Health-Related Quality of Life and Medical Resource Use in Patients with Osteoporosis and Depression: A Cross-Sectional Analysis from the National Health and Nutrition Examination Survey

Shih-Feng Weng, Hui-Ru Hsu, Yao-Lin Weng, Kai-Jen Tien and Hao-Yun Kao
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Shih-Feng Weng: Department of Healthcare Administration and Medical Informatics, College of Health Sciences, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
Hui-Ru Hsu: Division of Financial Management, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan
Yao-Lin Weng: Department of Food and Nutrition, Providence University, Taichung 43301, Taiwan
Kai-Jen Tien: Division of Endocrinology and Metabolism, Department of Internal Medicine, Chi Mei Medical Center, Tainan 71004, Taiwan
Hao-Yun Kao: Department of Healthcare Administration and Medical Informatics, College of Health Sciences, Kaohsiung Medical University, Kaohsiung 80708, Taiwan

IJERPH, 2020, vol. 17, issue 3, 1-11

Abstract: Background : Patients with either osteoporosis or depression are prone to develop other diseases and require more medical resources than do the general population. However, there are no studies on health-related quality of life (HRQoL) and medical resource use by osteoporosis patients with comorbid depression. We conducted this study for clarifying it. Methods : This cross-sectional study from 2005 to 2010 (6 years) analyzed 9776 National Health and Nutrition Examination Survey (NHANES) patients > 40 years old. Each patient was assigned to one of four groups: osteoporosis-positive (+) and depression-positive (+) (O + /D + ); O + /D − ; O − /D + ; O − /D − . We used multivariate linear and logistic regression model to analyze the HRQoL and medical resource use between groups. Results : The O + /D + group reported more unhealthy days of physical health, more unhealthy days of mental health, and more inactive days during a specified 30 days. The adjusted odds ratios (AORs) of O + /D + patients who had poor general health (7.40, 95% CI = 4.80–11.40), who needed healthcare (3.25, 95% CI = 2.12–5.00), and who had been hospitalized overnight (2.71, 95% CI = 1.89–3.90) were significantly highest. Conclusions : Low HRQoL was significantly more prevalent in D + /O + patients. We found that depression severity more significantly affected HRQoL than did osteoporosis. However, both diseases significantly increased the risk of high medical resource use.

Keywords: osteoporosis; depression; medical resource use; health-related quality of life; NHANES (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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Citations: View citations in EconPapers (2)

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