Cent Eur J Public Health 2015, 23(3):188-194 | DOI: 10.21101/cejph.a3990

Impact of Comorbidity and Socioeconomic Status on Quality of Life in Patients with Chronic Diseases who Attend Primary Health Care Centres

Hakan Tüzün1, Sefer Aycan2, Mustafa Necmi İlhan2
1 General Directorate of Health Promotion, Ministry of Health, Ankara, Turkey
2 Department of Public Health, Gazi University School of Medicine, Ankara, Turkey

Aim: The aim of the study was to analyse the impact of chronic disease on the quality of life (QoL) and how QoL changes with comorbidity and socioeconomic status in persons who attend primary health care centres.

Methods: The group of participants comprised 2,560 people who contacted six primary health care centres in Ankara. The level of QoL was determined by the World Health Organization Quality of Life Questionnaire Abbreviated Version (WHOQOL-BREF).

Results: Mental disorders and diabetes-hypertension comorbidity had the most negative effect on the QoL. In the physical domain of the WHOQOL-BREF, the effect of diabetes-hypertension comorbidity is greater than the additive effect of hypertension and diabetes individually. The co-occurrence of any disease with cardiovascular disease does not change QoL within any domain, except for the co-occurrence of any disease with musculoskeletal diseases which deteriorated QoL in the physical domain. The higher income and socioeconomic status corresponded to higher QoL.

Conclusions: The effect of comorbidity on QoL can be different from the additive effects of the co-occurring diseases. Socioeconomic factors undoubtedly affect the relationship between chronic diseases and QoL, and this relationship points to health inequities among socioeconomic groups.

Keywords: quality of life, primary health care, comorbidities, health inequalities

Received: November 23, 2013; Revised: May 28, 2015; Accepted: May 28, 2015; Published: September 1, 2015  Show citation

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Tüzün H, Aycan S, İlhan MN. Impact of Comorbidity and Socioeconomic Status on Quality of Life in Patients with Chronic Diseases who Attend Primary Health Care Centres. Cent Eur J Public Health. 2015;23(3):188-194. doi: 10.21101/cejph.a3990. PubMed PMID: 26615648.
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