Determinants of health-related quality of life in older people with chronic musculoskeletal pain: a cross-sectional study

This study aimed to identify the significant physical, psychological, and social determinants associated with EuroQuol-5D (EQ-5D) among Chinese older people with chronic musculoskeletal pain, and to evaluate how these determinants affected the five dimensions of EQ-5D. This is a cross-sectional stud...

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Published in:BMC geriatrics 2024-01, Vol.24 (1), p.119-8, Article 119
Main Authors: Fong, Hugo Pak-Yiu, Choi, Shirley Yue-Kwan, Leung, Maria Kwan-Wa, Lo, Hermione Hin-Man, Wang, Bo, Wong, Samuel Yeung-Shan, Sit, Regina Wing-Shan
Format: Article
Language:English
Subjects:
Aged
Analysis
Anxiety
Anxiety disorders
Body mass index
Chronic illnesses
Chronic Musculoskeletal Pain
Chronic pain
Chronic Pain - diagnosis
Chronic Pain - epidemiology
Comorbidity
Cross-Sectional Studies
Disease
East Asian People
Female
Generalized anxiety disorder
Gerontology
Health aspects
Health Status
Health surveys
Health-related quality of life
Humans
Information management
Informed consent
Knee
Male
Mental depression
Middle Aged
Musculoskeletal Pain - diagnosis
Musculoskeletal Pain - epidemiology
Older people
Patients
Primary care
Psychological aspects
Quality of life
Quality of Life - psychology
Regression analysis
Resource allocation
Social networks
Software
Surveys and Questionnaires
Variables
Welfare
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container_title BMC geriatrics
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creator Fong, Hugo Pak-Yiu
Choi, Shirley Yue-Kwan
Leung, Maria Kwan-Wa
Lo, Hermione Hin-Man
Wang, Bo
Wong, Samuel Yeung-Shan
Sit, Regina Wing-Shan
description This study aimed to identify the significant physical, psychological, and social determinants associated with EuroQuol-5D (EQ-5D) among Chinese older people with chronic musculoskeletal pain, and to evaluate how these determinants affected the five dimensions of EQ-5D. This is a cross-sectional study. Data were collected through a cohort involving 946 community-dwelling older people aged ≥ 60 with chronic musculoskeletal pain in Hong Kong. Selected independent variables were categorized into physical, psychological, and social domains. Physical variables included age, sex, body mass index (BMI), pain severity score, number of pain regions, the most painful site, and the number of comorbidities. Psychological variables included depression level measured using the 9-question Patient Health Questionnaire (PHQ-9), and anxiety level measured using the Generalized Anxiety Disorder Assessment (GAD-7). Social variables included living, marital, and social welfare recipient's status. The dependent variables comprised the index scores and the five dimensions of the EQ-5D descriptive system. Ordinal least squares (OLS) model and logistic regression model were used for data analysis. The mean age of the participants was 67.1 (SD = 5.1), with 77.6% being female. Higher pain severity scores (beta (β) coefficient =-0.044, P 
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This is a cross-sectional study. Data were collected through a cohort involving 946 community-dwelling older people aged ≥ 60 with chronic musculoskeletal pain in Hong Kong. Selected independent variables were categorized into physical, psychological, and social domains. Physical variables included age, sex, body mass index (BMI), pain severity score, number of pain regions, the most painful site, and the number of comorbidities. Psychological variables included depression level measured using the 9-question Patient Health Questionnaire (PHQ-9), and anxiety level measured using the Generalized Anxiety Disorder Assessment (GAD-7). Social variables included living, marital, and social welfare recipient's status. The dependent variables comprised the index scores and the five dimensions of the EQ-5D descriptive system. Ordinal least squares (OLS) model and logistic regression model were used for data analysis. The mean age of the participants was 67.1 (SD = 5.1), with 77.6% being female. 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This is a cross-sectional study. Data were collected through a cohort involving 946 community-dwelling older people aged ≥ 60 with chronic musculoskeletal pain in Hong Kong. Selected independent variables were categorized into physical, psychological, and social domains. Physical variables included age, sex, body mass index (BMI), pain severity score, number of pain regions, the most painful site, and the number of comorbidities. Psychological variables included depression level measured using the 9-question Patient Health Questionnaire (PHQ-9), and anxiety level measured using the Generalized Anxiety Disorder Assessment (GAD-7). Social variables included living, marital, and social welfare recipient's status. The dependent variables comprised the index scores and the five dimensions of the EQ-5D descriptive system. Ordinal least squares (OLS) model and logistic regression model were used for data analysis. The mean age of the participants was 67.1 (SD = 5.1), with 77.6% being female. Higher pain severity scores (beta (β) coefficient =-0.044, P &lt; 0.001), depression scores (β=-0.007, P &lt; 0.001) and higher anxiety scores (β=-0.01, P &lt; 0.001) were associated with lower EQ-5D index scores. Specifically, knee pain (β=-0.061, P &lt; 0.001) was significantly associated with lower EQ-5D index scores. Participants with higher pain severity and depression scores were more likely to report problems in most EQ-5D dimensions. Participants with anxiety primarily faced challenges related to mood, and those with knee pain were more likely to have problems with mobility and daily activities. Among the selected determinants in our study, pain intensity, depression, anxiety, and knee pain were identified as key determinants associated with reduced HRQoL in older Chinese people with chronic musculoskeletal pain. 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subjects Aged
Analysis
Anxiety
Anxiety disorders
Body mass index
Chronic illnesses
Chronic Musculoskeletal Pain
Chronic pain
Chronic Pain - diagnosis
Chronic Pain - epidemiology
Comorbidity
Cross-Sectional Studies
Disease
East Asian People
Female
Generalized anxiety disorder
Gerontology
Health aspects
Health Status
Health surveys
Health-related quality of life
Humans
Information management
Informed consent
Knee
Male
Mental depression
Middle Aged
Musculoskeletal Pain - diagnosis
Musculoskeletal Pain - epidemiology
Older people
Patients
Primary care
Psychological aspects
Quality of life
Quality of Life - psychology
Regression analysis
Resource allocation
Social networks
Software
Surveys and Questionnaires
Variables
Welfare
title Determinants of health-related quality of life in older people with chronic musculoskeletal pain: a cross-sectional study
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