Quality of Life and Affective Well-Being in Middle-Aged and Older People with Chronic Medical Illnesses A Cross-Sectional Population Based Study 英文参考文献.docVIP

下载本文档

13
0
约4.22万字
约 9页
2017-05-12 发布于上海
举报
版权申诉

Quality of Life and Affective Well-Being in Middle-Aged and Older People with Chronic Medical Illnesses A Cross-Sectional Population Based Study 英文参考文献.doc

1、本文档共9页，可阅读全部内容。
2、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。
3、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
5、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
6、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
7、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
8、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Quality of Life and Affective Well-Being in Middle-Aged and Older People with Chronic Medical Illnesses A Cross-Sectional Population Based Study 英文参考文献

QualityofLifeandAffectiveWell-BeinginMiddle-Aged andOlderPeoplewithChronicMedicalIllnesses:A Cross-SectionalPopulationBasedStudy AnnaWikman1,2*,JaneWardle3,AndrewSteptoe1 1Psychobiology Group, Department of Epidemiology and Public Health, University College London, London, United Kingdom, 2Upper Gastrointestinal Research, DepartmentofMolecularMedicineandSurgery,KarolinskaInstitutet,Stockholm,Sweden,3HealthBehaviourResearchCentre,DepartmentofEpidemiologyandPublic Health,UniversityCollegeLondon,London,UnitedKingdom Abstract Background: There has been considerable research into the impact of chronic illness on health-related quality of life. However,fewstudieshaveassessedtheimpactofdifferentchronicconditionsongeneralqualityoflife(QOL).Theobjective ofthispaperwastocomparegeneral(ratherthanhealth-related)QOLandaffectivewell-beinginmiddleagedandolder peopleacrosseightchronicillnesses. MethodsandFindings:Thispopulation-based,cross-sectionalstudyinvolved11,523individualsaged50yearsandolder, takingpartinwave1oftheEnglishLongitudinalStudyofAgeing.GeneralQOLwasassessedusingtheCASP-19,happiness was evaluated using two items drawn from the GHQ-12, and depression was measured with the CES-D. Analysis of covarianceandlogisticregression,adjustingforage,genderandwealth,wereperformed.GeneralQOLwasmostimpaired in people with stroke (mean 37.56, CI 36.73–38.39), and least in those reporting cancer (mean 41.78, CI 41.12–42.44, respectively),comparedwithnoillness(mean44.15,CI43.92–44.39).Stroke(mean3.65,CI3.58–3.73)wasalsoassociated withthegreatestreductioninpositivewell-beingwhereasdiabetes(mean3.81,CI3.76–3.86)andcancerwereleastaffected (3.85, CI 3.79–3.91), compared with no illness (mean 3.97, CI 3.95–4.00). Depression was significantly elevated in all conditions,butwasmostcommoninchroniclungdisease(OR3.04,CI2.56–3.61),withmoremodestelevationsinthose withosteoarthritis(OR2.08,CI1.84–2.34)orcancer (OR2.07,CI1.69–2.54). Multipleco-morbidities wereassociated with greaterdecrements