Skip to main content
Top
Gepubliceerd in: Quality of Life Research 6/2024

22-03-2024

Relative importance of selected predictors of health-related quality-of-life (HRQOL) among U.S. adults

Auteurs: Haomiao Jia, Erica I. Lubetkin

Gepubliceerd in: Quality of Life Research | Uitgave 6/2024

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

Many factors have been associated with health-related quality of life (HRQOL), and researchers often have tried to rank these contributing factors. Variable importance quantifies the net independent contribution of each individual predictor in a set of predictors to the prediction accuracy of the outcome. This study assessed relative importance (RI) of selected contributing factors to respondents’ physically unhealthy days (PUD), mentally unhealthy days (MUD), activity limitation days (ALD), and EuroQol EQ-5D index derived from the Healthy Days measures (dEQ-5D).

Methods

Using data from the 2021 Behavioral Risk Factor Surveillance Systems (BRFSS), we estimated the RI of seven socio-demographics and seventeen chronic conditions and risk behaviors. A variable’s importance was measured as the average increase in the coefficient of determination after adding the variable to all possible sub-models.

Results

After controlling for socio-demographics, arthritis and no physical activity were the most important variables for PUD with a RI of 10.5 and 10.4, respectively, followed by depression (RI = 8.5) and COPD (RI = 8.3). Depression was the most important variable for MUD with RI = 23.0 while all other 16 predictors had a RI < 7.0. Similar results were observed for ALD and dEQ-5D: depression was the most important predictor (RI = 16.3 and 15.2, respectively), followed by no physical activity, arthritis, and COPD (RI ranging from 7.1 to 9.2).

Conclusion

This study quantified and ranked selected contributing factors of HRQOL. Results of this analysis also can be used to validate HRQOL measures based on domain knowledge of HRQOL.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
1.
go back to reference The U.S. Centers for Disease Control and Prevention. (2000). Measuring healthy days. The U.S. Centers for Disease Control and Prevention. The U.S. Centers for Disease Control and Prevention. (2000). Measuring healthy days. The U.S. Centers for Disease Control and Prevention.
6.
go back to reference Hennessy, C. H., Moriarty, D. G., Zack, M. M., Scherr, P. A., & Brackbill, R. (1994). Measuring health-related quality of life for public health surveillance. Public Health Reports, 109(5), 665–672.PubMedPubMedCentral Hennessy, C. H., Moriarty, D. G., Zack, M. M., Scherr, P. A., & Brackbill, R. (1994). Measuring health-related quality of life for public health surveillance. Public Health Reports, 109(5), 665–672.PubMedPubMedCentral
8.
go back to reference Wu, M., Brazier, J. E., Kearns, B., Relton, C., Smith, C., & Cooper, C. L. (2015). Examining the impact of 11 long-standing health conditions on health-related quality of life using the EQ-5D in a general population sample. European Journal of Health Economics, 16(2), 141–151. https://doi.org/10.1007/s10198-013-0559-zCrossRef Wu, M., Brazier, J. E., Kearns, B., Relton, C., Smith, C., & Cooper, C. L. (2015). Examining the impact of 11 long-standing health conditions on health-related quality of life using the EQ-5D in a general population sample. European Journal of Health Economics, 16(2), 141–151. https://​doi.​org/​10.​1007/​s10198-013-0559-zCrossRef
9.
go back to reference Thompson W. W., Zack M. M., Krahn, G. L., Andresen, E. M., & Barile, J. P. (2012). Health-related quality of life among older adults with and without functional limitations. American Journal of Public Health, 102(3), 496–502. https://doi.org/10.2105/AJPH.2011.300500. Epub 2012 Jan 19. Erratum in: Am J Public Health. 2013;103(11): e12. PMID: 22390514; PMCID: PMC3487675 Thompson W. W., Zack M. M., Krahn, G. L., Andresen, E. M., & Barile, J. P. (2012). Health-related quality of life among older adults with and without functional limitations. American Journal of Public Health, 102(3), 496–502. https://​doi.​org/​10.​2105/​AJPH.​2011.​300500. Epub 2012 Jan 19. Erratum in: Am J Public Health. 2013;103(11): e12. PMID: 22390514; PMCID: PMC3487675
10.
go back to reference McGuire, L. C., Strine, T. W., Okoro, C. A., Ahluwalia, I. B., & Ford, E. S. (2007). Modifiable characteristics of a healthy lifestyle in U.S. older adults with or without frequent mental distress: 2003 Behavioral Risk Factor Surveillance System. American Journal of Geriatric Psychiatry, 15(9), 754–761. https://doi.org/10.1097/JGP.0b013e3180986125CrossRef McGuire, L. C., Strine, T. W., Okoro, C. A., Ahluwalia, I. B., & Ford, E. S. (2007). Modifiable characteristics of a healthy lifestyle in U.S. older adults with or without frequent mental distress: 2003 Behavioral Risk Factor Surveillance System. American Journal of Geriatric Psychiatry, 15(9), 754–761. https://​doi.​org/​10.​1097/​JGP.​0b013e3180986125​CrossRef
15.
go back to reference Parkerson, G. R., Jr., & Gutman, R. A. (2000). Health-related quality of life predictors of survival and hospital utilization. Health Care Financing Review, 21(3), 171–184.PubMedPubMedCentral Parkerson, G. R., Jr., & Gutman, R. A. (2000). Health-related quality of life predictors of survival and hospital utilization. Health Care Financing Review, 21(3), 171–184.PubMedPubMedCentral
17.
go back to reference Kruskal, W., & Majors, R. (1989). Concepts of relative importance in recent scientific literature. American Statistician, 43(1), 2–6.CrossRef Kruskal, W., & Majors, R. (1989). Concepts of relative importance in recent scientific literature. American Statistician, 43(1), 2–6.CrossRef
23.
go back to reference Genizi, A. (1993). Decomposition of R2 in multiple regression with correlated regressors. Statistica Sinica, 3, 407–420. Genizi, A. (1993). Decomposition of R2 in multiple regression with correlated regressors. Statistica Sinica, 3, 407–420.
27.
go back to reference Frazier, E. L., Franks, A. L., & Sanderson, L. M. (1992). Using behavioral risk factor surveillance data. Using chronic disease data: A handbook for public health practitioners (p. 4.1-4.17). Centers for Disease Control and Prevention. Frazier, E. L., Franks, A. L., & Sanderson, L. M. (1992). Using behavioral risk factor surveillance data. Using chronic disease data: A handbook for public health practitioners (p. 4.1-4.17). Centers for Disease Control and Prevention.
32.
go back to reference Zack, M. M., Centers for Disease Control and Prevention (CDC). (2013). Health-related quality of life—United States, 2006 and 2010. MMWR Supplementary, 62(3), 105–111. Zack, M. M., Centers for Disease Control and Prevention (CDC). (2013). Health-related quality of life—United States, 2006 and 2010. MMWR Supplementary, 62(3), 105–111.
33.
go back to reference Zahran, H. S., Kobau, R., Moriarty, D. G., Zack, M. M., Holt, J., Donehoo, R., Centers for Disease Control and Prevention (CDC). (2005). Health-related quality of life surveillance–United States, 1993–2002. MMWR Surveillance Summary, 54(4), 1–35. Zahran, H. S., Kobau, R., Moriarty, D. G., Zack, M. M., Holt, J., Donehoo, R., Centers for Disease Control and Prevention (CDC). (2005). Health-related quality of life surveillance–United States, 1993–2002. MMWR Surveillance Summary, 54(4), 1–35.
44.
go back to reference Singh, B., Olds, T., Curtis, R., Dumuid, D., Virgara, R., Watson, A., Szeto, K., O’Connor, E., Ferguson, T., Eglitis, E., Miatke, A., Simpson, C. E., & Maher, C. (2022). Effectiveness of physical activity interventions for improving depression, anxiety and distress: An overview of systematic reviews. British Journal of Sports Medicine. https://doi.org/10.1136/bjsports-2022-106195CrossRefPubMed Singh, B., Olds, T., Curtis, R., Dumuid, D., Virgara, R., Watson, A., Szeto, K., O’Connor, E., Ferguson, T., Eglitis, E., Miatke, A., Simpson, C. E., & Maher, C. (2022). Effectiveness of physical activity interventions for improving depression, anxiety and distress: An overview of systematic reviews. British Journal of Sports Medicine. https://​doi.​org/​10.​1136/​bjsports-2022-106195CrossRefPubMed
46.
go back to reference Centers for Disease Control and Prevention (CDC). (2000). Health-related quality of life among adults with arthritis–behavioral risk factor surveillance system, 11 states, 1996–1998. MMWR. Morbidity and Mortality Weekly Report, 49(17), 366–369. Centers for Disease Control and Prevention (CDC). (2000). Health-related quality of life among adults with arthritis–behavioral risk factor surveillance system, 11 states, 1996–1998. MMWR. Morbidity and Mortality Weekly Report, 49(17), 366–369.
Metagegevens
Titel
Relative importance of selected predictors of health-related quality-of-life (HRQOL) among U.S. adults
Auteurs
Haomiao Jia
Erica I. Lubetkin
Publicatiedatum
22-03-2024
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 6/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-024-03632-0

Andere artikelen Uitgave 6/2024

Quality of Life Research 6/2024 Naar de uitgave