Relationship of health-related quality of life to health care utilization and mortality among older adults

Dominick, Kelli C.; Ahern, Frank M.; Gold, Carol; Heller, Debra A.

doi:10.1007/bf03327351

Cited by 245 publications

(171 citation statements)

References 35 publications

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“…(i.e., activity limitation). These four indicators of health-related quality of life have previously been evaluated for population-based public health surveillance [23][24][25][26][27]. Andresen et al [24] reported that the retest reliability of BRFSS health-related quality of life indicators ranged from moderate to excellent.…”

Section: Methodsmentioning

confidence: 99%

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Health-related quality of life among adults with work-related asthma in the United States

2012

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Purpose-The objective of this study was to examine health-related quality of life among adults with work-related asthma. Methods-We analyzed 2006-2009 Behavioral RiskFactor Surveillance System Asthma Callback Survey data for ever-employed adults with current asthma from 38 states and District of Columbia. Individuals with work-related asthma had been told by a doctor or other health professional that their asthma was related to any job they ever had. Health-related quality of life indicators included poor self-rated health, impaired physical health, impaired mental health, and activity limitation. We calculated prevalence ratios (PRs) adjusted for age, sex, race/ethnicity, education, income, employment, and health insurance.Results-Of ever-employed adults with current asthma, an estimated 9.0 % had work-related asthma, 26.9 % had poor self-rated health, 20.6 % had impaired physical health, 18.2 % had impaired mental health, and 10.2 % had activity limitation. Individuals with work-related asthma were significantly more likely than those with non-work-related asthma to have poor self-rated health [PR, 1.45; 95 % confidence interval (CI), 1.31-1.60], impaired physical health (PR, 1.60; 95 % CI, 1.42-1.80), impaired mental health (PR, 1.55; 95 % CI, 1.34-1.80), and activity limitation (PR, 2.16; 95 % CI, 1.81-2.56).Conclusions-Future research should examine opportunities to improve health-related quality of life among individuals with work-related asthma.G. E. Knoeller ipb8@cdc.gov. Electronic supplementary material The online version of this article

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Section: Methodsmentioning

confidence: 99%

“…Andresen et al [24] reported that the retest reliability of BRFSS health-related quality of life indicators ranged from moderate to excellent. BRFSS healthrelated quality of life indicators are moderately to highly valid [23,[25][26][27] and have acceptable construct, criterion, and known-groups validity [25].…”

Section: Methodsmentioning

confidence: 99%

Health-related quality of life among adults with work-related asthma in the United States

2012

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“…Historically, much of the work on SRH has focused on its predictive ability for a range of health outcomes, including social-psychological wellbeing (5-7), morbidity (8 -10), health care utilization (10 -12), and mortality (10,13,14). More recently, interest in understanding the determinants of SRH has increased.…”

Section: Introductionmentioning

confidence: 99%

Arthritis onset and worsening self-rated health: A longitudinal evaluation of the role of pain and activity limitations

2005

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Objective. To longitudinally explore the hypothesized role of worsening pain and development of activity limitations as mediators in the relationship between arthritis onset and worsening self-rated health (SRH). Methods. Data was obtained from the 1998/1999 and 2000/2001 cycles of the population-based Canadian longitudinal National Population Health Survey (n ‫؍‬ 10,859; ages >18; response rate: time 1 ‫؍‬ 81.6%, time 2 ‫؍‬ 89.2%). Respondents were asked about chronic conditions, pain, activity limitations, and self-perceived health; change over time was assessed. Change in effect of arthritis onset on worsening SRH upon considering potential mediators was assessed through multivariate logistic regression, controlling for sociodemographic characteristics and onset of other conditions. Results. Worsening pain fully explained the effect of arthritis onset on worsening SRH; a portion of the effect of worsening pain was mediated by the development of activity limitation. Residual direct effect of arthritis onset was statistically insignificant. Worsening pain and development of activity limitations also mediated a portion of the effects of onset of other chronic conditions but to a lesser extent than arthritis onset. Conclusion. This is the first study to examine these relationships longitudinally. Identifying the role of mediators is necessary if target areas of prevention and/or management are sought, either at the individual or population level. Our results indicate that the development of arthritis has a significant impact on worsening SRH. Pain and development of activity limitations fully account for the relationship between arthritis onset and worsening SRH. High priority should be placed on prevention and management strategies for pain among people with arthritis.

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“…Therefore, HRQOL is an important tool, particularly among older adults, since traditional health outcomes do not account for the perceived functional limitations that occur later in life (Centers for Disease Control and Prevention, 2015). Moreover, HRQOL is a more powerful predictor of health services use and mortality than many objective measures of health (Dominick et al, 2002;Otero-Rodríguez et al, 2010;Rodríguez-Artalejo et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Patterns of alcohol consumption and health-related quality of life in older adults

Ortolá

Galán

Rodríguez‐Artalejo

2016

Drug and Alcohol Dependence

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Relationship of health-related quality of life to health care utilization and mortality among older adults

Cited by 245 publications

References 35 publications

Health-related quality of life among adults with work-related asthma in the United States

Health-related quality of life among adults with work-related asthma in the United States

Arthritis onset and worsening self-rated health: A longitudinal evaluation of the role of pain and activity limitations

Patterns of alcohol consumption and health-related quality of life in older adults

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