Associations of Multimorbid Medical Conditions and Health-Related Quality of Life Among Older African American Men

Clay, Olivio J.; Perkins, Martinique; Wallace, Gail; Crowe, Michael; Sawyer, Patricia; Brown, Cynthia J.

doi:10.1093/geronb/gbx090

Cited by 21 publications

(13 citation statements)

References 39 publications

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“…This is consistent with the results of a study that reported that the HR-QoL of elderly patients with MS is related to medical condition, depression, and subjective health status (Han et al, 2013;Clay et al, 2017;Yoon et al, 2016). In particular, depression showed higher odds ratios over the two classes; this is consistent with the result showing that one of the significant predictors of QoL is depression (Han et al, 2013) and that depression is associated with worsening QoL (Saboya et al, 2017).…”

Section: Discussionsupporting

confidence: 91%

The latent classes and factors affecting quality of life among South Koreans with metabolic syndrome

Kim¹

2018

jkdi

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The purpose of this study is to identify latent classes involving the health behaviors of patients with metabolic syndrome and to examine the effects of demographic characteristics and health-related lifestyles on their quality of life. The data was sourced from the database of the 2013 Korea health panel survey. Health behavior variables (smoking, drinking, body mass index, and physical activities) were dichotomously recategorized for latent class analysis. Two latent classes of metabolic syndrome, named 'low physical actor' and 'low physical actor with smoking and alcohol' were identified. Both latent classes showed statistically significant differences in demographic characteristics and EQ-5D index. Additionally, there were differences in the factors affecting quality of life between latent classes. This study's findings suggest that a tailored intervention based on features of the latent classes is required to improve the lifestyle and quality of life of metabolic syndrome patients.

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Section: Discussionsupporting

confidence: 91%

The latent classes and factors affecting quality of life among South Koreans with metabolic syndrome

Kim¹

2018

jkdi

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“…Many cross‐sectional studies have shown that health‐related quality of life (QOL) is reduced in multimorbidity . In a 2‐year longitudinal study of people aged >60 years, multimorbidity (two or more chronic diseases) was shown to reduce general health, body function, self‐care ability, emotion and social adaptability domains of health‐related QOL, but not memory function (Fig.…”

Section: Introductionmentioning

confidence: 99%

Era of geriatric medical challenges: Multimorbidity among older patients

Kuzuya¹

2019

Geriatrics Gerontology Int

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The number of older adults is increasing worldwide, including in Asian countries. Various problems associated with medical care for older adults are being highlighted in aging societies. As the number of chronic diseases increases with age, older adults are more likely to have multiple chronic diseases simultaneously (multimorbidity). Multimorbidity results in poor health‐related outcomes, leading to increased use and cost of healthcare. Above all, it leads to deterioration in older adults’ quality of life. However, it is unclear whether any medical interventions are effective for multimorbidity, which means medical practitioners currently offer medical care “in the dark.” It is therefore necessary for researchers and medical professionals involved in geriatric medicine to establish ways to manage multimorbidity among older adults. This means that the development of research in this field is essential. Geriatr Gerontol Int 2019; 19: 699–704.

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“…As a result, there has been increasing interest in understanding demographic, behavioral, and social factors that shape HRQoL across various populations [5,6,7]. There is also a particular interest in understanding the factors that can explain decline and those that can be used to enhance HRQoL of aging populations, particularly in demographic and social groups in which HRQoL is low [8,9,10,11,12,13]. Given the consistent disparities across multiple domains of health, African Americans (AAs) report worse HRQoL than Whites [14,15,16,17,18,19].…”

Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life of Economically Disadvantaged African American Older Adults: Age and Gender Differences

Assari

Smith

Bazargan

2019

IJERPH

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Background: The association between age and health-related quality of life (HRQoL) is still under debate. While some research shows older age is associated with better HRQoL, other studies show no or negative association between age and HRQoL. In addition, while the association between age and HRQoL may depend on race, ethnicity, gender, and their intersections, most previous research on this link has been performed in predominantly White Middle Class. Objective: To explore gender differences in the association between age and mental and physical HRQoL in a sample of economically disadvantaged African American (AA) older adults. Methods: This cross-sectional survey was conducted in South Los Angeles between 2015 to 2018. A total number of 740 economically disadvantaged AA older adults (age ≥ 55 years) were enrolled in this study, using non-random sampling. This includes 266 AA men and 474 AA women. The independent variable of interest was age. Dependent variables of interest were physical component scores (PCS) and mental component scores (MCS), two main summary scores of the HRQoL, measured using Short Form-12 (SF-12). Gender was the moderator. Socioeconomic status (educational attainment and financial difficulty) were covariates. Linear regression models were used to analyze the data. Results: AA women reported worse PCS; however, gender did not impact MCS. In the pooled sample, high age was associated with better PCS and MCS. In the pooled sample, a significant interaction was found between gender and age on PCS, suggesting a stronger effect of age on PCS for AA men than AA women. In gender-stratified models, older age was associated with better PCS for AA men but not AA women. Older age was similarly and positively associated with better MCS for AA men and women. Conclusions: There may be some gender differences in the implications of ageing for the physical HRQoL of AA older adults. It is unclear how old age may have a boosting effect on physical HRQoL for AA men but not AA women. Future research should test gender differences in the effect of age on physical health indicators such as chronic disease as well as cognitive processes involved in the evaluation of own’s health in AA men and women.

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Associations of Multimorbid Medical Conditions and Health-Related Quality of Life Among Older African American Men

Abstract: These findings suggest the importance of examining clusters of comorbid medical conditions and their relationships to outcomes within older African American men.

Cited by 21 publications

References 39 publications

The latent classes and factors affecting quality of life among South Koreans with metabolic syndrome

The latent classes and factors affecting quality of life among South Koreans with metabolic syndrome

Era of geriatric medical challenges: Multimorbidity among older patients

Health-Related Quality of Life of Economically Disadvantaged African American Older Adults: Age and Gender Differences

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