Health-related quality of life of women after HPV testing as triage strategy for an abnormal Pap smear: a nested randomized pragmatic trial in a middle-income country

2020 ◽  
Vol 29 (11) ◽  
pp. 2999-3008
Author(s):  
Yenny Urrea Cosme ◽  
Verónica Córdoba Sánchez ◽  
Gloria I. Sánchez ◽  
Armando Baena ◽  
Mario Alberto Ruiz Osorio ◽  
...  
2019 ◽  
Vol 28 (4) ◽  
pp. 1703-1715 ◽  
Author(s):  
Chuo Yew Ting ◽  
Guan Chou Teh ◽  
Kong Leong Yu ◽  
Haridah Alias ◽  
Hui Meng Tan ◽  
...  

2018 ◽  
Vol 27 (9) ◽  
pp. 2172-2179 ◽  
Author(s):  
Shridevi Subramaniam ◽  
Yek-Ching Kong ◽  
Karuthan Chinna ◽  
Merel Kimman ◽  
Yan-Zheng Ho ◽  
...  

2014 ◽  
Vol 7 (1) ◽  
pp. 24896 ◽  
Author(s):  
Solveig Petersen ◽  
Boyd Swinburn ◽  
Helen Mavoa ◽  
Kalesita Fotu ◽  
Caroline Tupoulahi-Fusimalohi ◽  
...  

2020 ◽  
Vol 30 (8) ◽  
pp. 1126-1137
Author(s):  
Laila A. Ladak ◽  
Robyn Gallagher ◽  
Babar S. Hasan ◽  
Khadija Awais ◽  
Ahmed Abdullah ◽  
...  

AbstractBackground and objectives:This mixed-methods study aimed to assess health-related quality of life in young adults with CHD following surgery in a low middle-income country, Pakistan. Despite the knowledge that geographic, cultural and socio-economic factors may shape the way health and illness is experienced and managed and consequently determine a person’s health-related quality of life, few health-related quality of life studies are conducted in low middle-income countries. This deficit is pronounced in CHD, so there is little guidance for patient care.Methods:The study utilised concurrent, mixed methods. Adults with CHD (n = 59) completed health-related quality of life surveys (PedsQLTM 4.0 Generic Core Scale, PedsQLTM Cognitive Functioning Scale and PedsQLTM 3.0 Cardiac Module). Semi-structured interview data were collected from a nested sub-sample of 17 participants and analysed using qualitative content analysis, guided by the revised Wilson–Cleary model of health-related quality of life.Results:The lowest health-related quality of life domain was emotional with the mean score (71.61 ± 20.6), followed by physical (78.81 ± 21.18) and heart problem (79.41 ± 18.05). There was no statistical difference in general or cardiac-specific health-related quality of life between mild, moderate or complex CHD. Qualitative findings suggested low health-related quality of life arose from a reduced capacity to contribute to family life including family income and gender. A sense of reduced marriageability and fear of dependency were important socio-cultural considerations.Conclusions:CHD surgical patients in this low-income country experience poor health-related quality of life, and contributing factors differ to those reported for high-income countries. Socio-cultural understandings should underpin assessment, management and care-partnering with young adults with CHD following surgical correction.


PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244797
Author(s):  
Lucia C. Pérez-Herrera ◽  
Daniel Peñaranda ◽  
Sergio Moreno-López ◽  
Ana M. Otoya-Tono ◽  
Lorena Gutiérrez- Velasco ◽  
...  

Background Despite the high prevalence of chronic otitis media (COM) in low to middle-income countries, there are few studies regarding its associated factors, health-related quality of life, and treatment costs. This study aimed to identify associated factors of COM, assess its impact on the quality of life as well as estimate the patients’ reported costs of COM treatment in Colombia. Methods Cross-sectional study. Two otology-referral centers in Bogotá (Colombia) were included. Questionnaires focusing on sociodemographic and clinical associated factors, quality of life, and patients’ reported costs were administered to 200 adults with COM diagnosis and 144 control adults. Otoscopic evaluation and audiometric data were collected. Results The mean age was 42.2 years (SD: 14.44). The median length of COM was 26.13 years (SD: 17.06), and 79.5% of the COM patients reported otorrhea during childhood (P-value: 0.01). The most frequently reported allergic disease among our study population was allergic rhinitis (26.5%). COM was less frequent in patients with a medium-high socioeconomic status (PR: 0.54; 95% CI: 0.39–0.72), and more frequent in patients who reported increased ear discharge due to upper respiratory tract infections (PR: 1.69; 95% CI: 1.68–1.70). The global score of the “Chronic Suppurative Otitis Media Questionnaire-12” showed a difference of 9 points between patients with active and inactive COM (P < 0.001). Patients spent between 12.07% to 60.37% of their household income on expenses related to COM. Conclusions Associated factors found in this study are consistent with previous reports. COM has a significant financial impact and affects patients’ quality of life. Worldwide research addressing these issues in poor-resource countries is scarce, further studies are needed.


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