Abstract
Results
After multiple linear regression, a significant decrease was observed between 1995 and 2003 in all scales scores, from −0.11
adjusted standard deviations for Social Functioning (95% CI: −0.15 to −0.08) to −0.23 for Vitality (−0.26 to −0.19). Increasing
age, female gender, divorce/widowhood, lowest educational levels, chronic conditions, and living in the Northern region were
identified as independent predictors of lower HRQoL scores. Testing interactions showed significantly greater differences
between 1995 and 2003 for subjects aged 75–84 and for least educated subjects (Physical Functioning, General Health). The
Gini index increased for all scales.
adjusted standard deviations for Social Functioning (95% CI: −0.15 to −0.08) to −0.23 for Vitality (−0.26 to −0.19). Increasing
age, female gender, divorce/widowhood, lowest educational levels, chronic conditions, and living in the Northern region were
identified as independent predictors of lower HRQoL scores. Testing interactions showed significantly greater differences
between 1995 and 2003 for subjects aged 75–84 and for least educated subjects (Physical Functioning, General Health). The
Gini index increased for all scales.
Conclusions
We report evidence of worsening trends and possibly increasing demographic, socioeconomic, and regional disparities in HRQoL
between 1995 and 2003 in France. Monitoring HRQoL in populations can provide unique and sensitive data, complementary to classical
indicators based on mortality and morbidity.
between 1995 and 2003 in France. Monitoring HRQoL in populations can provide unique and sensitive data, complementary to classical
indicators based on mortality and morbidity.
- Content Type Journal Article
- Pages 1-14
- DOI 10.1007/s11136-012-0117-7
- Authors
- Etienne Audureau, Biostatistics and Epidemiology Unit, Assistance Publique-Hôpitaux de Paris, Hôtel-Dieu, Nancy-Université, Université Paris-Descartes, Université Metz Paul Verlaine, Research Unit APEMAC, EA 4360, 1 place du Parvis Notre-Dame, 75181 Paris Cedex 4, France
- Stéphane Rican, Space, Health and Territories Laboratory, University of Paris Ouest-Nanterre, 200 avenue de la république, 92000 Nanterre, France
- Joël Coste, Biostatistics and Epidemiology Unit, Assistance Publique-Hôpitaux de Paris, Hôtel-Dieu, Nancy-Université, Université Paris-Descartes, Université Metz Paul Verlaine, Research Unit APEMAC, EA 4360, 1 place du Parvis Notre-Dame, 75181 Paris Cedex 4, France
- Journal Quality of Life Research
- Online ISSN 1573-2649
- Print ISSN 0962-9343