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Quality of Life Research
Gepubliceerd in: Quality of Life Research 12/2018

01-08-2018

The relationship of neighbourhood-level material and social deprivation with health-related quality of life

Auteurs: Hilary Short, Fatima Al Sayah, Arto Ohinmaa, Markus Lahtinen, Jeffrey A. Johnson

Gepubliceerd in: Quality of Life Research | Uitgave 12/2018

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Abstract

Purpose

To examine the relationship of neighbourhood-level material and social deprivation with health-related quality of life, measured by the EQ-5D-5L, in the general adult population.

Methods

A sample of 11,835 adults living in Alberta, Canada was drawn from three combined annual Health Quality Council of Alberta Satisfaction and Experiences with Health Care Services surveys from 2012 to 2016. Neighbourhood-level material and social deprivation indices were derived using the Pampalon index and the 2006 Canadian census. The EQ-5D-5L dimensions, index and VAS scores were compared across the deprivation indices quintiles in the overall sample and by participants’ sub-groups. Differences were tested using ANOVA or Chi-square test as appropriate. Multivariate linear regression models were conducted to examine the independent association of material and social deprivation with the EQ-5D-5L index and VAS scores, and multinomial logistic regression models with each of the EQ-5D-5L dimensions.

Results

Respondents in higher material or social deprivation categories had lower EQ-5D-5L index and VAS scores than those in the least deprived categories. Additionally, respondents with higher material deprivation were more likely to report problems on mobility, usual activities, and pain/discomfort; those with higher social deprivation were more likely to report problems on mobility, self-care, usual activities, and anxiety/depression.

Conclusion

Higher neighbourhood-level material and social deprivation is significantly associated with lower health-related quality of life in the general adult population. Examining the factors leading to this inequity in health between individuals living in the least and most deprived neighbourhoods is imperative to mitigating these inequities.
vorige artikel Factors associated with quality of life among married women in rural China: a cross-sectional study
volgende artikel Health-related quality of life and the physician–patient alliance: a preliminary investigation of ultra-brief, real-time measures for primary care
Literatuur
1.
Townsend, P. (1987). Deprivation. Journal of Social Policy, 16(02), 125–146.CrossRef
2.
Pförtner, T., & Elgar, F.J. (2016). Widening inequalities in self-rated health by material deprivation? A trend analysis between 2001 and 2011 in Germany. Journal Epidemiol Community Health, 70, 82–89.CrossRef
3.
Havard, S., Deguen, S., Bodin, J., Louis, K., & Laurent, O. (2008). A small-area index of socioeconomic deprivation to capture health inequalities in France. Social Science and Medicine, 67(12), 2007–2016.CrossRef
4.
Marmot, M. G., & Wilkinson, R. G. (2006). Social determinants of health. Oxford: Oxford University Press.
5.
Charlton, J., Rudisill, C., Bhattarai, N., & Gulliford, M. (2013). Impact of deprivation on occurrence, outcomes and health care costs of people with multiple morbidity. Journal of Health Services Research and Policy, 18(4), 215–223.CrossRef
6.
Testi, A., & Ivaldi, E. (2009). Material versus social deprivation and health: A case study of an urban area. European Journal of Health Economics, 10, 323–328.CrossRef
7.
Pampalon, R., Hamel, D., & Gamache, P. (2009). A comparison of individual and area-based socio-economic data for monitoring social inequalities in health. Health Reports, 20(4), 85–94.PubMed
8.
Drukker, M., & van Os, J. (2003). Mediators of neighbourhood socioeconomic deprivation and quality of life. Social Psychiatry and Psychiatric Epidemiology, 38(12), 698–706.CrossRef
9.
Diez-Roux, A. V. (2001). Investigating neighborhood and area effects on health. American Journal of Public Health, 91(11), 1783–1789.CrossRef
10.
Reijneveld, S. A., Verheij, R. A., & de Bakker, D. H. (2000). The impact of area deprivation on differences in health: Does the choice of the geographical classification matter? Journal of Epidemiology and Community Health, 54, 306–313.CrossRef
11.
Miltenburg, E. M. (2015). The conditionality of neighbourhood effects upon social neighbourhood embeddedness: A critical examination of the resources and socialization mechanisms. Housing Studies, 30(2), 272–294.CrossRef
12.
Flowerdew, R., Manley, D. J., & Sabel, C. E. (2008). Neighbourhood effects on health: Does it matter where you draw the boundaries? Social Science and Medicine, 66(6), 1241–1255.CrossRef
13.
14.
Herdman, M., Gudex, C., Lloyd, A., Janssen, M., Kind, P., Parkin, D., et al. (2011). Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Quality of Life Research, 20, 1727–1736.CrossRef
15.
16.
Devlin, N.J., & Krabbe, P.F.M. (2013). The development of new research methods for the valuation of EQ-5D-5L. European Journal of Health Economics, 14, 1–3.CrossRef
17.
Dolan, P. (1997). Modeling valuations for EuroQol health states. Medical Care, 35(11), 1095–1108.CrossRef
18.
Xie, F., Pullenayegum, E., Gaebel, K., Bansback, N., Bryan, S., Ohinmaa, A., Poissant, L., & Johnson, J. A. (2016). Canadian EQ-5D-5L valuation study group. A time trade-offderived value set of the EQ-5D-5L for Canada. Medical Care, 54(1), 98–105.CrossRef
19.
Pampalon, R., Hamel, D., Gamache, P., Philibert, M.D., Raymond, G., & Simpson, A. (2012). An area-based material and social deprivation index for public health in Quebec and Canada. Canadian Journal of Public Health, 103(8), S17–S22.PubMed
20.
Pampalon, R., & Raymond, G. (2000). A deprivation index for health and welfare planning in Quebec. Chronic Disease Canada, 21(3), 104–113.
21.
Verhaeghe, P.P., & Tampubolon, G. (2012). Individual social capital, neighbhourhood deprivation, and self-rated health in England. Social Science and Medicine, 75(2), 349–357.CrossRef
22.
Idler, E.L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of 27 community studies. Journal of Health and Social Behavior, 38(1), 21–37.CrossRef
23.
Simon, J. G., De Boer, J. B., Joung, I. M. A., Bosma, H., & Mackenbach, J. P. (2005). How is your health in general? A qualitative study on self-assessed health. European Journal of Public Health., 15(2), 200e208.CrossRef
24.
Huffman, S., Al Sayah, F., Ohinmaa, A., Johnson, J.A. What does the “usual activities” dimension of the EQ-5D measure? 24th Annual Conference of the International Society for Quality of Life Research, October 18–21, 2017, Philadelphia, United States. Quality of Life Research. 2017; 26: Suppl. 1:(A2035):90. (Poster presentation).
25.
Andersson, H. I., Ejlertsson, G., Leden, I., & Rosenberg, C. (1993). Chronic pain in a geographically defined general population: Studies of differences in age, gender, social class and pain localization. Clinical Journal of Pain, 9, 174–182.CrossRef
26.
Papageorgiou, A.C., Macfarlane, G.J., Thomas, E., Croft, P.R., Jayson, M.I.V., & Silman, A.J. (1997). Psychosocial factors in the workplace—Do they predict new episodes of low back pain? Spine, 10, 1137–1142.CrossRef
27.
Vargas, C. M., Macek, M. D., & Marcus, S. E. (2000). Sociodemographic correlates of tooth pain among adults: United States, 1989. Pain, 85, 87–92.CrossRef
28.
Aggarwal, V.R., Macfarlane, T.V., & Macfarlane, G. J. (2003). Why is pain more common amongst people living in areas of low socio-economic status? A population-based cross-sectional study. British Dental Journal, 194, 383–387.CrossRef
29.
Pampalon, R., Hamel, D., Gamache, P., & Raymond, G. (2009). A deprivation index for health planning in Canada. Chronic Diseases in Canada, 29(4), 178–191.PubMed
30.
31.
Collins, B. (2013). Using a survey to estimate health expectancy and quality-adjusted life expectancy to assess inequalities in health and quality of life. Value in Health, 16(4), 599–603.CrossRef
32.
Sayce, L., & Curran, C. (2006). Tackling social exclusion across Europe. In M. Knapp, D. McDaid & E. Mossialos (Eds.), Mental health policy and practice across Europe. New York: McGraw-Hill Companies, Incorporated.
33.
Collins, B. (2017). Results from a well-being survey in the north west of England: Inequalities in EQ-5D-derived quality-adjusted life expectancy are mainly driven by pain and mental health. Value in Health, 20(1), 174–177.CrossRef
34.
Morgan, C., Burns, T., Fitzpatrick, R., Pinfold, V., & Priebe, S. (2009). Social exclusion and mental health: conceptual and methodological review. British Journal of Psychiatry, 191, 477–483.CrossRef
35.
Knott, R. J., Black, N., Hollingsworth, B., & Lorgelly, P. K. (2017). Response-scale heterogeneity in the EQ-5D. Health Economics, 26(3), 387–394.CrossRef
36.
37.
Gusi, N., Olivares, P. R., & Rajendram, R. (2010). The EQ-5D Health-related quality of life questionnaire. New York: Springer.CrossRef
Metagegevens
Titel
The relationship of neighbourhood-level material and social deprivation with health-related quality of life
Auteurs
Hilary Short
Fatima Al Sayah
Arto Ohinmaa
Markus Lahtinen
Jeffrey A. Johnson
Publicatiedatum
01-08-2018
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 12/2018
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-018-1962-9

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