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

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

Alternative title Impacto de las enfermedades crónicas en la calidad de vida de los adultos mayores en el estado de São Paulo, Brasil: estudio poblacional
Author Lima, Margareth Guimaraes Google Scholar
Barros, Marilisa Berti de Azevedo Google Scholar
Cesar, Chester Luiz Galvão Google Scholar
Goldbaum, Moisés Google Scholar
Carandina, Luana Google Scholar
Ciconelli, Rozana Mesquita Autor UNIFESP Google Scholar
Institution Universidade Estadual de Campinas (UNICAMP)
Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Abstract Objectives. To assess the impact of chronic disease and the number of diseases on the various aspects of health-related quality of life (HRQOL) among the elderly in Sao Paulo, Brazil.Methods. The SF-36 (R) 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 Sao 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 1958 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 (R) scales. HRQOL 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 (R) dimensions. The presence of three or more diseases significantly affected HRQOL 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 HRQOL 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 HRQOL among the elderly.
Keywords Health of the elderly
chronic disease
quality of life
Language English
Date 2009-04-01
Published in Revista Panamericana De Salud Publica-pan American Journal Of Public Health. Washington: Pan Amer Health Organization, v. 25, n. 4, p. 314-321, 2009.
ISSN 1020-4989 (Sherpa/Romeo, impact factor)
Publisher Pan Amer Health Organization
Extent 314-321
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000266912600005
SciELO ID S1020-49892009000400005 (statistics in SciELO)

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