Socioeconomic Inequalities in Health-Related Quality of Life among Patients with Cardiovascular Diseases in Vietnam

Tran, Bach Xuan; Moir, Mackenzie; Thai, Thao Phuong Thi; Nguyen, Long H.; Ha, Giang Hai; Nguyen, Thu Hong Thi; Truong, Nu Thi; Latkin, Carl A.

doi:10.1155/2018/2643814

Cited by 24 publications

(26 citation statements)

References 42 publications

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“…In this study, we observed a low EQ-5D index with the mean value of 0.73 among dermatology patients, which was significantly lower than that in the Vietnamese general population [18], even in disadvantaged populations such as elderly, rural, or mountainous people [21,22,23]. By subgroup analysis, we confirmed the robustness of the HRQOL for each disease when compared to previous studies.…”

Section: Discussionsupporting

confidence: 79%

Health-Related Quality of Life Impairment among Patients with Different Skin Diseases in Vietnam: A Cross-Sectional Study

Nguyen

et al. 2019

IJERPH

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Skin diseases have caused a heavy burden on the infected population worldwide. This study aimed to examine the health-related quality of life (HRQOL) among patients with different skin diseases and identify associated factors. A cross-sectional study with 430 participants was conducted at the Vietnam National Hospital of Dermatology and Venereology (NHD) from September to November 2018. The EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) instrument was employed, which measures the EQ-5D index from five domains including mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. Multivariate Tobit regression was adopted to determine factors that were associated with HRQOL (EQ-5D index). The rate of atopic dermatitis was the highest with 28.8%, following by contact dermatitis (17.0%) and skin fungal infections (13.0%). Regarding HRQOL, anxiety/depression was the most common health problem in patients with skin diseases (71.8%), following by pain/discomfort (63.6%). The mean EQ-5D index score was 0.73 (SD = 0.19). The lowest EQ-5D index scores were obtained for females with skin infections (mean = 0.52) and for males with psoriasis (mean = 0.59). Females had significantly lower scores compared to males (Coef. = −0.06; 95% CI = −0.11 to −0.01). Higher income and living in rural areas were also negatively correlated with the EQ-5D index. This study demonstrated the low HRQOL among patients with skin diseases in Vietnam and emphasized the vulnerability of patients with different socioeconomic statuses to their HRQOL.

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Section: Discussionsupporting

confidence: 79%

Health-Related Quality of Life Impairment among Patients with Different Skin Diseases in Vietnam: A Cross-Sectional Study

Nguyen

et al. 2019

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“…This study found that working status and type of insurance did not have a significant effect on the quality of life of individuals. However, many studies have found that these variables affect the quality of life of individuals (Mahesh et al, ; Alemao et al, ; Tran et al, ). For example; a study conducted by Gülcivan and Topçu () showed that the level of quality of life of individuals increased with the increase of income levels of individuals that could be considered as a significant predictor of working status and insurance type.…”

Section: Discussionmentioning

confidence: 92%

What predicts the quality of life in Turkey: The results of a country representative study

Yetim

Çelik

2019

Health Soc Care Community

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Quality of life is a multidimensional, sophisticated, comprehensive and abstract concept that reflects life conditions, health and social welfare status, perception of life and psychology of individuals. It is affected by health problem and disease existence as well as individual, demographic, economic and social characteristics such as gender, education, marital status and income level. The objective of this study is to determine the more likely predictors of the quality of life in Turkey. 2016 Turkey Health Survey that is a large and nationally representative survey was used to reach study objective. The results indicated that individual and demographic characteristic as well as self-rated health status and disease existence were the main predictors of quality of life. Based on the findings, it can be recommended that appropriate interventions might improve quality of life which is tend to be lower among aged, female, less educated and widow/separated individuals. It is also recommended in improving health status of individuals and improving accessibility, and quality of the health services for people with a disease will increase the quality of life of individuals.

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“…Data on how stable CVD or mild thyroid dysfunction affect health-related quality of life (HRQoL) in older individuals is scarce. Previous population-based studies on CVD and HRQoL have been cross-sectional surveys, the focus has not been on older people with CVD, and has not included data on laboratory and clinical examination of the study participants [ 6 – 9 ]. Furthermore, the factors accounting for possible impaired HRQoL have not been identified.…”

Section: Introductionmentioning

confidence: 99%

Impaired breathing, sleeping, vitality, and depression, and negative impact of L-T4 treatment characterize health-related quality of life in older people with stable CVD

et al. 2020

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Background Cardiovascular disease (CVD) and thyroid dysfunction are common in older people, but little is known about how they affect health-related quality of life (HRQoL). Methods We assessed HRQoL with the 15D instrument in 329 home-dwelling patients aged ≥ 75 years with stable CVD and compared the results to those of an age-and gender-matched general population (n = 103). We also studied the impact of age, BMI, number of medications, thyroid-stimulating hormone (TSH) concentration, levothyroxine (L-T4) substitution and Mini-Mental State Examination (MMSE) on HRQoL.Results Overall HRQoL was impaired in older people with stable CVD (mean 15D score 0.777 vs 0.801, p = 0.001), and also on single dimensions of breathing, sleeping, discomfort and symptoms, distress, vitality (all p < 0.001), and depression (p = 0.016) compared to the age-and gender-matched general population. Furthermore, in the patients, L-T4 substitution associated with impaired sleeping (p = 0.018) and sexual activity (p = 0.030). Moreover, MMSE points, number of medications used, age (all p < 0.001) and BMI (p = 0.009) predicted impaired HRQoL. Conclusions Older people with stable CVD are characterized by impaired HRQoL compared to age-and gender-matched controls. We demonstrate that this is the consequence of impaired breathing, sleeping, discomfort and symptoms, distress, vitality, and depression. L-T4 substitution has a negative impact on HRQoL in old patients with stable CVD. MMSE score, number of medications, age and BMI predict worse HRQoL.Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Socioeconomic Inequalities in Health-Related Quality of Life among Patients with Cardiovascular Diseases in Vietnam

Cited by 24 publications

References 42 publications

Health-Related Quality of Life Impairment among Patients with Different Skin Diseases in Vietnam: A Cross-Sectional Study

Health-Related Quality of Life Impairment among Patients with Different Skin Diseases in Vietnam: A Cross-Sectional Study

What predicts the quality of life in Turkey: The results of a country representative study

Impaired breathing, sleeping, vitality, and depression, and negative impact of L-T4 treatment characterize health-related quality of life in older people with stable CVD

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