Factors associated with quality of life among newly diagnosed acute ischemic stroke patients: a community-based case-control study
Issued Date
2024-01-01
Resource Type
eISSN
21678359
Scopus ID
2-s2.0-85206854345
Journal Title
PeerJ
Volume
12
Issue
10
Rights Holder(s)
SCOPUS
Bibliographic Citation
PeerJ Vol.12 No.10 (2024)
Suggested Citation
Abdulsalam F.I., Somsri P., Papitak P., Tussanabunyong K., Chaveepojnkamjorn W., Phoosuwan N. Factors associated with quality of life among newly diagnosed acute ischemic stroke patients: a community-based case-control study. PeerJ Vol.12 No.10 (2024). doi:10.7717/peerj.18266 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/101761
Title
Factors associated with quality of life among newly diagnosed acute ischemic stroke patients: a community-based case-control study
Corresponding Author(s)
Other Contributor(s)
Abstract
Background: 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. Method: 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 (n = 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). Results: 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. Conclusion: 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.