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Background <p>This paper addresses the critical knowledge gap of describing and examining the Health-Related Quality of Life (HRQoL) of older adults living in social housing, highlighting their unique health challenges often overlooked in broader Canadian norms.</p> Methods <p>This study conducted a cross-sectional analysis of data from participants in the Community Paramedicine at Clinic (CP@clinic) Program from 2019 to 2024. HRQoL was assessed using the EuroQol five-dimension five-level (EQ-5D-5L) instrument. Descriptive statistics summarized EQ-5D-5L measures (dimensions, utility scores, EQ-VAS) across age groups and sex. Bivariate tests were conducted to examine the association between demographic factors and HRQoL outcomes.</p> Results <p>A total of 2286 participants were included, with 86.6% reporting problems in at least one EQ-5D-5L dimension. The mean EQ-5D-5L utility score was 0.771 (SD = 0.176), while the mean EQ-VAS score was 69.58 (SD = 20.577). Utility scores were highest among participants aged 75 and older (0.781) and lowest in the 55–64 age group (0.723). Participants with at least a high school diploma, those living with others, and those with a partner had significantly higher utility scores.</p> Conclusions <p>This study provides important insights into the HRQoL of low-income older adults in social housing, a group that remains underrepresented in existing research. The findings can help inform policies and interventions aimed at improving overall well-being and quality of life in this setting.</p>

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Health-related quality of life of older adults residing in social housing: a cross-sectional descriptive study using the EQ-5D-5L

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月8日

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  • Gina Agarwal,
  • Sahar Popal,
  • Francine Marzanek,
  • Ricardo Angeles,
  • Melissa Pirrie,
  • Christie Koester,
  • Jasdeep Brar,
  • Mikayla Plishka,
  • Guneet Mahal,
  • Manasvi Vanama

摘要

Background

This paper addresses the critical knowledge gap of describing and examining the Health-Related Quality of Life (HRQoL) of older adults living in social housing, highlighting their unique health challenges often overlooked in broader Canadian norms.

Methods

This study conducted a cross-sectional analysis of data from participants in the Community Paramedicine at Clinic (CP@clinic) Program from 2019 to 2024. HRQoL was assessed using the EuroQol five-dimension five-level (EQ-5D-5L) instrument. Descriptive statistics summarized EQ-5D-5L measures (dimensions, utility scores, EQ-VAS) across age groups and sex. Bivariate tests were conducted to examine the association between demographic factors and HRQoL outcomes.

Results

A total of 2286 participants were included, with 86.6% reporting problems in at least one EQ-5D-5L dimension. The mean EQ-5D-5L utility score was 0.771 (SD = 0.176), while the mean EQ-VAS score was 69.58 (SD = 20.577). Utility scores were highest among participants aged 75 and older (0.781) and lowest in the 55–64 age group (0.723). Participants with at least a high school diploma, those living with others, and those with a partner had significantly higher utility scores.

Conclusions

This study provides important insights into the HRQoL of low-income older adults in social housing, a group that remains underrepresented in existing research. The findings can help inform policies and interventions aimed at improving overall well-being and quality of life in this setting.