Health-related quality of life of irritable bowel syndrome patients in different cultural settings
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Health-related quality of life of irritable bowel syndrome patients in different cultural settings Åshild Faresjö*1, Foteini Anastasiou2, Christos Lionis2, Saga Johansson3,5, Mari-Ann Wallander4,5 and Tomas Faresjö6 Address: 1Social Medicine and Public Health Science, Dept of Health and Society, Linköping University, Linköping, Sweden, 2Clinic of Social and Family Medicine, School of Medicine, University of Crete, Greece, 3Cardiovascular Institute, University of Gothenburg, Gothenburg, Sweden, 4Dept of Public Health and Caring Science, Uppsala University, Uppsala, Sweden, 5Dept of Epidemiology, AstraZeneca R&D, Mölndal, Sweden and 6General Practice and Primary care, Dept of Health and Society, Linköping University, Linköping, Sweden Email: Åshild Faresjö* - [email protected]; Foteini Anastasiou - [email protected]; Christos Lionis - [email protected]; Saga Johansson - [email protected]; Mari-Ann Wallander - [email protected]; Tomas Faresjö - [email protected] * Corresponding author
Published: 27 March 2006 Health and Quality of Life Outcomes2006, 4:21
doi:10.1186/1477-7525-4-21
Received: 01 January 2006 Accepted: 27 March 2006
This article is available from: http://www.hqlo.com/content/4/1/21 © 2006Faresjö et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract Background: Persons with Irritable bowel syndrome (IBS) are seriously affected in their everyday life. The effect across different cultural settings of IBS on their quality of life has been little studied. The aim was to compare health-related quality of life (HRQOL) of individuals suffering from IBS in two different cultural settings; Crete, Greece and Linköping, Sweden. Methods: This study is a sex and age-matched case-control study, with n = 30 Cretan IBS cases and n = 90 Swedish IBS cases and a Swedish control group (n = 300) randomly selected from the general population. Health-related quality of life, measured by SF-36 and demographics, life style indicators and co-morbidity, was measured. Results: Cretan IBS cases reported lower HRQOL on most dimensions of SF-36 in comparison to the Swedish IBS cases. Significant differences were found for the dimensions mental health (p < 0.0001) and general health (p = 0.05) even after adjustments for educational level and co-morbidity. Women from Crete with IBS scored especially low on the dimensions general health (p = 0.009) and mental health (p < 0.0001) in comparison with Swedish women with IBS. The IBS cases, from both sites, reported significantly lower scores on all HRQOL dimensions in comparison with the Swedish control group. Conclusion: The results from this study tentatively support that the claim that similar individuals having the same disease, e.g. IBS, but living in different cul
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