Impact of chronic disease on quality of life among the elderly in the state of Sao Paulo, Brazil: A population-based study

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dc.contributor.authorLima, Margareth Guimarães
dc.contributor.authorDe Azevedo Barros, Marilisa Berti
dc.contributor.authorCésar, Chester Luiz Galvão
dc.contributor.authorGoldbaum, Moises
dc.contributor.authorCarandina, Luana [UNESP]
dc.contributor.authorCiconelli, Rozana Mesquita
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2014-05-27T11:23:53Z
dc.date.available2014-05-27T11:23:53Z
dc.date.issued2009-04-01
dc.description.abstractObjectives. To assess the impact of chronic disease and the number of diseases on the various aspects of health-related quality of life (HROOL) among the elderly in Såo Paulo, Brazil. Methods. The SF-36® Health Survey was used to assess the impact of the most prevalent chronic diseases on HRQOL. A cross-sectional and population-based study was carried out with two-stage stratified cluster sampling. Data were obtained from a multicenter health survey administered through household interviews in several municipalities in the state of São Paulo. The study evaluated seven diseases - arthritis, back-pain, depression/anxiety, diabetes, hypertension, osteoporosis, and stroke - and their effects on quality of life. Results. Among the 1 958 elderly individuals (60 years of age or older), 13.6% reported not having any of the illnesses, whereas 45.7% presented three or more chronic conditions. The presence of any of the seven chronic illnesses studied had a significant effect on the scores of nearly all the SF-36® scales. HROOL achieved lower scores when related to depression/ anxiety, osteoporosis, and stroke. The higher the number of diseases, the greater the negative effect on the SF-36® dimensions. The presence of three or more diseases significantly affected HROOL in all areas. The bodily pain, general health, and vitality scales were the most affected by diseases. Conclusions. The study detected a high prevalence of chronic diseases among the elderly population and found that the degree of impact on HROOL depends on the type of disease. The results highlight the importance of preventing and controlling chronic diseases in order to reduce the number of comorbidities and lessen their impact on HROOL among the elderly.en
dc.description.affiliationDepartment of Preventive and Social Medicine School of Medical Sciences Universidade Estadual de Campinas, São Paulo
dc.description.affiliationDepartamento de Medicina Preventiva e Social Faculdade de Ciências Médicas Unicamp, Caixa postal 6111, Campinas, SP, 13083-970
dc.description.affiliationDepartment of Epidemiology School of Public Health Universidade de São Paulo, São Paulo
dc.description.affiliationDepartment of Preventive Medicine School of Medicine Universidade de São Paulo, São Paulo
dc.description.affiliationDepartment of Public Health Botucatu School of Medicine Universidade Estadual Paulista, Botucatu
dc.description.affiliationDepartment of Medicine Universidade Federal de Saão Paulo
dc.description.affiliationUnespDepartment of Public Health Botucatu School of Medicine Universidade Estadual Paulista, Botucatu
dc.format.extent314-321
dc.identifierhttp://dx.doi.org/10.1590/S1020-49892009000400005
dc.identifier.citationRevista Panamericana de Salud Publica/Pan American Journal of Public Health, v. 25, n. 4, p. 314-321, 2009.
dc.identifier.doi10.1590/S1020-49892009000400005
dc.identifier.fileS1020-49892009000400005.pdf
dc.identifier.issn1020-4989
dc.identifier.issn1680-5348
dc.identifier.scieloS1020-49892009000400005
dc.identifier.scopus2-s2.0-67949098678
dc.identifier.urihttp://hdl.handle.net/11449/70969
dc.language.isoeng
dc.relation.ispartofRevista Panamericana de Salud Publica - Pan American Journal of Public Health
dc.relation.ispartofjcr0.784
dc.relation.ispartofsjr0,452
dc.relation.ispartofsjr0,452
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectBrazil
dc.subjectChronic disease
dc.subjectHealth of the elderly
dc.subjectQuality of life
dc.subjectdiabetes
dc.subjectdisease control
dc.subjectdisease prevalence
dc.subjectdisease severity
dc.subjectelderly population
dc.subjecthealth impact
dc.subjecthealth survey
dc.subjecthypertension
dc.subjectpublic health
dc.subjectquality of life
dc.subjectstroke
dc.subjectaged
dc.subjectchronic disease
dc.subjectcross-sectional study
dc.subjectfemale
dc.subjecthuman
dc.subjectmale
dc.subjectmiddle aged
dc.subjectquestionnaire
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectChronic Disease
dc.subjectCross-Sectional Studies
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectQuality of Life
dc.subjectQuestionnaires
dc.subjectSao Paulo [Brazil]
dc.subjectSouth America
dc.titleImpact of chronic disease on quality of life among the elderly in the state of Sao Paulo, Brazil: A population-based studyen
dc.typeArtigo
dcterms.licensehttp://www.scielosp.org/revistas/rpsp/paboutj.htm#Copyright
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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