Cent Eur J Public Health 2011, 19(1):7-12 | DOI: 10.21101/cejph.a3636
Health-Related Quality of Life: a Population Based Study from Slovenia
- 1 Department of family medicine, Medical school, University of Maribor, Slovenia
- 2 Department of family medicine, Medical school, University of Ljubljana, Slovenia
Objectives: Health status is represented by people's subjective assessment of their sense of well-being and ability to perform social roles and has been well accepted as a health indicator of different populations. The aim of this study was to determine health-related quality of life in Slovenian population.
Methods: We performed a cross-sectional postal survey in a random stratified sample of 1,000 adult Slovenian inhabitants. The questionnaire consisted of the respondents' demographic data (sex, age, education level, employment status, living environment), self-reported chronic conditions, self-reported use of health services and EQ-5D instrument for measuring quality of life.
Results: The response rate was 41% (53.1% men, mean age 51.5 years). Respondents reported most problems in the pain dimension of EQ-5D (59.3%), following by mobility (30.4%), anxiety/depression (30.3%), daily activities (29.8%) and self-care (9.0%). At least one moderate problem was reported by 272 (66.3%) respondents. Independent factors, associated with problems in any EQ-5D dimension were primary and vocational education, older age, high blood pressure, rheumatic diseases, back problems, anxiety/depression, a visit to the emergency department in the past year, and a house visit from a family doctor in the past year.
Conclusions: The present study showed that the health-related quality of life of the Slovenian inhabitants is lower than the one found in some other European countries. This finding is surprising and also worrying. Because we cannot find any perceptible reason for this observation, larger and prospective studies are needed to confirm those results and to determine the reasons for that.
Klíčová slova: cross-sectional survey, health care utilization, chronic diseases, primary care, quality of life
Vloženo: 11. srpen 2010; Revidováno: 7. prosinec 2010; Přijato: 7. prosinec 2010; Zveřejněno: 1. březen 2011 Zobrazit citaci
Reference
- Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83.
Přejít k původnímu zdroji...
- Wang HM, Beyer M, Gensichen J, Gerlach FM. Health-related quality of life among general practice patients with differing chronic diseases in Germany: cross sectional survey. BMC Public Health. 2008 Jul 21;8:246.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Kersnik J, Vodopivec-Jamsek V. Health status of family practice patients in Slovenia. Zdrav Vestn. 2001;70:203-5. (In Slovene.)
- Suominen-Taipale AL, Koskinen S, Martelin T, Holmen J, Johnsen R. Differences in older adults' use of primary and specialist care services in two Nordic countries. Eur J Public Health. 2004 Dec;14(4):375-80.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Redondo-SendinoA, Guallar-Castillón P, Banegas JR, Rodríguez-Artalejo F. Gender differences in the utilization of health-care services among the older adult population of Spain. BMC Public Health. 2006 Jun 16;6:155.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Vegda K, Nie JX, Wang L, Tracy CS, Moineddin R, Upshur RE. Trends in health services utilization, medication use, and health conditions among older adults: a 2-year retrospective chart review in a primary care practice. BMC Health Serv Res. 2009 Nov 30;9:217.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Lam CL, Lauder IJ. The impact of chronic diseases on the health-related quality of life (HRQOL) of Chinese patients in primary care. Fam Pract. 2000 Apr;17(2):159-66.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Dominick KL,Ahern FM, Gold CH, Heller DA. Health-related quality of life and health service use among older adults with osteoarthritis.Arthritis Rheum. 2004 Jun 15;51(3):326-31.
Přejít na PubMed...
- Rosemann T, Joos S, Szecsenyi J, Laux G, Wensing M. Health service utilization patterns of primary care patients with osteoarthritis. BMC Health Serv Res. 2007 Oct 23;7:169.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Saarni SI, Suvisaari J, Sintonen H, Pirkola S, Koskinen S, Aromaa A, et al. Impact of psychiatric disorders on health-related quality of life: general population survey. Br J Psychiatry. 2007 Apr;190:326-32.
Přejít k původnímu zdroji...
Přejít na PubMed...
- König HH, Bernert S, Angermeyer MC. Health status of the German population: results of a representative survey using the EuroQol questionnaire. Gesundheitswesen. 2005 Mar;67(3):173-82. (In German.)
Přejít k původnímu zdroji...
Přejít na PubMed...
- White KL, Williams TF, Greenberg BG. The ecology of medical care. N Engl J Med. 1961 Nov 2;265:885-92.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Green LA, Fryer GE Jr, Yawn BP, Lanier D, Dovey SM. The ecology of medical care revisited. N Engl J Med. 2001 Jun 28;344(26):2021-5.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Kind P, Dolan P, Gudex C, Williams A. Variations in population health status: results from a United Kingdom national questionnaire survey. BMJ. 1998 Mar 7;316(7133):736-41.
Přejít k původnímu zdroji...
Přejít na PubMed...
- The EuroQol Group. EuroQol - a new facility for the measurement of health-related quality of life. Health Policy. 1990 Dec;16(3):199-208.
Přejít k původnímu zdroji...
- König HH, Bernert S, Angermeyer MC, Matschinger H, Martinez M, Vilagut G; ESEMeD/MHEDEA2000 Investigators. Comparison of population health status in six european countries: results of a representative survey using the EQ-5D questionnaire. Med Care. 2009 Feb;47(2):255-61.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Kwaśniewska M, Bielecki W, Drygas W. Sociodemographic and clinical determinants of quality of life in urban population of Poland. Cent Eur J Public Health. 2004 Jun;12(2):63-8.
- Statistical institute of Slovenia [Internet]. Ljubljana: Statistical institute of Slovenia [updated 2009 Jul 31; cited 2010 Dec 15]. Available from: http://www.stat.si/novica_prikazi.aspx?id=2505. (In Slovene.)
- Statistical institute of Slovenia [Internet]. Ljubljana: Statistical institute of Slovenia [updated 2005 Jul 7; cited 2010 Dec 15]. Available from: http://www.stat.si/novice_poglej.asp?ID=630. (In Slovene.)
- Statistical institute of Slovenia [Internet]. Ljubljana: Statistical institute of Slovenia [updated 2006 Jun 2; cited 2010 Dec 15]. Available from: http://www.stat.si/novica_prikazi.aspx?id=2260. (In Slovene.)
- Seifert B, Svab I, Madis T, Kersnik J, Windak A, Steflova A, et al. Perspectives of family medicine in Central and Eastern Europe. Fam Pract. 2008 Apr;25(2):113-8.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Markota M, Svab I, Sarazin Klemencic K, Albreht T. Slovenian experience on health care reform. Croat Med J. 1999 Jun;40(2):190-4.
- Daniilidou NV, Gregory S, Kyriopoulos JH, Zavras DJ. Factors associated with self-rated health in Greece: a population-based postal survey. Eur J Public Health. 2004 Jun;14(2):209-11.
Přejít k původnímu zdroji...
- Lim WY, Ma S, Heng D, Bhalla V, Chew SK. Gender, ethnicity, health behaviour & self-rated health in Singapore. BMC Public Health. 2007 Jul 27;7:184.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Splíchalová A, Tomásková H, Slachtová H. Risks of different selfapproach to health in an industrial city population. Cent Eur J Public Health. 2003 Sep;11(3):142-8.
- Eriksson I, Undén AL, Elofsson S. Self-rated health. Comparisons between three different measures. Results from a population study. Int J Epidemiol. 2001 Apr;30(2):326-33.
Přejít k původnímu zdroji...
- Idler EL, BenyaminiY. Self-rated health and mortality: a review of twentyseven community studies. J Health Soc Behav. 1997 Mar;38(1):21-37.
Přejít k původnímu zdroji...
- Kasmel A, Helasoja V, Lipand A, Prättälä R, Klumbiene J, Pudule I. Association between health behaviour and self-reported health in Estonia, Finland, Latvia and Lithuania. Eur J Public Health. 2004 Mar;14(1):32-6.
Přejít k původnímu zdroji...
- Brooks R. EuroQol: the current state of play. Health Policy. 1996 Jul;37(1):53-72.
Přejít k původnímu zdroji...
- Randolph JJ, Virnes M, Jormanainen I, Eronen PJ. The Effects of a computer-assisted interview tool on data quality. Educ Technol Soc. 2006;9:195-205.
Přejít k původnímu zdroji...