Determinants of health-related quality of life in older people with chronic musculoskeletal pain: a cross-sectional study
Abstract Background This study aimed to identify the significant physical, psychological, and social determinants associated with EuroQuol-5D (EQ-5D) among Chinese older people with chronic musculoskeletal pain, and to evaluate how these determinants affected the five dimensions of EQ-5D. Method Thi...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-024-04669-z |
| _version_ | 1797273360902651904 |
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| author | Hugo Pak-Yiu Fong Shirley Yue-Kwan Choi Maria Kwan-Wa Leung Hermione Hin-Man Lo Bo Wang Samuel Yeung-Shan Wong Regina Wing-Shan Sit |
| author_facet | Hugo Pak-Yiu Fong Shirley Yue-Kwan Choi Maria Kwan-Wa Leung Hermione Hin-Man Lo Bo Wang Samuel Yeung-Shan Wong Regina Wing-Shan Sit |
| author_sort | Hugo Pak-Yiu Fong |
| collection | DOAJ |
| description | Abstract Background This study aimed to identify the significant physical, psychological, and social determinants associated with EuroQuol-5D (EQ-5D) among Chinese older people with chronic musculoskeletal pain, and to evaluate how these determinants affected the five dimensions of EQ-5D. Method This is a cross-sectional study. Data were collected through a cohort involving 946 community-dwelling older people aged ≥ 60 with chronic musculoskeletal pain in Hong Kong. Selected independent variables were categorized into physical, psychological, and social domains. Physical variables included age, sex, body mass index (BMI), pain severity score, number of pain regions, the most painful site, and the number of comorbidities. Psychological variables included depression level measured using the 9-question Patient Health Questionnaire (PHQ-9), and anxiety level measured using the Generalized Anxiety Disorder Assessment (GAD-7). Social variables included living, marital, and social welfare recipient’s status. The dependent variables comprised the index scores and the five dimensions of the EQ-5D descriptive system. Ordinal least squares (OLS) model and logistic regression model were used for data analysis. Results The mean age of the participants was 67.1 (SD = 5.1), with 77.6% being female. Higher pain severity scores (beta (β) coefficient =-0.044, P < 0.001), depression scores (β=-0.007, P < 0.001) and higher anxiety scores (β=-0.01, P < 0.001) were associated with lower EQ-5D index scores. Specifically, knee pain (β=-0.061, P < 0.001) was significantly associated with lower EQ-5D index scores. Participants with higher pain severity and depression scores were more likely to report problems in most EQ-5D dimensions. Participants with anxiety primarily faced challenges related to mood, and those with knee pain were more likely to have problems with mobility and daily activities. Conclusion Among the selected determinants in our study, pain intensity, depression, anxiety, and knee pain were identified as key determinants associated with reduced HRQoL in older Chinese people with chronic musculoskeletal pain. Each of these determinants showed distinct associations with different dimensions of the EQ-5D, potentially informed resource allocation and the development of targeted interventions to improve the overall HRQoL of this specific population. |
| first_indexed | 2024-03-07T14:42:16Z |
| format | Article |
| id | doaj.art-fc28fc434bcf49f4ba175de35a1b12da |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-07T14:42:16Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-fc28fc434bcf49f4ba175de35a1b12da2024-03-05T20:12:17ZengBMCBMC Geriatrics1471-23182024-01-012411810.1186/s12877-024-04669-zDeterminants of health-related quality of life in older people with chronic musculoskeletal pain: a cross-sectional studyHugo Pak-Yiu Fong0Shirley Yue-Kwan Choi1Maria Kwan-Wa Leung2Hermione Hin-Man Lo3Bo Wang4Samuel Yeung-Shan Wong5Regina Wing-Shan Sit6The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong KongDepartment of Family Medicine, New Territories East Cluster, Hospital AuthorityDepartment of Family Medicine, New Territories East Cluster, Hospital AuthorityThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong KongThe Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong KongThe Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong KongThe Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong KongAbstract Background This study aimed to identify the significant physical, psychological, and social determinants associated with EuroQuol-5D (EQ-5D) among Chinese older people with chronic musculoskeletal pain, and to evaluate how these determinants affected the five dimensions of EQ-5D. Method This is a cross-sectional study. Data were collected through a cohort involving 946 community-dwelling older people aged ≥ 60 with chronic musculoskeletal pain in Hong Kong. Selected independent variables were categorized into physical, psychological, and social domains. Physical variables included age, sex, body mass index (BMI), pain severity score, number of pain regions, the most painful site, and the number of comorbidities. Psychological variables included depression level measured using the 9-question Patient Health Questionnaire (PHQ-9), and anxiety level measured using the Generalized Anxiety Disorder Assessment (GAD-7). Social variables included living, marital, and social welfare recipient’s status. The dependent variables comprised the index scores and the five dimensions of the EQ-5D descriptive system. Ordinal least squares (OLS) model and logistic regression model were used for data analysis. Results The mean age of the participants was 67.1 (SD = 5.1), with 77.6% being female. Higher pain severity scores (beta (β) coefficient =-0.044, P < 0.001), depression scores (β=-0.007, P < 0.001) and higher anxiety scores (β=-0.01, P < 0.001) were associated with lower EQ-5D index scores. Specifically, knee pain (β=-0.061, P < 0.001) was significantly associated with lower EQ-5D index scores. Participants with higher pain severity and depression scores were more likely to report problems in most EQ-5D dimensions. Participants with anxiety primarily faced challenges related to mood, and those with knee pain were more likely to have problems with mobility and daily activities. Conclusion Among the selected determinants in our study, pain intensity, depression, anxiety, and knee pain were identified as key determinants associated with reduced HRQoL in older Chinese people with chronic musculoskeletal pain. Each of these determinants showed distinct associations with different dimensions of the EQ-5D, potentially informed resource allocation and the development of targeted interventions to improve the overall HRQoL of this specific population.https://doi.org/10.1186/s12877-024-04669-zHealth-related quality of lifeOlder peopleChronic Musculoskeletal Pain |
| spellingShingle | Hugo Pak-Yiu Fong Shirley Yue-Kwan Choi Maria Kwan-Wa Leung Hermione Hin-Man Lo Bo Wang Samuel Yeung-Shan Wong Regina Wing-Shan Sit Determinants of health-related quality of life in older people with chronic musculoskeletal pain: a cross-sectional study BMC Geriatrics Health-related quality of life Older people Chronic Musculoskeletal Pain |
| title | Determinants of health-related quality of life in older people with chronic musculoskeletal pain: a cross-sectional study |
| title_full | Determinants of health-related quality of life in older people with chronic musculoskeletal pain: a cross-sectional study |
| title_fullStr | Determinants of health-related quality of life in older people with chronic musculoskeletal pain: a cross-sectional study |
| title_full_unstemmed | Determinants of health-related quality of life in older people with chronic musculoskeletal pain: a cross-sectional study |
| title_short | Determinants of health-related quality of life in older people with chronic musculoskeletal pain: a cross-sectional study |
| title_sort | determinants of health related quality of life in older people with chronic musculoskeletal pain a cross sectional study |
| topic | Health-related quality of life Older people Chronic Musculoskeletal Pain |
| url | https://doi.org/10.1186/s12877-024-04669-z |
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