Impact of the most frequent chronic health conditions on the quality of life among people aged >15 years in Madrid.

Background: This study sought to ascertain to what degree health-related quality of life (HRQL) in the City of Madrid was affected by each of the most frequent chronic health conditions, and the specific quality-of-life (QL) domains on which such health conditions had the greatest impact, taking co-...

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Publicado en:European Journal of Public Health Vol. 20; no. 1; pp. 78 - 85
Autores principales: Esteban y Pena M, Jimenez Garcia R, Diaz Olalla JM, Villasevil Llanos E, Gil de Miguel A, Fernandez Cordero X
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Feb2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2010
      vid: 20
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      pub: Oxford University Press / USA
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        atl: Impact of the most frequent chronic health conditions on the quality of life among people aged >15 years in Madrid.
      aug:
        au:
          Esteban y Pena M
          Jimenez Garcia R
          Diaz Olalla JM
          Villasevil Llanos E
          Gil de Miguel A
          Fernandez Cordero X
        affil: Institute of Public Health, Madrid Health (Madrid Salud), Madrid City Council, (Ayuntamiento de Madrid) Spain
      sug:
        subj:
          Arthritis
          Chronic Disease Epidemiology
          Chronic Disease Psychosocial Factors
          Depression
          Quality of Life
          Adolescence
          Adult
          Aged
          Alzheimer's Disease
          Analysis of Covariance
          Chi Square Test
          Clinical Assessment Tools
          Comorbidity
          Cross Sectional Studies
          Data Analysis Software
          Descriptive Research
          Diabetes Mellitus
          Female
          Fisher's Exact Test
          Human
          Hypertension
          Interviews
          Male
          Middle Age
          Neoplasms
          Self Report
          Socioeconomic Factors
          Spain
          Structured Questionnaires
          Young Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: This study sought to ascertain to what degree health-related quality of life (HRQL) in the City of Madrid was affected by each of the most frequent chronic health conditions, and the specific quality-of-life (QL) domains on which such health conditions had the greatest impact, taking co-morbidity and socio-demographic variables into account. Methods: A descriptive, analytical, cross-sectional study was conducted covering 7341 subjects aged >=16 years in the City of Madrid. Data were collected on self-reported diagnosed morbidity, including hypertension, hypercholesterolaemia, varicose veins, diabetes, chronic asthma/bronchitis, myocardial infarction/angina pectoris, stomach problems, allergy, arthrosis/arthritis or rheumatism, depression/anxiety, cataracts, cerebrovascular accidents (CVACs), chronic constipation, osteoporosis and Alzheimer's disease or dementia. HRQL was measured using the COOP/WONCA questionnaire. The effects of diagnosis, age, social class, gender and the co-morbidity were analysed using a multivariate analysis of covariance (ANCOVA). Results: The chronic health conditions that registered the worst overall mean scores on the COOP/WONCA questionnaire were Alzheimer's disease or dementia, Parkinson's disease, fibromyalgia, CVACs and depression, with scores of over 26 points in all cases. After the introduction of socio-demographic variables in the model, the highest values of Snedecor's F-test corresponds to depression (F = 461.63), 'arthrosis/arthritis or rheumatism' (F = 175.41), Alzheimer's disease or dementia (F = 65.70), gastric disorders (F = 65.17), cancer (F = 43.08) and CVACs (F = 41.65). Conclusions: Depression and 'arthrosis/arthritis or rheumatism' are the two chronic health conditions, which have the greatest impact on HRQL in Madrid's citizens, therefore is mandatory to propose and implement public health strategies that would reduce the prevalence and morbidity of such disorders.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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