Impact of the economic crisis on the health-related quality of life of adults in Lebanon: An observational cross-sectional study

Rand Sukarieh, Georges Hatem, Nisrine Hajar, Amal Al-Hajje, Mouna Chehabeddine, Mohamad Bassam Sukarieh, S. Awada
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Abstract

Background: The economic crisis imposed changes to afford necessities like food, housing, and healthcare, leading to a decline in the physical and mental health of the population. Objectives: This study assessed the impact of the economic crisis on Lebanese adults’ health-related Quality of Life (QoL) and the predictors of lower scores. Methods: A cross-sectional study targeted 561 adults using a uniform questionnaire for data collection and a Short Form 8-item survey. Results: The sample comprised 77.9% females and 22.1% males. More than half of the sample reported a decrease in their income compared to the period before the crisis, and most participants reported that the economic turmoil highly impacted their access to healthcare services (63.0%), medication (51.5%), and food (56.5%) in addition to other necessities. Participants had lower Mental Component (MC) than Physical Component (PC) scores (55.5 and 69.0, respectively). Those highly impacted by the economic crisis in accessing medication had 1.76 times higher odds of lower PC scores than others (OR 1.76, 95% CI: 1.07–3.21). As regards the impact of the economic crisis on the MC scores, significantly higher odds of a lower MC score were noted among those highly impacted by the economic crisis in terms of access to medication (OR 2.12, 95% CI: 1.14–3.95), to food (OR 1.79, 95% CI: 1.1.12–2.87), and encountering water shortage (OR 1.65, 95% CI: 1.01–2.71). Conclusion: Lebanese adults’ QoL suffered physically and psychologically amid the economic crisis. The study underscores the need for accessible and affordable essential healthcare services and necessities.
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经济危机对黎巴嫩成年人健康相关生活质量的影响:观察性横断面研究
背景:经济危机改变了人们对食品、住房和医疗保健等必需品的承受能力,导致人们的身心健康水平下降。研究目的本研究评估了经济危机对黎巴嫩成年人与健康相关的生活质量(QoL)的影响,以及预测较低分数的因素。研究方法以 561 名成年人为对象进行横断面研究,使用统一的问卷收集数据,并进行 8 个项目的简表调查。结果样本中女性占 77.9%,男性占 22.1%。半数以上的样本表示,与危机前相比,他们的收入有所减少,大多数参与者表示,经济动荡严重影响了他们获得医疗服务(63.0%)、药物(51.5%)和食物(56.5%)以及其他必需品。参与者的心理成分(MC)得分低于身体成分(PC)得分(分别为 55.5 分和 69.0 分)。在获得药物方面受经济危机影响较大的人,其 PC 分数较低的几率是其他人的 1.76 倍(OR 1.76,95% CI:1.07-3.21)。至于经济危机对 MC 评分的影响,受经济危机影响较大的人群在获得药物(OR 2.12,95% CI:1.14-3.95)、食物(OR 1.79,95% CI:1.1.12-2.87)和缺水(OR 1.65,95% CI:1.01-2.71)方面的 MC 评分较低的几率明显较高。结论在经济危机中,黎巴嫩成年人的身体和心理质量都受到了影响。这项研究强调了提供方便且价格合理的基本医疗保健服务和必需品的必要性。
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