Socioeconomic status and health-related quality of life among adults and older with overactive bladder

被引:7
|
作者
Kosilov, Kirill [1 ,2 ]
Loparev, Sergay [3 ]
Kuzina, Irina [1 ]
Kosilova, Liliya [4 ]
Prokofyeva, Alexandra [1 ]
机构
[1] Far Eastern Fed Univ, Sch Humanities, Dept Social Sci, Vladivostok, Primorsky Regio, Russia
[2] Far Eastern Fed Univ, Dept Fundamental Med, Vladivostok, Primorsky Regio, Russia
[3] City Polyclin 3, Dept Urol, Vladivostok, Russia
[4] Med Assoc 2 Vladivostok City, Dept Funct Methods Examinat, Vladivostok, Russia
关键词
public health; health care system; health system reform; elderly; specific populations; TRACT SYMPTOMS LUTS; URINARY-INCONTINENCE; PREVALENCE; EPIDEMIOLOGY; OAB; EDUCATION; CONSEQUENCES; SOLIFENACIN; VALIDATION; BOTHER;
D O I
10.1093/intqhc/mzy163
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
To study the effect of socioeconomic status (SES) on health-related quality of life (HRQoL) among persons with overactive bladder (OAB). A randomized HRQoL study was conducted from the year 2014 until the year 2016 based on the OAB pathology department of the regional clinical diagnostics center. The medical institutions where the study was conducted had outpatient care. The simple response frequency was 81%. A total of 1893 men and women with OAB aged 3585 (average 58.3 years) were selected by blind random sampling. Included into the group of examined individuals were persons who diagnosis provided after the examination was OAB. Evaluation of HRQoL was conducted using the SF-6D questionnaire. The OAB diagnosis was confirmed using the OAB-questionnaire and uroflowmetry. We hypothesized that the impact of SES on the HRQoL of patients with OAB has significant features. Described for the first time were HRQoL measures in various SES levels within different ages of people suffering from OAB. The strongest relationship was identified between education level, professional activity and HRQoL measures; meanwhile the weakest relationship was between income and HRQoL measures. We also confirmed the efficiency of evaluating HRQoL while using SF-6D and SRH as an external standard. The improvement of HRQoL in persons with OAB is contingent upon increment in their level of awareness about the methods of OAB treatment and the effectiveness of treatment for severe symptoms of LUT pathology, increased social support and, possibly, physical activity.
引用
收藏
页码:289 / 297
页数:9
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