How do life-course trajectories of socioeconomic position affect quality of life in patients with diabetes mellitus?
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- Lee, H.A., Lee, K.E., Jeong, Y.W. et al. Qual Life Res (2014) 23: 1337. doi:10.1007/s11136-013-0549-8
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This study evaluated the association of life-course economic trajectory with health-related quality of life in patients with diabetes mellitus.
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.
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.
Economic status and trajectory throughout life may influence health-related quality of life in patients with diabetes mellitus.