Health-related quality of life variations by sociodemographic factors and chronic conditions in three metropolitan cities of South Asia: the CARRS study

Singh, Kavita; Kondal, Dimple; Shivashankar, Roopa; Ali, Mohammed K.; Pradeepa, Rajendra; Ajay, Vamadevan S.; Mohan, Viswanathan; Kadir, Muhammad Masood; Sullivan, Mark D.; Tandon, Nikhil; Narayan, K M Venkat; Prabhakaran, Dorairaj

doi:10.1136/bmjopen-2017-018424

Cited by 38 publications

(19 citation statements)

References 57 publications

(28 reference statements)

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“…Our results showed that age, educational level, and income are associated with HRQoL. This is consistent with two previous studies of adult populations [ 31 , 32 ]. The sociodemographic determinants of HRQoL in the general population have been documented in Sweden, the Netherlands, Norway, the United Kingdom, the United States, and Japan [ 33 , 34 , 35 , 36 , 37 , 38 ].…”

Section: Discussionsupporting

confidence: 93%

Depression and Its Association with Health-Related Quality of Life in Postmenopausal Women in Korea

Park

Kim

2018

IJERPH

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Menopause is associated with depressive symptoms that can significantly affect a woman’s quality of life. The objective of this study was to evaluate the association between depression and health-related quality of life (HRQoL) in postmenopausal women. In this cross-sectional descriptive study, participants (n = 3860) were selected from the 2013–2015 Korea National Health and Nutrition Examination Survey (KNHANES). The sociodemographic characteristics, medical history of depression, and EQ-5D scores of the participants were obtained from the KNHANES dataset. Age, educational level, and income were associated with HRQoL in these participants. Moreover, depression exerted a considerable influence on HRQoL in postmenopausal women. The adjusted odds ratios in participants with depression for the EQ-5D dimensions were as follows: 5.52 (95% CI = 4.04–7.55, p < 0.001) for anxiety/depression, 3.86 (95% CI = 2.78–5.36, p < 0.001) for usual activities, and 2.52 (95% CI = 1.68–3.78, p < 0.001) for self-care. Our findings suggest a strong association between depression and HRQoL. Hence, preventing the onset or exacerbation of depression may significantly improve quality of life in postmenopausal women.

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Section: Discussionsupporting

confidence: 93%

Depression and Its Association with Health-Related Quality of Life in Postmenopausal Women in Korea

Park

Kim

2018

IJERPH

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“…In this study, we found that elderly patients with T2DM had a lower EQ-5D index and VAS score when compared to the general elderly Vietnamese population. 35 This result was also lower than HRQoL of elderly patients with diabetes in Korea 36 and India, 37 but higher than that in Saudi Arabia. 38 Moreover, our elderly diabetic patients reported substantially high rates of having problems in pain/discomfort, mobility, and anxiety/depression, which align with other studies on Asian populations.…”

Section: Discussionmentioning

confidence: 67%

Health-related quality of life in elderly diabetic outpatients in Vietnam

Nguyen¹,

Moir²,

Nguyễn³

et al. 2018

PPA

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BackgroundHealth-related quality of life (HRQoL) is an important indicator for designing care and treatment services for patients with diabetes. This is especially true given its rapid increase among the elderly population in Vietnam. HRQoL data in elderly diabetic Vietnamese are currently limited. This study aimed to 1) measure the HRQoL of elderly patients with type 2 diabetes (T2DM) in Vietnam and 2) identify related factors and their relationship with HRQoL.Patients and methodsA cross-sectional study was conducted. We recruited 171 patients aged ≥60 years with T2DM at the Outpatient Department, National Geriatric Hospital from June to November 2015. Patients were asked to evaluate their health status using the EuroQol Five Dimensions Three Levels (EQ-5D-3L) and the Visual Analog Scale (VAS). Sociodemographic, diabetic treatment, and management characteristics were collected. Multivariate Tobit regression was used to determine which factors were associated with HRQoL, and the strength of this relationship.ResultsPatients reported some problems in all areas of the EQ-5D: pain/discomfort (50.9%), mobility (33.3%), anxiety/depression (24.0%), usual activities (21.1%), and self-care (10.5%). The mean EQ-5D index score was 0.80 (SD=0.20), and the mean EQ-VAS was 57.5 (SD=14.4). Patients who were male, lived in an urban area, could afford treatment, were taking fewer medications, and monitored blood pressure often (1–4 times a week) had a higher EQ-5D index when compared to other groups. Meanwhile, a longer duration of diabetes and older age were negatively associated with the EQ-5D index. Patients with any comorbidity had lower VAS scores than their counterparts.ConclusionThe presence of diabetes and comorbidity were responsible for a significant decrease in HRQoL. Screening and identifying health problems, providing prompt treatment, and facilitating self-management among patients have the potential to increase diabetic patients’ HRQoL.

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“…Studies assessing the burden of chronic diseases (i.e. heart disease, stroke, kidney disease, and diabetes) have documented their negative impacts on individuals' HRQoL and general health status (Höfelmann & Blank, ; Singh et al, ). Past studies examining the relationship between the number of chronic diseases and HRQoL have demonstrated that individuals with one chronic condition report poorer HRQoL than those without any chronic diseases, and those with multi‐morbidity have the worst HRQoL (Bayliss et al, ; Deng et al, ).…”

Section: Introductionmentioning

confidence: 99%

Effects of chronic diseases on health‐related quality of life and self‐rated health among three adult age groups

Ong

Yap

et al. 2018

Nursing & Health Sciences

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Little is known about whether there is any difference in associations of chronic diseases with health‐related quality of life and self‐rated health across age groups. The purpose of the present study was to examine the associations of one specific and multiple chronic diseases with health‐related quality of life and self‐rated health (measured using the 5‐level EQ‐5D version) in three age groups: young (21–44 years), middle‐aged (45–64 years), and older adults (≥65 years). Secondary data analysis of 1932 participants in the Population Health Index Survey was performed. Linear regression results showed that different chronic diseases had a characteristic effect on health‐related quality of life and self‐rated health among different age groups. The presence of a single chronic disease was associated with lower health‐related quality of life and self‐rated health in young adults. Multi‐morbidity was consistently associated with decreased health‐related quality of life and self‐rated health in all age groups. Our findings suggest that although young adults have a lower prevalence of chronic diseases, their impacts on health‐related quality of life and self‐rated health can be as significant as that in middle‐aged and older adults.

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Health-related quality of life variations by sociodemographic factors and chronic conditions in three metropolitan cities of South Asia: the CARRS study

Cited by 38 publications

References 57 publications

Depression and Its Association with Health-Related Quality of Life in Postmenopausal Women in Korea

Depression and Its Association with Health-Related Quality of Life in Postmenopausal Women in Korea

Health-related quality of life in elderly diabetic outpatients in Vietnam

Effects of chronic diseases on health‐related quality of life and self‐rated health among three adult age groups

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