Quality of Life Research

, Volume 22, Issue 1, pp 13–26

Worsening trends and increasing disparities in health-related quality of life: evidence from two French population-based cross-sectional surveys, 1995–2003

Article

DOI: 10.1007/s11136-012-0117-7

Cite this article as:
Audureau, E., Rican, S. & Coste, J. Qual Life Res (2013) 22: 13. doi:10.1007/s11136-012-0117-7

Abstract

Purpose

To investigate time trends in health-related quality of life (HRQoL) in France and to report existing and changing demographic, socioeconomic, and geographic disparities.

Methods

Data were drawn from two independent national cross-sectional surveys conducted in 1995 and 2003, including 3,243 individuals aged 18–84 in 1995 and 22,743 in 2003. HRQoL was measured with the 8 subscales of the French version of the SF-36.

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.

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.

Keywords

Health disparitiesHealth-related quality of lifeSurveillancePopulation-based study

Abbreviations

BP

Bodily pain

GH

General health

HRQoL

Health-related quality of life

MH

Mental health

PF

Physical functioning

RE

Role limitations relating to mental health

RP

Role limitations relating to physical health

SES

Socioeconomic status

SF

Social functioning

SRH

Self-rated health

VT

Vitality

Supplementary material

11136_2012_117_MOESM1_ESM.pdf (67 kb)
Supplementary material 1 (PDF 67 kb)

Copyright information

© Springer Science+Business Media B.V. 2012

Authors and Affiliations

  • Etienne Audureau
    • 1
  • Stéphane Rican
    • 2
  • Joël Coste
    • 1
  1. 1.Biostatistics and Epidemiology Unit, Assistance Publique-Hôpitaux de Paris, Hôtel-DieuNancy-Université, Université Paris-Descartes, Université Metz Paul VerlaineParis Cedex 4France
  2. 2.Space, Health and Territories LaboratoryUniversity of Paris Ouest-NanterreNanterreFrance