scholarly journals Using health-related quality of life and quality-adjusted life expectancy for effective public health surveillance and prevention

2013 ◽  
Vol 13 (4) ◽  
pp. 425-427 ◽  
Author(s):  
Derek S Brown ◽  
Haomiao Jia ◽  
Matthew M Zack ◽  
William W Thompson ◽  
Anne C Haddix ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Public Health Surveillance ◽  
Health Surveillance ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Effective Public Health ◽  
Quality Adjusted Life

Health-Related Quality of Life Measurement in Public Health

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Robert M. Kaplan ◽  
Ron D. Hays
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Patient Reported Outcomes ◽  
Well Being ◽  
Publication Date ◽  
Health Related Quality ◽  
Patient Reported ◽  
Related Quality ◽  
Health Related

Patient-reported outcomes are recognized as essential for the evaluation of medical and public health interventions. Over the last 50 years, health-related quality of life (HRQoL) research has grown exponentially from 0 to more than 17,000 papers published annually. We provide an overview of generic HRQoL measures used widely in epidemiological studies, health services research, population studies, and randomized clinical trials [e.g., Medical Outcomes Study SF-36 and the Patient-Reported Outcomes Measurement Information System (PROMIS®)-29]. In addition, we review methods used for economic analysis and calculation of the quality-adjusted life year (QALY). These include the EQ-5D, the Health Utilities Index (HUI), the self-administered Quality of Well-being Scale (QWB-SA), and the Health and Activities Limitation Index (HALex). Furthermore, we consider hybrid measures such as the SF-6D and the PROMIS-Preference (PROPr). The plethora of HRQoL measures has impeded cumulative science because incomparable measures have been used in different studies. Linking among different measures and consensus on standard HRQoL measurement should now be prioritized. In addition, enabling widespread access to common measures is necessary to accelerate future progress. Expected final online publication date for the Annual Review of Public Health, Volume 43 is April 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

scholarly journals Public health significance of mixed anxiety and depression: beyond current classification

2008 ◽  
Vol 192 (3) ◽  
pp. 171-177 ◽  
Author(s):  
Jayati Das-Munshi ◽  
David Goldberg ◽  
Paul E. Bebbington ◽  
Dinesh K. Bhugra ◽  
Traolach S. Brugha ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Depressive Disorders ◽  
Health Related Quality ◽  
Public Health Significance ◽  
Related Quality ◽  
Icd 10 ◽  
Health Related ◽  
Health Significance

BackgroundThe public health significance of mixed anxiety–depressive disorder (MADD) and the distinctiveness of its phenomenology have yet to be established.AimsTo determine the public health significance of MADD, and to compare its phenomenology with ICD-10 anxiety, depressive, and comorbid anxiety and depressive disorders.MethodWeighted analysis of data from the Great Britain National Psychiatric Morbidity survey was conducted with a representative household sample of 8580 persons aged 16–74 years.ResultsThe 1-month prevalence of MADD was 8.8%. A fifth of all days off work in Britain occurred in this group. The symptom profile of MADD was similar to ‘pure’ ICD-10 anxiety and depression, but with a lower overall symptom count. The disorder was associated with significant impairment of health-related quality of life. Differences in health-related quality of life measures between diagnostic groups were accounted for by overall symptom severity, which remained strongly associated with health-related quality of life measures after adjusting for diagnostic group. The finding that half of the anxiety, depression and MADD cases and a third of the comorbid depression and anxiety cases grouped into a single latent class challenges the notion of these conditions as having distinct phenomenologies. Mixed presentations may be the norm in the population.ConclusionsThe data support the pathological significance of MADD in its negative impact upon population health. Dimensional approaches to classification may provide a more parsimonious description of anxiety and depressive disorders compared with categorical approaches.

scholarly journals Effect of Postpartum Anaemia on Maternal Health-Related Quality of Life: A Systematic Review

2021 ◽  
Author(s):  
Ernest Moya ◽  
Nomsa Phiri ◽  
Martin N. Mwangi ◽  
Kamija Phiri
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Systematic Review ◽  
Maternal Health ◽  
Health Related Quality ◽  
Physical Fatigue ◽  
Child Interaction ◽  
Related Quality ◽  
Health Related

Abstract Background: Postpartum anaemia remains a persistent and severe public health issue in many parts of the world. Studies have reported mixed findings on the effects of anaemia during the postpartum period on maternal health-related quality of life (HRQoL). We conducted this systematic review to summarise available evidence to inform public health practitioners on whether 1) anaemia negatively impact maternal health-related quality of life and 2) whether iron supplementation in anaemic women can improve maternal HRQoL during the postpartum period. Methods: This review’s protocol was registered online with PROSPERO (CRD42020206618). We extensively searched Embase, PubMed, Cochrane and Scopus through the HINARI website to identify studies that reported either association or effect of postpartum anaemia on fatigue, depression and mother-child interaction. We restricted our search to studies of human females published in English from databases inception until August 2020. We followed a guideline for reporting systematic reviews without meta-analysis to synthesise data. Results: Ten out of 15 studies where the direction of effect could be determined reported a significant association between lower Hb levels and physical fatigue symptoms. Fourteen out of 19 studies also reported a significant association between Hb levels and postpartum depression. There was evidence in six of the seven and seven of the eight randomised controlled trials that iron replenishment significantly decreased physical fatigue and postpartum depression respectively. Two of the four included studies showed that anaemic mothers were less responsive and had negative feelings towards their children than non-anaemic mother. Conclusion: Evidence from this review suggests that postpartum anaemia negatively affects health related quality of life and that iron replenishment improved both symptoms of fatigue and depression. Nevertheless, it remains unclear whether postpartum anaemia affects mother-child interaction.

scholarly journals Health Related Quality of Life of Patients with Chronic Non-Communicable Diseases During the Coronavirus Pandemic in Ethiopia: A Multi-Facility Study

2020 ◽  
Author(s):  
Tariku Shimels ◽  
Rodas Asrat Kassu ◽  
Gelila Bogale ◽  
Mahteme Bekele ◽  
Melsew Getnet ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Addis Ababa ◽  
Communicable Diseases ◽  
Age Group ◽  
Health Related Quality ◽  
Non Communicable Diseases ◽  
Related Quality ◽  
Health Related

Abstract BackgroundThe Coronavirus pandemic is presenting several challenges in Ethiopia on an unprecedented scale. It is affecting the country in different ways ranging from a significant impact on the economy to a disrupted public health delivery of both curative and preventive services. The aim of this study was to assess health related quality of life of patients with chronic non-communicable diseases during the Coronavirus pandemic in Addis Ababa, Ethiopia.MethodsA multi-facility based cross sectional study design was conducted in August 2020 among public health institutions in Addis Ababa. Health facilities were chosen purposively based on high number of patient flow. Participants from each health facility were drawn after proportional to size allocation. A translated EQ-5D-3L VAS instrument was used to collect data. Analysis was done using SPSS v.26.0. Descriptive statistics, Mann Whitney U test, Kruskal Wallis test, Spearman’s rank correlation test and Binary logistic regression were applied. ResultsOf the 409 participants included in the study, majority were in the age group of 46-60 (36%), females (56%), from hospitals (54.8%), jobless (25.4%), married (63.3%) and orthodox Christian (71.4%). Above two third of the patients reported no problems for self-care, usual activity and depression/anxiety. All dimensions showed an increasing proportion of moderate to severe problems in the age group beyond 45. Facility type (U=16651, P=0.001), comorbid condition (U=13248.00, P=0.000) and age (rs=-0.27, p=0.000) were found to show statistically significant score difference for GQoL. An overall prevalence of any problem was 59%. Education level, visit to a health center and marriage were associated with less odds of an affected HRQoL unlike lower monthly income and presence of comorbidities which were opposite.ConclusionsHRQoL of patients in the study settings was found to be suboptimal and below the general population. Education and arrangement of safe and quality health services to such group of patients is warranted especially during the COVID-19 pandemic.

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