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Quality of Life and Health among People Living in an Industrial Area of Poland.

ABSTRACT: Background: The quality of life and health status of the population significantly depends on socio-economic factors, including working and employment conditions. Methods: This epidemiological cross-sectional study was carried out among young inhabitants aged 25⁻44 years living in the Silesian voivodeship in Poland. The quality of life was evaluated using the short version of the WHOQOL-BREF questionnaire. Results: A total of 905 respondents were examined. It was shown that the poor quality of life in all assessed domains was associated with a low job satisfaction level, low physical activity, and higher self-assessed health status. Furthermore, the worse self-assessed health status in the study group was mainly related to such factors as earlier diagnosed chronic disease, lower job satisfaction, and low physical activity. Additionally, diagnosed chronic disease among occupationally active respondents was correlated with health deterioration due to excessive stress, living in the vicinity of heavy road traffic, and was declared by women more frequently. Conclusions: The results of the presented study confirmed that the quality of life and health status in young inhabitants of the Silesian voivodeship significantly depends on the work characteristics, employment conditions and lifestyle factors.

SUBMITTER: Szemik S

PROVIDER: S-EPMC6480140 | biostudies-other | 2019 Apr

REPOSITORIES: biostudies-other

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Quality of Life and Health among People Living in an Industrial Area of Poland.

Szemik Szymon S Kowalska Małgorzata M Kulik Halina H

International journal of environmental research and public health 20190405 7

Background: The quality of life and health status of the population significantly depends on socio-economic factors, including working and employment conditions. Methods: This epidemiological cross-sectional study was carried out among young inhabitants aged 25⁻44 years living in the Silesian voivodeship in Poland. The quality of life was evaluated using the short version of the WHOQOL-BREF questionnaire. Results: A total of 905 respondents were examined. It was shown that t ...[more]

PMID: 30959768

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Project description:BACKGROUND:As infection with the Human Immunodeficiency Virus (HIV) has evolved to a chronic disease, perceived health-related quality of life (HRQoL) is becoming a prominent and important patient-reported outcome measure in HIV care. Literature discusses different factors influencing HRQoL in this population, however, currently no consensus exists about the main determinants. In this review a clear, up-to-date overview of the determinants influencing HRQOL among people living with HIV is provided. METHODS:All studies published before July 2013 that identified determinants of HRQoL among people living with HIV in high-income countries, were considered in this narrative review. PubMed, Web of Science and The Cochrane Library were consulted using the keywords 'determinants', 'quality of life', 'HIV' and 'AIDS'. To be included, studies should have reported overall health and/or physical/mental health scores on a validated instrument and performed multivariable regression analyses to identify determinants that independently influence perceived HRQoL. RESULTS:In total, 49 studies were included for further analysis and they used a variety of HRQoL instruments: Medical Outcomes Study Short Form-36 or variants, Medical Outcomes Study-HIV, HIV Cost and Services Utilization Study measure, Multidimensional Quality of Life Questionnaire, HIV targeted quality of life instrument, Functional Assessment of Human Immunodeficiency Virus Infection, HIV Overview of Problems Evaluation System, EuroQol, Fanning Quality of Life scale, Health Index and PROQOL-HIV. In this review, the discussed determinants were thematically divided into socio-demographic, clinical, psychological and behavioural factors. Employment, immunological status, presence of symptoms, depression, social support and adherence to antiretroviral therapy were most frequently and consistently reported to be associated with HRQoL among people living with HIV. CONCLUSIONS:HRQoL among people living with HIV is influenced by several determinants. These determinants independently, but simultaneously impact perceived HRQoL. Most HRQoL instruments do not capture all key determinants. We recommend that the choice for an instrument should depend on the purpose of the HRQoL assessment.

Project description:Background and objectivesFinancial toxicity significantly affects many patients, especially cancer survivors. We evaluated the association of unemployment as a major contributor to financial toxicity with patient-reported outcomes (PROs) assessing multiple illness experience domains in a primary CNS tumor (PCNST) cohort.MethodsPatient and disease characteristics and PROs measuring symptom burden, interference, psychologic distress, functional impairment, and health-related quality of life (HRQOL) from participants enrolled in an institutional review board-approved observational study at the US NIH's Neuro-Oncology Branch were collected between September 2016 and December 2019. Descriptive statistics, tests of association, and comparison of group mean values were used to describe and evaluate PROs.ResultsOf the 277 participants diagnosed with a PCNST, 57% were male and 43% were female. Participants reported their race as White, non-Hispanic (78%); White, Hispanic/Latino (9%); Asian (7%); Black (4%); Native Hawaiian/Pacific Islander (1%); and other (2%) with 8% missing. The median age of the overall cohort was 45 years (range 18-74). Hispanic participants in the overall sample were 2.3 times more likely, and in the brain tumor group 3.2 times more likely, to report unemployment (p = 0.043, odds ratio [OR] 2.3, 95% CI 1.0-5.4 and p = 0.008, OR 3.2, 95% CI 1.3-7.9, respectively). 77 (28%) individuals unemployed due to tumor reported more functional impairment with walking, washing, dressing, and performing usual activities and reduced HRQOL (p < 0.001). More unemployed participants in the total sample reported moderate-to-severe depressive symptoms (25%) than those employed (8%) (χ2(1) = 13.9, p < 0.001, OR 3.7, 95% CI 1.8-7.8) and more moderate-to-severe anxiety symptoms (30%) than those employed (15%) (χ2(1) = 7.8, p = 0.005, OR 2.4, 95% CI 1.3-4.5). Unemployed participants with brain tumor reported on average 3 more symptoms as moderate-to-severe compared with those employed (t(83) = -4.0, 95% CI [Formula: see text] difference -5 to -2, p < 0.001, Hedge g = 0.70).DiscussionBeing unemployed due to a PCNST strongly correlated with high symptom burden, functional impairment, psychological distress, and reduced HRQOL, which may be impediments to returning to work that warrant intervention. Lack of employer-based health insurance and reduced earnings are financial sequelae of unemployment superimposed on the physical, social, and cognitive effects of living with a PCNST. Innovations to screen for and address financial toxicity and its contributing factors are needed.

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Quality of Life and Health among People Living in an Industrial Area of Poland.

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Quality of Life and Health among People Living in an Industrial Area of Poland.

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