Abstract
Study design:
Cross-sectional.
Objectives:
The objective of this study was to examine the association between the characteristics of individuals with spinal cord injury (SCI) and self-reported health-related quality of life (HRQoL).
Setting:
The United States.
Methods:
Questions from the Behavioral Risk Factor Surveillance System (BRFSS) survey were sent to veterans with SCI. The analyses included 2302 respondents. Logistic regression analysis was used to examine the association between subject characteristics and the following four measures of HRQoL: frequent physical distress (FPD), frequent mental distress (FMD), frequent depressive symptoms (FDS) and poor or fair self-reported health.
Results:
Approximately 19% of the respondents reported FMD, 27% reported FPD, 17% reported FDS and 29% reported poor or fair health. Veterans who self-reported chronic illnesses, had higher odds of reporting FPD, FMD, FDS and poor or fair health than veterans who did not report chronic illnesses. Smoking was significantly associated with decreased HRQoL. Older veterans had higher odds of reporting poor or fair health and FPD than younger veterans. Higher levels of education were associated with lower odds of FMD, FDS and poor or fair health.
Conclusions:
Chronic illnesses and smoking have a substantial effect on HRQoL for persons with SCI, suggesting the importance of continued efforts to improve smoking cessation methods and to treat and prevent chronic conditions.
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References
Centers for Disease Control and Prevention. CDC health-related quality of life website. Centers for Disease Control and Prevention 2007.Available at: URL: http://www.cdc.gov/hrqol/.
Moriarty DG, Zack MM, Kobau R . The centers for disease control and prevention's healthy days measures—population tracking of perceived physical and mental health over time. Health Qual Life Outcomes 2003; 1: 37.
Westgren N, Levi R . Quality of life and traumatic spinal cord injury. Arch Phys Med Rehabil 1998; 79: 1433–1439.
Leduc BE, Lepage Y . Health-related quality of life after spinal cord injury. Disabil Rehabil 2002; 24: 196–202.
Andresen EM, Fouts BS, Romeis JC, Brownson CA . Performance of health-related quality-of-life instruments in a spinal cord injured population. Arch Phys Med Rehabil 1999; 80: 877–884.
Centers for Disease Control and Prevention. Health-related quality of life and activity limitation—eight states, 1995. MMWR Morb Mortal Wkly Rep 1998; 47: 134–140.
Newshaffer CJ . Validation of the BRFSS HRQoL Measures in a Statewide Sample 1998. Center for Disease Control: Atlanta, GA.
Jiang Y, Hesser JE . Associations between health-related quality of life and demographics and health risks. Results from Rhode Island's 2002 behavioral risk factor survey. Health Qual Life Outcomes 2006; 4: 14.
Brown DW, Balluz LS, Giles WH, Beckles GL, Moriarty DG, Ford ES et al. Diabetes mellitus and health-related quality of life among older adults. Findings from the behavioral risk factor surveillance system (BRFSS). Diabetes Res Clin Pract 2004; 65: 105–115.
Barrett DH, Boehmer TK, Boothe VL, Flanders WD, Barrett DH . Health-related quality of life of U.S. military personnel: a population-based study. Mil Med 2003; 168: 941–947.
Rohrer JE, Borders TF, Blanton J . Rural residence is not a risk factor for frequent mental distress: a behavioral risk factor surveillance survey. BMC Public Health 2005; 5: 46.
Dominick KL, Ahern FM, Gold CH, Heller DA . Health related quality of life among older adults with arthritis. Health Qual Life Outcomes 2004; 2: 5.
Kobau R, Safran MA, Zack MM, Moriarty DG, Chapman D . Sad, blue, or depressed days, health behaviors and health-related quality of life, Behavioral Risk Factor Surveillance System, 1995–2000. Health Qual Life Outcomes 2004; 2: 40.
Dryden DM, Saunders LD, Rowe BH, May LA, Yiannakoulias N, Svenson LW et al. Depression following traumatic spinal cord injury. Neuroepidemiology 2005; 25: 55–61.
Ford ES, Mannino DM, Redd SC, Moriarty DG, Mokdad AH . Determinants of quality of life among people with asthma: findings from the behavioral risk factor surveillance system. J Asthma 2004; 41: 327–336.
Strine TW, Greenlund KJ, Brown DW, Mokdad A, Balluz L . Characteristics of people aged 45 years or older with heart disease by frequent mental distress status, 2001. Prev Med 2004; 39: 191–196.
Strine TW, Okoro CA, Chapman DP, Balluz LS, Ford ES, Ajani UA et al. Health-related quality of life and health risk behaviors among smokers. Am J Prev Med 2005; 28: 182–187.
Okoro CA, Brewer RD, Naimi TS, Moriarty DG, Giles WH, Mokdad AH . Binge drinking and health-related quality of life: do popular perceptions match reality? Am J Prev Med 2004; 26: 230–233.
Acknowledgements
Research and funding support was provided by the VA Health Services Research and Development Service (HSR&D) and Spinal Cord Injury Quality Enhancement Research Initiative (SCI QUERI). We are solely responsible for the content and views expressed in this paper.
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Smith, B., LaVela, S. & Weaver, F. Health-related quality of life for veterans with spinal cord injury. Spinal Cord 46, 507–512 (2008). https://doi.org/10.1038/sc.2008.2
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DOI: https://doi.org/10.1038/sc.2008.2
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