Health related quality of life in pregeriatric patients with chronic diseases at urban, public supported clinics
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Health related quality of life in pregeriatric patients with chronic diseases at urban, public supported clinics Lee Cheng, Salimah Cumber, Carlos Dumas, Ronald Winter, Kim M Nguyen and Linda Z Nieman* Address: Department of Family Practice & Community Medicine, The University of Texas Health Science Center at Houston Medical School, Houston, Texas, USA Email: Lee Cheng - [email protected]; Salimah Cumber - [email protected]; Carlos Dumas - [email protected]; Ronald Winter - [email protected]; Kim M Nguyen - [email protected]; Linda Z Nieman* - [email protected] * Corresponding author
Published: 31 October 2003 Health and Quality of Life Outcomes 2003, 1:63
Received: 25 August 2003 Accepted: 31 October 2003
This article is available from: http://www.hqlo.com/content/1/1/63 © 2003 Cheng et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
Abstract Background: Understanding health-related quality of life (HRQOL) leads to more effective and focused healthcare. America's growing health disparities makes it is increasingly necessary to understand the HRQOL of pregeriatric individuals who are now 55–64 years old, i.e. before they are eligible for federally mandated health care at age 65. Our study measured the self-perceived HRQOL of pregeriatric, poor patients with multiple chronic diseases treated at 2 public clinics. Methods: Consecutive patients aged 55–64 years, many with multiple chronic diseases, responded in an interview to the 36-Item Short-Form Health Survey (SF–36) as a general measure of HRQOL during a regular visit to one of two university-staffed urban public clinics. Results: The perceived physical and mental functioning of 316 pregeriatric patients was tabulated from SF–36 scores to yield their HRQOL. Their scores were statistically significantly lower than those of the general US pregeriatric population and lower than averages for US patients with multiple chronic diseases. All eight subscale scores of SF–36 were 16% to 36% lower compared with the averages of the general US pregeriatric population. Further, as the number of chronic diseases increased, the lower was the HRQOL. Lower physical and mental scores were associated with a lower income, unemployment, and higher numbers of multiple chronic diseases. Conclusion: Chronic diseases have a powerful negative impact on perceived mental and physical functioning in pregeriatric patients. HRQOL information can assist health care providers to gain a more complete picture of their pregeriatric patients' health.
Background Studies have shown that the way patients view their personal quality of health and functioning can help medical researchers and practitioners understand the degree to which medical decisions are effective and the desired health outcomes are achieved [1–5]. Furthermore, patients' perceptions of the
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