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

Author

Listed:
  • Liang En Wee

    (Singapore General Hospital)

  • Peter Daniel

    (National University of Singapore)

  • Aline Sim

    (National University of Singapore)

  • Rui Lee

    (National University of Singapore)

  • Sook Muay Tay

    (Singapore General Hospital)

  • Nan Luo

    (National University of Singapore)

  • Gerald Choon-Huat Koh

    (National University of Singapore)

Abstract

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

Suggested Citation

  • Liang En Wee & Peter Daniel & Aline Sim & Rui Lee & Sook Muay Tay & Nan Luo & Gerald Choon-Huat Koh, 2018. "Health-Related Quality of Life in a Low-Socioeconomic Status Public Rental-Flat Population in Singapore," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 13(1), pages 179-195, March.
  • Handle: RePEc:spr:ariqol:v:13:y:2018:i:1:d:10.1007_s11482-017-9519-6
    DOI: 10.1007/s11482-017-9519-6
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    References listed on IDEAS

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    1. Browne-Yung, Kathryn & Ziersch, Anna & Baum, Fran, 2013. "‘Faking til you make it’: Social capital accumulation of individuals on low incomes living in contrasting socio-economic neighbourhoods and its implications for health and wellbeing," Social Science & Medicine, Elsevier, vol. 85(C), pages 9-17.
    2. Melvin Khee-Shing Leow & Konstadina Griva & Robin Choo & Hwee-Lin Wee & Julian Thumboo & E Shyong Tai & Stanton Newman, 2013. "Determinants of Health-Related Quality of Life (HRQoL) in the Multiethnic Singapore Population – A National Cohort Study," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-13, June.
    3. Nan Luo & Pei Wang & Julian Thumboo & Yee-Wei Lim & Hubertus Vrijhoef, 2014. "Valuation of EQ-5D-3L Health States in Singapore: Modeling of Time Trade-Off Values for 80 Empirically Observed Health States," PharmacoEconomics, Springer, vol. 32(5), pages 495-507, May.
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