Trend of the burden of chronic illnesses: using the Canadian Community Health Survey

K Usuba; A K C Li; B Nowrouzi-Kia

doi:10.1016/j.puhe.2019.07.019

Trend of the burden of chronic illnesses: using the Canadian Community Health Survey

Public Health. 2019 Dec:177:10-18. doi: 10.1016/j.puhe.2019.07.019. Epub 2019 Aug 30.

Authors

K Usuba¹, A K C Li², B Nowrouzi-Kia³

Affiliations

¹ Research Centre for Evaluating Children's Health Outcomes (ECHO), Laurentian University, Sudbury, Ontario, Canada; Child Health Evaluative Science, Hospital for Sick Children, Toronto, Ontario, Canada.
² Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
³ Centre for Research in Occupational Safety and Health, Laurentian University, Sudbury, Ontario, Canada; School of Rural and Northern Health, Laurentian University, Canada. Electronic address: bx_nowrouzi@laurentian.ca.

PMID: 31476711
DOI: 10.1016/j.puhe.2019.07.019

Abstract

Objectives: Burden of illnesses has been described in the literature using the health-related quality of life (HRQoL) in people with chronic conditions. However, the studies reporting trends of burden are sparse. The aim of this study was to explore the trends of burden of chronic illness from the perspective of HRQoL.

Study design: This was a secondary analysis of administrative database.

Methods: Seven data sets of the Canadian Community Health Survey from 2001 to 2014 were obtained for the analysis. Multiple linear and logistic regression models were used on each data set to assess the burden of illness on the Health Utilities Index Mark III (HUI₃), life satisfaction (LS), and perceived health (PH).

Results: People with the effect of stroke constantly had low scores on the HUI₃, LS, and PH. Regression analyses revealed that arthritis, back problem, and mood disorder have greater impact on the HUI₃ score. Effect of stroke, mood disorder, and anxiety disorder stably had the largest negative impact on LS, while chronic obstructive pulmonary disease (COPD), effect of stroke, and cancer had the largest effect on PH.

Conclusion: This study identified that arthritis, back pain, mood disorder, effect of stroke, and COPD constantly have high burden on health outcomes compared with other chronic condition over the past decade.

Keywords: Chronic illness; Health-related quality of life; Life satisfaction; Perceived health; Public health.

MeSH terms

Canada / epidemiology
Chronic Disease / epidemiology*
Cost of Illness*
Databases, Factual
Female
Health Surveys
Humans
Male
Middle Aged
Quality of Life