Objectives This study aimed to identify the predictors of health-related quality of life (HRQoL) in Korean adults with cardiovascular disease (CVD). Methods: This was a cross-sectional study with a stratified multistage probability sampling design. Data from the 2016 to 2019 Korea National Health and Nutrition Examination Survey (n=32,379) were used. Among the participants aged 19 years or older (n=25,995), 1,081 patients with CVD were extracted after excluding those with missing data and those who had cancer. The participants’ HRQoL was measured using the three-level EuroQoL Group’s five-dimension questionnaire (EQ-5D) scale. Data were analyzed using the t-test, one-way analysis of variance, and general linear regression for complex samples. Results: The most potent predictors of HRQoL in Korean adults with CVD were limited activity (β =−0.103, p <0.001), poor perceived health (β =−0.089, p <0.001), depression (β =−0.065, p<0.01), low household income (β=−0.033, p<0.05), unemployment (β=−0.023, p<0.05), and older age (β=−0.002, p<0.01), which explained 37.2% of the variance. Conclusion: Comprehensive interventions that address both physical and mental factors and social systems that provide financial help need to be implemented to improve the HRQoL of Korean adults with CVD.
Citations
Citations to this article as recorded by
A comparison of health-related quality of life using the World Health Organization Quality of Life–BREF and 5-Level EuroQol-5 Dimensions in the Malaysian population Andrian Liem, Hui Jun Chih, Vithya Velaithan, Richard Norman, Daniel Reidpath, Tin Tin Su Osong Public Health and Research Perspectives.2025; 16(2): 126. CrossRef
Assessment of health-related quality of life and health-seeking behavior in female cardiac patients in rural setting of Pakistan: A comprehensive cross-sectional analysis Amna Zeb, Faizan Ali Razzaq, Shahbaz Ahmad Zakki, Ijaz ul Haq, Muhammad Subhan Nazar, Ussama Hafeez Clinical Epidemiology and Global Health.2025; 34: 102096. CrossRef
Factors associated with health-related quality of life in patients with coronary heart disease Febio Gutama, Melisa Intan Barliana, Irma Melyani Puspitasari Pharmacia.2022; 69(3): 771. CrossRef
<sec>
<title>Objectives</title>
<p>This study identifies associated factors of ischemic heart disease (IHD) among post-menopausal Korean women at the biomedical (age, family history of hypertension, dyslipidemia, type 2 diabetes mellitus, or cerebro-cardiovascular disease, body mass index, and metabolic syndrome), biosocial (socioeconomic status and educational level), and psychosocial levels (stress, depression, smoking, binge alcohol consumption, and physical activity).</p></sec>
<sec>
<title>Methods</title>
<p>This study used a cross-sectional design with secondary data analysis of the 2013–2016 Korean National Health and Nutrition Examination Survey. Data from 3,636 women were analyzed by logistic regression analysis using a complex sample procedure.</p></sec>
<sec>
<title>Results</title>
<p>Of the biomedical factors, older age [odds ratio (OR): 2.99, 95% confidence interval (CI): 1.87–4.80, <italic>p</italic> < 0.001], family history (OR: 2.29, 95% CI: 1.44–3.65, <italic>p</italic> = 0.001), and metabolic syndrome (OR: 1.93, 95% CI: 1.27–2.95, <italic>p</italic> = 0.002) were associated with IHD in post-menopausal women. Of the psychosocial factors, depression (OR: 2.56, 95% CI: 1.66–3.96, <italic>p</italic> < 0.001) and smoking (OR: 1.92, CI: 1.04–3.55, <italic>p</italic> = 0.038) were associated with IHD in post-menopausal women.</p></sec>
<sec>
<title>Conclusion</title>
<p>These findings suggest that healthcare providers need to consider the contributing adverse effects of older age, family history, metabolic syndrome, depression and smoking when evaluating risk factors for IHD in post-menopausal women.</p></sec>
Citations
Citations to this article as recorded by
Vasomotor symptoms, cardiovascular risk factors, and cardiovascular disease risk among Chinese postmenopausal women in Hong Kong Sek Ying Chair, Sally Wai Sze Lo, Ho Yu Cheung, Janet Wing Hung Sit, Qun Wang, Huijing Zou Women & Health.2022; 62(7): 621. CrossRef
Association of rheumatoid arthritis and high sodium intake with major adverse cardiovascular events: a cross-sectional study from the seventh Korean National Health and Nutrition Examination Survey Jeong-Hyeon Bae, Min-Young Shin, Eun Ha Kang, Yun Jong Lee, You-Jung Ha BMJ Open.2021; 11(12): e056255. CrossRef
Comparison of early cardiovascular risk among Brazilian and African university students Ederson Laurindo Holanda de Sousa, Jânio Emanuel Andrade Cavalcante, Daniel Freire de Sousa, Jamile Magalhães Ferreira, Richard Rarison Cavalcante Meneses, Duaran Lopes Sousa, Allyson Jordan Xavier da Silva, Raimundo Rigoberto Barbosa Xavier Filho, Elias Clinical Biochemistry.2020; 75: 7. CrossRef
Beneficial Effects of Breastfeeding on the Prevention of Metabolic Syndrome Among Postmenopausal Women Jin Suk Ra, Soon Ok Kim Asian Nursing Research.2020; 14(3): 173. CrossRef
First
Prev
