Impact of Comorbidity and Socioeconomic Status on Quality of Life in Patients with Chronic Diseases who Attend Primary Health Care Centres

Tüzün, Hakan; Aycan, Sefer; İlhan, Mustafa

doi:10.21101/cejph.a3990

Cited by 28 publications

(14 citation statements)

References 32 publications

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“…Chronic physical comorbidities and low socioeconomic conditions have been reported to have a negative impact on QoL. [22]. Similar to our findings, association between worse subjective perception and low QoL was confirmed in other studies as well.…”

Section: Discussionsupporting

confidence: 93%

Factors associated with quality of life in patients with depression: A nationwide population-based study

et al. 2019

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Background Depression, one of the most costly and common mental disorders, is reported to be associated with lower quality of life (QoL) in several studies. Improved understanding of the associated factors with QoL is necessary to optimize long-term outcomes and reduce disability in patients with depression. Therefore, the aim of this study was to identify factors that are associated with lower QoL among patients with depression. Methods The study was based on the Korea National Health and Nutrition Examination Survey, a cross-sectional health examination, years 2008 to 2014. The final analyzed sample consisted of a total of 1,502 study subjects who had been diagnosed by clinicians as having depression. A multivariate logistic regression model was performed to exam the association between the clinical characteristics (age, sex, demographic and health-related characteristics) and QoL. Analysis of covariance was also used to analyze EQ-5D according to mental health. Results Older age, lower level of education, lower income, worse subjective perception of health, unemployment, obesity and mental health struggles were found to be significantly associated with low QoL in depressive individuals after adjustment for multiple covariates. Conclusions This study has outlined grounding data in identifying patients who are at risk of QoL impairment. Policy makers should direct their interests to these individuals and provide appropriate management.

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Section: Discussionsupporting

confidence: 93%

Factors associated with quality of life in patients with depression: A nationwide population-based study

et al. 2019

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“…The domain of clinical factors (duration of the disease, number of co-morbidities and number of medications) had an impact on QoL. A long duration of the disease, and high numbers of co-morbidities and medications were associated with low QoL, as found in other studies [45].…”

Section: Discussionsupporting

confidence: 59%

Cardiac self-efficacy and quality of life in patients with coronary heart disease: a cross-sectional study from Palestine

Barham

Ibraheem

Zyoud

2019

BMC Cardiovasc Disord

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BackgroundPsychological factors, such as self-efficacy, are important in understanding the progress and management of coronary heart disease (CHD), and how patients make lifestyle modifications to compensate for the disease. The main objectives of this research are to assess patterns of cardiac self-efficacy (CSE) and quality of life (QoL) among CHD patients, and to determine the factors that affect their QoL.MethodsA cross-sectional descriptive correlational study was carried out between August 2016 and December 2016. We used a structured questionnaire completed by interviewers during face-to-face interviews with patients. Cardiac self-efficacy was evaluated using three scales: 1) the 5-item perceived efficacy in patient- physician interaction scale (PEPPI-5); 2) the self-efficacy for managing chronic diseases 6-item scale (SEMCD-6) and 3) Sullivan’s cardiac self-efficacy scale 13-items (SCSES). The 5-level version of the EuroQoL 5-dimensions questionnaire (EQ-5D-5 L), and Euroqol Visual Analogue Scale (EQ VAS) were used to evaluate health-related QoL (HRQoL) among CHD patients. Multiple binary logistic regression was carried out to evaluate the influence on the QoL score of demographic and medical characteristics, and self-efficacy factors.ResultsA total of 275 patients participated in our study. The patients’ mean age was 59.51 ± 1.005 years. The HRQoL was measured by the EQ-5D-5 L index score and EQ-VAS score; their means were 0.62 ± 0.16 and 57.44 ± 1.61, respectively. The QoL showed moderate positive correlations with the PEPPI-5 (r = 0.419; p-value < 0.001), SEMCD-6 (r = 0.419; p-value < 0.001), and SCSES score (r = 0.273; p-value < 0.001). Multiple binary logistic regression showed that only patients with higher PEPPI-5 score (odds ratio (OR) = 1.11; 95% confidence interval (CI) =1.01–1.22; p = 0.036), and higher SCSES score (OR = 1.10; 95% CI = 1.03–1.17; p = 0.004) were significantly associated with a high QoL score. Moreover, multiple binary logistic regression model showed that patients with higher numbers of medications (OR = 0.23; 95% CI = 0.07–0.78); p = 0.018) remained significantly associated with impaired QoL.ConclusionsLower levels of self-efficacy and poorer patient-physician interactions predicted poor HRQoL. Thus, health providers should be aware of these factors in CHD patients when trying to improve their QoL.

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“…This lower perception of HRQoL has been related to the frequent presence of comorbidities, with the side effects of antihypertensive drugs (headaches, dizziness, tinnitus, nausea, etc.) and, in particular, with the difficulty in being able to control BP through prescribed therapeutic procedures [ 7 – 9 ].…”

Section: Introductionmentioning

confidence: 99%

Physical activity, cardiovascular health, quality of life and blood pressure control in hypertensive subjects: randomized clinical trial

Arija

Villalobos

Pedret

et al. 2018

Health Qual Life Outcomes

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BackgroundPhysical activity (PA) promotes cardiovascular health and health related quality of life (HRQoL), although the effect of that on blood pressure (BP) control has rarely been studied in hypertensive subjects. Our aim was to evaluate the effectiveness of a PA intervention programme on cardiovascular disease (CVD) risk, HRQoL and BP control in hypertensive subjects.MethodsA randomized clinical trial, with a PA intervention programme of 9 months duration, comprising a walking group of 120 min/week, supervised, and with socio-cultural activities. Participants were 207 hypertensive subjects (68.2 years, 76.8% women). PA (IPAQ-s), diet, CVD risk, BP, BMI, smoking, and HRQoL (SF-36) were assessed at baseline and at the end of the intervention. Changes in CVD risk and in HRQoL during the intervention was calculated (end-baseline score). Multivariate models were applied.ResultsIn multivariate models, the PA intervention programme, with no modification of the diet, decreased CVD risk (− 1.19 points) and the systolic BP (− 8.68 mmHg), and increased some areas of HRQoL (4.45 to 14.62 points). An increase in the percentage of subjects with controlled BP was observed by the PA programme itself (OR 5.395 to 5.785 according to multivariate models), and by the changes during the intervention in the decrease in CVD risk (OR 0.609) and in the increase in the HRQoL in physical component summary (OR 1.041), role physical (OR 1.010), and bodily pain (OR 1.014), independently of controlled BP at baseline.ConclusionsThis PA intervention programme improved cardiovascular health and HRQoL, and favoured BP control in primary care users with hypertension.Trial registrationClinicaltrials.gov ID NCT02767739; Trial registered on May 5th, 2016. Retrospectively registered.

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Impact of Comorbidity and Socioeconomic Status on Quality of Life in Patients with Chronic Diseases who Attend Primary Health Care Centres

Abstract: The effect of comorbidity on QoL can be different from the additive effects of the co-occurring diseases. Socioeconomic factors undoubtedly affect the relationship between chronic diseases and QoL, and this relationship points to health inequities among socioeconomic groups.

Cited by 28 publications

References 32 publications

Factors associated with quality of life in patients with depression: A nationwide population-based study

Factors associated with quality of life in patients with depression: A nationwide population-based study

Cardiac self-efficacy and quality of life in patients with coronary heart disease: a cross-sectional study from Palestine

Physical activity, cardiovascular health, quality of life and blood pressure control in hypertensive subjects: randomized clinical trial

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