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dc.contributor.authorMartín-Fernández, Jesús
dc.contributor.authorAriza-Cardiel, Gloria
dc.contributor.authorPolentinos-Castro, Elena
dc.contributor.authorSanz-Cuesta, Teresa
dc.contributor.authorSarria-Santamera, Antonio 
dc.contributor.authorDel Cura-González, Isabel
dc.identifier.citationGac Sanit. Sep-Oct 2018;32(5):447-453.es_ES
dc.description.abstractTo assess the burden of several determinants on health-related quality of life (HRQOL) and to study its heterogeneity among the different Spanish regions. Cross-sectional study. Data were obtained from the Spanish National Health Survey (2012), and HRQOL was measured using the EQ-5D-5L questionnaire (utility and visual analogue scale -VAS- scores). Demographic variables, physical health condition, social variables, mental health status, and lifestyle were also analysed. Tobit regression models were employed to study the relationships between expressed HRQOL and personal characteristics. A total of 20,979 surveys were obtained. Of them, 62.4% expressed a utility score of 1, corresponding to perfect health (95%CI: 61.8%-63.2%), and 54.2% showed VAS scores ≥80 (95%CI: 53.5%-54.9%). HRQOL was mainly described as a function of age, chronic limitation in daily activities, and mental health status. Belonging to a higher-class strata and physical activity were related to better self-perceived HRQOL. Ageing worsened perceived HRQOL, but did not influence its determinants, and differences in HRQOL by regions were also not significant after model adjustment. HRQOL perception in the Spanish population varied slightly depending on the measure used (utilities index or VAS). Age, chronic limitations in daily life, and mental health status best explained the variability in perception, and no meaningful differences in HRQOL perception among regions were found after adjustment.es_ES
dc.description.sponsorshipThis manuscript has been translated and edited with the support of ISCIII and FEDER Funds, Grant Number RD12/0001/0012. Publication charges have been supported by ISCIII, grant Number 1300648.es_ES
dc.publisherElsevier es_ES
dc.subjectQuality of lifees_ES
dc.subjectHealth statuses_ES
dc.subjectPopulation characteristicses_ES
dc.subjectPublic healthes_ES
dc.subject.meshQuality of Life es_ES
dc.subject.meshSocial Determinants of Health es_ES
dc.subject.meshCross-Sectional Studies es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHealth Status es_ES
dc.subject.meshHealth Surveys es_ES
dc.subject.meshHumans es_ES
dc.subject.meshLife Style es_ES
dc.subject.meshMale es_ES
dc.subject.meshMedically Underserved Area es_ES
dc.subject.meshMental Health es_ES
dc.subject.meshMiddle Aged es_ES
dc.subject.meshModels, Theoretical es_ES
dc.subject.meshSocial Class es_ES
dc.subject.meshSpain es_ES
dc.titleExplaining differences in perceived health-related quality of life: a study within the Spanish population.es_ES
dc.title.alternativeExplicar las diferencias en cuanto a la calidad de vida percibida relacionada con la salud: estudio realizado en la población españolaes_ES
dc.typejournal articlees_ES
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.contributor.funderInstituto de Salud Carlos III 
dc.contributor.funderUnión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF) 
dc.identifier.journalGaceta sanitariaes_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.rights.accessRightsopen accesses_ES

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Attribution-NonCommercial-NoDerivatives 4.0 Internacional
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