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Quality of life and...
Quality of life and life satisfaction among adults with and without congenital heart disease in a developing country
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- Eslami, Bahareh (author)
- Mittuniversitetet,Avdelningen för hälsovetenskap,Department of Research, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran,Mittuniversitetet, Avdelningen för hälsovetenskap och Tehran Heart Center, Tehran University of Medical Sciences
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- Macassa, Gloria (author)
- Högskolan i Gävle,Folkhälsovetenskap,Mittuniversitetet, Institutionen för hälsovetenskap och Karolinska institutet,Avdelningen för hälsovetenskap,Department of Occupational and Public Health Sciences, University of Gävle, Gävle, Sweden
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- Sundin, Örjan (author)
- Mittuniversitetet,Avdelningen för psykologi,Mittuniversitetet, Avdelningen för psykologi
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- Khankeh, Hamid Reza (author)
- Karolinska Institutet; University of Social Welfare and Rehabilitation Sciences, Tehran, Iran,Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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- Soares, Joaquim J. F. (author)
- Mittuniversitetet,Avdelningen för hälsovetenskap,Department of Public Health Sciences, Institution of Social Medicine, Karolinska Institutet, Stockholm, Sweden,Mittuniversitetet, Avdelningen för hälsovetenskap och Karolinska Institutet
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(creator_code:org_t)
- 2013-11-18
- 2015
- English.
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In: European Journal of Preventive Cardiology. - : Oxford University Press (OUP). - 2047-4873 .- 2047-4881. ; 22:2, s. 169-179
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Abstract
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- Background Life-expectancy of adults with congenital heart disease (CHD) has improved world-wide, but there are limited data on these patients' experiences of quality of life (QoL), life satisfaction (LS), and their determinants (e.g. social support), particularly among patients from developing countries.Design Cross-sectional case-control.Methods A total of 347 CHD patients (18-64 years, 52.2% women) and 353 non-CHD participants, matched by sex/age, were recruited from two heart hospitals in Tehran, Iran. LS and QoL served as dependent variables, and demographic/socioeconomic status, mental-somatic symptoms, social support, and clinical factors (e.g. defect category) served as independent variables in multiple regression analyses once among all participants, and once only among CHD patients.Results The CHD patients had significantly lower scores in LS and all domains of QoL than the control group. However, having CHD was independently negatively associated only with overall QoL, physical health, and life and health satisfaction. Additionally, multivariate analyses among the CHD patients revealed that female sex, younger age, being employed, less emotional distress, and higher social support were significantly associated with higher perceived QoL in most domains, while LS was associated with female sex, being employed, less emotional distress, and better social support. Neither QoL nor LS was associated with cardiac defect severity.Conclusions The adults with CHD had poorer QoL and LS than their non-CHD peers in our developing country. Socio-demographics, emotional health, and social support were important 'determinants' of QoL and LS among the CHD patients. Longitudinal studies are warranted to establish causal links.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Grown-up congenital heart disease
- heart defect
- mental health
- psychosocial
- social support
Publication and Content Type
- ref (subject category)
- art (subject category)
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