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Quality of life in Brazil: normative values for the Whoqol-bref in a southern general population sample

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Abstract

Purpose

Normative data for WHOQOL-bref are scarce in the literature and unavailable in Latin American countries. The main objective of this study was to provide normative scores of WHOQOL-bref in a general population sample in Brazil and to describe differences in mean scores according to some socio-demographic characteristics.

Methods

WHOQOL-bref was applied to a randomly selected sample of the general population of Porto Alegre. Participants were literate people aged 20 to 64 years. The questionnaires were self-administered in the presence of an interviewer in the respondent’s home.

Results

The response rate was 68%, and the final sample contained 751 respondents (38% men, 62% women). Low quality of life was observed in the following subgroups: female gender, lower economic class, lower educational level, and the subgroup reporting a chronic medical condition. The mean scores of the WHOQOL-bref and percentiles of scores are reported as normative data for the general population.

Conclusion

Our results can be useful to researchers using the WHOQOL-bref to compare their results with normative data from a randomly selected sample of general population. Additionally, the ability of WHOQOL-bref to discriminate different population subgroups makes it an important tool to identify vulnerable groups in epidemiological surveys.

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Abbreviations

WHOQOL:

World health organization quality of life instrument

QOL:

Quality of life

GDP:

Gross domestic product

IBGE:

Brazilian institute of geography and statistics

SPSS:

Statistical package for social sciences

References

  1. Wilson, I. B., Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. The Journal of the American Medical Association, 273(1), 59–65.

    Google Scholar 

  2. Fleck, M. P., Louzada, S., Xavier, M., Chachamovich, E., Vieira, G., Santos, L., et al. (2000). Application of the Portuguese version of the abbreviated instrument of quality life WHOQOL-brief. Revista de Saude Publica, 34(2), 178–183.

    Article  PubMed  CAS  Google Scholar 

  3. The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BRIEF quality of life assessment. Psychological Medicine, 28(3), 551–558.

    Article  Google Scholar 

  4. The World Health Organization Quality of Life Assessment (WHOQOL): Development and general psychometric properties (1998) Social Science & Medicine, 46(12), 1569–1585.

  5. Fleck, M. P., Louzada, S., Xavier, M., Chachamovich, E., Vieira, G., Santos, L., et al. (1999). Application of the Portuguese version of the instrument for the assessment of quality of life of the World Health Organization (WHOQOL-100). Revista de Saude Publica, 33(2), 198–205.

    Article  PubMed  CAS  Google Scholar 

  6. Fayers, P. M., & Machin, D. (2007). Quality of life. The assessment, analysis and interpretation of patient-reported outcomes (2nd ed.). West Sussex, England: Wiley.

    Google Scholar 

  7. Noerholm, V., Groenvold, M., Watt, T., Bjorner, J. B., Rasmussen, N. A., & Bech, P. (2004). Quality of life in the Danish general population–normative data and validity of WHOQOL-BREF using Rasch and item response theory models. Quality of Life Research, 13(2), 531–540.

    Article  PubMed  CAS  Google Scholar 

  8. Ohaeri, J. U., Awadalla, A. W., & Gado, O. M. (2009). Subjective quality of life in a nationwide sample of Kuwaiti subjects using the short version of the WHO quality of life instrument. Social Psychiatry and Psychiatric Epidemiology, 44(8), 693–701.

    Article  PubMed  Google Scholar 

  9. IBGE Cidades. Instituto Brasileiro de Geografia e Estatística (IBGE) Available from: www.ibge.gov.br. Last update 12.02.10.

  10. Critério Econômico Brasil (2003). Associação Brasileira de Empresas de Pesquisa. Available from: www.abep.org/novo/default.aspx. Last update 12.02.10.

  11. Skevington, S. M., Lotfy, M., O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BRIEF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL-group. Quality of Life Research, 13(2), 299–310.

    Google Scholar 

  12. Gandek, B., Ware, J. E., Jr. (1998). Methods for validating and norming translations of health status questionnaires: The IQOLA Project approach. International Quality of Life Assessment. Journal of Clinlical Epidemiology 51(11), 953–959.

    Google Scholar 

  13. Kenny, C. (2005). Does development make you happy? Subjective wellbeing and economic growth in developing countries. Social Indicators Research, 73, 199–219.

    Article  Google Scholar 

  14. Oswald, A. J., & Wu, S. (2010). Objective confirmation of subjective measures of human well-being: evidence from the USA. Science, 327(5965), 576–579.

    Article  PubMed  CAS  Google Scholar 

  15. Cruz, L. N., de Almeida Fleck, M. P., Polanczyk, C. A. (2010). Depression as a determinant of quality of life in patients with chronic disease: Data from Brazil. Social Psychiatry and Psychiatric Epidemiology, 45(10), 953–961.

    Article  PubMed  Google Scholar 

  16. Rabin, E. G., Heldt, E., Hirakata, V. N., & Fleck, M. P. (2008). Quality of life predictors in breast cancer women. European Journal of Oncology Nursing, 12(1), 53–57.

    Article  PubMed  Google Scholar 

  17. Fleck, M. P., Lima, A. F., Louzada, S., Schestasky, G., Henriques, A., Borges, V. R., et al. (2002). Association of depressive symptoms and social functioning in primary care service, Brazil. Revista de Saude Publica, 36(4), 431–438.

    Article  PubMed  Google Scholar 

  18. da Silva Lima, A. F., & de Almeida Fleck, M. P. (2007). Subsyndromal depression: An impact on quality of life? Journal of Affective Disorders, 100(1–3), 163–169.

    Article  PubMed  Google Scholar 

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Acknowledgments

We thank the Research Incentive and Event Fund of Hospital de Clínicas de Porto Alegre for the financial aid in translating this article. Dr. Luciane Cruz received graduate research scholarship from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil. Prof. Polanczyk and Prof. Fleck received a research scholarship from Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)/Brazil. This study was funded by CNPQ/Brazil (Edital MCT-CNPq/MS-SCTIE-DECIT No 36/2005).

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Correspondence to Luciane N. Cruz.

Appendix 1: Domains and facets within domains of WHOQOL-bref

Appendix 1: Domains and facets within domains of WHOQOL-bref

 

Domain 1 Physical health

1.

Pain and discomfort

2.

Energy and fatigue

3.

Sleep and rest

9.

Mobility

10.

Activities of daily living

11.

Dependence on medical substances and medical aids

12.

Work capacity

Domain 2 Psychological

4.

Positive feelings

5.

Thinking, learning, memory and concentration

6.

Self-esteem

7.

Bodily image and appearance

8.

Negative feelings

24.

Spirituality/religion/personal beliefs

Domain 3 Social relationships

13.

Personal relationships

14.

Social support

15.

Sexual activity

Domain 4 Environment

16.

Freedom, physical safety and security

17.

Home environment

18.

Financial resources

19.

Health and social care: accessibility and quality

20.

Opportunities for acquiring new information and skills

21.

Participation in and opportunities for recreation/leisure activity

22.

Physical environment (pollution/noise/traffic/climate)

23.

Transport

  1. WHOQOL-group (3)

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Cruz, L.N., Polanczyk, C.A., Camey, S.A. et al. Quality of life in Brazil: normative values for the Whoqol-bref in a southern general population sample. Qual Life Res 20, 1123–1129 (2011). https://doi.org/10.1007/s11136-011-9845-3

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  • DOI: https://doi.org/10.1007/s11136-011-9845-3

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