Optimizing the treatment and preventive measures in poor patients with secondary edentulism

Aim. To develop an algorithm for diagnosis and integrated treatment of the poor people of the Republic of Bashkortostan, taking into account the possibility of using state support programs. Methods. The study sample included 296 low-income patients (women over 58 years, men over 63 years) receiving social pension supplements. As a comparison group, 300 patients of retirement age, who had paid for orthodontic treatment by themselves, were recruted. Results. Out of 296 patients, 211 (71.28%) had previous orthopedic treatment, the remaining 85 (28.72%) had never received orthopedic treatment. All poor patients received treatment according to the full comprehensive program of preferential dentures. Orthopedic treatment using the non-removable prosthesis was performed in 39 (13.17%) patients, removable dentures - in 27 (9.12%), combined prosthetics - in 230 (77.70%). In 300 patients who paid for orthopedic treatment from their own funds, 133 (44.33%) patients got removable prosthesis, 70 (23.33%) patients - non-removable dentures, combined prosthetics was used in the remaining 97 (32.33%). An algorithm of therapeutic and preventive measures for low-income citizens in order to improve oral health and quality of life, as well as to optimize the use of financial resources, was developed. It consists of five stages: I - examination of the anamnesis vitae and the history of the disease; II - Diagnosis and treatment of comorbidities; III - full mouth debridement; IV - selection and rational prosthetics, medical treatment; V - follow-up examination in 1 and 6 months. An integral indicator of quality of life after the conducted complex treatment has improved by 15.11 points (27.0%). Some criteria for the quality of life has improved by more than 2 points (3.51%): «Physical discomfort» - by 2.133, «physical disorders» - by 2.916, «psychological disorders» - by 2.855 points. Conclusion. The program of preferential dentures allows to expand the range of the treatment options with the use of new technologies; implementation of this program is not a direct source of health improvement, but serves as an auxiliary arm of social support and helps to minimize the severe health consequences for the examined population.

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Development outcomes of the new technologies to the quality of life of low-income households in Kenya: a case study of Nairobi

Innovation and Development ◽

10.1080/2157930x.2012.663595 ◽

2012 ◽

Vol 2 (1) ◽

pp. 196-197

Author(s):

Margaret Nyambura Ndung'u

Keyword(s):

Quality Of Life ◽

Low Income ◽

New Technologies ◽

Development Outcomes ◽

Low Income Households

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386: Health Related Quality of Life in Low-Income, Uninsured Men with Prostate Cancer

The Journal of Urology ◽

10.1016/s0022-5347(18)37648-1 ◽

2004 ◽

Vol 171 (4S) ◽

pp. 101-102

Author(s):

Tracey L. Krupski ◽

Arlene Fink ◽

Lorna Kwan ◽

Sarah Connor ◽

Sally L. Maliski ◽

...

Keyword(s):

Quality Of Life ◽

Prostate Cancer ◽

Low Income ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Access to Technology for Communication Improves Health-Related Quality of Life for Low Income Families after NICU Discharge:

PEDIATRICS ◽

10.1542/peds.137.supplement_3.491a ◽

2016 ◽

Vol 137 (Supplement 3) ◽

pp. 491A-491A

Author(s):

Nicole I. Flores ◽

Philippe Friedlich ◽

Mandy Belfort ◽

Douglas L. Vanderbilt ◽

Roberta Williams ◽

...

Keyword(s):

Quality Of Life ◽

Low Income ◽

Health Related Quality ◽

Access To Technology ◽

Related Quality ◽

Health Related ◽

Low Income Families

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Health-Related Quality of Life and Related Factors in Persons with Preserved Ratio Impaired Spirometry: Data from the Korea National Health and Nutrition Examination Surve

Medicina ◽

10.3390/medicina57010004 ◽

2020 ◽

Vol 57 (1) ◽

pp. 4

Author(s):

I Re Heo ◽

Ho Cheol Kim ◽

Tae Hoon Kim

Keyword(s):

Quality Of Life ◽

Low Income ◽

Control Group ◽

Poor Hrqol ◽

Related Factors ◽

Health And Nutrition ◽

Prism Group ◽

Related Quality ◽

Health Related

Background and Objectives: preserved ratio impaired spirometry (PRISm) is a common spirometric pattern that causes respiratory symptoms, systemic inflammation, and mortality. However, its impact on health-related quality of life (HRQOL) and its associated factors remain unclear. We aimed to identify these HRQOL-related factors and investigate the differences in HROOL between persons with PRISm and those with normal lung function. Materials and Methods: we reviewed the Korea National Health and Nutrition Examination Survey data from 2008 to 2013 to evaluate the HRQOL of persons with PRISm, as measured while using the Euro Quality of Life-5D (EQ-5D) and identify any influencing factors. PRISm was defined as pre-bronchodilator forced expiratory volume in 1 s (FEV1) <80% predicted and FEV1 to forced vital capacity (FVC) ratio (FEV1/FVC) ≥0.7. Individuals with FEV1 ≥80% predicted and FEV1/FVC ≥0.7 were considered as Controls. Results: of the 27,824 participants over the age of 40 years, 1875 had PRISm. The age- and sex-adjusted EQ-5D index was lower in the PRISm group than in the control group (PRISm, 0.930; control, 0.941; p = 0.005). The participants with PRISm showed a significantly higher prevalence of hypertension (p < 0.001), diabetes (p < 0.001), obesity (p < 0.001), low physical activity (p = 0.001), ever-smoker (p < 0.001), and low income (p = 0.034) than those in the control group. In participants with PRISm, lower EQ-5D index scores were independently associated with old age (p = 0.002), low income (p < 0.001), low education level (p < 0.001), and no economic activity (p < 0.001). Three out of five EQ-5D dimensions (mobility, self-care, and usual activity) indicated a higher proportion of dissatisfied participants in the PRISm group than the control group. Conclusions: the participants with PRISm were identified to have poor HRQOL when compared to those without PRISm. Old age and low socioeconomic status play important roles in HRQOL deterioration in patients with PRISm. By analyzing risk factors that are associated with poor HRQOL, early detection and intervention of PRISm can be done in order to preserve patients’ quality of life.

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Improving the quality of life in low-income neighbourhoods occupied by tenants

Environment and Urbanization ◽

10.1177/095624789700900223 ◽

1997 ◽

Vol 9 (2) ◽

pp. 81-100 ◽

Cited By ~ 1

Author(s):

Silvia de los Ríos Bernardini

Keyword(s):

Quality Of Life ◽

Low Income

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Utilities and Quality-Adjusted Life Years

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462300008461 ◽

1989 ◽

Vol 5 (4) ◽

pp. 559-575 ◽

Cited By ~ 503

Author(s):

George W. Torrance ◽

David Feeny

Keyword(s):

Quality Of Life ◽

Cost Utility ◽

Health Improvement ◽

Quality Adjusted Life Years ◽

Utility Analysis ◽

Quality Adjustment ◽

Life Years ◽

Quality Adjusted Life ◽

Broad Overview

Utilities and quality-adjusted life years (QALYs) are reviewed, with particular focus on their use in technology assessment. This article provides a broad overview and perspective on these two techniques and their interrelationship, with reference to other sources for details of implementation. The historical development, assumptions, strengths/weaknesses, and applications of each are summarized.Utilities are specifically designed for individual decision-making under uncertainty, but, with additional assumptions, utilities can be aggregated across individuals to provide a group utility function. QALYs are designed to aggregate in a single summary measure the total health improvement for a group of individuals, capturing improvements from impacts on both quantity of life and quality of life– with quality of life broadly defined. Utilities can be used as the quality-adjustment weights for QALYs; they are particularly appropriate for that purpose, and this combination provides a powerful and highly useful variation on cost-effectiveness analysis known as cost-utility analysis.

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Living with disabling chronic pain: results from a face-to-face cross-sectional population-based study

BMJ Open ◽

10.1136/bmjopen-2017-020913 ◽

2018 ◽

Vol 8 (11) ◽

pp. e020913 ◽

Cited By ~ 7

Author(s):

Andrés Cabrera-León ◽

Miguel Ángel Cantero-Braojos ◽

Llenalia Garcia-Fernandez ◽

Juan Antonio Guerra de Hoyos

Keyword(s):

Quality Of Life ◽

Chronic Pain ◽

Social Status ◽

Low Income ◽

Multinomial Logistic Regression ◽

Work Conditions ◽

Influential Factors ◽

Cross Sectional ◽

Face To Face

ObjectivesTo estimate the prevalence of disabling chronic pain (DCP) in Spanish adults, to analyse its characteristics, to determine its multimorbidity and to identify its associated factors.Settings2011 Andalusian Health Survey, a cross-sectional population survey based on face-to-face home interviews.Participants6507 people aged 16 years or older and living in Andalusia, Spain.OutcomesThe response variable was disabling chronic pain. Multivariate multinomial logistic regression models were used to analyse the association of factors with disabling chronic pain. The sample design was considered throughout the statistical analysis.ResultsThe prevalence of disabling chronic pain in the Spanish adult population was 11.36% (95% CI 11.23 to 11.49), while that of non-disabling chronic pain was 5.67% (95% CI 5.57 to 5.77). Disabling chronic pain was associated with high multimorbidity (especially in women (51%) and in the elderly (70%) with three or more additional chronic diseases), as well as with disadvantaged social status (such as female gender (OR=2.12), advanced age (OR10-year increase=1.28), unemployment (OR=1.33), manual work (OR=1.26), low income (OR=1.14) and reduced emotional social support (OR=1.04)). Other influential factors were tobacco consumption (OR=1.42), sleeping ≤7 hours (OR=1.2)], environmental or work conditions (OR=1.16) and quality of life (ORmental=1.21, ORphysical=2.37).ConclusionsThe population with disabling chronic pain was associated with multimorbidity, vulnerable social status and an impaired quality of life. In contrast, the population with non-disabling chronic pain showed almost no differences when compared with the population without chronic pain. The association between DCP and mental disorders highlights the need for psychosocial services in the management of chronic pain.

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Effectiveness of Teleassistance at Improving Quality of Life in People with Neuromuscular Diseases

The Spanish Journal of Psychology ◽

10.1017/sjp.2014.89 ◽

2014 ◽

Vol 17 ◽

Cited By ~ 7

Author(s):

Oscar Martínez ◽

Amaia Jometón ◽

Manuel Pérez ◽

Esther Lázaro ◽

Imanol Amayra ◽

...

Keyword(s):

Quality Of Life ◽

Social Interaction ◽

New Technologies ◽

Neuromuscular Diseases ◽

Control Group ◽

Related Quality ◽

Health Related ◽

Low Prevalence ◽

Psychosocial Domain

AbstractRare neuromuscular diseases (NDs) are a group of inherited or acquired neurological pathologies affecting the muscles and the nervous system. Their low prevalence and high geographical dispersion can cause isolation and difficulties in social interaction between affected equals. New technologies, such as videoconferencing, offer a complementary option for improving the health of this population. The purpose of this study was to assess the effectiveness of a teleassistance program at improving health-related quality of life (HRQoL) through social interaction in adults with NDs. The sample consisted of 45 participants affected by rare NDs. Twenty-four participants were assigned to the experimental group (EG), which participated in the videoconferencing sessions, and 21 to the control group. Three questionnaires were administered: WHO-DAS II, Sickness Impact Profile, and SF-36 Health Survey. Effectiveness was assessed by a pre-post design. An online psychosocial program was applied over three-month period. Data revealed an improvement of the EG in psychosocial variables, e.g. “Getting along with people” (z = –2.289, r = –.47, p ≤ .05) or “Psychosocial Domain” (z = –2.404, r = –.49, p ≤ .05), and in physical variables, e.g. “Life activities” (z = –2.844, r = –.58, p ≤ .05). Social interaction appeared as a relevant factor at improving HRQoL levels. High levels of satisfaction about the teleassistance program were reported.

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

Journal of Aging and Health ◽

10.1177/0898264318761909 ◽

2018 ◽

Vol 31 (7) ◽

pp. 1134-1154 ◽

Cited By ~ 5

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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