Hope and health-related quality of life among chronically ill uninsured/underinsured adults

被引：12

作者：

Wippold, Guillermo M. ^{[1
]}

Roncoroni, Julia ^{[2
]}

机构：

[1] Univ South Carolina, Dept Psychol, Columbia, SC 29208 USA

[2] Univ Denver, Dept Counseling Psychol, Denver, CO USA

来源：

JOURNAL OF COMMUNITY PSYCHOLOGY | 2020年 / 48卷 / 02期

关键词：

chronic illness; health disparity; health-related quality of life; hope; UNITED-STATES; UNMET NEED; MECHANICAL TURK; EMPOWERMENT; MORTALITY; INSURANCE; DISPARITIES; MODEL; CARE; VALIDATION;

D O I：

10.1002/jcop.22270

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Aims Uninsured/underinsured individuals with chronic health conditions report low health-related quality of life. Empowerment-based strategies (e.g., hope) may improve the health-related quality of life of uninsured/underinsured individuals with chronic health conditions by enabling them to take charge of their health. Methods The present study used structural equation modeling to examine the relationships among number of chronic health conditions, the components of hope (i.e., agency and pathways), and the health-related quality of life of 197 uninsured/underinsured adults in the United States living with at least one chronic health condition. Results Results indicate that number of chronic health conditions negatively impacted health-related quality of life and that agency significantly mediated that relationship. Conclusions Results from this study can be used to promote health-related quality of life by empowering individuals to take charge of their lives despite their unique contextual circumstances.

引用

页码：576 / 589

页数：14

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