Socioeconomic Status and Age Variations in Health-Related Quality of Life: Results From the National Health Measurement Study
Socioeconomic Status and Age Variations in Health-Related Quality of Life: Results From the National Health Measurement Study
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DOI：
10.1093/geronb/gbp012
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发表时间：
2009-05-01
影响因子：
6.2
通讯作者：
Fryback, Dennis G.
中科院分区：
文献类型：
--
作者：
Robert, Stephanie A.;Cherepanov, Dasha;Fryback, Dennis G.
目标。我们研究了在美国，多种与健康相关的生活质量 (HRQoL) 指标是否按社会经济地位 (SES) 和年龄进行分层。方法。数据来自 2005/2006 年国家健康测量研究，这是一项对全国代表性的美国成年人样本进行的电话调查。我们绘制了年龄组内 SES 的平均 HRQoL 分数。回归分析测试教育、收入和资产是否分别与三个“基于偏好的”HRQoL 指标和自评健康 (SRH) 具有独立关联。我们测试这些关联是否因年龄而异。结果。美国各个年龄段的成年人在 HRQoL 和 SRH 方面都存在社会经济地位差异。除 75-89 岁年龄组外，当前成人年龄组的 HRQoL 收入差异很大。教育和资产与 HRQoL 的关联具有统计显着性但较弱。所有三项 SES 指标均与每个年龄组的 SRH（彼此净值）相关。 35-44 岁年龄组中收入和教育程度最低的人群的 HRQoL 和 SRH 比 65 岁以上年龄组中较高 SES 组的人群要差。讨论。只有改善社会经济分布最低端人群的 HRQoL，才有可能显着改善人口层面的 HRQoL。
Objectives. We examine whether multiple health-related quality of life (HRQoL) measures are stratified by socioeconomic status (SES) and age in the United States.Methods. Data are from the 2005/2006 National Health Measurement Study, a telephone survey of a nationally representative sample of U. S. adults. We plot mean HRQoL scores by SES within age groups. Regression analyses test whether education, income, and assets each have independent associations with three "preference-based" HRQoL measures and self-rated health (SRH). We test whether these associations vary by age.Results. There are SES disparities in HRQoL and SRH among adults in the United States at all age groups. Income differentials in HRQoL are strong across current adult age cohorts, except the 75-89 age cohort. Education and assets have statistically significant but weaker associations with HRQoL. All three SES measures are associated with SRH (net of each other) at every age group. Those in the lowest income and education groups in the 35-44 age cohort have worse HRQoL and SRH than those in higher SES groups in the 65+ age cohort.Discussion. Significant improvements in HRQoL at the population level will only be possible if we improve the HRQoL of people at the lowest end of the socioeconomic distribution.