Chronic diseases and socioeconomic inequalities in quality of life among Brazilian adults: findings from a population-based study in Southern Brazil.
Background To evaluate the association between sociodemographic conditions and the quality of life (QoL) in adults and investigate whether these inequalities are greater among individuals with long-lasting chronic health conditions. Methods Cross-sectional analysis of the second wave (2012) of the E...
| Publicado en: | European Journal of Public Health Vol. 28; no. 4; pp. 603 - 611 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Aug2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130875395&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130875395 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Aug2018 vid: 28 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 130875395 130875395 130875395 10.1093/eurpub/ckx224 130875395 ppf: 603 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Chronic diseases and socioeconomic inequalities in quality of life among Brazilian adults: findings from a population-based study in Southern Brazil. aug: au: Höfelmann, Doroteia A Gonzalez-Chica, David A Peres, Karen Glazer Boing, Antonio Fernando Peres, Marco Aurelio affil: Post-Graduate Program in Public Health, Department of Nutrition, Universidade Federal do Paraná, Curitiba, PR, Brazil sug: subj: Socioeconomic Factors Brazil Quality of Life Brazil Chronic Disease Brazil Health Status Disparities Brazil Brazil Human Cross Sectional Studies Prospective Studies Clinical Assessment Tools Descriptive Statistics Male Female Adult Middle Age Confidence Intervals Race Factors Age Factors Black Persons Income Educational Status Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background To evaluate the association between sociodemographic conditions and the quality of life (QoL) in adults and investigate whether these inequalities are greater among individuals with long-lasting chronic health conditions. Methods Cross-sectional analysis of the second wave (2012) of the EpiFloripa Study, a population-based cohort of 1720 adults living in Southern Brazil. QoL domains (physical, psychological, social relationships and environmental) were evaluated using the WHOQoL-BREF. Unadjusted and adjusted means of QoL according to socioeconomic and demographic variables were estimated and stratified by the presence of long-lasting chronic conditions (heart disease, stroke, diabetes, hypertension, chronic kidney disease, cirrhosis, tendinitis, arthritis, rheumatism and/or fibromyalgia) were peformed in 2016. Results Among 1222 interviewed adults (56.6% females, mean age 41.7 ± 11.4 years; follow-up rate 71.1%), the prevalence of 1+ long-lasting chronic disease was 37.3% (95%CI: 34.4–40.3). Their effect on the QoL was four times higher on the physical component (−9.6; 95%CI −12.1; −7.1) than on the other domains. Adults aged 40+ years with black skin colour or lower educational level had a lower physical QoL score only when any chronic disease was present. Among those with some chronic illness, the psychological domain was also lower among those aged 40+ years and with a lower family income. No interaction between sociodemographic variables and chronic diseases was observed for the other QoL domains. Conclusions The occurrence of long-lasting chronic diseases is associated with inequalities in QoL (physical and psychological domains), with stronger adverse effects among older adults, blacks and individuals with lower income or educational levels. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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