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https://hdl.handle.net/2440/106331
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Type: | Journal article |
Title: | 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 |
Author: | González-Chica, D. Adams, R. Dal Grande, E. Avery, J. Hay, P. Stocks, N. |
Citation: | Quality of Life Research, 2017; 26(6):1521-1530 |
Publisher: | Springer International Publishing |
Issue Date: | 2017 |
ISSN: | 0962-9343 1573-2649 |
Statement of Responsibility: | David Alejandro González, Chica, Robert Adams, Eleonora Dal Grande, Jodie Avery, Phillipa Hay, Nigel Stocks |
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. |
Keywords: | Quality of life Cardiovascular disease Metabolic disease Socioeconomic factors Health status disparities |
Description: | Published online: 11 February 2017 |
Rights: | © Springer International Publishing Switzerland 2017 |
DOI: | 10.1007/s11136-017-1503-y |
Published version: | http://dx.doi.org/10.1007/s11136-017-1503-y |
Appears in Collections: | Aurora harvest 8 Public Health publications |
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