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Differences in Health-Related Quality of Life in Rural and Urban Veterans

William B. Weeks, MD, MBA, Lewis E. Kazis, ScD, Yujing Shen, PhD, Zhongxiao Cong, MA, MS, Xinhua S. Ren, PhD, Donald Miller, ScD, Austin Lee, PhD and Jonathan B. Perlin, MD, PhD

William B. Weeks is with the departments of Psychiatry and of Community and Family Medicine, Dartmouth Medical School, Hanover, NH; Veterans Administration’s National Center for Patient Safety, White River Junction, NH; Veterans Administration Outcomes Group, White River Junction; and Veterans’ Rural Health Initiative, White River Junction. At the time of the study, Yujing Shen and Zhongxiao Cong were with, and Lewis E. Kazis, Xinhua S. Ren, Donald Miller, and Austin Lee are with, the Center for Health Quality Outcomes and Economic Research, Veterans Administration, Bedford, Mass. Lewis E. Kazis, Xinhua S. Ren, and Donald Miller are also with, and Yujing Shen and Zhongxiao Cong were with, the Boston University School of Public Health, Boston, Mass. Austin Lee is also with the Department of Actuarial Science, Boston University, Boston, Mass. Jonathan B. Perlin is with the Department of Veterans Affairs, Washington, DC.



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  		FIGURE 1—— Unadjusted health-related quality-of-life scores, by veterans’ urban/suburban/ rural residence, compared with the general US population scores of 50 for both physical and mental health; a lower score indicates a worse health-related quality of life.

Note. Differences between groups are statistically significant at P < .001. Differences of 2.5 points are considered clinically meaningful.

 


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  		FIGURE 2—— Urban and rural physical health component summary scores for each veterans integrated service network, arranged by descending urban score and compared with the general US population scores of 50 for both physical and mental health.

Note. The locations of each network headquarters are shown.

 


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  		FIGURE 3—— Urban and rural mental health component summary scores for each Veterans Integrated Service Network, arranged by descending urban score and compared with the general US population scores of 50 for both physical and mental health.

Note. The locations of each network headquarters are shown.

 




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