Impact of socioeconomic status and subjective social class on overall and health-related quality of life

BMC Public Health

Research Article

Jae-Hyun Kim¹  Eun-Cheol Park² 

[1] Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea;Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea;Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea;Department of Preventive Medicine, Yonsei University College of Medicine, Seodaemun-gu, Seoul, Republic of Korea;

关键词: Quality of life;    Socioeconomic status;    Health-related quality of life;   

DOI  :  10.1186/s12889-015-2014-9

 received in 2014-10-15, accepted in 2015-07-02,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundOur objective was to investigate the impact of socioeconomic status and subjective social class on health-related quality of life (HRQOL) vs. overall quality of life (QOL).MethodsWe performed a longitudinal analysis using data regarding 8250 individuals drawn from the Korean Longitudinal Study of Aging (KLoSA). We analyzed differences between HRQOL and QOL in individuals of various socioeconomic strata (high, middle, or low household income and education levels) and subjective social classes (high, middle, or low) at baseline (2009).ResultsIndividuals with low household incomes and of low subjective social class had the highest probability of reporting discrepant HRQOL and QOL scores (B: 4.796; P < 0.0001), whereas individuals with high household incomes and high subjective social class had the lowest probability of discrepant HRQOL and QOL scores (B: −3.625; P = 0.000). Similar trends were seen when education was used as a proxy for socioeconomic status.ConclusionIn conclusion, both household income/subjective social class and education/subjective social class were found to have an impact on the degree of divergence between QOL and HRQOL. Therefore, in designing interventions, socioeconomic inequalities should be taken into account through the use of multi-dimensional measurement tools.

【 授权许可】

CC BY   
© Kim and Park. 2015