[Health-related quality of life in Chileans from vulnerable communes].

Autor: Rada I; Centro de Salud Global Intercultural, ICIM, Universidad del Desarrollo, Santiago de Chile, Chile; Programa de Doctorado en Ciencias e Innovación en Medicina, Instituto de Ciencias e Innovación en Medicina, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago de Chile, Chile., Ortiz MS; Departamento de Psicología, Laboratorio de Estrés y Salud, Universidad de La Frontera, Temuco, Chile., Cabieses B; Centro de Salud Global Intercultural, ICIM, Universidad del Desarrollo, Santiago de Chile, Chile; Department of Health Sciences, University of York, York, United Kingdom. Electronic address: bcabieses@udd.cl.
Jazyk: Spanish; Castilian
Zdroj: Gaceta sanitaria [Gac Sanit] 2023 Sep 30; Vol. 37, pp. 102328. Date of Electronic Publication: 2023 Sep 30 (Print Publication: 2023).
DOI: 10.1016/j.gaceta.2023.102328
Abstrakt: Objective: The COVID-19 pandemic and the resulting social and health crisis impacted the well-being of the population. Health-related quality of life (HRQoL) could be affected, mainly in conditions of social vulnerability. The objective was to analyze the HRQoL and the psychometric properties of the EQ-5D instrument in adult Chilean population from vulnerable communes of the Metropolitan Region.
Method: Cross-sectional study carried out during quarantine period April to June 2021. Five hundred adults residing in Chilean communes were selected and completed a structured questionnaire by video-call, including the EQ-5D instrument. Descriptive analyzes and confirmatory factor analyzes of the traditional reflective model were performed.
Results: The age of the sample was 36.36±12.41 years, the majority reported having a secondary education level and being employed. Regarding the EQ-5D instrument, the most affected dimensions were pain/discomfort and anxiety/depression. The global health status was 73.0±19.71 points. The model showed an adequate fit: χ 2 =6.992, p=0.221, CFI=0.996, TLI=0.993, RMSEA=0.028 (90% CI: 0.000-0.073) and SRMR=0.067. In addition, the items of the scale were good indicators of the construct of interest.
Conclusions: In a pandemic context, the population was mostly affected by pain/discomfort and anxiety/depression. The EQ-5D instrument is a useful tool to estimate CRSV in the Chilean population in the context of pandemic. In addition, the psychometric evidence supports the dimensionality of the construct and the potential utility of decomposing its analysis.
(Copyright © 2023 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE