.40 (95% CI 0.29; 0.52). QALY in H1N1 state was 0.50 (95% CI 0.46; 0.53); in H1N1 inpatients, 0.23 (95% CI 0.18; 0.28); healthy, 0.885 (95% CI 0.879; 0.891); death, 0. Adverse events estimated to affect QALY in –0.185 (95% CI –0.290; –0.050). Cost for chemoprophylaxis was BRL 39.42 [standard deviation (SD) 17.94]; ambulatory care, BRL 12.47 (SD 5.21); hospital admission, BRL 5,727.59 (SD 7,758.28); intensive care admission, BRL 19,217.25 (SD 7,917.33); and adverse events, BRL 292.05 (SD 724.95). Incremental cost-effectiveness ratio was BRL –4,080.63 (USD –1,263.74)/QALY and –982.39 (USD –304.24)/H1N1 prevented. Results were robust to sensitivity analysis. Conclusion: Chemoprophylaxis of influenza A (H1N1) is cost-saving in Brazilian health system context.

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“…Asimismo, se encontró similar afectación en las dimensiones de dolor/malestar (33%) y ansiedad/depresión (28%) en otro estudio con migrantes en Inglaterra (30) . Sin embargo, en un estudio realizado en migrantes rurales mayores (edad promedio de 63 años) en China (31) , así como en estudios poblacionales en Perú (25) , Brasil (32) , Colombia (33) , y Chile (34) , si bien estas dos dimensiones suelen ser las más afectadas, la dimensión de dolor/malestar es más afectada que ansiedad/depresión.…”

Section: Discussionunclassified

Calidad de vida de migrantes venezolanos en dos ciudades del norte del Perú

Figueroa-Quiñones

Cjuno

Ipanaqué-Neyra

et al. 2019

Rev Peru Med Exp Salud Publica

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Citar como: Figueroa-Quiñones J, Cjuno J, Ipanaqué-Neyra J, Ipanaqué-Zapata M, Taype-Rondan A. Calidad de vida de migrantes venezolanos en dos ciudades del norte del Perú. Rev Peru Med Exp Salud Publica. 2019;36(3):383-91. doi: http://dx. RESUMENObjetivos. Describir la calidad de vida relacionada con la salud (CdV) de migrantes venezolanos que residen en las ciudades de Chimbote y Nuevo Chimbote en Perú y evaluar sus factores asociados. Materiales y métodos. Estudio transversal en 212 migrantes venezolanos reclutados por muestreo tipo bola de nieve. La CdV fue evaluada con el European Quality of Life-5 Dimensions en tres niveles (EQ-5D-3L). Los resultados fueron presentados descriptivamente. Para evaluar los factores asociados a CdV se emplearon regresiones lineales y regresiones ajustadas de Poisson. Resultados. El porcentaje de participantes afectados en cada dimensión de CdV fue: movilidad (1,4%), autocuidado (0,5%), actividades cotidianas (2,4%), dolor/malestar (18,4%) y ansiedad/depresión (68,9%). En cuanto a la Escala Visual Análoga (EVA) de CdV, la mediana del puntaje fue 85 (RIC: 70 a 90). Al evaluar los factores asociados, se encontró que ninguno de los factores evaluados se asoció al puntaje en la EVA o a presentar dolor/malestar. Sin embargo, la frecuencia de presentar ansiedad/depresión fue mayor en aquellos con grado de instrucción superior universitario en comparación con aquellos con estudios de secundaria (Razón de prevalencias ajustada 1,28; IC 95%: 1,03 a 1,60). Conclusiones. Los migrantes venezolanos que participaron del estudio reportaron problemas en su CdV, más de dos terceras partes reportaron ansiedad/depresión, y uno de cada seis presentó dolor/malestar. La frecuencia de presentar ansiedad/depresión fue mayor en aquellos con instrucción universitaria. ABSTRACT Objectives.To describe the health-related quality of life (HRQoL) of Venezuelan migrants residing in the cities of Chimbote and Nuevo Chimbote, in Peru, and assess its associated factors. Materials and Methods. Cross-sectional study of 212 Venezuelan migrants recruited by snowball sampling. The QoL was evaluated with the European Quality of Life-5 Dimensions at three levels (EQ-5D-3L). The results were presented descriptively. Linear regressions and Poisson adjusted regressions were used to evaluate the factors associated with QoL. Results. The percentage of participants affected in each QoL dimension was: mobility (1.4%), self-care (0.5%), usual activities (2.4%), pain/discomfort (18.4%), and anxiety/depression (68.9%). As for the QoL Visual Analog Scale (VAS), the median score was 85 (RIC: 70-90). In evaluating the associated factors, it was found that none of the factors was associated with the VAS score or pain/ discomfort. However, the frequency of anxiety/depression was higher in those with higher education (university) level compared to those with secondary education (RR 1.28; 95% CI: 1.03 to 1.60). Conclusions. Venezuelan migrants who participated in the study reported problems in their QoL; more than two-thirds reported anx...

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Health-related quality of life and self-reported long-term conditions: a population-based survey

Cited by 17 publications

References 39 publications

Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional study

Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional study

Cost-Effectiveness Analysis of Influenza A (H1N1) Chemoprophylaxis in Brazil

Calidad de vida de migrantes venezolanos en dos ciudades del norte del Perú

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