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How do life-course trajectories of socioeconomic position affect quality of life in patients with diabetes mellitus?

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Abstract

Purpose

This study evaluated the association of life-course economic trajectory with health-related quality of life in patients with diabetes mellitus.

Methods

The study subjects were 183 outpatients over 20 years of age with diabetes mellitus. A questionnaire was administered to collect information about current and childhood economic status, and health-related quality of life was assessed through the 12-item short-form health survey (SF-12). Economic trajectory was categorized into five groups according to the change between current and childhood economic status. The mental component summary score and physical component summary score of the SF-12 were compared with average scores for the US population due to lack of domestic data.

Results

Physical health-related quality of life was more likely to be affected by current economic status than by economic position in childhood. On the other hand, mental health-related quality of life was associated not only with the self-rated economic status (p = 0.01) but also socioeconomic trajectory (p = 0.04), even after controlling for potential confounding factors. These results suggest that early economic status may affect mental health throughout one’s lifetime.

Conclusions

Economic status and trajectory throughout life may influence health-related quality of life in patients with diabetes mellitus.

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Author information

Authors and Affiliations

  1. Department of Preventive Medicine, School of Medicine, Ewha Womans University, 911-1 Mok 5-dong, Yangcheon-ku, Seoul, 158-710, South Korea

    Hye Ah Lee, Ko Eun Lee, Yool Won Jeong, Jaeseon Ryu, Minkyung Kim, Jung Won Min, Kyunghee Jung-Choi & Hyesook Park

  2. Department of Internal Medicine, School of Medicine, Ewha Womans University, Seoul, South Korea

    Young Sun Hong

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  1. Hye Ah Lee
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Correspondence to Hyesook Park.

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Lee, H.A., Lee, K.E., Jeong, Y.W. et al. How do life-course trajectories of socioeconomic position affect quality of life in patients with diabetes mellitus?. Qual Life Res 23, 1337–1344 (2014). https://doi.org/10.1007/s11136-013-0549-8

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