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Cheraghi L, Niknam M, Masihay-Akbar H, Azizi F, Amiri P. How Do Active and Passive Cigarette Smokers in Iran Evaluate Their Health? A Sex-Specific Analysis on the Full-Spectrum of Quality of Life. Nicotine Tob Res 2024; 26:913-921. [PMID: 37651684 DOI: 10.1093/ntr/ntad157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Revised: 07/18/2023] [Accepted: 08/30/2023] [Indexed: 09/02/2023]
Abstract
INTRODUCTION This study aimed to determine the sex-specific effects of active and passive cigarette smoking on the full spectrum of health-related quality of life (HRQoL) among a sizeable adult population. METHODS This study was conducted within the Tehran Lipid and Glucose Study (TLGS) framework. Participants included 7478 adults in the last examination of the TLGS. We used a quantile regression model to compare sex-specific HRQoL distributions among non-, current, and passive smokers. Two-step cluster analysis was used to consider the synergic effects of confounder variables. RESULTS In men, current smoking was negatively associated with only mental HRQoL in all percentiles of its distribution with a decrease in absolute estimation values from the lowest (5th: β = -6.59, p < .001) to the highest (90th: β=-0.93, p = .027). Also, passive smoking was negatively associated with men's physical HRQoL in the upper percentiles of its distribution (75th: β = -1.12, p = .010; 90th: β = -1.26, p = .016). In women, the current (β = -4.17 to -4.45 for 25th to 90th percentiles) and passive smokers (β = -2.05 to -4.25 for 10th to 90th percentiles) had lower mental HRQoL in the mentioned percentiles. Also, the current smoking had a negative association with the 5th percentile (β = -2.04, p = .008), and a positive association with the 50th (β = 1.94, p < .008) and 75th percentile of physical HRQoL (β = 2.25, p = .004). CONCLUSIONS The present study showed the harmful effect of smoking on mental HRQol in all participants. In contrast, the physical effect of smoking was only observed in female active smokers and at the extreme levels of the physical HRQoL spectrum. IMPLICATIONS According to the harmful effect of smoking on HRQoL, understanding active and passive smokers' perceptions of how smoking impacts their health is critical for tobacco control programs. Since most previous studies of smoking and HRQoL have mainly focused on the extreme parts or central values of the HRQoL distribution, the use of a multiple regression approach enables the evaluation of other parts of the conditional distribution of the outcome variable. This study demonstrated the prominent effect of smoking on the mental HRQoL as well as the more serious public health burden of passive smoking in women.
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Affiliation(s)
- Leila Cheraghi
- Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
- Department of Epidemiology and Biostatistics, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mahdieh Niknam
- Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hasti Masihay-Akbar
- Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Fereidoun Azizi
- Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Parisa Amiri
- Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Verma M, Sangeeta K, Verma BK, Dubey DK, Mondal M, Mazumder MN, Khan HT, Verma V. The association between anti-smoking legislation and prevalence of acute respiratory illnesses in Indian children. PUBLIC HEALTH IN PRACTICE 2024; 7:100481. [PMID: 38419738 PMCID: PMC10901132 DOI: 10.1016/j.puhip.2024.100481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 01/22/2024] [Accepted: 02/09/2024] [Indexed: 03/02/2024] Open
Abstract
Objective Exposure to tobacco smoke causes numerous health problems in children, and create burden on the population in terms of economy, morbidity and mortality. In order to protect the child from exposure to tobacco smoke in the outdoor environment, sufficient legislative enactments are available in Indian legislation. The objective of the present study is to investigate the fact that in absence of any specific laws stating about protection of children from exposure to tobacco smoke in indoor environment, whether outdoor related legislations are sufficient to protect children from exposureand to explore the scope for enforcement of both state and central laws in improving health of children in India. Study design The study considered cross-sectional survey data of Demographic and Health Survey Data on India, National Family and Health Survey fourth round (NFHS-4) for the year 2015-16 on Indian children (below age of four). Methods Both bivariate and multivariate logistic regression models were used to assess the impact of anti-smoking laws on the prevalence of acute respiratory infection (ARI) based on the place of residence, indoor tobacco smoke exposure and age of the child. Results The results have shown an inclination of ARI among children in association with states having single law, rural area resident, exposure to indoor tobacco smoke and age of the child, both as independent or in combination are quite conspicuous, and are found to be underestimated. The logistic regression also revealed the influence of these factors both as independent and even in interaction with other. Conclusions Legislative intervention through both at central (or national)and state levels through anti-smoking laws will decrease the indoor tobacco smoke exposure as a result ARI prevalence will also decrease among children in India.
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Affiliation(s)
- Mamta Verma
- Department of Law, Kazi Nazrul University, West Bengal, 713340, India
| | - K. Sangeeta
- HRC HOSPITAL, Hyderabad, 500016, Telangana, India
| | | | - Dharmendra Kumar Dubey
- Department of Biostatistics, School of Allied Health Sciences (SAHS), Sharda Hospital, Sharda University, Uttar Pradesh, 201310, India
| | - Mukul Mondal
- Department of Law, Kazi Nazrul University, West Bengal, 713340, India
| | - Mousumi Nath Mazumder
- Indian Council of Social Science Research (ICSSR), JNU Institutional Area, Aruna Asaf Ali Marg, New Delhi, 110067, India
| | - Hafiz T.A. Khan
- Health Promotion and Public Health, College of Nursing, Midwifery and Healthcare, University of West London, Paragon House, Boston Manor Road, Brentford, TW8 9GB, United Kingdom
| | - Vivek Verma
- Department of Statistics, Assam University, Silchar, Assam, 788011, India
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Huque R, Abdullah SM, Ahmed S, Hossain N, Islam F, Sarker MAB, Amin MN, Ahmed N. Is smokeless tobacco use associated with lower health-related quality of life? A cross-sectional survey among women in Bangladesh. Tob Induc Dis 2024; 22:TID-22-60. [PMID: 38586495 PMCID: PMC10996035 DOI: 10.18332/tid/185969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 03/11/2024] [Accepted: 03/14/2024] [Indexed: 04/09/2024] Open
Abstract
INTRODUCTION Bangladesh has 22 million adult users of smokeless tobacco (ST). The prevalence among women is higher (24.8%). Health-related quality of life outcome (HRQoL) for ST use is little known. We investigated the association between HRQoL and daily ST use among adult women in Bangladesh. METHODS Using multi-stage design, a cross-sectional survey was conducted. Adult women (randomly selected) were surveyed from 4 purposively selected divisions (Dhaka, Chittagong, Khulna and Rangpur). Female ST users and non-users were compared using HRQoL scores. Self-perceived Visual Analogue Scale (EQ-VAS) values and HRQoL scores were modelled to examine their association with ST use. RESULTS A total of 2610 women (1149 users and 1461 non-users) were surveyed. The proportion reported any type of problem in all health dimensions was significantly higher among female ST users than non-users (mobility: 43.3% vs 19.5%, self-care: 29.6% vs 11.9%, usual activities: 48.7% vs 21.8%, pain or discomfort: 69.8% vs 40.6%, and anxiety or depression: 61.3% vs 37.5%). The average HRQoL scores were 0.79 (95% CI: 0.78-0.81) and 0.90 (95% CI: 0.89-0.90) for users and non-users, respectively. Moreover, EQ-VAS average values were significantly higher for non-users [80.7 (95% CI: 79.9-81.6) vs 70.27 (95% CI: 69.2-71.2)]. Controlling the sociodemographics, ST use significantly reduced the HRQoL score by an average of 0.15 points. The EQ-VAS values on average decreased by 0.04 points for ST use. CONCLUSIONS ST use is significantly associated with the HRQoL of females in Bangladesh. Considering the higher prevalence of ST, especially among women, HRQoL hazards need to be communicated for awareness building.
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Affiliation(s)
- Rumana Huque
- Department of Economics, University of Dhaka, Dhaka, Bangladesh
- Research and Development, ARK Foundation, Dhaka, Bangladesh
| | - S M Abdullah
- Department of Economics, University of Dhaka, Dhaka, Bangladesh
- Research and Development, ARK Foundation, Dhaka, Bangladesh
- Department of Health Sciences, University of York, York, United Kingdom
| | - Sayem Ahmed
- School of Health & Wellbeing, University of Glasgow, Glasgow, Scotland
| | - Nazmul Hossain
- Department of Economics, University of Dhaka, Dhaka, Bangladesh
- Research and Development, ARK Foundation, Dhaka, Bangladesh
| | - Farhin Islam
- Research and Development, ARK Foundation, Dhaka, Bangladesh
| | - Mohammad A B Sarker
- Health Economics Unit, Health Services Division, Ministry of Health and Family Welfare, Dhaka, Bangladesh
| | - Md Nurul Amin
- Health Economics Unit, Health Services Division, Ministry of Health and Family Welfare, Dhaka, Bangladesh
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Parsons K, Yerxa K, Therrien M, Byrd-Bredbenner C, McNamara J. The influence of diet quality on health-related quality of life in undergraduates. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024:1-7. [PMID: 38442366 DOI: 10.1080/07448481.2024.2319206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 02/08/2024] [Indexed: 03/07/2024]
Abstract
Objective: Explore the relationship between fruit and vegetable (FV) intake and health-related quality of life (HRQOL) in undergraduates. Participants: Undergraduates (N = 655). Methods: Using the Centers for Disease Control's Healthy Days Core Module and National Cancer Institute's (NCI) FV screener, differences in HRQOL between students who had consumed above the sample's average FV intake and their counterparts were evaluated. Multiple regression analyses assessed behaviors that predicted HRQOL. Results: Differences existed between HRQOL of students who consumed above average FV (M = 2.2 1.3) and peers, F(9,602) = 509, p < 0.001, Wilk's Δ = 0.116, partial n2 = 0.884. Predictors explained 30.0% of the variance in days per month feeling healthy (r2 = 0.29, F(4, 549) = 58.6, p < 0.001): perceived stress (β = 0.46, p < 0.001), body mass index (BMI) (β = 0.11, p < 0.01), FV intake (β = 0.16, p < 0.001), and sleep duration (β = 0.08, p < 0.05). Conclusions: FV intake and modifiable behaviors influenced HRQOL, suggesting that multifaceted interventions could improve HRQOL in this population.
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Affiliation(s)
- Kayla Parsons
- School of Food and Agriculture, University of Maine, Orono, ME, USA
| | - Kathryn Yerxa
- School of Food and Agriculture, University of Maine, Orono, ME, USA
| | - Mona Therrien
- School of Food and Agriculture, University of Maine, Orono, ME, USA
| | - Carol Byrd-Bredbenner
- Department of Nutritional Sciences, School of Environmental & Biological Sciences, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA
| | - Jade McNamara
- School of Food and Agriculture, University of Maine, Orono, ME, USA
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Le Foll B, Piper ME, Fowler CD, Tonstad S, Bierut L, Lu L, Jha P, Hall WD. Tobacco and nicotine use. Nat Rev Dis Primers 2022; 8:19. [PMID: 35332148 DOI: 10.1038/s41572-022-00346-w] [Citation(s) in RCA: 72] [Impact Index Per Article: 36.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/07/2022] [Indexed: 01/04/2023]
Abstract
Tobacco smoking is a major determinant of preventable morbidity and mortality worldwide. More than a billion people smoke, and without major increases in cessation, at least half will die prematurely from tobacco-related complications. In addition, people who smoke have a significant reduction in their quality of life. Neurobiological findings have identified the mechanisms by which nicotine in tobacco affects the brain reward system and causes addiction. These brain changes contribute to the maintenance of nicotine or tobacco use despite knowledge of its negative consequences, a hallmark of addiction. Effective approaches to screen, prevent and treat tobacco use can be widely implemented to limit tobacco's effect on individuals and society. The effectiveness of psychosocial and pharmacological interventions in helping people quit smoking has been demonstrated. As the majority of people who smoke ultimately relapse, it is important to enhance the reach of available interventions and to continue to develop novel interventions. These efforts associated with innovative policy regulations (aimed at reducing nicotine content or eliminating tobacco products) have the potential to reduce the prevalence of tobacco and nicotine use and their enormous adverse impact on population health.
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Affiliation(s)
- Bernard Le Foll
- Translational Addiction Research Laboratory, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, Canada.
- Departments of Family and Community Medicine, Psychiatry, Pharmacology and Toxicology, University of Toronto, Toronto, Ontario, Canada.
| | - Megan E Piper
- Department of Medicine, University of Wisconsin, Madison, WI, USA
- University of Wisconsin Center for Tobacco Research and Intervention, Madison, WI, USA
| | - Christie D Fowler
- Department of Neurobiology and Behaviour, University of California Irvine, Irvine, CA, USA
| | - Serena Tonstad
- Section for Preventive Cardiology, Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, Norway
| | - Laura Bierut
- Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA
| | - Lin Lu
- Institute of Mental Health, Peking University Sixth Hospital, Peking University, Beijing, China
- National Institute on Drug Dependence, Peking University Health Science Center, Beijing, China
| | - Prabhat Jha
- Centre for Global Health Research, Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada
| | - Wayne D Hall
- National Centre for Youth Substance Use Research, The University of Queensland, St Lucia, Queensland, Australia
- Queensland Alliance for Environmental Health Sciences, The University of Queensland, Woolloongabba, Queensland, Australia
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Gabilondo M, Loza J, Pereda A, Caballero O, Zamora N, Gorostiza A, Mar J. Quality of life in patients with nonvalvular atrial fibrillation treated with oral anticoagulants. ACTA ACUST UNITED AC 2021; 26:277-283. [PMID: 33631081 DOI: 10.1080/16078454.2021.1892329] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVES Health-related quality of life (HRQL) is a key factor in making anticoagulant treatment decisions. The objective of this study was to assess the HRQL of patients with nonvalvular atrial fibrillation by treatment type: direct oral anticoagulants (DOACs) or vitamin K antagonists (VKAs). METHODS We carried out a cross-sectional observational study with clinical practice data, gathering demographic and clinical variables. HRQL was measured using the 5-level 5-dimension EuroQol questionnaire (EQ-5D-5L). Differences between the study groups in HRQL as measured by the EQ-5D-5L were analyzed using two-part multivariate regression models. First, using logistic regression, the adjusted probability, p(x), of having perfect health was estimated in each subgroup. Secondly, generalized linear models were used to estimate mean disutility values, w(x), in a population that does not have perfect health, i.e. utility less than 1 or 1-w(x). RESULTS We recruited 333 patients, of whom 126 were on DOACs and 207 on VKAs. A significant difference was observed in the EQ-5D-5L anxiety/depression dimension, with a higher percentage of patients classified in the 'no problems' category in the DOAC group. The same type of analysis did not identify significant differences in any of the other dimensions (mobility, self-care, usual activities or pain/discomfort). DISCUSSION In the multivariate model, utility was significantly higher in the DOAC group than in the VKA group, although the difference was small (0.0121). This difference is attributable to patients on DOACs having less anxiety/depression. CONCLUSION Patients treated with DOACs report a slightly better quality of life than those treated with VKAs.
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Affiliation(s)
- Miren Gabilondo
- Department of Haematology, Basque Health Service (Osakidetza), Araba University Hospital, Vitoria-Gasteiz, Spain
| | - Jesús Loza
- Department of Haematology, Basque Health Service (Osakidetza), Araba University Hospital, Vitoria-Gasteiz, Spain
| | - Angel Pereda
- Department of Haematology, Basque Health Service (Osakidetza), Araba University Hospital, Vitoria-Gasteiz, Spain
| | - Ohiane Caballero
- Nursing Unit, Basque Health Service (Osakidetza), Araba University Hospital, Vitoria-Gasteiz, Spain
| | - Nerea Zamora
- Nursing Unit, Basque Health Service (Osakidetza), Araba University Hospital, Vitoria-Gasteiz, Spain
| | - Ania Gorostiza
- Research Unit, Basque Health Service (Osakidetza), Debagoiena Integrated Healthcare Organisation, Arrasate-Mondragón, Spain.,Economic Evaluation Unit, Kronikgune Institute for Health Service Research, Barakaldo, Spain
| | - Javier Mar
- Research Unit, Basque Health Service (Osakidetza), Debagoiena Integrated Healthcare Organisation, Arrasate-Mondragón, Spain.,Economic Evaluation Unit, Kronikgune Institute for Health Service Research, Barakaldo, Spain.,Economic Evaluation Unit, Biodonostia Health Research Institute, Donostia-San Sebastián, Spain
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Tran TV, Nguyen HC, Pham LV, Nguyen MH, Nguyen HC, Ha TH, Phan DT, Dao HK, Nguyen PB, Trinh MV, Do TV, Nguyen HQ, Nguyen TTP, Nguyen NPT, Tran CQ, Tran KV, Duong TT, Pham HX, Nguyen LV, Vo TT, Do BN, Duong TH, Pham MK, Pham TTM, Nguyen KT, Yang SH, Chao JCJ, Duong TV. Impacts and interactions of COVID-19 response involvement, health-related behaviours, health literacy on anxiety, depression and health-related quality of life among healthcare workers: a cross-sectional study. BMJ Open 2020; 10:e041394. [PMID: 33293320 PMCID: PMC7722826 DOI: 10.1136/bmjopen-2020-041394] [Citation(s) in RCA: 48] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
OBJECTIVES We examined impacts and interactions of COVID-19 response involvement, health-related behaviours and health literacy (HL) on anxiety, depression, and health-related quality of life (HRQoL) among healthcare workers (HCWs). DESIGN A cross-sectional study was conducted. Data were collected 6 April to 19 April 2020 using online-based, self-administered questionnaires. SETTING 19 hospitals and health centres in Vietnam. PARTICIPANTS 7 124 HCWs aged 21-60 years. RESULTS The COVID-19 response-involved HCWs had higher anxiety likelihood (OR (95% CI)=4.41 (3.53 to 5.51)), higher depression likelihood (OR(95% CI)=3.31 (2.71 to 4.05)) and lower HRQoL score (coefficient, b(95% CI)=-2.14 (-2.89 to -1.38)), compared with uninvolved HCWs. Overall, HCWs who smoked or drank at unchanged/increased levels had higher likelihood of anxiety, depression and lower HRQoL scores; those with unchanged/healthier eating, unchanged/more physical activity and higher HL scores had lower likelihood of anxiety, depression and higher HRQoL scores. In comparison to uninvolved HCWs who smoked or drank at never/stopped/reduced levels, involved HCWs with unchanged/increased smoking or drinking had lower anxiety likelihood (OR(95% CI)=0.34 (0.14 to 0.83)) or (OR(95% CI)=0.26 (0.11 to 0.60)), and lower depression likelihood (OR(95% CI)=0.33 (0.15 to 0.74)) or (OR(95% CI)=0.24 (0.11 to 0.53)), respectively. In comparison with uninvolved HCWs who exercised at never/stopped/reduced levels, or with those in the lowest HL quartile, involved HCWs with unchanged/increased exercise or with one-quartile HL increment reported lower anxiety likelihood (OR(95% CI)=0.50 (0.31 to 0.81)) or (OR(95% CI)=0.57 (0.45 to 0.71)), lower depression likelihood (OR(95% CI)=0.40 (0.27 to 0.61)) or (OR(95% CI)=0.63 (0.52 to 0.76)), and higher HRQoL scores (b(95% CI)=2.08 (0.58 to 3.58)), or (b(95% CI)=1.10 (0.42 to 1.78)), respectively. CONCLUSIONS Physical activity and higher HL were found to protect against anxiety and depression and were associated with higher HRQoL. Unexpectedly, smoking and drinking were also found to be coping behaviours. It is important to have strategic approaches that protect HCWs' mental health and HRQoL.
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Affiliation(s)
- Tien V Tran
- Department of Infectious Diseases, Vietnam Military Medical University, Ha Noi, Viet Nam
- Director Office, Military Hospital 103, Hanoi, Hanoi, Viet Nam
| | - Hoang C Nguyen
- Director Office, Thai Nguyen National Hospital, Thai Nguyen, Viet Nam
- President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Viet Nam
| | - Linh V Pham
- Department of Pulmonary & Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Haiphong, Viet Nam
- Director Office, Hai Phong University of Medicine and Pharmacy Hospital, Haiphong, Viet Nam
| | - Minh H Nguyen
- International Ph.D. Program in Medicine, Taipei Medical University, Taipei, Taiwan
| | - Huu Cong Nguyen
- Director Office, E Hospital, Hanoi, Hanoi, Viet Nam
- Department of Thoracic and Cardiovascular Surgery, E Hospital, Hanoi, Viet Nam
| | - Tung H Ha
- Director Office, General Hospital of Agricultural, Hanoi, Viet Nam
| | - Dung T Phan
- Nursing Office, Thien An Obstetrics and Gynecology Hospital, Hanoi, Viet Nam
- Faculty of Nursing, Hanoi University of Business and Technology, Hanoi, Viet Nam
| | - Hung K Dao
- Director Office, Bac Ninh Obstetrics and Pediatrics Hospital, Bac Ninh, UK
| | | | - Manh V Trinh
- Director Office, Quang Ninh General Hospital, Quang Ninh, Viet Nam
| | - Thinh V Do
- Director Office, Bai Chay Hospital, Quang Ninh, Viet Nam
| | - Hung Q Nguyen
- Director Office, Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh, Viet Nam
| | - Thao T P Nguyen
- Health Management Training Institute, University of Medicine and Pharmacy, Hue University, Thua Thien Hue, Viet Nam
- Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary
| | - Nhan P T Nguyen
- General Planning Department, Danang Oncology Hospital, Danang, Viet Nam
| | - Cuong Q Tran
- Director Office, Thu Duc District Health Center, Ho Chi Minh, Viet Nam
- Faculty of Health, Mekong University, Vinh Long, Viet Nam
| | - Khanh V Tran
- Director Office, Hospital District 2, Ho Chi Minh, Viet Nam
| | - Trang T Duong
- Nursing Office, Tan Phu District Hospital, Ho Chi Minh, Viet Nam
| | - Hai X Pham
- Director Office, District 9 Health Center, Ho Chi Minh, Viet Nam
| | - Lam V Nguyen
- President Office, Can Tho University of Medicine and Pharmacy, Can Tho, Viet Nam
- Aesthetic Plastic Surgery & Skin Care Center, Can Tho University of Medicine and Pharmacy Hospital, Can Tho, Viet Nam
| | - Tam T Vo
- Director Office, Trieu Phong District Health Center, Quang Tri, Viet Nam
| | - Binh N Do
- Department of Infectious Diseases, Vietnam Military Medical University, Ha Noi, Viet Nam
- Division of Military Science, Military Hospital 103, Hanoi, Hanoi, Viet Nam
| | - Thai H Duong
- Director Office, Thai Nguyen National Hospital, Thai Nguyen, Viet Nam
- Department of Internal Medicine, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Viet Nam
| | - Minh Khue Pham
- Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Haiphong, Viet Nam
- President Office, Hai Phong University of Medicine and Pharmacy, Haiphong, Viet Nam
| | - Thu T M Pham
- Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Haiphong, Viet Nam
- School of Public Health, Taipei Medical University, Taipei, Taiwan
| | - Kien Trung Nguyen
- Department of Health Education, Faculty of Social Sciences, Behavior and Health Education, Hanoi University of Public Health, Hanoi, Viet Nam
| | - Shwu-Huey Yang
- School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan
- Research Center of Geriatric Nutrition, Taipei Medical University, Taipei, Taiwan
| | - Jane C J Chao
- School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan
- Nutrition Research Center, Taipei Medical University Hospital, Taipei, Taiwan
| | - Tuyen Van Duong
- School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan
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Arrospide A, Ramos-Goñi JM, Pechlivanoglou P, Mar J. Application of two-part models and Cholesky decomposition to incorporate covariate-adjusted utilities in probabilistic cost-effectiveness models. GACETA SANITARIA 2020; 34:91-95. [DOI: 10.1016/j.gaceta.2018.09.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Revised: 08/23/2018] [Accepted: 09/10/2018] [Indexed: 11/28/2022]
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Sagtani RA, Thapa S, Sagtani A. Smoking and Quality of Life - Is there really an association? Evidence from a Nepalese sample. PLoS One 2019; 14:e0221799. [PMID: 31490943 PMCID: PMC6730920 DOI: 10.1371/journal.pone.0221799] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2018] [Accepted: 08/15/2019] [Indexed: 11/18/2022] Open
Abstract
Tobacco smoking has a negative impact on human health. Thus, it seems plausible for it to affect perceived quality of life as well. Information in this regard is lacking in Nepalese context. Thus, a comparative study was designed to assess association of cigarette smoking with Health Related Quality of Life (HRQoL). This study was conducted among 125 current and never cigarette smokers who attended a teaching hospital in peri-urban area of Capital city of Nepal from December 2015 to June 2016. The data regarding their socio-demographic characteristic, tobacco history and HRQoL was collected using a self administered questionnaire. QoL assessment was made with the help of valid, translated version of WHO QOL-BREF. Results showed current smokers on an average used 4 sticks of cigarettes per day. Significant proportions of current smokers also consumed alcohol compared to never smokers (p <0.05). Mean difference of both overall QoL score and domain scores among both study groups were relatively small and thus, failed to reach statistical significance. On the other hand, the socio-demographic characteristics like male gender, currently earning and attaining more than higher secondary education were predictors of better HRQoL scores. According to study results, relationship between smoking status and self reported QoL is unclear. Thus, the policy makers should also focus on wider determinants of ill health and well being and not just smoking status. Further research is still needed to understand the effect of tobacco on self perceived health related quality of life.
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Affiliation(s)
| | - Sunaina Thapa
- Department of Dentistry, Annapurna Neurological Institute and allied Sciences, Kathmandu, Nepal
| | - Alok Sagtani
- Department of Oral and Maxillofacial Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal
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