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Evidence of reduced health-related quality of life in older Mexican Americans with arthritis

TitleEvidence of reduced health-related quality of life in older Mexican Americans with arthritis
Publication TypeJournal Article
Year of Publication2011
AuthorsBindawas, SM, Snih, SA, Grady, JJ, Protas, EJ, Graham, JE, Markides, KS, Ottenbacher, KJ
JournalEthn DisEthn Dis
Date PublishedSpring
ISBN Number1049-510X (Print)<br/>1049-510X (Linking)
Accession Number21749029
KeywordsAge Factors, Aged, Aged, 80 and Over, Arthritis/complications/ ethnology/psychology, Case-Control Studies, Female, Health Status, Health Surveys, Humans, Male, Mexican Americans, Quality of Life, Socioeconomic Factors
AbstractOBJECTIVE: To examine the association between self-reported physician-diagnosed arthritis and health-related quality of life among older Mexican Americans. DESIGN: Cross-sectional study involving population-based survey. SETTING: Hispanic Established Population for the Epidemiologic Study of the Elderly (EPESE) survey conducted in Texas, Arizona, New Mexico, Colorado, and California. PARTICIPANTS: 839 non-institutionalized Mexican American older adults (> or = 75 years) participating in Hispanic EPESE. MAIN OUTCOME MEASURES: Self-reported physician-diagnosed arthritis; sociodemographic variables; medical conditions; body mass index; and the physical and mental composite scales from the Medical Outcomes Study Short Form 36 Health Survey (SF-36). RESULTS: 518 (62%) of the subjects reported physician-diagnosed arthritis. Participants with arthritis had significantly lower scores on the physical composite scale (PCS) (mean = 35.3, SD = 11.3) and the mental composite scale (MCS) (mean = 53.5, SD = 10.8) of the SF-36 compared to persons without arthritis (PCS mean = 42.9, SD = 10.9; MCS mean = 57.0, SD = 8.8). Multiple regression showed that arthritis was associated with decreased PCS and MCS (model estimates of -5.74 [SE = .83]; and -3.16 [SE = .64]), respectively, after controlling for sociodemographic and clinical covariates. CONCLUSIONS: Arthritis is a highly prevalent medical condition in Mexican American older adults. Our findings suggest that deficits in both physical health and mental function contribute to reduced quality-of-life in this population.