Cumulative social disadvantage and health-related quality of life: national health interview survey 2013-2017.

ABSTRACT:

Background

Evidence for the association between social determinants of health (SDoH) and health-related quality of life (HRQoL) is largely based on single SDoH measures, with limited evaluation of cumulative social disadvantage. We examined the association between cumulative social disadvantage and the Health and Activity Limitation Index (HALex).

Methods

Using adult data from the National Health Interview Survey (2013-2017), we created a cumulative disadvantage index by aggregating 47 deprivations across 6 SDoH domains. Respondents were ranked using cumulative SDoH index quartiles (SDoH-Q1 to Q4), with higher quartile groups being more disadvantaged. We used two-part models for continuous HALex scores and logistic regression for poor HALex (< 20th percentile score) to exami

SUBMITTER: Hagan K 

PROVIDER: S-EPMC10476290 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature