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Quality of life in chronic musculoskeletal symptomatic Chilean population: secondary analysis of National Health Survey 2009–2010

BACKGROUND: Health-related quality of life (HRQoL) is defined as the patient’s perception of their health status. HRQoL can be modified by illnesses, treatments or social and health policies. Chronic musculoskeletal pain is a modifying factor of HRQoL that leads to lower quality of life, elevated su...

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Autores principales: Mena-Iturriaga, Maria Jesus, Mauri-Stecca, Manuel Vicente, Sizer, Phillip S., Leppe, Jaime
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7175522/
https://www.ncbi.nlm.nih.gov/pubmed/32316950
http://dx.doi.org/10.1186/s12891-020-03261-x
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author Mena-Iturriaga, Maria Jesus
Mauri-Stecca, Manuel Vicente
Sizer, Phillip S.
Leppe, Jaime
author_facet Mena-Iturriaga, Maria Jesus
Mauri-Stecca, Manuel Vicente
Sizer, Phillip S.
Leppe, Jaime
author_sort Mena-Iturriaga, Maria Jesus
collection PubMed
description BACKGROUND: Health-related quality of life (HRQoL) is defined as the patient’s perception of their health status. HRQoL can be modified by illnesses, treatments or social and health policies. Chronic musculoskeletal pain is a modifying factor of HRQoL that leads to lower quality of life, elevated suffering and disability. Knowing HRQoL in subjects reporting chronic musculoskeletal symptoms (cMSS), like pain, discomfort or swollenness lasting more than 3 months, will provide information to health teams and organizations engaged in the Chilean health system. This study aim was to determine the relationship between HRQoL and musculoskeletal symptoms measured in three different Chilean groups: [1] without symptoms; [2] with acute symptoms; and [3] with cMSS. METHODS: A secondary analysis of the 2009–10 Chilean National Health Survey (NHS) was executed to determine the relationship between HRQoL (measured with SF-12) in three MSS groups. The Chilean NHS considered a national, probabilistic, stratified and multistage sample of 5293 participants aged 15 and older; it was representative at the national, urban-rural and regional levels. A multivariate logistic regression model studied the relationship between cMSS and HRQoL, adjusted for age, sex, educational level and residence area as control variables (p < 0.05). RESULTS: Out of 5293 participants in the NHS 2009–10, 5276 subjects were included for analysis. The median age was 46 years (IQR 31–60), 59.4% women, a median of 10 years formal education (IQR 7–12) and an urban residence in 85.2% of the population of the NHS 2009–10. The observed population prevalence of people with cMSS was 42.6% (95% CI 40.4–44.9). Presence of cMSS is a risk factor for low HRQoL, exhibited both in the physical (OR 3.1 95% CI 2.7–3.5) and mental (OR 1.9 95% CI 1.6–2,) HRQoL dimensions, independent of control variables. CONCLUSIONS: Physical and mental HRQoL are affected in people with cMSS, low educational level and advanced age. This is especially seen in women. This information will facilitate assessment and treatment of cMSS as a prevalent and multidimensional health problem.
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spelling pubmed-71755222020-04-24 Quality of life in chronic musculoskeletal symptomatic Chilean population: secondary analysis of National Health Survey 2009–2010 Mena-Iturriaga, Maria Jesus Mauri-Stecca, Manuel Vicente Sizer, Phillip S. Leppe, Jaime BMC Musculoskelet Disord Research Article BACKGROUND: Health-related quality of life (HRQoL) is defined as the patient’s perception of their health status. HRQoL can be modified by illnesses, treatments or social and health policies. Chronic musculoskeletal pain is a modifying factor of HRQoL that leads to lower quality of life, elevated suffering and disability. Knowing HRQoL in subjects reporting chronic musculoskeletal symptoms (cMSS), like pain, discomfort or swollenness lasting more than 3 months, will provide information to health teams and organizations engaged in the Chilean health system. This study aim was to determine the relationship between HRQoL and musculoskeletal symptoms measured in three different Chilean groups: [1] without symptoms; [2] with acute symptoms; and [3] with cMSS. METHODS: A secondary analysis of the 2009–10 Chilean National Health Survey (NHS) was executed to determine the relationship between HRQoL (measured with SF-12) in three MSS groups. The Chilean NHS considered a national, probabilistic, stratified and multistage sample of 5293 participants aged 15 and older; it was representative at the national, urban-rural and regional levels. A multivariate logistic regression model studied the relationship between cMSS and HRQoL, adjusted for age, sex, educational level and residence area as control variables (p < 0.05). RESULTS: Out of 5293 participants in the NHS 2009–10, 5276 subjects were included for analysis. The median age was 46 years (IQR 31–60), 59.4% women, a median of 10 years formal education (IQR 7–12) and an urban residence in 85.2% of the population of the NHS 2009–10. The observed population prevalence of people with cMSS was 42.6% (95% CI 40.4–44.9). Presence of cMSS is a risk factor for low HRQoL, exhibited both in the physical (OR 3.1 95% CI 2.7–3.5) and mental (OR 1.9 95% CI 1.6–2,) HRQoL dimensions, independent of control variables. CONCLUSIONS: Physical and mental HRQoL are affected in people with cMSS, low educational level and advanced age. This is especially seen in women. This information will facilitate assessment and treatment of cMSS as a prevalent and multidimensional health problem. BioMed Central 2020-04-21 /pmc/articles/PMC7175522/ /pubmed/32316950 http://dx.doi.org/10.1186/s12891-020-03261-x Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Mena-Iturriaga, Maria Jesus
Mauri-Stecca, Manuel Vicente
Sizer, Phillip S.
Leppe, Jaime
Quality of life in chronic musculoskeletal symptomatic Chilean population: secondary analysis of National Health Survey 2009–2010
title Quality of life in chronic musculoskeletal symptomatic Chilean population: secondary analysis of National Health Survey 2009–2010
title_full Quality of life in chronic musculoskeletal symptomatic Chilean population: secondary analysis of National Health Survey 2009–2010
title_fullStr Quality of life in chronic musculoskeletal symptomatic Chilean population: secondary analysis of National Health Survey 2009–2010
title_full_unstemmed Quality of life in chronic musculoskeletal symptomatic Chilean population: secondary analysis of National Health Survey 2009–2010
title_short Quality of life in chronic musculoskeletal symptomatic Chilean population: secondary analysis of National Health Survey 2009–2010
title_sort quality of life in chronic musculoskeletal symptomatic chilean population: secondary analysis of national health survey 2009–2010
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7175522/
https://www.ncbi.nlm.nih.gov/pubmed/32316950
http://dx.doi.org/10.1186/s12891-020-03261-x
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