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Perceived stress is more strongly associated with poorer health-related quality of life among adults living with two or more chronic conditions than among those without chronic conditions, according to a new study from the University of Eastern Finland.

The study also found that adults who found it easier to access, understand and use health information tended to report less stress. The study suggests that we should consider both the clarity of health information and the need to address sensitivity to stress when supporting people managing several long-term chronic health conditions.

The study, published in Health Promotion International, used data from the PROM 2024 online survey of 4,003 adults ages 19 to 79 living in Finland.

Participants reported whether they had any of 21 long-term conditions, including common health problems such as high blood pressure, high cholesterol, migraine and back problems. Among survey respondents, nearly three in four reported at least one condition, and almost half reported two or more.

Perceived stress describes how unpredictable, difficult to control or overwhelming people felt their lives had been during the previous month. Health-related quality of life was assessed with the EQ-5D-5L instrument through five aspects of everyday health: mobility, self-care, usual activities, pain or discomfort and anxiety or depression.

The researchers compared three groups of adults: those with no chronic conditions, those with one condition and those with two or more conditions.

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