Health-related quality of life and risk factor control: The importance of educational level in prevention of cardiovascular diseases

Dominik Ose, Justine Rochon, Stephen Campbell, Michel Wensing, Tobias Freund, Jan Van Lieshout, Gerda Längst, Joachim Szécsényi, Sabine Ludt

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15 Citations (Scopus)

Abstract

Background: This study aimed to describe and to analyse the importance of educational level for controlled risk factors and health-related quality of life (HRQoL). Methods: This observational study was conducted in nine European countries (5632 patients in 249 practices). We compared patients with a low level of education (up to 9 years) with patients with a high level of education (>9 years), with regard to controlled cardiovascular disease risk factors and HRQoL. A multilevel approach was used for statistical analysis. Results: Patients with a low level of education were older (P < 0.001), more often female (P < 0.001), more often single (P < 0.001) and had a higher number of other conditions (e.g. heart failure) (P < 0.001). Significant differences in terms of controlled risk factors were revealed for blood pressure (RR) ≤140/90 mmHg (P = 0.039) and the sum of controlled risk factors (P = 0.027). Higher age, lower education, female gender, living as single, patient group (coronary heart disease patients) and the number of other conditions were negatively associated with HRQoL. A higher sum of controlled risk factors were positively associated with higher HRQoL in the whole sample (r = 0.0086, P < 0.001) as well as in both educational-level groups (r = 0.0075, P = 0.038 in the low-level group and r = 0.0082, P = 0.001 in the high-level group). Conclusion: Patients with a lower educational level were more often females, singles, had a higher number of other conditions, a higher number of uncontrolled risk factors and a lower HRQoL. However, the higher the control of risk factors was, the higher the HRQoL was overall as well as in both educational-level groups.

Original languageEnglish
Pages (from-to)679-684
Number of pages6
JournalEuropean Journal of Public Health
Volume24
Issue number4
DOIs
Publication statusPublished - Aug 2014
Externally publishedYes

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    Ose, D., Rochon, J., Campbell, S., Wensing, M., Freund, T., Van Lieshout, J., Längst, G., Szécsényi, J., & Ludt, S. (2014). Health-related quality of life and risk factor control: The importance of educational level in prevention of cardiovascular diseases. European Journal of Public Health, 24(4), 679-684. https://doi.org/10.1093/eurpub/ckt139