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    Impact of Depression on Health-Related Quality of Life Among Older Adults with Myocardial Infarction in the United States

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    Author
    Howard, Brooke
    Lundgren, Terra
    Morse, Shawn
    Affiliation
    College of Pharmacy, The University of Arizona
    Issue Date
    2019
    Keywords
    Depression
    Older Adults
    Myocardial Infarction
    United States
    health-related quality of life (HRQoL)
    MeSH Subjects
    Depression
    Quality of Life
    Myocardial Infarction
    United States
    Aged
    Advisor
    Bhattacharjee, Sandipan
    Vadiei, Nina
    
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    Rights
    Copyright © is held by the author.
    Collection Information
    This item is part of the Pharmacy Student Research Projects collection, made available by the College of Pharmacy and the University Libraries at the University of Arizona. For more information about items in this collection, please contact Jennifer Martin, Librarian and Clinical Instructor, Pharmacy Practice and Science, jenmartin@email.arizona.edu.
    Publisher
    The University of Arizona.
    Abstract
    Specific Aims: We assessed the effect of depression on health-related quality of life (HRQoL) among myocardial infarction (MI) survivors in the United States (US). Methods: Using the 2015 Behavioral Risk Factor Surveillance System (BRFSS) data, our study sample consisted of survey participants who were MI survivors aged 50 years and older who also reported having depression post-MI. Our dependent variable (HRQoL) comprised of number of days physical and mental health was poor during the past 30 days; activity limitations; received recommended sleep; how often emotional support received; life satisfaction and perceived general health. We conducted multivariable binomial and multinomial logistic regression analyses examining the association of presence/absence of depression on HRQoL after adjusting for demographic, socioeconomic and other health variables (a-priori α=0.05). Main Results: Our study sample consisted of 20,483 adults with MI; 5,343 (26.19%) reported having depression. Survivors with depression were more likely to report fair/poor general health, limitations in activity, dissatisfaction with life, and a greater number of poor mental and physical health days compared to those without depression. For example: MI survivors with depression reported 2.7 times more (Adjusted Odds Ratio: 2.65: 95% Confidence Interval 2.06-3.45; p<0.0001) fair/poor perceived general health than MI survivors without depression. There was no difference in level of emotional support or sleep quality. Conclusions: In this nationally representative sample of adults in the US, MI survivors with depression had poorer HRQoL compared to MI survivors without depression. These findings underline the need for developing appropriate supportive care for MI survivors with depression.
    Description
    Class of 2019 Abstract and Poster
    Collections
    Pharmacy Student Research Projects

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