TY  - JOUR
AU  - Kachan, Diana
AU  - Tannenbaum, Stacey L.
AU  - Olano, Henry A.
AU  - LeBlanc, William G.
AU  - McClure, Laura A.
AU  - Lee, David J.
PY  - 2014
TI  - Geographical Variation in Health-Related Quality of Life Among Older US Adults, 1997-2010
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E110
VL  - 11
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  Health-related quality of life (HRQOL) is an important predictor of morbidity and mortality; however, its geographical variation in older adults in the United States has not been characterized. We compared HRQOL among older adults in the 50 US states and the District of Columbia using the Health and Activities Limitation Index (HALex). We also compared the HRQOL of 4 regions: South, West, Midwest, and Northeast. METHODS  We analyzed pooled data from 1997 through 2010 from the National Health Interview Survey for participants aged 65 or older. HALex scores (which range from 0 to 1.00, with higher values indicating better health) were calculated by combining data on participants' perceived health and activity limitations. We ranked states by mean HALex score and performed multivariable logistic regression analyses to compare low scores (defined as scores in the lowest quintile) among US regions after adjustment for sociodemographics, health behaviors, and survey design. RESULTS  Older residents of Alaska, Alabama, Arkansas, Mississippi, and West Virginia had the lowest mean HALex scores (range, 0.62-0.68); residents of Arizona, Delaware, Nevada, New Hampshire, and Vermont had the highest mean scores (range, 0.78-0.79). Residents in the Northeast (odds ratio [OR], 0.66; 95% confidence interval [CI], 0.57-0.76) and the Midwest (OR, 64; 95% CI, 0.56-0.73) were less likely than residents in the South to have scores in the lowest quintile after adjustment for sociodemographics, health behaviors, and survey design. CONCLUSION  Significant regional differences exist in HRQOL of older Americans. Future research could provide policy makers with information on improving HRQOL of older Americans.
SN  - 1545-1151
UR  - http://dx.doi.org/10.5888/pcd11.140023
DO  - 10.5888/pcd11.140023
ER  - 
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