Health-Related Quality of Life in a Low-Socioeconomic Status Public Rental-Flat Population in Singapore

被引:11
作者
Wee, Liang En [1 ]
Daniel, Peter [2 ]
Sim, Aline [2 ]
Lee, Rui [2 ]
Tay, Sook Muay [3 ]
Luo, Nan [4 ]
Koh, Gerald Choon-Huat [4 ]
机构
[1] Singapore Gen Hosp, Singhlth Internal Med Residency, 167 Jalan Bukit Merah 17-10 Tower 5, Singapore 150167, Singapore
[2] Natl Univ Singapore, Natl Univ Hlth Syst, Yong Loo Lin Sch Med, Singapore, Singapore
[3] Singapore Gen Hosp, Dept Anesthesia, Singapore, Singapore
[4] Natl Univ Singapore, Natl Univ Hlth Syst, Saw Swee Hock Sch Publ Hlth, Singapore, Singapore
关键词
Health-related quality of life; Low income; Socioeconomic status; Anxiety; SELF-REPORT QUESTIONNAIRE; RHEUMATIC-DISEASES; RATED HEALTH; COMMUNITY; CARE; PERCEPTIONS; RELIABILITY; MORTALITY; VALIDITY; EQ-5D-5L;
D O I
10.1007/s11482-017-9519-6
中图分类号
C [社会科学总论];
学科分类号
03 ; 0303 ;
摘要
Health-related quality of life (HRQoL) is a well-established measure of health and general well-being. Socioeconomic status (SES) can affect HRQoL. We sought to determine whether there were differences in HRQoL between low versus higher area-SES flat communities in Singapore. Residents in two integrated public housing precincts comprising of rental-flat blocks (low area-SES neighborhood) and neighboring owner-occupied blocks (higher area-SES neighborhood) were asked to rate their self-perceived HRQoL using the EuroQol Group five dimensions (EQ-5D) instrument. The EQ-5D assesses HRQoL in five domains (mobility, self-care, usual activities, anxiety/mood and pain) and with a global visual analogue scale (EQ-VAS). We evaluated differences in HRQoL between the rental and owner-occupied neighborhoods, and factors associated with anxiety/depression in the rental-flat neighborhood using multivariate logistic regression. The participation rate was 89.1% (634/711). In the owner-occupied neighborhood, 56.7% (216/381) were in full health, compared with 54.2% (137/253) in the rental-flat population (OR = 0.90, 95%CI = 0.66-1.24, p = 0.568). Across the five domains, staying in a rental-flat neighborhood was independently associated with anxiety/depression (adjusted odds ratio [aOR] = 1.79, 95%CI = 1.10-2.92, p = 0.019). In the rental-flat population, having anxiety/depression was independently associated with minority ethnicity, problems with self -care, pain/discomfort, difficulty with healthcare costs, and not being on subsidized primary care (p < 0.05). There was no significant difference on the EQ-VAS between the two neighborhoods (p = 0.627). Staying in a low area-SES neighborhood was associated with more mental health problems. In the rental-flat population, self-reported anxiety/depression was associated with minority ethnicity, physical health problems, and financial disadvantage in healthcare.
引用
收藏
页码:179 / 195
页数:17
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