The correlation between health status and quality of life in southern Brazil

Authors

  • Carlos Zubaran Universidade de Caxias do Sul
  • Karin Persch Universidade de Caxias do Sul
  • Desire Tarso Universidade de Caxias do Sul
  • Ana Ioppi Universidade de Caxias do Sul
  • Juan Mezzich Universidade de Caxias do Sul

Keywords:

Quality of life, Health Status, Questionnaires, Brazil, Health

Abstract

CONTEXT AND OBJECTIVE: The interconnections between quality of life and health status as assessed via questionnaires have not been thoroughly investigated. The objective of this study was to investigate a possible correlation between the constructs of general health status and quality of life as assessed by the Portuguese versions of two questionnaires recently adapted and tested in Brazil. DESIGN AND SETTING: This was a cross-sectional study in which two self-administered questionnaires were used. This investigation was conducted at healthcare services associated with the Universidade de Caxias do Sul, Brazil. METHODS: This study presents data from a sample of 120 volunteers who completed the Portuguese versions of the Personal Health Scale and the Multicultural Quality of Life Index questionnaires. Bivariate linear regression analysis and Pearson correlation coeffi cients were generated from the scores of the two questionnaires. RESULTS: A signifi cant correlation between the concepts of quality of life and health status as evaluated by the Portuguese versions of both questionnaires was observed. Almost all of the health-related questions displayed strong correlations with the overall concept of quality of life. The magnitude of this correlation accounted for almost half of the observed variance. CONCLUSIONS: These fi ndings indicate that, within this sample, health-related issues were key factors for the overall experience of wellbeing and quality of life. The similarities observed across the different groups indicate that the interrelation between health status and quality of life was homogenous, regardless of presence and/or type of ailments.

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Author Biographies

Carlos Zubaran, Universidade de Caxias do Sul

MD, PhD. Associate professor, School of Medicine, University of Western Sydney; Consultant Psychiatrist, West Sydney Area Health Service, Australia.

Karin Persch, Universidade de Caxias do Sul

MD. Researcher, School of Medicine, Universidade de Caxias do Sul (UCS), Caxias do Sul, Rio Grande do Sul, Brazil.

Desire Tarso, Universidade de Caxias do Sul

MD. Researcher, School of Medicine, Universidade de Caxias do Sul (UCS), Caxias do Sul, Rio Grande do Sul, Brazil.

Ana Ioppi, Universidade de Caxias do Sul

MD. Researcher, School of Medicine, Universidade de Caxias do Sul (UCS), Caxias do Sul, Rio Grande do Sul, Brazil.

Juan Mezzich, Universidade de Caxias do Sul

MD, PhD. Professor, International Center for Mental Health, Mount Sinai School of Medicine, New York, United States.

References

von Engelhardt D. Patient vs. disease in medicine: His- torical perspectives and contemporary concerns. J Nephrol. 2004;17(4):611-8.

Assessing health status and quality-of-life instruments: attributes and review criteria. Qual Life Res. 2002;11(3):193-205.

Mazze RS, Lucido D, Shamoon H. Psychological and social cor- relates of glycemic control. Diabetes Care. 1984;7(4):360-6.

Bebout DE, Hodgkin JE, Zorn EG, Yee AR, Sammer EA. Clinical and physiological outcomes of a university-hospital pulmonary rehabilitation program. Respir Care. 1983;28(11):1468-73.

Marks A. Health screening of the adolescent. Pediatr Nurs.1978;4(4):37-41.

Marks A. Aspects of biosocial screening and health maintenance in adolescents. Pediatr Clin North Am. 1980;27(1):153-61.

Marks A, Cohen MI. Health screening and assessment of adolescents. Pediatr Ann. 1978;7(9):596-604.

Roeske NC. Quality of life and factors affecting the response to hysterectomy. J Fam Pract. 1978;7(3):483-8.

Dolfman ML. The concept of health: an historic and analytic examination. J Sch Health. 1973;43(8):491-7.

Kaempffer AM. Evolución histórica del concepto de salud y enfermedad. [Historical development of the health and disease concept]. Rev Med Chil. 1973;100(12):1481-5.

The WHOQOL Group. The development of the World Health Organization quality of life assessment instrument. In: Orley J, Kuyken W, editors. Quality of life assessment: international perspectives. Heidelberg: Springer-Verlag; 1994. p. 41-60.

Bowling A. The concept of quality of life in relation to health. Med Secoli. 1995;7(3):633-45.

Cella DF, Lloyd SR. Data collection strategies for patient- reported information. Qual Manag Health Care. 1994;2(4): 28-35.

Mezzich JE, Ruipérez MA, Pérez C, Yoon G, Liu J, Mahmud S. The Spanish version of the quality of life index: presentation and validation. J Nerv Ment Dis. 2000;188(5):301-5.

Thompson DY, Yu CM. Quality of life in patients with coronary heart disease-I: assessment tools. Health Qual Life Outcomes. 2003;1:42.

Thompson DR, Roebuck A. The measurement of health-related quality of life in patients with coronary heart disease. J Cardio- vasc Nurs. 2001;16(1):28-33.

Treasure T. The measurement of health related quality of life. Heart. 1999;81(4):331-2.

Wolinsky FD, Wyrwich KW, Nienaber NA, Tierney WM. Generic versus disease-specific health status measures. An example using coronary artery disease and congestive heart failure patients. Eval Health Prof. 1998;21(2):216-43.

Jackowski D, Guyatt G. A guide to health measurement. Clin Orthop Relat Res. 2003;(413):80-9.

Brazier JE, Harper R, Jones NM, et al. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ. 1992;305(6846):160-4.

Wiklund I. The Nottingham Health Profile--a measure of health-related quality of life. Scand J Prim Health Care Suppl. 1990;1:15-8.

Fries JF, Spitz P, Kraines RG, Holman HR. Measurement of patient outcome in arthritis. Arthritis Rheum. 1980;23(2): 137-45.

Serra-Prat M, Ayllon Muñoz J, Burdoy Joaquín E, et al. Validación de la versión española del Modified Stanford Health Assessment Questionnaire (MSHAQ), un instrumento de medida de la satisfacción con la capacidad para realizar las actividades de la vida diaria. [Validation of the Spanish version of the Modified Stanford Health Assessment Questionnaire (MSHAQ), an instrument to measure people’s satisfaction at their ability to perform normal day-to-day activities]. Aten Primaria. 2003;32(10):564-70.

Brazier J, Jones N, Kind P. Testing the validity of the Euroqol and comparing it with the SF-36 health survey questionnaire. Qual Life Res. 1993;2(3):169-80.

Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-33.

Guyatt GH. A taxonomy of health status instruments. J Rheu- matol. 1995;22(6):1188-90.

Smith P. The role of the general health questionnaire in general practice consultations. Br J Gen Pract. 1998;48(434):1565-9.

Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guide- lines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91.

Bullinger M, Alonso J, Apolone G, et al. Translating health status questionnaires and evaluating their quality: the IQOLA Project approach. International Quality of Life Assessment. J Clin Epidemiol. 1998;51(11):913-23.

Wiesinger GF, Nuhr M, Quittan M, Ebenbichler G, Wölfl G, Fialka-Moser V. Cross-cultural adaptation of the Roland-Morris questionnaire for German-speaking patients with low back pain. Spine. 1999;24(11):1099-103.

Hunt SM, Alonso J, Bucquet D, Niero M, Wiklund I, McKenna

S. Cross-cultural adaptation of health measures. European Group for Health Management and Quality of Life Assessment. Health Policy. 1991;19(1):33-44.

Ferraz MB. Cross cultural adaptation of questionnaires: what is it and when should it be performed? J Rheumatol. 1997;24(11):2066-8.

Guillemin F, Bombardier C, Beaton D. Cross-cultural adapta- tion of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46(12): 1417-32.

Hendricson WD, Russell IJ, Prihoda TJ, et al. Development and initial validation of a dual-language English-Spanish format for the Arthritis Impact Measurement Scales. Arthritis Rheum. 1989;32(9):1153-9.

Wilson IB, Cleary PD. Linking clinical variables with health- related quality of life. A conceptual model of patient outcomes. JAMA. 1995;273(1):59-65.

Terreehorst I, Duivenvoorden HJ, Tempels-Pavlica Z, et al. Comparison of a generic and a rhinitis-specific quality-of-life (QOL) instrument in patients with house dust mite allergy: relationship between the SF-36 and Rhinitis QOL Question- naire. Clin Exp Allergy. 2004;34(11):1673-7.

Zubaran C, Persch KN, Tarso D, Ioppi AEE, Mezzich JE. Estudo inicial para o desenvolvimento da versão em português do Índice Multicultural de Qualidade de Vida. [Initial Study for the development of the Portuguese version of the Multicul- tural Quality of Life Index]. Arquivos Brasileiros de Psiquiatria, Neurologia e Medicina Legal. 2004;98(3):12-7. Available from: http://www.aperjrio.org.br/publicacoes/revista/2004/estudo.asp. Accessed in 2008 (Jul 10).

Zubaran C, Persch K, Tarso D, Ioppi AE, Mezzich J. The por- tuguese version of the personal health scale: a validation study in southern Brazil. Clinics. 2007;62(4):419-26.

Mezzich JE, Ruipérez Rodríguez MA, Zapata-Vega MI, Gasca V, Yoon G. Presentation and validation of the latino version of personal health scale (PHS-LA) in New York City. WPA International Congress: Alliances for Mental Health. Caracas: WPA International Congress; 2003. [abstract].

Mezzich JE, Ruipérez Rodríguez MA, Zapata-Vega MI, Gasca V, Yoon G. Validation study of the English version of personal health scale (PH-S) in New York City. WPA International Con- gress: Alliances for Mental Health. Caracas: WPA International Congress; 2003. [abstract].

Mezzich JE, Liu JS, Ruipérez Rodríguez MA, Zapata-Vega MI., Gasca V. Presentation and validation of the Chinese version of personal health scale (PHS-CH) in New York City. WPA International Congress: Alliances for Mental Health. Caracas: WPA International Congress; 2003. [abstract].

Rustoen T, Howie J, Eidsmo I, Moum T. Hope in patients hospitalized with heart failure. Am J Crit Care. 2005;14(5): 417-25.

Schwartz CE, Sprangers MA. Methodological approaches for assessing response shift in longitudinal health-related quality- of-life research. Soc Sci Med. 1999;48(11):1531-48.

Sprangers MA, Schwartz CE. Integrating response shift into health-related quality of life research: a theoretical model. Soc Sci Med. 1999;48(11):1507-15.

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Published

2008-09-09

How to Cite

1.
Zubaran C, Persch K, Tarso D, Ioppi A, Mezzich J. The correlation between health status and quality of life in southern Brazil. Sao Paulo Med J [Internet]. 2008 Sep. 9 [cited 2025 Oct. 16];126(5):257-61. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/2005

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Original Article