Details:

Alternative Title:
Prev Chronic Dis
Publisher's site:
http://dx.doi.org/10.5888/pcd11.140023
Personal Author:
Kachan, Diana ; Tannenbaum, Stacey L. ; Olano, Henry A. ; LeBlanc, William G. ; McClure, Laura A. ; ... More +
Kachan, Diana ; Tannenbaum, Stacey L. ; Olano, Henry A. ; LeBlanc, William G. ; McClure, Laura A. ; Lee, David J. Less -
Description:
Introduction

Health-related quality of life (HRQOL) is an important predictor of morbidity and mortality; however, its geographical variation in older adults in the United States has not been characterized. We compared HRQOL among older adults in the 50 US states and the District of Columbia using the Health and Activities Limitation Index (HALex). We also compared the HRQOL of 4 regions: South, West, Midwest, and Northeast.

Methods

We analyzed pooled data from 1997 through 2010 from the National Health Interview Survey for participants aged 65 or older. HALex scores (which range from 0 to 1.00, with higher values indicating better health) were calculated by combining data on participants’ perceived health and activity limitations. We ranked states by mean HALex score and performed multivariable logistic regression analyses to compare low scores (defined as scores in the lowest quintile) among US regions after adjustment for sociodemographics, health behaviors, and survey design.

Results

Older residents of Alaska, Alabama, Arkansas, Mississippi, and West Virginia had the lowest mean HALex scores (range, 0.62–0.68); residents of Arizona, Delaware, Nevada, New Hampshire, and Vermont had the highest mean scores (range, 0.78–0.79). Residents in the Northeast (odds ratio [OR], 0.66; 95% confidence interval [CI], 0.57–0.76) and the Midwest (OR, 64; 95% CI, 0.56–0.73) were less likely than residents in the South to have scores in the lowest quintile after adjustment for sociodemographics, health behaviors, and survey design.

Conclusion

Significant regional differences exist in HRQOL of older Americans. Future research could provide policy makers with information on improving HRQOL of older Americans.


Subject:
[+]
Activities Of Daily Living Aged Alcohol Drinking Body Mass Index Ethnicity Female Geriatrics Health Behavior Health Status Indicators Health Surveys Healthy People Programs Humans Life Style Male Medically Uninsured Motor Activity Odds Ratio Population Surveillance Quality Of Life Regression Analysis Residence Characteristics Smoking Social Class
Source:
Prev Chronic Dis. 11.
Pubmed ID:
24995652
Pubmed Central ID:
PMC4082433
Document Type:
Journal Article
Funding:
F30AG040886/AG/NIA NIH HHS/United States ; R01OH03915/OH/NIOSH CDC HHS/United States
F30AG040886/AG/NIA NIH HHS/United States ; R01OH03915/OH/NIOSH CDC HHS/United States Less -
Place as Subject:
United States
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:47cd2c62687b3f0b8fb924f52a0fe86db9e1e7e04b92511a7228b75aea38be8a
Download URL:
https://stacks.cdc.gov/view/cdc/24174/cdc_24174_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-11-E110.nxml	txt
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  	PCD-11-E110s01.jpg	jpeg

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