Factors associated with quality of life among newly diagnosed acute ischemic stroke patients: a community-based case-control study

Factors associated with quality of life among newly diagnosed acute ischemic stroke patients: a community-based case-control study

Stroke burden is expected to increase and surviving a bout of stroke may leave one with a chronic or disabling outcome decreasing significantly the quality of life of the sufferer. The study aimed to explore the association between quality of life (QoL) in stroke and non-stroke individuals in a pred...

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Bibliographic Details
Published in:PeerJ (San Francisco, CA) Vol. 12; p. e18266
Main Authors: Abdulsalam, Fatima Ibrahim, Somsri, Prapatsorn, Papitak, Piyapong, Tussanabunyong, Kittipod, Chaveepojnkamjorn, Wisit, Phoosuwan, Nitikorn
Format: Journal Article
Language:English
Published: United States PeerJ. Ltd 16-10-2024
PeerJ Inc
Subjects:
Adolescent
Adult
Aged
Analysis
Case-control
Case-Control Studies
Education, Higher
Epidemiology
Female
Health aspects
Humans
Ischemia
Ischemic Stroke - epidemiology
Ischemic Stroke - psychology
Life Style
Male
Middle Aged
Multivariable logistic regression
Public Health
Quality of life
Quality of Life - psychology
Risk Factors
Smoking - epidemiology
Social aspects
Stroke
Stroke (Disease)
Stroke patients
Surveys
Surveys and Questionnaires
Thai WHOQOL-BREF
Waist Circumference
World health
Young Adult
Thailand
Multivariable logistic regression
Stroke
Thai WHOQOL-BREF
Case-control
Quality of life
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Summary:Stroke burden is expected to increase and surviving a bout of stroke may leave one with a chronic or disabling outcome decreasing significantly the quality of life of the sufferer. The study aimed to explore the association between quality of life (QoL) in stroke and non-stroke individuals in a predominantly agricultural community. A community-based case-control study was conducted among 154 cases aged 18 and 75 diagnosed with incident stroke. Controls were 554 non-stroke individuals ( = 554) recruited from a community where cases resided. Cases and controls were matched for age, gender and residential area. Using a self-reported questionnaire of the World Health Organization Quality of Life (WHOQOL-BREF), socio-demographic characteristics and lifestyle habits were measured in association with QoL. Statistical analyses included multivariable logistic regression models, adjusted odds ratio (aOR) and 95% confidence interval (CI). Significant predictors associated with low-medium QoL were having a larger waist circumference (aOR = 1.619, 95%CI [1.003-2.612]) and being a farmer (aOR = 2.976, 95%CI [1.143-7.750]) but having a current smoking habit and being male were at lesser odds with low-medium QoL (aOR = 0.381, 95%CI [0.191-0.757]) and (aOR = 0.564, 95%CI [0.323-0.985]) respectively. In all domains, women were at a higher risk of low-medium QoL while in physical health and environment domains, it was having a larger waist circumference. In both physical health and psychological domains, being married was protective to low-medium QoL so also being age 39 or younger and having a higher education in social relationship domain. Waist circumference, occupation, smoking habit and gender are associated with low-medium QoL. Addressing the influence of such factors could create an additional therapeutic line in the primary prevention of stroke in at-risk populations.
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ISSN:2167-8359
2167-8359
DOI:10.7717/peerj.18266