Socio-economic differentials in the health-related quality of life of Australian children: results of a national study

Abstract Background Flooding can have extensive effects on the health and wellbeing of affected communities. The impact of flooding on psychological morbidity has been established; however, the wider impacts of flooding exposure, including on health-related quality of life (HRQoL), have not been described. Methods Using data from the English National Study of Flooding and Health cohort, HRQoL 2 and 3 years post-flooding was assessed with the EuroQol Group EQ-5D-5L tool. Associations between exposure groups (flooding and disruption from flooding) and HRQoL were assessed, using ordinal and linear regression, adjusting for a priori confounders. Results For both 2 and 3 years post-flooding, the median HRQoL scores were lower in the flooded and disrupted groups, compared with unaffected respondents. A higher proportion of flooded and disrupted respondents reported HRQoL problems in most dimensions of the EQ-5D-5L, compared with unaffected respondents. In year 2, independent associations between exposure to flooding and experiencing anxiety/depression [adjusted odds ratio (aOR) 7.7; 95% CI 4.6–13.5], problems with usual activities (aOR 5.3; 95% CI 2.5–11.9) and pain/discomfort (aOR 2.4; 95% CI 1.5–3.9) were identified. These problems persisted 3 years post-flooding; associations between exposure to flooding and experiencing anxiety/depression (aOR 4.3; 95% CI 2.5–7.7), problems with usual activities (aOR 2.9; 95% CI 1.5–6.1) and pain/discomfort (aOR 2.5; 95% CI 1.5–4.2) were identified. Conclusions Exposure to flooding and disruption from flooding significantly reduces HRQoL. These findings extend our knowledge of the impacts of flooding on health, with implications for multi-agency emergency response and recovery plans.

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Impact of repeat flooding on mental health and health-related quality of life: a cross-sectional analysis of the English National Study of Flooding and Health

BMJ Open ◽

10.1136/bmjopen-2019-031562 ◽

2019 ◽

Vol 9 (11) ◽

pp. e031562 ◽

Cited By ~ 1

Author(s):

Clare E French ◽

Thomas D Waite ◽

Ben Armstrong ◽

G. James Rubin ◽

Charles R Beck ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

National Study ◽

Health Related Quality ◽

Cross Sectional ◽

Related Quality ◽

Health Related ◽

Sectional Analysis ◽

Probable Depression

ObjectiveTo assess the association between flooding/repeat flooding and: (1) psychological morbidity (anxiety, depression, post-traumatic stress disorder (PTSD)) and (2) health-related quality of life (HRQoL) at 6 months post-flooding.DesignCross-sectional analysis of data from the English National Study of Flooding and Health.SettingCumbria, England.ParticipantsQuestionnaires were sent to 2500 residential addresses at 6 months post-flooding; 590 people responded.OutcomesProbable depression was assessed using the Patient Health Questionnaire, probable anxiety using the Generalised Anxiety Disorder scale and probable PTSD using the short-form PTSD checklist (PCL-6). HRQoL was assessed using the EQ-5D-5L. Mental health outcomes were analysed using logistic regression; HRQoL dimensions using ordinal regression; and summary index/Visual Analogue Scale scores using linear regression.ResultsOne hundred and nineteen participants had been flooded, over half of whom were experiencing a repeat flooding event (54%; n=64). Mental health outcomes were elevated among flooded compared with unaffected participants (adjusted OR for probable depression: 7.77, 95% CI: 1.51 to 40.13; anxiety: 4.16, 95% CI: 1.18 to 14.70; PTSD: 14.41, 95% CI: 3.91 to 53.13). The prevalence of depression was higher among repeat compared with single flooded participants, but this was not significant after adjustment. There was no difference in levels of anxiety or PTSD. Compared with unaffected participants, those flooded had lower EQ-5D-5L index scores (adjusted coefficient: −0.06, 95% CI: −0.12 to −0.01) and lower self-rated health scores (adjusted coefficient: −6.99, 95% CI: −11.96 to −2.02). There was, however, little difference in HRQoL overall between repeat and single flooded participants.ConclusionsInterventions are needed to help minimise the impact of flooding on people’s mental health and HRQoL.

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Sense of coherence as a determinant of the oral health-related quality of life: a national study in Finnish adults

European Journal Of Oral Sciences ◽

10.1111/j.1600-0722.2005.00201.x ◽

2005 ◽

Vol 113 (2) ◽

pp. 121-127 ◽

Cited By ~ 57

Author(s):

Jarno Savolainen ◽

Anna-Liisa Suominen-Taipale ◽

Hannu Hausen ◽

Paivi Harju ◽

Antti Uutela ◽

...

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Sense Of Coherence ◽

National Study ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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PIH39 ASSOCIATION OF HEALTH-RELATED QUALITY OF LIFE AND PASSIVE SMOKE EXPOSURE IN PREGNANCY: EVIDENCE FROM A NATIONAL STUDY

Value in Health ◽

10.1016/j.jval.2020.04.434 ◽

2020 ◽

Vol 23 ◽

pp. S158-S159

Author(s):

W.W. Sun ◽

X.Y. Huang ◽

H. Wu ◽

S. Yu ◽

N.K. Chan ◽

...

Keyword(s):

Quality Of Life ◽

Smoke Exposure ◽

National Study ◽

Health Related Quality ◽

Passive Smoke ◽

Related Quality ◽

Health Related ◽

In Pregnancy

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Influence of personality on depression, burden, and health-related quality of life in family caregivers of persons with dementia

International Psychogeriatrics ◽

10.1017/s1041610216001770 ◽

2016 ◽

Vol 29 (2) ◽

pp. 227-237 ◽

Cited By ~ 15

Author(s):

Sun Kyung Kim ◽

Myonghwa Park ◽

Yunhwan Lee ◽

Seong Hye Choi ◽

So Young Moon ◽

...

Keyword(s):

Quality Of Life ◽

Personality Traits ◽

Family Caregivers ◽

National Study ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Physical Hrqol

ABSTRACTBackground:Personality may predispose family caregivers to experience caregiving differently in similar situations and influence the outcomes of caregiving. A limited body of research has examined the role of some personality traits for health-related quality of life (HRQoL) among family caregivers of persons with dementia (PWD) in relation to burden and depression.Methods:Data from a large clinic-based national study in South Korea, the Caregivers of Alzheimer's Disease Research (CARE), were analyzed (N = 476). Path analysis was performed to explore the association between family caregivers’ personality traits and HRQoL. With depression and burden as mediating factors, direct and indirect associations between five personality traits and HRQoL of family caregivers were examined.Results:Results demonstrated the mediating role of caregiver burden and depression in linking two personality traits (neuroticism and extraversion) and HRQoL. Neuroticism and extraversion directly and indirectly influenced the mental HRQoL of caregivers. Neuroticism and extraversion only indirectly influenced their physical HRQoL. Neuroticism increased the caregiver's depression, whereas extraversion decreased it. Neuroticism only was mediated by burden to influence depression and mental and physical HRQoL.Conclusions:Personality traits can influence caregiving outcomes and be viewed as an individual resource of the caregiver. A family caregiver's personality characteristics need to be assessed for tailoring support programs to get the optimal benefits from caregiver interventions.

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A national study of the importance of oral health to life quality to inform scales of oral health related quality of life

Quality of Life Research ◽

10.1023/b:qure.0000021696.05528.4c ◽

2004 ◽

Vol 13 (4) ◽

pp. 813-818 ◽

Cited By ~ 28

Author(s):

C. McGrath ◽

R. Bedi

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Life Quality ◽

National Study ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Impact of the COVID-19 Pandemic on Health-Related Quality of Life, Anxiety, and Training Among Young Gastroenterologists in Romania

Frontiers in Psychology ◽

10.3389/fpsyg.2020.579177 ◽

2020 ◽

Vol 11 ◽

Author(s):

Bogdan Silviu Ungureanu ◽

Catalina Vladut ◽

Felix Bende ◽

Vasile Sandru ◽

Cristina Tocia ◽

...

Keyword(s):

Quality Of Life ◽

Online Survey ◽

Rapid Evolution ◽

National Study ◽

Health Related Quality ◽

Endoscopy Training ◽

Cognitive Component ◽

Related Quality ◽

Health Related

The novel COVID-19 infection has spread all over the world and is still generating a lot of issues at different levels. There is a lack of control in disease early diagnosis and rapid evolution, which impacts both the medical and the economic system. Young gastroenterologists should adapt to overcome current difficulties and continue their life and general training. This is a multi-center national study, which aims to assess the general perspective of young gastroenterologists (residents and young specialists) from six university centers in Romania regarding their current training and the psychological effect the pandemic has on their life and job. An online survey with 58 items was distributed using Google Forms, and quality of life and anxiety were assessed. The validated instruments 15D (for assessing the health-related quality of life) and endler multidimensional anxiety scales (EMAS—for assessing anxiety) were used. All analyses were performed using SPSS 25. Of the 174 gastroenterologists approached, 96 (response rate of 55%) responded. A majority of the respondents were residents in gastroenterology (64%), and 40.6% were male. The pandemic influenced the number of examined patients as well as young gastroenterologists’ endoscopy training. Health-related quality of life was negatively associated with the level of anxiety generated by the cognitive component of anxiety as a state, the new and ambiguity of the state, and how threatened the respondent felt. The level of anxiety was moderate (median = 51), and no difference was found between the physicians working in a designated hospital or not. General caution should be considered for young gastroenterologists’ training, and continuous observation should be done to ensure better mental health on the current evolution. These findings would need to be verified in larger-sample studies and in different types of specialties.

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