Título:	Health-related quality of life and self-reported long-term conditions : a population-based survey
Autor(es):	Zimmermann, Ivan Ricardo Silva, Marcus Tolentino Galvão, Taís Freire Pereira, Maurício Gomes
Assunto:	Depressão mental Doenças crônicas Disparidades em assistência à saúde Qualidade de vida
Data de publicação:	Mar-2017
Editora:	Associação Brasileira de Psiquiatria - ABP
Referência:	ZIMMERMANN, Ivan R. et al. Health-related quality of life and self-reported long-term conditions: a population-based survey. Revista Brasileira de Psiquiatria, São Paulo, v. 39, n. 1, p. 62-68, jan./mar. 2017. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462017000100062&lng=en&nrm=iso>. Acesso em: 17 jan. 2018. Epub Aug 11, 2016. doi: http://dx.doi.org/10.1590/1516-4446-2015-1853.
Abstract:	Objective: to estimate and compare the effect of self-reported long-term health conditions and sociodemographic factors on perceived health-related quality of life (HRQoL). Methods: a population-based survey of adults (18 to 65 years) living in Brasilia, Brazil, was conducted in 2012. Descriptive and multivariate analyses using a Tobit model were performed with data on sociodemographic variables, self-reported conditions, and the European Quality of Life-5 Dimensions (EQ-5D) health states, providing utility scores (preferred health state) between 0 and 1 for HRQoL estimates. Results: the mean utility of 1,820 adults interviewed (mean age: 38.4±12.6 years) was 0.883 (95% confidence interval [95%CI] 0.874-0.892), with 76.2% in the highest utility range (0.8 to 1.0). EQ-5D dimensions with moderate problems were pain/discomfort (33.8%) and anxiety/depression (20.5%). Serious problems were reported by only 0.3% of the sample in the mobility and self-care domain and by 3.1% in the pain/discomfort domain. Multivariate analysis revealed reduced HRQoL in individuals with depression, diabetes, and hypertension. Living in satellite towns (outside the city core), belonging to a lower economic class, or not being formally employed were also associated with decreased HRQoL. Beta coefficients for these impacts ranged from -0.033 (not formally employed) to -0.141 (depression), reflecting the strongest impact. Conclusion: of the long-term health conditions studied, depression had the greatest impact on HRQoL. Social class, employment status, and place of residence also affected HRQoL.
Unidade Acadêmica:	Faculdade de Medicina (FMD)
Licença:	Revista Brasileira de Psiquiatria - This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY NC 4.0). Fonte: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462017000100062&lng=en&nrm=iso. Acesso em: 17 jan. 2018.
DOI:	http://dx.doi.org/10.1590/1516-4446-2015-1853
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