Health-related quality of life and self-reported long-term conditions: a population-based survey

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dc.contributor.authorZimmermann, Ivan R.
dc.contributor.authorSilva, Marcus T.
dc.contributor.authorGalvao, Tais F.
dc.contributor.authorPereira, Mauricio G.
dc.date.accessioned2024-11-14T12:32:20Z
dc.date.available2024-11-14T12:32:20Z
dc.date.issued2017
dc.description.abstractObjective: 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.
dc.identifier.citationZimmermann 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.
dc.identifier.otherDOI: 10.1590/1516-4446-2015-1853
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/606
dc.language.isoen
dc.publisherRevista Brasileira de Psiquiatria.
dc.subjectDepressionen
dc.subjectchronic diseaseen
dc.subjecthealth status disparitiesen
dc.subjectquality of lifeen
dc.subjectpatient preferenceen
dc.titleHealth-related quality of life and self-reported long-term conditions: a population-based survey
dc.typeArticle
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