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The association between socioeconomic status and health-related quality of life among young and middle-aged maintenance hemodialysis patients: multiple mediation modeling

OBJECTIVE: To explore the relationship between socioeconomic status (SES), illness perception, social functioning, and health-related quality of life (HRQoL) of young and middle-aged maintenance hemodialysis (MHD) patients and the internal mechanism of action. DESIGN: A multicenter cross-sectional s...

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Autores principales: Mai, Qingxin, Xu, Siyi, Hu, Jingyi, Sun, Xiaoming, Chen, Gangyi, Ma, Zhen, Song, Yang, Wang, Chao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546310/
https://www.ncbi.nlm.nih.gov/pubmed/37795510
http://dx.doi.org/10.3389/fpsyt.2023.1234553
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author Mai, Qingxin
Xu, Siyi
Hu, Jingyi
Sun, Xiaoming
Chen, Gangyi
Ma, Zhen
Song, Yang
Wang, Chao
author_facet Mai, Qingxin
Xu, Siyi
Hu, Jingyi
Sun, Xiaoming
Chen, Gangyi
Ma, Zhen
Song, Yang
Wang, Chao
author_sort Mai, Qingxin
collection PubMed
description OBJECTIVE: To explore the relationship between socioeconomic status (SES), illness perception, social functioning, and health-related quality of life (HRQoL) of young and middle-aged maintenance hemodialysis (MHD) patients and the internal mechanism of action. DESIGN: A multicenter cross-sectional study. METHODS: An aggregate of 332 young and middle-aged MHD patients were enrolled from hemodialysis centers in four general hospitals in Guangzhou, Guangdong, China, from June to December 2022. The questionnaires used included one for general demographic data, the Brief Illness Perception Questionnaire (BIPQ), Social Dysfunction Screening Scale (SDSS), and the 12-item Short Form Health Survey (SF-12). RESULTS: Both SES and HRQoL were negatively correlated with illness perception and social functioning, respectively. SES was positively correlated with HRQoL. Illness perception was positively correlated with social functioning. The indirect effects of illness perception and social functioning on the relationship between SES and HRQoL were 0.33 and 0.31, making up 41.06% and 38.91% of the sum. The chain indirect effect of illness perception and social functioning was 0.10, making up 12.59% of the total effect, while gender did not play a moderating role. CONCLUSION: Illness perception and social functioning may independently and accumulatively mediate the association between SES and HRQoL. Nurses should consider developing individual intervention program for young and middle-aged MHD patients with low SES, focusing on establishing targeted counseling and health education strategies corresponding to illness perception and social functioning to help patients improve their HRQoL.
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spelling pubmed-105463102023-10-04 The association between socioeconomic status and health-related quality of life among young and middle-aged maintenance hemodialysis patients: multiple mediation modeling Mai, Qingxin Xu, Siyi Hu, Jingyi Sun, Xiaoming Chen, Gangyi Ma, Zhen Song, Yang Wang, Chao Front Psychiatry Psychiatry OBJECTIVE: To explore the relationship between socioeconomic status (SES), illness perception, social functioning, and health-related quality of life (HRQoL) of young and middle-aged maintenance hemodialysis (MHD) patients and the internal mechanism of action. DESIGN: A multicenter cross-sectional study. METHODS: An aggregate of 332 young and middle-aged MHD patients were enrolled from hemodialysis centers in four general hospitals in Guangzhou, Guangdong, China, from June to December 2022. The questionnaires used included one for general demographic data, the Brief Illness Perception Questionnaire (BIPQ), Social Dysfunction Screening Scale (SDSS), and the 12-item Short Form Health Survey (SF-12). RESULTS: Both SES and HRQoL were negatively correlated with illness perception and social functioning, respectively. SES was positively correlated with HRQoL. Illness perception was positively correlated with social functioning. The indirect effects of illness perception and social functioning on the relationship between SES and HRQoL were 0.33 and 0.31, making up 41.06% and 38.91% of the sum. The chain indirect effect of illness perception and social functioning was 0.10, making up 12.59% of the total effect, while gender did not play a moderating role. CONCLUSION: Illness perception and social functioning may independently and accumulatively mediate the association between SES and HRQoL. Nurses should consider developing individual intervention program for young and middle-aged MHD patients with low SES, focusing on establishing targeted counseling and health education strategies corresponding to illness perception and social functioning to help patients improve their HRQoL. Frontiers Media S.A. 2023-09-19 /pmc/articles/PMC10546310/ /pubmed/37795510 http://dx.doi.org/10.3389/fpsyt.2023.1234553 Text en Copyright © 2023 Mai, Xu, Hu, Sun, Chen, Ma, Song and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Mai, Qingxin
Xu, Siyi
Hu, Jingyi
Sun, Xiaoming
Chen, Gangyi
Ma, Zhen
Song, Yang
Wang, Chao
The association between socioeconomic status and health-related quality of life among young and middle-aged maintenance hemodialysis patients: multiple mediation modeling
title The association between socioeconomic status and health-related quality of life among young and middle-aged maintenance hemodialysis patients: multiple mediation modeling
title_full The association between socioeconomic status and health-related quality of life among young and middle-aged maintenance hemodialysis patients: multiple mediation modeling
title_fullStr The association between socioeconomic status and health-related quality of life among young and middle-aged maintenance hemodialysis patients: multiple mediation modeling
title_full_unstemmed The association between socioeconomic status and health-related quality of life among young and middle-aged maintenance hemodialysis patients: multiple mediation modeling
title_short The association between socioeconomic status and health-related quality of life among young and middle-aged maintenance hemodialysis patients: multiple mediation modeling
title_sort association between socioeconomic status and health-related quality of life among young and middle-aged maintenance hemodialysis patients: multiple mediation modeling
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546310/
https://www.ncbi.nlm.nih.gov/pubmed/37795510
http://dx.doi.org/10.3389/fpsyt.2023.1234553
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