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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

Published online by Cambridge University Press:  28 May 2009

AKM MASUD RANA ,
ÅKE WAHLIN ,
PETER KIM STREATFIELD  and
ZARINA NAHAR KABIR
AKM MASUD RANA*
Affiliation:
Aging Research Center, Karolinska Institute, Stockholm, Sweden. Research and Evaluation Division, Bangladesh Rural Advancement Committee, Dhaka, Bangladesh.
ÅKE WAHLIN
Affiliation:
Aging Research Center, Karolinska Institute, Stockholm, Sweden. Department of Psychology, Stockholm University, Stockholm, Sweden.
PETER KIM STREATFIELD
Affiliation:
Knowledge for Global Lifesaving Solutions, Dhaka, Bangladesh.
ZARINA NAHAR KABIR
Affiliation:
Aging Research Center, Karolinska Institute, Stockholm, Sweden. Division of Nursing, Karolinska Institute, Stockholm, Sweden.
*
Address for correspondence: Akm Masud Rana, NVS, Aging Research Centre, Gävlegatan 16 (9th floor), Karolinska Institutet, 113 30 Stockholm, Sweden. Email: [email protected]
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Abstract

This study examined the cross-sectional association of bone and joint diseases with health-related quality of life (HRQoL) among 850 randomly sampled people aged 60 or more years in a rural area of Bangladesh. Information about arthritis, back and joint pain was collected through self-reports and two physicians' assessments at a health centre. Health-related quality of life was measured using a multi-dimensional 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 per cent 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 HRQoL 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.

Keywords

bone and joint diseasesHRQoLolder peopledeveloping countriesBangladesh
Type
Research Article
Information
Ageing & Society , Volume 29 , Issue 5 , July 2009 , pp. 727 - 743
Copyright
Copyright © 2009 Cambridge University Press

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References

Ahmed, S. M., Adams, A. M., Chowdhury, A. M. R. and Bhuiya, A. 2000. Gender, socioeconomic development and health-seeking behaviour in Bangladesh. Social Science and Medicine, 51, 3, 361–71.CrossRefGoogle ScholarPubMed
Ahmed, S. M., Tomson, G., Petzold, M. and Kabir, Z. N. 2005. Socioeconomic status overrides age and gender in determining health-seeking behaviour in rural Bangladesh. Bulletin of the World Health Organization, 83, 2, 109–17.Google ScholarPubMed
Ahmed, S. M., Rana, A. K. M. M. and Kabir, Z. N. 2003. Quantitative Baseline Report of PHILL Project. PHILL Study Group, Bangladesh Rural Advancement Committee (BRAC), Dhaka.Google Scholar
Alonso, J., Ferrer, M., Gandek, B., Ware, J. E., Aaronson, N. K., Mosconi, P., Rasmussen, N. K., Bullinger, M., Fukuhara, S., Kaasa, S. and Leplège, A. 2004. Health-related quality of life associated with chronic conditions in eight countries: results from the International Quality of Life Assessment (IQOLA) Project. Quality of Life Research, 13, 2, 283–98.CrossRefGoogle ScholarPubMed
Bangladesh Bureau of Statistics (BBS) 2004. Statistical Pocket Book, Bangladesh. BBS, Government of Bangladesh, Dhaka.Google Scholar
Barlow, J. H., Turner, A. P. and Wright, C. C. 2000. A randomized controlled study of the arthritis self-management programme in the UK. Health Education Research, 15, 6, 665–80.CrossRefGoogle ScholarPubMed
Benyamini, Y., Idler, E. L., Leventhal, H. and Leventhal, E. A. 2000. Positive affect and function as influences on self-assessments of health: expanding our view beyond illness and disability. Journal of Gerontology: Psychological Sciences, 55, 2, P107–16.CrossRefGoogle Scholar
Brooks, P. M. and Hart, J. A. 2000. The Bone and Joint Decade: 2000–2010. Medical Journal Association, 172, 7, 307–8.Google ScholarPubMed
Center for Diseases Control and Prevention (CDC) 2000. Health-related quality of life among adults with arthritis: behavioural risk factor surveillance system, 11 States, 1996–1999. Morbidity and Mortality Weekly Report, 49, 17, 366–9.Google Scholar
Dominick, K. L., Ahern, F. M., Gold, C. H. and Heller, D. A. 2004. Health-related quality of life among older adults with arthritis. Health and Quality of Life Outcomes, 2, 5, 1–8. DOI:10.1186/1477-7525-2-5. Available online at http://www.hqlo.com/content/2/1/5 [Accessed 20 November 2008].CrossRefGoogle ScholarPubMed
Fratiglioni, L., Wang, H. X., Ericsson, K., Maytan, M. and Winblad, B. 2000. Influence of social network on occurrence of dementia: a community-based longitudinal study. The Lancet, 355, 9212, 1315–9.CrossRefGoogle ScholarPubMed
Groessl, E. J., Ganiats, T. G. and Sarkin, A. J. 2006. Socio-demographic differences in quality of life in rheumatoid arthritis. Pharmacoeconomics, 24, 2, 109–21.CrossRefGoogle Scholar
Hazes, J. A. and Woolf, A. D. 2000. The bone and joint decade 2000–2010. Journal of Rheumatology, 27, 1, 1–3.Google ScholarPubMed
HelpAge International 2000. Uncertainty Rules Our Lives: The Situation of Elderly Persons in Bangladesh 2000. HelpAge International, Chiang Mai, Thailand.Google Scholar
Hickey, A., Barker, M., McGee, H. and O'Boyle, C. 2005. Measuring health-related quality of life in older patient populations: a review of current approaches. Pharmacoeconomics, 23, 10, 971–93.CrossRefGoogle ScholarPubMed
Hill, C. L., Gill, T., Tylor, A. W., Daly, A., Grande, E. D. and Adams, R. L. 2006. Psychological factors and quality of life in arthritis: a population-based study. Clinical Rheumatology, 26, 7, 1049–54. DOI:10.1007/s10067-006-0439-3.CrossRefGoogle ScholarPubMed
Idler, E. L., Hudson, S. V. and Leventhal, H. 1999. The meanings of self-ratings of health. Research on Aging, 21, 3, 458–76.CrossRefGoogle Scholar
Jelsma, J. and Ferguson, J. 2004. The determinants of self-reported health-related quality of life in a culturally and socially diverse South African community. Bulletin of the World Health Organization, 82, 3, 206–12.Google Scholar
Juarez, G., Ferrell, B. and Borneman, T. 1998. Perceptions of quality of life in Hispanic patients with cancer. Cancer Practice, 6, 6, 318–24.CrossRefGoogle ScholarPubMed
Kabir, Z. N., Ferdous, T., Cederholm, T., Khanam, M. A., Streatfield, P. K. and Wahlin, Å. 2006. Mini nutritional assessment of rural elderly people in Bangladesh: the impact of demographic, socio-economic and health factors. Public Health Nutrition, 9, 8, 968–74.CrossRefGoogle ScholarPubMed
Kabir, Z. N., Szebehely, M. and Tishelman, C. 2002. Support in old age in the changing society of Bangladesh. Ageing & Society, 22, 5, 615–36.CrossRefGoogle Scholar
Kabir, Z. N., Tishelman, C., Agüero-Torres, H., Chowdhury, A. M. R., Winblad, B. and Höjer, B. 2003. Gender and rural-urban differences in reported health status by older people in Bangladesh. Archives of Gerontology and Geriatrics, 37, 1, 77–91.CrossRefGoogle ScholarPubMed
Kempen, G. I. J. M., Ormel, J., Brilman, E. I. and Relyveld, J. 1997. Adaptive responses among Dutch elderly: the impact of eight chronic conditions on health-related quality of life. American Journal of Public Health, 87, 1, 38–44.CrossRefGoogle ScholarPubMed
Kvien, T. K., Uhlig, T., Odegard, S. and Heiberg, M. S. 2006. Epidemiological aspects of rheumatoid arthritis: the sex ratio. Annals of the New York Academy of Sciences, 1069, 1, 212–22.CrossRefGoogle ScholarPubMed
Kosinski, M., Kujawaski, S. C., Martin, R., Wanke, L. A., Buatti, M. C., Ware, J. E. Jr. and Perfetto, E. M. 2002. Health-related quality of life in early rheumatoid arthritis: impact of disease and treatment response. American Journal of Managed Care, 8, 3, 231–40.Google ScholarPubMed
Leveille, S. G. 2004. Musculoskeletal aging. Rheumatology, 16, 2, 114–8.Google ScholarPubMed
Lorig, K., Mazonson, P. D. and Holman, H. 1993. Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducing health care costs. Arthritis and Rheumatism, 36, 4, 439–46.CrossRefGoogle ScholarPubMed
Mili, F., Helmick, C. G. and Zack, M. M. 2002. Prevalence of arthritis: analysis of data from the US Behavioral Risk Factor Surveillance System, 1996–99. Journal of Rheumatology, 29, 9, 1981–8.Google ScholarPubMed
Mostafa, G. and Streatfield, P. K. 2003. Health implications of an ageing Bangladeshi population. In Kabir, M. (ed.), The Elderly Contemporary Issues. Bangladesh Association of Gerontology, Dhaka, 33–53.Google Scholar
Nanda, P. 1999. Women's participation in rural credit programmes in Bangladesh and their demand for formal health care: is there a positive impact? Health Economics, 8, 5, 415–28.3.0.CO;2-L>CrossRefGoogle ScholarPubMed
Nilsson, J., Parker, M. G. and Kabir, Z. N. 2004. Assessing health-related quality of life among older people in rural Bangladesh. Journal of Transcultural Nursing, 15, 4, 298–307.CrossRefGoogle ScholarPubMed
Nilsson, J., Grafström, M., Zaman, S. and Kabir, Z. N. 2005. Role and function: aspects of quality of life of older people in rural Bangladesh. Journal of Aging Studies, 19, 3, 363–74.CrossRefGoogle Scholar
Nilsson, J. 2005. Understanding Health-related Quality of Life in Old Age: A Cross-sectional Study of Elderly People in Rural Bangladesh. Karolinska Institutet, Stockholm, Sweden.Google Scholar
Nordenfelt, L. 1991. Quality of Life and Health: Theory and Criticism. Almqvist and Wiksell, Solna, Sweden.Google Scholar
Oliver, S. and Hill, J. 2005. Arthritis in the older person: part 1. Nursing Older People, 17, 4, 25–9.CrossRefGoogle ScholarPubMed
Population Reference Bureau 2005. 2005 World Population Data Sheet of the Population Reference Bureau. Population Reference Bureau, Washington DC.Google Scholar
Rana, A. K. M. M., Lundborg, C. S., Wahlin, Å., Ahmed, S. M. and Kabir, Z. N. 2008. The impact of health education in managing self-reported arthritis-related illness among elderly persons in rural Bangladesh. Health Education Research, 23, 1, 94–105.CrossRefGoogle ScholarPubMed
Rapley, M. 2003. Quality of Life Research: A Critical Introduction. Sage, London.CrossRefGoogle Scholar
Rkain, H., Allali, F., Jroundi, I. and Hajjaj-Hassouni, N. 2006. Socioeconomic impact of rheumatoid arthritis in Morocco. Joint Bone Spine, 73, 3, 278–83.CrossRefGoogle ScholarPubMed
Seeman, T. E. 1996. Social ties and health: the benefits of social integration. Annals of Epidemiology, 6, 5, 442–51.CrossRefGoogle ScholarPubMed
Ware, J. E. Jr, Snow, K. K., Kosinki, M. and Gandek, B. 1993. SF-36 Health Survey Manual and Interpretation Guide. Health Institute, New England Medical Center, Boston, Massachusetts.Google Scholar
WHOQOL Group 1998. The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties. Social Science and Medicine, 46, 12, 1569–85.CrossRefGoogle Scholar
Woo, J., Lau, E., Lee, P., Kwok, T., Lau, W. C., Chan, C., Chiu, P., Li, E., Sham, A. and Lam, D. 2004. Impact of osteoarthritis on quality of life in a Hong Kong Chinese population. Journal of Rheumatology, 31, 12, 2433–8.Google Scholar
Woolf, A. D. and Pfleger, B. 2003. Burden of major musculoskeletal conditions. Bulletin of the World Health Organization, 81, 9, 646–56.Google ScholarPubMed
World Bank 2006. World Development Report: Overview, Equity and Development 2006. World Bank, Washington DC.Google Scholar
Young, J. T., Menken, J., Williams, J., Khan, N. and Kuhn, R. S. 2006. Who receives healthcare? Age and sex differentials in adult use of healthcare services in rural Bangladesh. World Health and Population, 8, 2, 83–100.CrossRefGoogle ScholarPubMed