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Association of bone and joint diseases with health-related quality of life among older people
 — a population-based cross-sectional study in rural Bangladesh
Author(s)Akm Masud Rana, Ake Wahlin, Peter Kim Streatfield
Journal titleAgeing and Society, vol 29, part 5, July 2009
Pagespp 727-743
Sourcehttp://www.journals.cambridge.org/aso
KeywordsMusculoskeletal diseases ; Arthritis ; Pain ; Health [elderly] ; Quality of life ; Rural areas ; Social surveys ; Bangladesh.
AnnotationThe cross-sectional association between bone and joint diseases with health-related quality of life (HRQoL) among 850 randomly sampled people aged 60+ in a rural area of Bangladesh was examined. Information about arthritis, back and joint pain was collected through self-reports and two physicians' assessment at a health centre. HRQoL was measured using a multidimensional generic instrument designed for older people that has questions on the construct's physical, psychological, social, economic, spiritual and environmental dimensions. Bivariate analyses showed that the most negative effects of bone and joint diseases were on the physical and psychological dimensions. Hierarchical linear regression analyses revealed that joint pain, whether doctor-diagnosed or self-reported, and self-reported back pain were all associated with lower HRQoL scores and accounted for almost 20% of the variation adjusted for age, sex, education, marital status, household size, income, expenditure and occupation. The analyses further revealed that women with self-reported back pain had significantly lower psychological, environmental and overall scores than equivalent men, while self-reported joint pain was associated with significantly lower scores only for the environmental dimension. The strong association of bone and joint diseases with HRQoL underscores the importance of regarding these illnesses as public health problems. (RH).
Accession NumberCPA-090611004 A
ClassmarkCL: CLA: CT7: CC: F:59: RL: 3F: 7FD

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