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The determinants of living with long-term conditions: An international cross-sectional study

The determinants of living with long-term conditions: An international cross-sectional study
The determinants of living with long-term conditions: An international cross-sectional study

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 (β = 0.39, p < 0.001) and the satisfaction with life (β = 0.37, p < 0.001) were the main determinants in the process of living with a long-term condition (49% of the variance). Age (β = −0.08, p = 0.01) and disease duration (β = 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 (β = −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.

Chronic disease, Cross-sectional studies, Determinants, Person-centred care
1660-4601
Corchon, Silvia
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Rodríguez-blázquez, Carmen
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Meneses, Alfonso
102bfa13-1846-4cdf-9585-8179da91cd0a
Aranda-gallardo, Marta
e61f9934-6ab0-4c6b-ad62-3699745d3ea0
López, Lorena
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Ursúa, Maria Eugenia
283a9eac-9abb-4992-b40d-0140d64a5915
Navarta-sanchez, Maria Victoria
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Portillo, Mari Carmen
7ef94dea-8439-4aca-9246-bb6d08fe112f
Ambrosio, Leire
0a21749c-3817-49de-bf15-0ea9233ecc5c
Corchon, Silvia
7459e7d3-f033-4aeb-a16b-6d45a5cfad7c
Rodríguez-blázquez, Carmen
3bb0d8ce-90cd-4b90-b4e4-a5cd82e711ec
Meneses, Alfonso
102bfa13-1846-4cdf-9585-8179da91cd0a
Aranda-gallardo, Marta
e61f9934-6ab0-4c6b-ad62-3699745d3ea0
López, Lorena
29ab52cc-c139-49f8-b935-df8ab2fd20ed
Ursúa, Maria Eugenia
283a9eac-9abb-4992-b40d-0140d64a5915
Navarta-sanchez, Maria Victoria
27110875-8e86-4f88-ad68-c2996b08fbba
Portillo, Mari Carmen
7ef94dea-8439-4aca-9246-bb6d08fe112f
Ambrosio, Leire
0a21749c-3817-49de-bf15-0ea9233ecc5c

Corchon, Silvia, Rodríguez-blázquez, Carmen, Meneses, Alfonso, Aranda-gallardo, Marta, López, Lorena, Ursúa, Maria Eugenia, Navarta-sanchez, Maria Victoria, Portillo, Mari Carmen and Ambrosio, Leire (2021) The determinants of living with long-term conditions: An international cross-sectional study. International Journal of Environmental Research and Public Health, 18 (19), [10381]. (doi:10.3390/ijerph181910381).

Record type: Article

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 (β = 0.39, p < 0.001) and the satisfaction with life (β = 0.37, p < 0.001) were the main determinants in the process of living with a long-term condition (49% of the variance). Age (β = −0.08, p = 0.01) and disease duration (β = 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 (β = −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.

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Accepted/In Press date: 29 September 2021
Published date: 2 October 2021
Additional Information: Funding Information: Funding: This research was funded by Ministry of Science, Innovation and University of the Spanish Government (FEDER/Ministerio de Ciencia, Innovación y Universidades—Agencia Estatal de Investigación/Proyecto), grant number CSO2017-82691-R. Funding Information: Acknowledgments: The authors sincerely thank each person living with LTCs such as COPD, HF, and T2DM who participated in this study. The authors would also like to thank the primary and secondary healthcare centres involved in the data collection in Spain and Colombia. Moreover, the authors would like to thank the following members of the research team for their work during the data collection procedure: Eva Timonet (Costa del Sol Hospital), Neus Caparros (University of La Rioja), Manuel Ignacio Ruiz de Ocenda (La Rioja Healthcare System), Jorge Caro-Bautista (Andalusian Public Health System), David Perez-Manchon (Camilo Jose Cela University), Nerea Elizondo (Navarra Healthcare System), Gloria Carvajal (University de La Sabana) and Alejandra Fuentes-Ramirez (University de La Sabana). Finally, the authors also thank the Spanish Ministry of Science, Innovation and Universities (FEDER/Ministerio de Ciencia, Innovación y Universidades— Agencia Estatal de Investigación/Proyecto (CSO2017-82691-R)) and the University of La Sabana (EMF-28-2019) for the financial support received. Funding Information: This research was funded by Ministry of Science, Innovation and University of the Spanish Government (FEDER/Ministerio de Ciencia, Innovaci?n y Universidades?Agencia Estatal de Investigaci?n/Proyecto), grant number CSO2017-82691-R. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
Keywords: Chronic disease, Cross-sectional studies, Determinants, Person-centred care

Identifiers

Local EPrints ID: 453441
URI: http://eprints.soton.ac.uk/id/eprint/453441
ISSN: 1660-4601
PURE UUID: cc376870-8b51-4384-a9f4-61085a35ed82

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Date deposited: 17 Jan 2022 17:35
Last modified: 16 Mar 2024 14:32

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Contributors

Author: Silvia Corchon
Author: Carmen Rodríguez-blázquez
Author: Alfonso Meneses
Author: Marta Aranda-gallardo
Author: Lorena López
Author: Maria Eugenia Ursúa
Author: Maria Victoria Navarta-sanchez
Author: Mari Carmen Portillo
Author: Leire Ambrosio

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