Health related quality of life (HRQOL) among low socioeconomic population in Malaysia

Sharifa Ezat Wan Puteh, Chamhuri Siwar, Mohd Azlan Shah Zaidi, Hazila Abdul Kadir

Research output: Contribution to journalArticle

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Abstract

Background: The rapid growth of economy and increasing cost of living in Malaysia have given significant impact especially to the lowest household income population. The main objective of this study was to determine risk factors for low quality of life (QOL) and poor health status of this population. Methods: This was a cross sectional study design. A total of 347 respondents from low household income groups, including persons with disability and Orang Asli were recruited from E-kasih. A semi-guided self-administered questionnaire was used. QOL measured by EQ. 5D utility value and health status measured by visual analogue score (VAS). Descriptive statistic, bivariate Chi-square analysis and binary logistic regression were conducted to determine factors influencing low QOL and poor health status. Results: Majority of the respondents were Malay, female (61%), 63% were married, 60% were employed and 46% with total household income of less than 1 thousand Ringgit Malaysia. 70% of them were not having any chronic medical problems. Factors that associated with low QOL were male, single, low household income, and present chronic medical illness, while poor health status associated with female, lower education level and present chronic medical illness. Logistic regression analysis has showed that determinants of low QOL was present chronic illness [AOR 4.15 95%CI (2.42, 7.13)], while determinants for poor health status were; female [AOR 1.94 95%CI (1.09,3.44)], lower education [AOR 3.07 95%CI (1.28,7.34)] and present chronic illness [AOR 2.53 95%CI (1.39,4.61)]. Conclusion: Low socioeconomic population defined as low total household income in this study. Low QOL of this population determined by present chronic illness, while poor health status determined by gender, education level and chronic medical illness.

Original languageEnglish
Article number551
JournalBMC Public Health
Volume19
DOIs
Publication statusPublished - 13 Jun 2019

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Malaysia
Health Status
Chronic Disease
Quality of Life
Population
Education
Logistic Models
Poverty
Disabled Persons
Cross-Sectional Studies
Regression Analysis
Economics
Growth
Surveys and Questionnaires

Keywords

  • Bottom 40
  • Low socioeconomic status
  • Quality of life

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Health related quality of life (HRQOL) among low socioeconomic population in Malaysia. / Wan Puteh, Sharifa Ezat; Siwar, Chamhuri; Zaidi, Mohd Azlan Shah; Abdul Kadir, Hazila.

In: BMC Public Health, Vol. 19, 551, 13.06.2019.

Research output: Contribution to journalArticle

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abstract = "Background: The rapid growth of economy and increasing cost of living in Malaysia have given significant impact especially to the lowest household income population. The main objective of this study was to determine risk factors for low quality of life (QOL) and poor health status of this population. Methods: This was a cross sectional study design. A total of 347 respondents from low household income groups, including persons with disability and Orang Asli were recruited from E-kasih. A semi-guided self-administered questionnaire was used. QOL measured by EQ. 5D utility value and health status measured by visual analogue score (VAS). Descriptive statistic, bivariate Chi-square analysis and binary logistic regression were conducted to determine factors influencing low QOL and poor health status. Results: Majority of the respondents were Malay, female (61{\%}), 63{\%} were married, 60{\%} were employed and 46{\%} with total household income of less than 1 thousand Ringgit Malaysia. 70{\%} of them were not having any chronic medical problems. Factors that associated with low QOL were male, single, low household income, and present chronic medical illness, while poor health status associated with female, lower education level and present chronic medical illness. Logistic regression analysis has showed that determinants of low QOL was present chronic illness [AOR 4.15 95{\%}CI (2.42, 7.13)], while determinants for poor health status were; female [AOR 1.94 95{\%}CI (1.09,3.44)], lower education [AOR 3.07 95{\%}CI (1.28,7.34)] and present chronic illness [AOR 2.53 95{\%}CI (1.39,4.61)]. Conclusion: Low socioeconomic population defined as low total household income in this study. Low QOL of this population determined by present chronic illness, while poor health status determined by gender, education level and chronic medical illness.",
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AB - Background: The rapid growth of economy and increasing cost of living in Malaysia have given significant impact especially to the lowest household income population. The main objective of this study was to determine risk factors for low quality of life (QOL) and poor health status of this population. Methods: This was a cross sectional study design. A total of 347 respondents from low household income groups, including persons with disability and Orang Asli were recruited from E-kasih. A semi-guided self-administered questionnaire was used. QOL measured by EQ. 5D utility value and health status measured by visual analogue score (VAS). Descriptive statistic, bivariate Chi-square analysis and binary logistic regression were conducted to determine factors influencing low QOL and poor health status. Results: Majority of the respondents were Malay, female (61%), 63% were married, 60% were employed and 46% with total household income of less than 1 thousand Ringgit Malaysia. 70% of them were not having any chronic medical problems. Factors that associated with low QOL were male, single, low household income, and present chronic medical illness, while poor health status associated with female, lower education level and present chronic medical illness. Logistic regression analysis has showed that determinants of low QOL was present chronic illness [AOR 4.15 95%CI (2.42, 7.13)], while determinants for poor health status were; female [AOR 1.94 95%CI (1.09,3.44)], lower education [AOR 3.07 95%CI (1.28,7.34)] and present chronic illness [AOR 2.53 95%CI (1.39,4.61)]. Conclusion: Low socioeconomic population defined as low total household income in this study. Low QOL of this population determined by present chronic illness, while poor health status determined by gender, education level and chronic medical illness.

KW - Bottom 40

KW - Low socioeconomic status

KW - Quality of life

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