The Effect of Co-Morbidity on the Association of Cardiocerebrovascular Diseases and Health-Related Quality of Life in a Chinese Elderly Population

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题名:	The Effect of Co-Morbidity on the Association of Cardiocerebrovascular Diseases and Health-Related Quality of Life in a Chinese Elderly Population
作者:	林正介(Lin,Cheng-Chieh);李采娟(Li,Tsai-Chung);李佳霙
贡献者:	醫學院醫學系學士班家庭醫學科;中國附醫社區醫學部家庭醫學科
日期:	2003-11-12
上传时间:	2009-09-07 11:10:29 (UTC+8)
摘要:	Introduction. Co-morbidity is an important dimension of health status in older adults because the concurrent presence of co-morbidity is prevalent. Co-morbid illness may modify the primary factor of interest, and co-morbidity itself may also independently be a risk factor for adverse outcomes. The objectives of the present study are to examine the association of cardiocerebrovascular diseases and health-related quality of life (HRQoL) in a Chinese, community-based elderly population and to examine whether the existence of the co-morbidity will modify these associations. Methods. All elders aged 65 and over who resided in Chung-Shing-Shin-Tseun, Taiwan were recruited with an overall response rate of 89.13% (n=921) in 1998. Face-to-fact interviews were used to collect information. An elder had any cardiocerebrovascular diseases if he/she had been diagnosed as having heart disease, hypertension, stroke, or diabetes. HRQoL was measured by SF-36. The co-morbidity consisted of eye, pulmonary, and musculo-skeletal disorders, ulcer and liver disease and other disease, and anemia. Results. After controlling for the effects of age, gender, and co-morbidity, the estimated effect of cardiocerebrovascular diseases on all subscales was negative except mental health and role limitations due to emotional problems, often as much as a 5-10 point reduction on this 100-point scale. Co-morbidity exerts independent effect on physical functioning, role limitation due to physical and emotional problems, and mental health. On the other hand, the existence of musculo-skeletal disorder enhance the effect of cardiocerebrovascular diseases on pain; eye disorder on general perception of health and vitality; and other diseases on social function.
關聯:	10th Annual Conference of the International Society for Quality o
显示于类别:	[醫學系] 會議論文

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