Trajectories of health-related quality of life by socio-economic status in a nationally representative Canadian cohort.
Trajectories of health-related quality of life by socio-economic status in a nationally representative Canadian cohort.
复制标题
在具有全国代表性的加拿大队列中，按社会经济地位划分的与健康相关的生活质量的轨迹。
DOI：
10.1136/jech.2010.115378
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发表时间：
2012
影响因子：
6.3
通讯作者：
Oderkirk,Jillian
中科院分区：
文献类型：
--
作者：
Ross,NancyA;Garner,Rochelle;Bernier,Julie;Feeny,DavidH;Kaplan,MarkS;McFarland,Bentson;Orpana,HeatherM;Oderkirk,Jillian
BackgroundMortality and morbidity have been shown to follow a ‘social gradient’ in Canada and many other countries around the world. Comparatively little, however, is known about whether ageing amplifies, diminishes or sustains socio-economic inequalities in health.MethodsGrowth curve analysis of seven cycles of the Canadian National Population Health Survey (n=13 682) for adults aged 20 and older at baseline (1994/95). The outcome of interest is the Health Utilities Index Mark 3, a measure of health-related quality of life (HRQL). Models include the deceased so as not to present overly optimistic HRQL values. Socio-economic position is measured separately by household-size-adjusted income and highest level of education attained.ResultsHRQL is consistently highest for the most affluent and the most highly educated men and women, and is lower, in turn, for middle and lower income and education groups. HRQL declines with age for both men and women. The rate of the decline in HRQL, however, was related neither to income nor to education for men, suggesting stability in the social gradient in HRQL over time for men. There was a sharper decline in HRQL for upper-middle and highest-income groups for women than for the poorest women.ConclusionHRQL is graded by both income and education in Canadian men and women. The grading of HRQL by social position appears to be ‘set’ in early adulthood and is stable through mid- and later life.
