Journal article
Health-related quality of life among adults 65 years and older in the United States, 2011-2012: a multilevel small area estimation approach
Annals of epidemiology, v 27(1), 52
01 Jan 2017
PMID: 27814940
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose: The purpose of this study was to develop county-level estimates of poor health-related quality of life (HRQOL) among aged 65 years and older U.S. adults and to identify spatial clusters of poor HRQOL using a multilevel, poststratification approach.
Methods: Multilevel, random-intercept models were fit to HRQOL data (two domains: physical health and mental health) from the 2011-2012 Behavioral Risk Factor Surveillance System. Using a post stratification, small area estimation approach, we generated county-level probabilities of having poor HRQOL for each domain in U.S. adults aged 65 and older, and validated our model-based estimates against state and county direct estimates.
Results: County-level estimates of poor HRQOL in the United States ranged from 18.07% to 44.81% for physical health and 14.77% to 37.86% for mental health. Correlations between model-based and direct estimates were higher for physical than mental HRQOL Counties located in the Arkansas, Kentucky, and Mississippi exhibited the worst physical HRQOL scores, but this pattern did not hold for mental HRQOL, which had the highest probability of mentally unhealthy days in Illinois, Indiana, and Vermont.
Conclusions: Substantial geographic variation in physical and mental HRQOL scores exists among older U.S. adults. State and local policy makers should consider these local conditions in targeting interventions and policies to counties with high levels of poor HRQOL scores. (C) 2016 Elsevier Inc. All rights reserved.
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Details
- Title
- Health-related quality of life among adults 65 years and older in the United States, 2011-2012: a multilevel small area estimation approach
- Creators
- Yu-Hsiu Lin - Natl Hlth Res Inst, Natl Inst Environm Hlth, Res Ctr, Miaoli, TaiwanAlexander C. McLain - University of South CarolinaJanice C. Probst - University of South CarolinaKevin J. Bennett - University of South CarolinaZaina P. Qureshi - University of South CarolinaJan M. Eberth - University of South Carolina
- Publication Details
- Annals of epidemiology, v 27(1), 52
- Publisher
- Elsevier
- Number of pages
- 7
- Grant note
- Federal Office of Rural Health Policy 5U1CRH0311-12-00 / South Carolina Rural Health Research Center MRSG-15-148-01-CPHPS / American Cancer Society
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000393268100007
- Scopus ID
- 2-s2.0-85003794512
- Other Identifier
- 991021855178404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health