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Gepubliceerd in: Quality of Life Research 6/2017

11-02-2017

Lower educational level and unemployment increase the impact of cardiometabolic conditions on the quality of life: results of a population-based study in South Australia

Auteurs: David Alejandro González-Chica, Robert Adams, Eleonora Dal Grande, Jodie Avery, Phillipa Hay, Nigel Stocks

Gepubliceerd in: Quality of Life Research | Uitgave 6/2017

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Abstract

Purpose

To investigate if sociodemographic characteristics increase the adverse effects of cardiovascular diseases (CVD) and cardiometabolic risk factors (CMRF) on health-related quality of life (HRQoL).

Methods

Cross-sectional, face-to-face survey investigating 2379 adults living in South Australia in 2015 (57.1 ± 14 years; 51.7% females). Questions included diagnosis of CMRF (obesity, diabetes, hypertension, dyslipidaemia) and CVD. Physical and mental HRQoL were assessed using the SF-12v1 questionnaire. Multiple linear regression models including confounders (sociodemographic, lifestyle, use of preventive medication) and interaction terms between sociodemographic variables and cardiometabolic conditions were used in adjusted analysis.

Results

The prevalence of CMRF (one or more) was 54.6% and CVD was 13.0%. The physical HRQoL reduced from 50.8 (95%CI 50.2–51.4) in healthy individuals to 45.1 (95%CI 44.4–45.9) and 39.1 (95%CI 37.7–40.5) among those with CMRF and CVD, respectively. Adjustment for sociodemographic variables reduced these differences in 33%, remaining stable after controlling for lifestyle and use of preventive medications (p < 0.001). Differences in physical HRQoL according to cardiometabolic conditions were twice as high among those with lower educational level, or if they were not working. Among unemployed, having a CMRF or a CVD had the same impact on the physical HRQoL (9.7 lower score than healthy individuals). The inverse association between cardiometabolic conditions and mental HRQoL was subtle (p = 0.030), with no evidence of disparities due to sociodemographic variables.

Conclusions

A lower educational level and unemployment increase the adverse effects of cardiometabolic conditions on the physical HRQoL. Targeted interventions for reducing CMRF and/or CVD in these groups are necessary to improve HRQoL.
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Literatuur
1.
go back to reference Hunter, D. J., & Reddy, K. S. (2013). Noncommunicable diseases. The New England Journal of Medicine, 369(14), 1336–1343. CrossRefPubMed Hunter, D. J., & Reddy, K. S. (2013). Noncommunicable diseases. The New England Journal of Medicine, 369(14), 1336–1343. CrossRefPubMed
2.
go back to reference WHO. (2011). WHO maps noncommunicable disease trends in all countries: Country profiles on noncommunicable disease trends in 193 countries. Central European Journal of Public Health, 19(3), 130–138. WHO. (2011). WHO maps noncommunicable disease trends in all countries: Country profiles on noncommunicable disease trends in 193 countries. Central European Journal of Public Health, 19(3), 130–138.
5.
go back to reference Begg, S. J. (2014). Health in a ‘post-transition’ Australia: Adding years to life or life to years? Australian health review: a publication of the Australian Hospital Association, 38(1), 1–5. CrossRef Begg, S. J. (2014). Health in a ‘post-transition’ Australia: Adding years to life or life to years? Australian health review: a publication of the Australian Hospital Association, 38(1), 1–5. CrossRef
6.
go back to reference Chowdhury, R., Khan, H., Heydon, E., Shroufi, A., Fahimi, S., Moore, C., Stricker, B., Mendis, S., Hofman, A., Mant, J., & Franco, O. H. (2013). Adherence to cardiovascular therapy: A meta-analysis of prevalence and clinical consequences. European Heart Journal, 34(38), 2940–2948. CrossRefPubMed Chowdhury, R., Khan, H., Heydon, E., Shroufi, A., Fahimi, S., Moore, C., Stricker, B., Mendis, S., Hofman, A., Mant, J., & Franco, O. H. (2013). Adherence to cardiovascular therapy: A meta-analysis of prevalence and clinical consequences. European Heart Journal, 34(38), 2940–2948. CrossRefPubMed
7.
go back to reference Conn, V. S., Ruppar, T. M., Maithe Enriquez, R., & Cooper, P. S. (2016). Patient-centered outcomes of medication adherence interventions: Systematic review and meta-analysis. Value in Health: The Journal of the International Society for Pharmacoeconomics and Outcomes Research, 19(2), 277–285. CrossRef Conn, V. S., Ruppar, T. M., Maithe Enriquez, R., & Cooper, P. S. (2016). Patient-centered outcomes of medication adherence interventions: Systematic review and meta-analysis. Value in Health: The Journal of the International Society for Pharmacoeconomics and Outcomes Research, 19(2), 277–285. CrossRef
8.
go back to reference Mark, D. B. (2016). Assessing quality-of-life outcomes in cardiovascular clinical research. Nat Rev Cardiol. Mark, D. B. (2016). Assessing quality-of-life outcomes in cardiovascular clinical research. Nat Rev Cardiol.
9.
go back to reference Bakas, T., McLennon, S. M., Carpenter, J. S., Buelow, J. M., Otte, J. L., Hanna, K. M., Ellett, M. L., Hadler, K. A., & Welch, J. L. (2012). Systematic review of health-related quality of life models. Health and Quality of Life Outcomes, 10, 134. CrossRefPubMedPubMedCentral Bakas, T., McLennon, S. M., Carpenter, J. S., Buelow, J. M., Otte, J. L., Hanna, K. M., Ellett, M. L., Hadler, K. A., & Welch, J. L. (2012). Systematic review of health-related quality of life models. Health and Quality of Life Outcomes, 10, 134. CrossRefPubMedPubMedCentral
10.
go back to reference Fortin, M., Lapointe, L., Hudon, C., Vanasse, A., Ntetu, A. L., & Maltais, D. (2004). Multimorbidity and quality of life in primary care: A systematic review. Health and Quality of Life Outcomes, 2, 51. CrossRefPubMedPubMedCentral Fortin, M., Lapointe, L., Hudon, C., Vanasse, A., Ntetu, A. L., & Maltais, D. (2004). Multimorbidity and quality of life in primary care: A systematic review. Health and Quality of Life Outcomes, 2, 51. CrossRefPubMedPubMedCentral
11.
go back to reference Hutchinson, A. F., Graco, M., Rasekaba, T. M., Parikh, S., Berlowitz, D. J., & Lim, W. K. (2015). Relationship between health-related quality of life, comorbidities and acute health care utilisation, in adults with chronic conditions. Health and Quality of Life Outcomes, 13, 69. CrossRefPubMedPubMedCentral Hutchinson, A. F., Graco, M., Rasekaba, T. M., Parikh, S., Berlowitz, D. J., & Lim, W. K. (2015). Relationship between health-related quality of life, comorbidities and acute health care utilisation, in adults with chronic conditions. Health and Quality of Life Outcomes, 13, 69. CrossRefPubMedPubMedCentral
12.
go back to reference Gonzalez-Chica, D. A., Mnisi, Z., Avery, J., Duszynski, K., Doust, J., Tideman, P., Murphy, A., Burgess, J., Beilby, J., & Stocks, N. (2016). Effect of health literacy on quality of life amongst patients with Ischaemic heart disease in Australian General Practice. PLoS One, 11(3), e0151079. CrossRefPubMedPubMedCentral Gonzalez-Chica, D. A., Mnisi, Z., Avery, J., Duszynski, K., Doust, J., Tideman, P., Murphy, A., Burgess, J., Beilby, J., & Stocks, N. (2016). Effect of health literacy on quality of life amongst patients with Ischaemic heart disease in Australian General Practice. PLoS One, 11(3), e0151079. CrossRefPubMedPubMedCentral
13.
go back to reference Mello Ade, C., Engstrom, E. M., & Alves, L. C. (2014). Health-related and socio-demographic factors associated with frailty in the elderly: A systematic literature review. Cadernos de saude publica/Ministerio da Saude, Fundacao Oswaldo Cruz, Escola Nacional de Saude Publica, 30(6), 1143–1168. Mello Ade, C., Engstrom, E. M., & Alves, L. C. (2014). Health-related and socio-demographic factors associated with frailty in the elderly: A systematic literature review. Cadernos de saude publica/Ministerio da Saude, Fundacao Oswaldo Cruz, Escola Nacional de Saude Publica, 30(6), 1143–1168.
14.
go back to reference Mielck, A., Vogelmann, M., & Leidl, R. (2014). Health-related quality of life and socioeconomic status: Inequalities among adults with a chronic disease. Health and Quality of Life Outcomes, 12, 58. CrossRefPubMedPubMedCentral Mielck, A., Vogelmann, M., & Leidl, R. (2014). Health-related quality of life and socioeconomic status: Inequalities among adults with a chronic disease. Health and Quality of Life Outcomes, 12, 58. CrossRefPubMedPubMedCentral
15.
go back to reference Stafford, M., Soljak, M., Pledge, V., & Mindell, J. (2012). Socio-economic differences in the health-related quality of life impact of cardiovascular conditions. European Journal of Public Health, 22(3), 301–305. CrossRefPubMed Stafford, M., Soljak, M., Pledge, V., & Mindell, J. (2012). Socio-economic differences in the health-related quality of life impact of cardiovascular conditions. European Journal of Public Health, 22(3), 301–305. CrossRefPubMed
16.
go back to reference Ludt, S., Wensing, M., Szecsenyi, J., van Lieshout, J., Rochon, J., Freund, T., Campbell, S. M., & Ose, D. (2011). Predictors of health-related quality of life in patients at risk for cardiovascular disease in European primary care. PLoS One, 6(12), e29334. CrossRefPubMedPubMedCentral Ludt, S., Wensing, M., Szecsenyi, J., van Lieshout, J., Rochon, J., Freund, T., Campbell, S. M., & Ose, D. (2011). Predictors of health-related quality of life in patients at risk for cardiovascular disease in European primary care. PLoS One, 6(12), e29334. CrossRefPubMedPubMedCentral
20.
go back to reference Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., Bullinger, M., Kaasa, S., Leplege, A., Prieto, L., & Sullivan, M. (1998). Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: Results from the IQOLA Project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51(11), 1171–1178 CrossRefPubMed Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., Bullinger, M., Kaasa, S., Leplege, A., Prieto, L., & Sullivan, M. (1998). Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: Results from the IQOLA Project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51(11), 1171–1178 CrossRefPubMed
21.
go back to reference Wilson, D., Tucker, G., & Chittleborough, C. (2002). Rethinking and rescoring the SF-12. Sozial- und Präventivmedizin, 47(3), 172–177. PubMed Wilson, D., Tucker, G., & Chittleborough, C. (2002). Rethinking and rescoring the SF-12. Sozial- und Präventivmedizin, 47(3), 172–177. PubMed
22.
go back to reference Mitchel, M. (2012). Interpreting and visualizing regression models using STATA, first ed (First ed.). Texas:Stata Press. Mitchel, M. (2012). Interpreting and visualizing regression models using STATA, first ed (First ed.). Texas:Stata Press.
23.
go back to reference Taylor, A. W., Dal Grande, E., Wu, J., Shi, Z., & Campostrini, S. (2014). Ten-year trends in major lifestyle risk factors using an ongoing population surveillance system in Australia. Population Health Metrics, 12(1), 31 CrossRefPubMedPubMedCentral Taylor, A. W., Dal Grande, E., Wu, J., Shi, Z., & Campostrini, S. (2014). Ten-year trends in major lifestyle risk factors using an ongoing population surveillance system in Australia. Population Health Metrics, 12(1), 31 CrossRefPubMedPubMedCentral
25.
go back to reference Diaz-Toro, F., Verdejo, H. E., & Castro, P. F. (2015). Socioeconomic inequalities in heart failure. Heart Failure Clinics, 11(4), 507–513. CrossRefPubMed Diaz-Toro, F., Verdejo, H. E., & Castro, P. F. (2015). Socioeconomic inequalities in heart failure. Heart Failure Clinics, 11(4), 507–513. CrossRefPubMed
26.
go back to reference Hawkins, N. M., Jhund, P. S., McMurray, J. J., & Capewell, S. (2012). Heart failure and socioeconomic status: Accumulating evidence of inequality. European Journal of Heart Failure: Journal of the Working Group on Heart Failure of the European Society of Cardiology, 14(2), 138–146. CrossRef Hawkins, N. M., Jhund, P. S., McMurray, J. J., & Capewell, S. (2012). Heart failure and socioeconomic status: Accumulating evidence of inequality. European Journal of Heart Failure: Journal of the Working Group on Heart Failure of the European Society of Cardiology, 14(2), 138–146. CrossRef
27.
go back to reference Schroder, S. L., Richter, M., Schroder, J., Frantz, S., & Fink, A. (2016). Socioeconomic inequalities in access to treatment for coronary heart disease: A systematic review. International Journal of Cardiology, 219, 70–78. CrossRefPubMed Schroder, S. L., Richter, M., Schroder, J., Frantz, S., & Fink, A. (2016). Socioeconomic inequalities in access to treatment for coronary heart disease: A systematic review. International Journal of Cardiology, 219, 70–78. CrossRefPubMed
28.
go back to reference Sommer, I., Griebler, U., Mahlknecht, P., Thaler, K., Bouskill, K., Gartlehner, G., & Mendis, S. (2015). Socioeconomic inequalities in non-communicable diseases and their risk factors: An overview of systematic reviews. BMC Public Health, 15, 914. CrossRefPubMedPubMedCentral Sommer, I., Griebler, U., Mahlknecht, P., Thaler, K., Bouskill, K., Gartlehner, G., & Mendis, S. (2015). Socioeconomic inequalities in non-communicable diseases and their risk factors: An overview of systematic reviews. BMC Public Health, 15, 914. CrossRefPubMedPubMedCentral
29.
go back to reference Terraneo, M. (2015). Inequities in health care utilization by people aged 50+: Evidence from 12 European countries. Social Science & Medicine (1982), 126, 154–163. CrossRef Terraneo, M. (2015). Inequities in health care utilization by people aged 50+: Evidence from 12 European countries. Social Science & Medicine (1982), 126, 154–163. CrossRef
30.
go back to reference Cajita, M. I., Cajita, T. R., & Han, H. R. (2016). Health literacy and heart failure: A systematic review. The Journal of Cardiovascular Nursing, 31(2), 121–130. CrossRefPubMedPubMedCentral Cajita, M. I., Cajita, T. R., & Han, H. R. (2016). Health literacy and heart failure: A systematic review. The Journal of Cardiovascular Nursing, 31(2), 121–130. CrossRefPubMedPubMedCentral
Metagegevens
Titel
Lower educational level and unemployment increase the impact of cardiometabolic conditions on the quality of life: results of a population-based study in South Australia
Auteurs
David Alejandro González-Chica
Robert Adams
Eleonora Dal Grande
Jodie Avery
Phillipa Hay
Nigel Stocks
Publicatiedatum
11-02-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 6/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1503-y

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