Journal article
Antecedents of Global Decline in Health-Related Quality of Life Among Middle-Aged African Americans
The journals of gerontology. Series B, Psychological sciences and social sciences, Vol.64B(2), pp.290-295
02/04/2009
DOI: 10.1093/geronb/gbn014
PMCID: PMC2655163
PMID: 19196694
Abstract
Objective We examined global declines in health-related quality of life (HRQoL) for a period of 3 years among the 998 participants in the African American Health (AAH) project. Methods The AAH is a population-based sample from two areas of metropolitan St. Louis. Global declines were defined as clinically important differences (CIDs) on four or more of the eight Short Form 36-Item scales. Individual CIDs were defined as drops of 0.5 SD or more from the baseline score. Multivariable logistic regression was used to identify antecedents of global decline. Results Fourteen percent (n = 117) of the 846 AAH subjects in the analysis demonstrated global declines in HRQoL. Five statistically significant risk factors were identified, including sampling strata (inner-city vs. suburban residence; adjusted odds ratio [AOR] = 2.06), cancer (AOR = 3.56), chronic obstructive pulmonary disease (AOR = 2.19), clinically relevant levels of depressive symptoms (AOR = 1.96), and incident (postbaseline) health conditions (1 [AOR = 1.71] and ≥2 [AOR = 3.09] vs. none). Conclusion Although these risk factors are for the most part nonmalleable, they can serve as markers of impending global HRQoL declines among late-middle-aged African Americans.
Details
- Title: Subtitle
- Antecedents of Global Decline in Health-Related Quality of Life Among Middle-Aged African Americans
- Creators
- Fredric D. Wolinsky - University of IowaTheodore K. Malmstrom - Saint Louis UniversityJ. Philip Miller - School of Medicine, Washington University, St. Louis, MissouriElena M. Andresen - University of Florida College of Public Health and Health ProfessionsMario Schootman - Washington University in St. LouisDouglas K. Miller - Indiana University
- Resource Type
- Journal article
- Publication Details
- The journals of gerontology. Series B, Psychological sciences and social sciences, Vol.64B(2), pp.290-295
- Publisher
- Oxford University Press
- DOI
- 10.1093/geronb/gbn014
- PMID
- 19196694
- PMCID
- PMC2655163
- ISSN
- 1079-5014
- eISSN
- 1758-5368
- Language
- English
- Date published
- 02/04/2009
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984363589302771
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