Hope and health‐related quality of life among chronically ill uninsured/underinsured adults

2019 ◽  
Vol 48 (2) ◽  
pp. 576-589 ◽  
Author(s):  
Guillermo M. Wippold ◽  
Julia Roncoroni
Keyword(s):  
Quality Of Life ◽  
Chronically Ill ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

How Social Participation Benefits the Chronically Ill: Self-Management as a Mediating Pathway

2018 ◽  
Vol 31 (7) ◽  
pp. 1134-1154 ◽  
Author(s):  
Shannon Ang
Keyword(s):  
Quality Of Life ◽  
Social Participation ◽  
Low Income ◽  
Chronically Ill ◽  
Self Management ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Causal Mediation Analysis

Objective: Few studies have tested the purported causal mechanisms between social participation and health, especially among those in poor health. This study aimed to determine whether self-management of chronic disease operates as a pathway through which social participation affects health-related quality of life. Method: I utilized causal mediation analysis among 600 low-income older Singaporeans living with chronic conditions, to test whether self-management mediates the association between social participation and health-related quality of life. Results: Results show that self-management fully mediated the positive effect of informal social participation on health-related quality of life. Formal social participation was found to have a negative direct effect on health-related quality of life. Discussion: These findings reiterate the primacy of family and friends for older adults, but highlight that a better understanding of formal engagement with the low-income population is still needed.

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