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Self-reported health-related quality of life (HRQoL) and factors affecting HRQoL among individuals with health insurance in Iran
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Ali Kazemi Karyani, Arash Rashidian, Sarar Emamgholipour Sefiddashti, Ali Akbari Sari
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Epidemiol Health. 2016;38:e2016046. Published online October 26, 2016
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DOI: https://doi.org/10.4178/epih.e2016046
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Abstract
OBJECTIVES
The aim of this study was to measure the health-related quality of life (HRQoL) and to evaluate the factors affecting HRQoL in individuals with health insurance in Tehran, Iran.
METHODS A cross-sectional analytical study was conducted using the 3-level EuroQol 5-dimensions (EQ-5D) questionnaire. In order to estimate the determinants of HRQoL, information about participants’ demographic, socioeconomic, and health status was gathered. The cluster sampling technique was used to collect data from May to June, 2016. The chi-square test and weighted least squares method were employed for data analysis. Data were analyzed using Stata version 11.0.
RESULTS A total of 600 Iranians with insurance completed the study, of whom 327 (54.5%) were male and 273 (45.5%) were female. The mean age of the participants was 41.48 years (standard deviation [SD], 14.60 years). Meanwhile, the mean duration of education was 12.36 years (SD, 4.68 years). The mean EQ-5D score was 0.74 (SD, 0.16). The most common health problems in the participants were anxiety/depression (42.3%), followed by pain/discomfort (39.2%). Sex, age, years of schooling, income, chronic disease, and body mass index had a significant effect on HRQoL (p<0.05). Healthy insured individuals, on average, had a HRQoL score 0.119 higher than that of people with a chronic disease, all else being equal (p<0.001).
CONCLUSIONS Among all determinants of HRQoL, chronic disease was found to be the highest priority for interventions to improve the health status of Iranians with insurance. This finding can help policymakers and health insurance organizations improve their planning to promote the HRQoL of individuals with insurance and society as a whole in Iran.
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Summary
Korean summary
본 연구는 만 19세 이상의 한국 성인 동성애자와 양성애자를 대상으로 이들의 건강상태에 대한 설문조사를 시행하고, 수집한 자료를 분석하여 동성애자•양성애자의 건강불평등 실태를 파악하고자 하였다. 본 연구의 목적은 자가평가건강, 정신건강(우울, 자살생각 및 자살시도), 신체적 건강(근골격계 통증) 및 건강관련행동(흡연율, 위험음주율)을 포함하여 다양한 측면에서 한국 성인 동성애자•양성애자와 일반인구집단의 건강수준을 비교하는 것이다.
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Citations
Citations to this article as recorded by 
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Life and health satisfaction in the adult population of Iran
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Rajabali Daroudi, Arash Rashidian, Hojjat Zeraati, Alireza Oliyaeemanesh, Ali Akbari Sari
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Epidemiol Health. 2016;38:e2016047. Published online November 3, 2016
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DOI: https://doi.org/10.4178/epih.e2016047
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15,537
View
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187
Download
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9
Web of Science
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8
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Abstract
PDF
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Abstract
OBJECTIVES
Increasing interest has emerged in the use of subjective well-being as a development indicator and for the evaluation of public policies. The aim of this study was to assess life and health satisfaction and their determinants in the adult population of Iran.
METHODS We conducted a survey of a sample of 3,150 adults at least 18 years of age in Tehran, the capital of Iran. The subjects were selected using a stratified random sampling method, and they were interviewed face-to-face at their usual residence by trained interviewers. Life satisfaction was used as a measure of subjective well-being. We used ordinary least square regression models to assess the associations of life and health satisfaction with socio-demographic variables.
RESULTS On a 0-10 scale, the mean (standard deviation) scores for life and health satisfaction were 6.93 (2.54) and 7.18 (1.97), respectively. The average score for life satisfaction in females was 0.52 points higher than in males. A U-shaped relationship was found between age and life satisfaction, with respondents 35 to 44 years of age having the lowest average level of life satisfaction. Satisfaction with life and health among divorced respondents was significantly lower than among never-married and married participants. The scores for life satisfaction in respondents who rated their health status as poor were 3.83 points lower than in those who rated their health status as excellent.
CONCLUSIONS The majority of the population of Tehran was satisfied with their life and health. Self-rated health status had the greatest impact on life satisfaction.
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Summary
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Citations
Citations to this article as recorded by - Predictors of Life Satisfaction: A Nationwide Investigation in Iran
Nasim Salehi, Mohsen Joshanloo, Scott Lamont, Dean Whitehead, Tushar Singh
Health & Social Care in the Community.2024; 2024: 1. CrossRef - Effects of Group Logotherapy Training on Self-Esteem, Communication Skills, and Impact of Event Scale-Revised (IES-R) in Older Adults
Ali Soroush, Arash Ziapour, Jaffar Abbas, Iran Jahanbin, Bahare Andayeshgar, Farideh Moradi, Sahar Najafi, Elham Cheraghpouran
Ageing International.2022; 47(4): 758. CrossRef - Personal satisfaction: A concept analysis
Rnda I. Ashgar
Nursing Forum.2022; 57(3): 446. CrossRef - Life satisfaction and its influencing factors of middle-aged and elderly stroke patients in China: a national cross-sectional survey
Ying Liu, Jieyu Liu, Shangcheng Zhou, Xingying Xu, Yu Cheng, Ying Yi, Guanyang Zou
BMJ Open.2022; 12(8): e059663. CrossRef - What Makes Indonesians Satisfied With Their Health? A Multilevel Analysis
Susanti Susanti, Adi Cilik Pierewan, Kismiantini Kismiantini, Sofjan Aripin
SAGE Open.2022; 12(3): 215824402211217. CrossRef - Relationships Between Personal Satisfaction, Cardiovascular Disease Risk, and Health Promoting Behavior Among Arab American Middle-Aged Women
Rnda I. Ashgar
Journal of Cardiovascular Nursing.2021; 36(3): 273. CrossRef - The U Shape of Happiness Across the Life Course: Expanding the Discussion
Nancy L. Galambos, Harvey J. Krahn, Matthew D. Johnson, Margie E. Lachman
Perspectives on Psychological Science.2020; 15(4): 898. CrossRef - Poor quality of life as a predictor of survival among thalassemia patients in Iran
Shahab Rezaeian
Epidemiology and Health.2017; 39: e2017013. CrossRef
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