Health-related quality of life among self-reported arthritis sufferers: Effects of race/ethnicity and residence

Stacey H. Kovac, Ted R Mikuls, Amy Mudano, Kenneth G. Saag

Research output: Contribution to journalArticle

13 Scopus citations


Objective: We evaluated differences in health-related quality of life (HRQoL) for African Americans and Caucasians with self-reported arthritis residing in rural and urban areas of a southern state. Methods: 1,191 individuals completed a telephone survey, which included the 12-Item Short Form Health Survey (SF-12). Participants were stratified into groups: African American/rural, Caucasian/rural, African American/urban, and Caucasian/urban. We evaluated differences and associations in HRQoL for the four groups. Results: Multivariable linear regression models revealed that being an African American rural resident was associated with worse self-reported mental health on the SF-12 even after adjusting for multiple confounding variables. In contrast, multivariable linear regression models revealed that being a Caucasian rural resident was associated with worse physical health SF-12 scores. Conclusions: The study revealed differences in HRQoL on the mental and physical health functioning scales of the SF-12 for African American rural and Caucasian rural residents. Researchers assessing HRQoL in arthritis patients should consider using a race/residence product term in their analyses.

Original languageEnglish (US)
Pages (from-to)451-460
Number of pages10
JournalQuality of Life Research
Issue number3
Publication statusPublished - Apr 1 2006



  • Arthritis
  • Ethnic groups
  • Quality of life
  • Residence characteristics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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