The Determinants of Living with Long-Term Conditions: An International Cross-Sectional Study

Silvia Corchon, Carmen Rodríguez-Blázquez, Alfonso Meneses, Marta Aranda-Gallardo, Lorena López, Maria Eugenia Ursúa, Maria Victoria Navarta-Sanchez, Mari Carmen Portillo and Leire Ambrosio
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Silvia Corchon: Nursing Department, University of Valencia, 46010 Valencia, Spain
Carmen Rodríguez-Blázquez: National Centre of Epidemiology and CIBERNED, Carlos III Institute of Health, 28029 Madrid, Spain
Alfonso Meneses: Faculty of Nursing, Physiotherapy and Podiatry, University Complutense of Madrid, 28040 Madrid, Spain
Marta Aranda-Gallardo: Department of Internal Medicine, Costa del Sol Hospital, Marbella, 29603 Malaga, Spain
Lorena López: Madrid Healthcare System, 28823 Madrid, Spain
Maria Eugenia Ursúa: Navarra Healthcare System, 31008 Navarra, Spain
Maria Victoria Navarta-Sanchez: Faculty of Medicine, Autonomous University of Madrid, 28029 Madrid, Spain
Mari Carmen Portillo: NIHR ARC Wessex, Faculty of Health Sciences, University of Southampton, Southampton SO17 1BJ, UK
Leire Ambrosio: NIHR ARC Wessex, Faculty of Health Sciences, University of Southampton, Southampton SO17 1BJ, UK

IJERPH, 2021, vol. 18, issue 19, 1-11

Abstract: It is essential that healthcare and social professionals understand the daily lives of people with chronic diseases, and the variables that influence them. The aim of this study was to identify the determinants influencing the process of living with long-term conditions. To investigate this, an observational, international, cross-sectional study was carried out. A consecutive sample of 1788 Spanish-speaking population living with chronic obstructive pulmonary disease, chronic heart failure and type 2 diabetes mellitus were included. Descriptive statistics and multiple linear regression models were performed. The linear regression models identified that social support (? = 0.39, p < 0.001) and the satisfaction with life (? = 0.37, p < 0.001) were the main determinants in the process of living with a long-term condition (49% of the variance). Age (? = ?0.08, p = 0.01) and disease duration (? = 0.07, p = 0.01) were determinants only in the chronic heart failure subgroup, and country was significant in the chronic obstructive pulmonary disease subgroup (? = ?0.15, p = 0.002). Satisfaction with life and social support were key determinants influencing the process of living with long-term conditions. As such, those aspects should be included in the design of interventions focused on the achievement of a positive living in people with long-term conditions.

Keywords: chronic disease; determinants; person-centred care; cross-sectional studies (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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