Health-related quality of life and self-reported long-term conditions: a population-based survey
Health-related quality of life and self-reported long-term conditions: a population-based survey
Data
2017
Autores
Zimmermann, Ivan R.
Silva, Marcus T.
Galvao, Tais F.
Pereira, Mauricio G.
Journal Title
Journal ISSN
Volume Title
Publisher
Revista Brasileira de Psiquiatria.
Resumo
Objective: To estimate and compare the effect of self-reported long-term health conditions and
sociodemographic factors on perceived health-related quality of life (HRQoL).
Methods: A population-based survey of adults (18 to 65 years) living in Brasilia, Brazil, was conducted
in 2012. Descriptive and multivariate analyses using a Tobit model were performed with data on
sociodemographic variables, self-reported conditions, and the European Quality of Life-5 Dimensions
(EQ-5D) health states, providing utility scores (preferred health state) between 0 and 1 for HRQoL
estimates.
Results: The mean utility of 1,820 adults interviewed (mean age: 38.4612.6 years) was 0.883 (95%
confidence interval [95%CI] 0.874-0.892), with 76.2% in the highest utility range (0.8 to 1.0). EQ-5D
dimensions with moderate problems were pain/discomfort (33.8%) and anxiety/depression (20.5%).
Serious problems were reported by only 0.3% of the sample in the mobility and self-care domain and
by 3.1% in the pain/discomfort domain. Multivariate analysis revealed reduced HRQoL in individuals
with depression, diabetes, and hypertension. Living in satellite towns (outside the city core), belonging
to a lower economic class, or not being formally employed were also associated with decreased
HRQoL. Beta coefficients for these impacts ranged from -0.033 (not formally employed) to -0.141
(depression), reflecting the strongest impact.
Conclusion: Of the long-term health conditions studied, depression had the greatest impact on
HRQoL. Social class, employment status, and place of residence also affected HRQoL.
Description
Palavras-chave
Depression, chronic disease, health status disparities, quality of life, patient preference
Citação
Zimmermann IR, Silva MT, Galvao TF, Pereira MG. Health-related quality of life and self-reported long-term conditions: a population-based survey. Braz J Psychiatry. 2017 Jan-Mar;39(1):62-68. doi: 10.1590/1516-4446-2015-1853.