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Hope and health‐related quality of life among chronically ill uninsured/underinsured adults
Author(s) -
Wippold Guillermo M.,
Roncoroni Julia
Publication year - 2020
Publication title -
journal of community psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.585
H-Index - 86
eISSN - 1520-6629
pISSN - 0090-4392
DOI - 10.1002/jcop.22270
Subject(s) - underinsured , agency (philosophy) , empowerment , quality of life (healthcare) , medicine , gerontology , quality (philosophy) , environmental health , health insurance , health care , nursing , economic growth , sociology , social science , philosophy , epistemology , economics
Abstract Aims Uninsured/underinsured individuals with chronic health conditions report low health‐related quality of life. Empowerment‐based strategies (e.g., hope) may improve the health‐related quality of life of uninsured/underinsured individuals with chronic health conditions by enabling them to take charge of their health. Methods The present study used structural equation modeling to examine the relationships among number of chronic health conditions, the components of hope (i.e., agency and pathways), and the health‐related quality of life of 197 uninsured/underinsured adults in the United States living with at least one chronic health condition. Results Results indicate that number of chronic health conditions negatively impacted health‐related quality of life and that agency significantly mediated that relationship. Conclusions Results from this study can be used to promote health‐related quality of life by empowering individuals to take charge of their lives despite their unique contextual circumstances.