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Association of bone and joint diseases with health-related quality of life among older people: a population-based cross-sectional study in rural Bangladesh

Published online by Cambridge University Press:  28 May 2009

AKM MASUD RANA ,
ÅKE WAHLIN ,
PETER KIM STREATFIELD  and
ZARINA NAHAR KABIR
AKM MASUD RANA*
Affiliation:
Aging Research Center, Karolinska Institute, Stockholm, Sweden. Research and Evaluation Division, Bangladesh Rural Advancement Committee, Dhaka, Bangladesh.
ÅKE WAHLIN
Affiliation:
Aging Research Center, Karolinska Institute, Stockholm, Sweden. Department of Psychology, Stockholm University, Stockholm, Sweden.
PETER KIM STREATFIELD
Affiliation:
Knowledge for Global Lifesaving Solutions, Dhaka, Bangladesh.
ZARINA NAHAR KABIR
Affiliation:
Aging Research Center, Karolinska Institute, Stockholm, Sweden. Division of Nursing, Karolinska Institute, Stockholm, Sweden.
*
Address for correspondence: Akm Masud Rana, NVS, Aging Research Centre, Gävlegatan 16 (9th floor), Karolinska Institutet, 113 30 Stockholm, Sweden. Email: Rana.Akm.Masud@ki.se
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Abstract

This study examined the cross-sectional association of bone and joint diseases with health-related quality of life (HRQoL) among 850 randomly sampled people aged 60 or more years in a rural area of Bangladesh. Information about arthritis, back and joint pain was collected through self-reports and two physicians' assessments at a health centre. Health-related quality of life was measured using a multi-dimensional generic instrument designed for older people that has questions on the construct's physical, psychological, social, economic, spiritual and environmental dimensions. Bivariate analyses showed that the most negative effects of bone and joint diseases were on the physical and psychological dimensions. Hierarchical linear regression analyses revealed that joint pain, whether doctor-diagnosed or self-reported, and self-reported back pain were all associated with lower HRQoL scores and accounted for almost 20 per cent of the variation (adjusted for age, sex, education, marital status, household size, income, expenditure and occupation). The analyses further revealed that women with self-reported back pain had significantly lower psychological, environmental and overall HRQoL scores than equivalent men, while self-reported joint pain was associated with significantly lower scores only for the environmental dimension. The strong association of bone and joint diseases with HRQoL underscores the importance of regarding these illnesses as public health problems.

Keywords

bone and joint diseasesHRQoLolder peopledeveloping countriesBangladesh
Type
Research Article
Information
Ageing & Society , Volume 29 , Issue 5 , July 2009 , pp. 727 - 743
Copyright
Copyright © 2009 Cambridge University Press

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