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Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional study
Satar Rezaei, Mohammad Hajizadeh, Ali Kazemi, Masoud Khosravipour, Farid Khosravi, Shahab Rezaeian
Epidemiol Health. 2017;39:e2017038.   Published online August 15, 2017
DOI: https://doi.org/10.4178/epih.e2017038
  • 13,777 View
  • 224 Download
  • 15 Web of Science
  • 11 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
This study aimed to measure the level and determinants of health-related quality of life (HRQoL) in adults in Kermanshah, a city in the western region of Iran.
METHODS
Convenience sampling was employed to obtain a sample of 998 adults aged 18 years and older (646 males and 352 females) in the city of Kermanshah. A 2-part self-administered questionnaire was used to collect data over the period between March 1 and May 30, 2017. The first part was designed to collect information on socio-demographic characteristics, socioeconomic status, and lifestyle factors (10 items). The second part consisted of the EuroQoL 5-dimensions (EQ-5D) EuroQoL-3-level and the EuroQoL visual analog scale (EQ-VAS) questions. A multiple linear regression model was used to determine the factors associated with the EQ-5D index and EQ-VAS score among study participants.
RESULTS
The mean values for the EQ-5D index and the EQ-VAS score were 0.74 (standard deviation [SD], 0.19) and 80.9 (SD, 16.5), respectively. The highest percentage of self-reported problems (‘some’ and ‘severe’ problems) across the 5 dimensions of the EQ-5D index were associated with the dimensions of anxiety/depression (35.3%) and pain/discomfort (32.9%). The percentage of self-reported problems for the dimensions of usual activities, mobility, and self-care were 19.0, 12.8, and 8.9%, respectively. Our regression analyses indicated that there were statistically significant positive associations between being physically active, monthly household income per capita, and post-secondary education and the EQ-5D index and EQ-VAS score. In contrast, negative associations were found between older age, being married, having a chronic disease, and smoking and the EQ-5D index and EQ-VAS score. A negative association was also found between being uninsured and the EQ-5D index.
CONCLUSIONS
Our findings suggest that interventions aiming to improve physical activity, to prevent chronic diseases, and to reduce the smoking rate among adults living in the city of Kermanshah may improve their HRQoL.
Summary

Citations

Citations to this article as recorded by  
  • Health-Related Quality of Life Revealed Through Patient-Reported Outcomes
    Arzu Demircioğlu, Özden Özkal, Osman Dağ
    Bariatric Surgical Practice and Patient Care.2023; 18(1): 49.     CrossRef
  • Health-related quality of life variation by socioeconomic status: Evidence from an Iranian population-based study
    Sulmaz Ghahramani, Maryam Hadipour, Payam Peymani, Sahar Ghahramani, KamranB Lankarani
    Journal of Education and Health Promotion.2023; 12(1): 287.     CrossRef
  • Socio-economic correlates of quality of life in single and married urban individuals: a Polish case study
    Daniel Puciato, Michał Rozpara, Marek Bugdol, Barbara Mróz-Gorgoń
    Health and Quality of Life Outcomes.2022;[Epub]     CrossRef
  • Estimating population norms for the health-related quality of life of adults in southern Jiangsu Province, China
    Wei Hu, Liang Zhou, Jiadong Chu, Na Sun, Xuanli Chen, Siyuan Liu, Yueping Shen
    Scientific Reports.2022;[Epub]     CrossRef
  • Association of smoking status and health-related quality of life: difference among young, middle-aged, and older adults in Shandong, China
    Zhengyue Jing, Jie Li, Yi Wang, Yemin Yuan, Dan Zhao, Wenting Hao, Caiting Yu, Chengchao Zhou
    Quality of Life Research.2021; 30(2): 521.     CrossRef
  • Calidad de vida relacionada a salud y alfabetización en salud en pacientes adultos en centros de atención primaria con afiliación al régimen subsidiado o contributivo en Colombia
    Shea M. Lemley, Sergio Castro-Díaz, Leonardo Cubillos, Fernando Suárez-Obando, William C. Torrey, José Miguel Uribe-Restrepo, Makeda Williams, Lisa A. Marsch, Carlos Gómez-Restrepo
    Revista Colombiana de Psiquiatría.2021; 50: 23.     CrossRef
  • Health-related quality of life and health literacy among adult primary care patients with subsidized or contributive health insurance in Colombia
    Shea M. Lemley, Sergio Castro-Diaz, Leonardo Cubillos, Fernando Suárez-Obando, William C. Torrey, José Miguel Uribe-Restrepo, Makeda Williams, Lisa A. Marsch, Carlos Gómez-Restrepo
    Revista Colombiana de Psiquiatría (English ed.).2021; 50: 22.     CrossRef
  • Poor health-related quality of life in Iran: decomposition analysis of affecting factors
    Ali Kazemi Karyani, Satar Rezaei, Behzad Karami Matin, Saeed Amini
    International Journal of Human Rights in Healthcare.2019; 12(1): 28.     CrossRef
  • Social Determinants of Health-Related Quality of Life among Residents in Zhejiang and Qinghai, China
    Yuxuan Gu, Hao Zhang, Shahmir H. Ali, Minzhuo Huang, Jingming Wei, Shuyan Gu, Xuemei Zhen, Xiaoqian Hu, Xueshan Sun, Hengjin Dong
    International Journal of Environmental Research and Public Health.2019; 16(8): 1314.     CrossRef
  • What Explains Socioeconomic Inequality in Health-related Quality of Life in Iran? A Blinder-Oaxaca Decomposition
    Satar Rezaei, Mohammad Hajizadeh, Yahya Salimi, Ghobad Moradi, Bijan Nouri
    Journal of Preventive Medicine and Public Health.2018; 51(5): 219.     CrossRef
  • Depression and Its Association with Health-Related Quality of Life in Postmenopausal Women in Korea
    Hyejin Park, Kisok Kim
    International Journal of Environmental Research and Public Health.2018; 15(11): 2327.     CrossRef
Self-reported health-related quality of life (HRQoL) and factors affecting HRQoL among individuals with health insurance in Iran
Ali Kazemi Karyani, Arash Rashidian, Sarar Emamgholipour Sefiddashti, Ali Akbari Sari
Epidemiol Health. 2016;38:e2016046.   Published online October 26, 2016
DOI: https://doi.org/10.4178/epih.e2016046
  • 14,098 View
  • 235 Download
  • 25 Web of Science
  • 25 Crossref
AbstractAbstract AbstractSummary PDF
Abstract
OBJECTIVES
The aim of this study was to measure the health-related quality of life (HRQoL) and to evaluate the factors affecting HRQoL in individuals with health insurance in Tehran, Iran.
METHODS
A cross-sectional analytical study was conducted using the 3-level EuroQol 5-dimensions (EQ-5D) questionnaire. In order to estimate the determinants of HRQoL, information about participants’ demographic, socioeconomic, and health status was gathered. The cluster sampling technique was used to collect data from May to June, 2016. The chi-square test and weighted least squares method were employed for data analysis. Data were analyzed using Stata version 11.0.
RESULTS
A total of 600 Iranians with insurance completed the study, of whom 327 (54.5%) were male and 273 (45.5%) were female. The mean age of the participants was 41.48 years (standard deviation [SD], 14.60 years). Meanwhile, the mean duration of education was 12.36 years (SD, 4.68 years). The mean EQ-5D score was 0.74 (SD, 0.16). The most common health problems in the participants were anxiety/depression (42.3%), followed by pain/discomfort (39.2%). Sex, age, years of schooling, income, chronic disease, and body mass index had a significant effect on HRQoL (p<0.05). Healthy insured individuals, on average, had a HRQoL score 0.119 higher than that of people with a chronic disease, all else being equal (p<0.001).
CONCLUSIONS
Among all determinants of HRQoL, chronic disease was found to be the highest priority for interventions to improve the health status of Iranians with insurance. This finding can help policymakers and health insurance organizations improve their planning to promote the HRQoL of individuals with insurance and society as a whole in Iran.
Summary
Korean summary
본 연구는 만 19세 이상의 한국 성인 동성애자와 양성애자를 대상으로 이들의 건강상태에 대한 설문조사를 시행하고, 수집한 자료를 분석하여 동성애자•양성애자의 건강불평등 실태를 파악하고자 하였다. 본 연구의 목적은 자가평가건강, 정신건강(우울, 자살생각 및 자살시도), 신체적 건강(근골격계 통증) 및 건강관련행동(흡연율, 위험음주율)을 포함하여 다양한 측면에서 한국 성인 동성애자•양성애자와 일반인구집단의 건강수준을 비교하는 것이다.

Citations

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    Expert Review of Pharmacoeconomics & Outcomes Research.2024; : 1.     CrossRef
  • The association between Patient Assessment of Chronic Illness Care Scores and quality of life in type 2 diabetes patients
    Gülçin Akan, Asiye Kartal
    Journal of Research in Nursing.2023; 28(3): 199.     CrossRef
  • Comparative effectiveness of safety planning intervention with instrumental support calls (ISC) versus safety planning intervention with two-way text message caring contacts (CC) in adolescents and adults screening positive for suicide risk in emergency d
    Anna K. Radin, Jenny Shaw, Siobhan P. Brown, Hilary Flint, Tara Fouts, Elizabeth McCue, Anton Skeie, Cecelia Peña, Jonathan Youell, Anna Ratzliff, Diane M. Powers, Matthew Biss, Hannah Lemon, Daniel Sandoval, Jennifer Hartmann, Elizabeth Hammar, Amelia Do
    Contemporary Clinical Trials.2023; 131: 107268.     CrossRef
  • Health-related quality of life variation by socioeconomic status: Evidence from an Iranian population-based study
    Sulmaz Ghahramani, Maryam Hadipour, Payam Peymani, Sahar Ghahramani, KamranB Lankarani
    Journal of Education and Health Promotion.2023; 12(1): 287.     CrossRef
  • Assessment of quality of life and its affecting factors in osteosarcopenic individuals in the Iranian older adult population: Bushehr Elderly Health (BEH) program
    Amir Mohammad Vahdani, Mahnaz Sanjari, Noushin Fahimfar, Mahbube Ebrahimpur, Gita Shafiee, Kazem Khalagi, Mohammad Javad Mansourzadeh, Iraj Nabipour, Bagher Larijani, Afshin Ostovar
    Osteoporosis and Sarcopenia.2023; 9(4): 142.     CrossRef
  • Health-Related Quality of Life Among Pregnant Women With Pre-pregnancy Smoking and Smoking Cessation During Pregnancy in China: National Cross-sectional Study
    Kadi Hu, Shiqian Zou, Casper JP Zhang, Huailiang Wu, Babatunde Akinwunmi, Zilian Wang, Wai-Kit Ming
    JMIR Public Health and Surveillance.2022; 8(1): e29718.     CrossRef
  • Socioeconomic status and self-rated health in Iran: findings from a general population study
    Soraya Nouraei Motlagh, Zahra Asadi Piri, Heshmatollah Asadi, Razyeh Bajoulvand, Satar Rezaei
    Cost Effectiveness and Resource Allocation.2022;[Epub]     CrossRef
  • Health-related quality of life among adult patients with visual impairments in Yazd, Iran
    Mehdi Raadabadi, Sara Emamgholipour, Rajabali Daroudi, Farzan Madadizadeh, Amirreza Veisi
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  • Quality of Life Among Geriatric Community Members Following the Kaohsiung Gas Explosion: A 5-Year Cross-Sectional Study
    Wei-Tse Hsu, Han-Yun Chang, Guijing Lin, Huei-Wen Angela Lo, Joh-Jong Huang, Che-hun Liao, Pei-Jen Wu, Frank Huang-Chin Chou
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    Revista Colombiana de Psiquiatría.2021; 50: 23.     CrossRef
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    Revista Colombiana de Psiquiatría (English ed.).2021; 50: 22.     CrossRef
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  • Rate of psychiatric disorders and associations with quality of life among community members following the Kaohsiung gas explosion: an 18-month cross-sectional follow-up study
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  • Poor quality of life as a predictor of survival among thalassemia patients in Iran
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