The impact of socio-economic status on health related quality of life for children and adolescents with heart disease

Amy Cassedy, Dennis Drotar, Richard Ittenbach, Shawna Hottinger, Jo Wray, Gil Wernovsky, Jane W. Newburger, Lynn Mahony, Kathleen Mussatto, Mitchell I. Cohen, Bradley S. Marino

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Background: Socioeconomic status (SES) is known to influence children's health-related quality of life. Many SES indicators assess distinct dimensions of a family's position rather than measuring the same underlying construct. Many researchers, however, see SES indicators as interchangeable. The primary aim of this study was to determine which measure of SES had the strongest impact on health-related quality of life.Methods: This is a secondary analysis of the Pediatric Cardiac Quality of Life Inventory Validation Study. The SES variables were family income, Hollingshead Index (occupational prestige), and highest parent educational attainment level. Health-related quality of life was measured using the Pediatric Cardiac Quality of Life Inventory. Correlations tested the relationship among the three SES indicators. Regression-based modeling was used to calculate the strength of the association between SES measures and the Pediatric Cardiac Quality of Life Inventory.Results: The correlations among the SES measures were moderately high, with the correlation between the Hollingshead Index and parental education being r = 0.62 (95% CI = 0.56-0.65). There were equally high correlations between family income and the Hollingshead (r = 0.61, 95% CI = 0.57-0.65) and a slightly lower correlation between family income and parental education (r = 0.55, 95% CI = 0.52-0.59). Family income had the highest explanatory value compared to the Hollingshead Index or parental educational attainment, while controlling for sex, race, current cardiac status, and original diagnosis, accounting for 4-5% of the variation in patient and parent Pediatric Cardiac Quality of Life Inventory Total score, respectively, compared to the other SES measures.Conclusion: Family income as an SES measure demonstrated the greatest fidelity with respect to health-related quality of life as measured by the Pediatric Cardiac Quality of Life Inventory across respondent groups and explained more of the variation compared to the Hollingshead Index or highest parental educational attainment.

Original languageEnglish (US)
Article number99
JournalHealth and Quality of Life Outcomes
Volume11
Issue number1
DOIs
StatePublished - Jun 18 2013

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Social Class
Heart Diseases
Economics
Quality of Life
Pediatrics
Equipment and Supplies
Education
Validation Studies
Research Personnel

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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The impact of socio-economic status on health related quality of life for children and adolescents with heart disease. / Cassedy, Amy; Drotar, Dennis; Ittenbach, Richard; Hottinger, Shawna; Wray, Jo; Wernovsky, Gil; Newburger, Jane W.; Mahony, Lynn; Mussatto, Kathleen; Cohen, Mitchell I.; Marino, Bradley S.

In: Health and Quality of Life Outcomes, Vol. 11, No. 1, 99, 18.06.2013.

Research output: Contribution to journalArticle

Cassedy, A, Drotar, D, Ittenbach, R, Hottinger, S, Wray, J, Wernovsky, G, Newburger, JW, Mahony, L, Mussatto, K, Cohen, MI & Marino, BS 2013, 'The impact of socio-economic status on health related quality of life for children and adolescents with heart disease', Health and Quality of Life Outcomes, vol. 11, no. 1, 99. https://doi.org/10.1186/1477-7525-11-99
Cassedy, Amy ; Drotar, Dennis ; Ittenbach, Richard ; Hottinger, Shawna ; Wray, Jo ; Wernovsky, Gil ; Newburger, Jane W. ; Mahony, Lynn ; Mussatto, Kathleen ; Cohen, Mitchell I. ; Marino, Bradley S. / The impact of socio-economic status on health related quality of life for children and adolescents with heart disease. In: Health and Quality of Life Outcomes. 2013 ; Vol. 11, No. 1.
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abstract = "Background: Socioeconomic status (SES) is known to influence children's health-related quality of life. Many SES indicators assess distinct dimensions of a family's position rather than measuring the same underlying construct. Many researchers, however, see SES indicators as interchangeable. The primary aim of this study was to determine which measure of SES had the strongest impact on health-related quality of life.Methods: This is a secondary analysis of the Pediatric Cardiac Quality of Life Inventory Validation Study. The SES variables were family income, Hollingshead Index (occupational prestige), and highest parent educational attainment level. Health-related quality of life was measured using the Pediatric Cardiac Quality of Life Inventory. Correlations tested the relationship among the three SES indicators. Regression-based modeling was used to calculate the strength of the association between SES measures and the Pediatric Cardiac Quality of Life Inventory.Results: The correlations among the SES measures were moderately high, with the correlation between the Hollingshead Index and parental education being r = 0.62 (95{\%} CI = 0.56-0.65). There were equally high correlations between family income and the Hollingshead (r = 0.61, 95{\%} CI = 0.57-0.65) and a slightly lower correlation between family income and parental education (r = 0.55, 95{\%} CI = 0.52-0.59). Family income had the highest explanatory value compared to the Hollingshead Index or parental educational attainment, while controlling for sex, race, current cardiac status, and original diagnosis, accounting for 4-5{\%} of the variation in patient and parent Pediatric Cardiac Quality of Life Inventory Total score, respectively, compared to the other SES measures.Conclusion: Family income as an SES measure demonstrated the greatest fidelity with respect to health-related quality of life as measured by the Pediatric Cardiac Quality of Life Inventory across respondent groups and explained more of the variation compared to the Hollingshead Index or highest parental educational attainment.",
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AU - Cassedy, Amy

AU - Drotar, Dennis

AU - Ittenbach, Richard

AU - Hottinger, Shawna

AU - Wray, Jo

AU - Wernovsky, Gil

AU - Newburger, Jane W.

AU - Mahony, Lynn

AU - Mussatto, Kathleen

AU - Cohen, Mitchell I.

AU - Marino, Bradley S.

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AB - Background: Socioeconomic status (SES) is known to influence children's health-related quality of life. Many SES indicators assess distinct dimensions of a family's position rather than measuring the same underlying construct. Many researchers, however, see SES indicators as interchangeable. The primary aim of this study was to determine which measure of SES had the strongest impact on health-related quality of life.Methods: This is a secondary analysis of the Pediatric Cardiac Quality of Life Inventory Validation Study. The SES variables were family income, Hollingshead Index (occupational prestige), and highest parent educational attainment level. Health-related quality of life was measured using the Pediatric Cardiac Quality of Life Inventory. Correlations tested the relationship among the three SES indicators. Regression-based modeling was used to calculate the strength of the association between SES measures and the Pediatric Cardiac Quality of Life Inventory.Results: The correlations among the SES measures were moderately high, with the correlation between the Hollingshead Index and parental education being r = 0.62 (95% CI = 0.56-0.65). There were equally high correlations between family income and the Hollingshead (r = 0.61, 95% CI = 0.57-0.65) and a slightly lower correlation between family income and parental education (r = 0.55, 95% CI = 0.52-0.59). Family income had the highest explanatory value compared to the Hollingshead Index or parental educational attainment, while controlling for sex, race, current cardiac status, and original diagnosis, accounting for 4-5% of the variation in patient and parent Pediatric Cardiac Quality of Life Inventory Total score, respectively, compared to the other SES measures.Conclusion: Family income as an SES measure demonstrated the greatest fidelity with respect to health-related quality of life as measured by the Pediatric Cardiac Quality of Life Inventory across respondent groups and explained more of the variation compared to the Hollingshead Index or highest parental educational attainment.

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