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Adaptive responses among Dutch elderly: The impact of eight chronic medical conditions on health-related quality of life

Author

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  • Kempen, G.I.J.M.
  • Ormel, J.
  • Brilman, E.I.
  • Relyveld, J.

Abstract

Objectives. This study analyzed the impact of eight common chronic medical conditions on functional, social, and affective domains of health- related quality of life among community-based Dutch elderly (n = 5279). Methods. Health-related quality of life was measured with six domains of the MOS Short-Form General Health Survey. The impact of the selected chronic conditions on health-related quality of life was analyzed by means of Student's t tests, analyses of variance, and multiple regression analyses. Results. Compared with other domains of health-related quality of life, mental health was the least affected by chronic medical conditions. Back problems and rheumatoid arthritis/other joint complaints accounted for relatively high proportions of the variance in health-related quality of life (from 35.5% to 68.3%), except for health perceptions (22.6%), indicating that health-related quality of life is most affected by these two conditions. Conclusions. Subjective well-being is by far the domain least affected by chronic medical conditions, while physical functioning and health perceptions are most affected. Back problems and rheumatoid arthritis/other joint complaints affect health-related quality of life strongly.

Suggested Citation

  • Kempen, G.I.J.M. & Ormel, J. & Brilman, E.I. & Relyveld, J., 1997. "Adaptive responses among Dutch elderly: The impact of eight chronic medical conditions on health-related quality of life," American Journal of Public Health, American Public Health Association, vol. 87(1), pages 38-44.
    • Handle: RePEc:aph:ajpbhl:1997:87:1:38-44_8
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    Citations

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    Cited by:

    1. Elzen, Henrike & Slaets, Joris P.J. & Snijders, Tom A.B. & Steverink, Nardi, 2007. "Evaluation of the chronic disease self-management program (CDSMP) among chronically ill older people in the Netherlands," Social Science & Medicine, Elsevier, vol. 64(9), pages 1832-1841, May.
    2. Miha Dominko & Miroslav Verbič, 2019. "Subjective well-being among the elderly: A bibliometric analysis," Quality & Quantity: International Journal of Methodology, Springer, vol. 53(3), pages 1187-1207, May.
    3. Man Yang & Hao Wang & Jun Yao, 2022. "Relationship between Intergenerational Emotional Support and Subjective Well-Being among Elderly Migrants in China: The Mediating Role of Loneliness and Self-Esteem," IJERPH, MDPI, vol. 19(21), pages 1-10, November.
    4. Schulz, Torben & Niesing, Jan & Stewart, Roy E. & Westerhuis, Ralf & Hagedoorn, Mariet & Ploeg, Rutger J. & Homan van der Heide, Jaap J. & Ranchor, Adelita V., 2012. "The role of personal characteristics in the relationship between health and psychological distress among kidney transplant recipients," Social Science & Medicine, Elsevier, vol. 75(8), pages 1547-1554.
    5. Arnold, Rosemarie & Ranchor, Adelita V. & Koëter, Gerard H. & de Jongste, Mike J.L. & Sanderman, Robbert, 2005. "Consequences of chronic obstructive pulmonary disease and chronic heart failure: The relationship between objective and subjective health," Social Science & Medicine, Elsevier, vol. 61(10), pages 2144-2154, November.
    6. Orfila, Francesc & Ferrer, Montserrat & Lamarca, Rosa & Tebe, Cristian & Domingo-Salvany, Antonia & Alonso, Jordi, 2006. "Gender differences in health-related quality of life among the elderly: The role of objective functional capacity and chronic conditions," Social Science & Medicine, Elsevier, vol. 63(9), pages 2367-2380, November.
    7. Ho, Sai Yin & Mak, Kwok Kei & Thomas, G. Neil & Schooling, Mary & Fielding, Richard & Janus, Edward D. & Lam, Tai Hing, 2007. "The relation of chronic cardiovascular diseases and diabetes mellitus to perceived health, and the moderating effects of sex and age," Social Science & Medicine, Elsevier, vol. 65(7), pages 1386-1396, October.
    8. Eun Sook Lee & Boyoung Kim, 2020. "The Association between Alcohol Drinking Patterns and Health-Related Quality of Life in the Korean Adult Population: Effects of Misclassification Error on Estimation of Association," IJERPH, MDPI, vol. 17(21), pages 1-13, October.

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