Assessing Health-Related Quality of Life of Chinese Adults in Heilongjiang Using EQ-5D-3L.
Assessing Health-Related Quality of Life of Chinese Adults in Heilongjiang Using EQ-5D-3L.
复制标题
使用 EQ-5D-3L 评估黑龙江省中国成年人的健康相关生活质量
DOI：
10.3390/ijerph14030224
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发表时间：
2017-02-23
影响因子：
--
通讯作者：
Xu X
中科院分区：
文献类型：
--
作者：
Huang W;Yu H;Liu C;Liu G;Wu Q;Zhou J;Zhang X;Zhao X;Shi L;Xu X
采用欧洲健康质量量表（EQ-5D-3L）对黑龙江省成年人群的健康相关生活质量（HRQOL）进行评估，并分析影响HRQOL的相关因素。数据来源于2008年黑龙江省卫生服务调查数据。11，523名成年受访者（18岁或以上）完成的EQ-5D-3L问卷结果使用最近开发的中国值集转换为健康指数评分。建立多变量线性回归和logistic回归模型，以确定与HRQOL相关的人口统计学、社会经济学、健康和生活方式因素，并报告EQ-5D-3L五个维度的问题。黑龙江人群的平均EQ-5D-3L指数评分为0.959。较低的EQ-5D-3L指数评分与年龄较大、教育水平较低、慢性病、临时住宿、贫困、失业和缺乏定期体育活动有关。年龄较大的受访者和那些失业、患有慢性病和生活贫困的人更有可能报告所有五个健康方面的问题。较高的教育程度与报告的流动性，疼痛/不适，焦虑/抑郁的健康问题的几率较低。社会经济地位低与HRQOL差相关。由于中国各地区的社会经济差异较大，因此需要EQ-5D-3L的地区人群常模进行健康经济学研究。总体而言，黑龙江省人口的HRQOL水平与全国平均水平相似。
This study aimed to assess health-related quality of life (HRQOL) of Heilongjiang adult populations by using the EuroQol five-dimension three-level (EQ-5D-3L) questionnaire and to identify factors associated with HRQOL. Data from the National Health Services Survey (NHSS) 2008 in Heilongjiang province were obtained. Results of EQ-5D-3L questionnaires completed by 11,523 adult respondents (18 years or older) were converted to health index scores using a recently developed Chinese value set. Multivariate linear regression and logistic regression models were established to determine demographic, socioeconomic, health, and lifestyle factors that were associated with HRQOL and reported problems in the five dimensions of EQ-5D-3L. The Heilongjiang population had a mean EQ-5D-3L index score of 0.959. Lower EQ-5D-3L index scores were associated with older age, lower levels of education, chronic conditions, temporary accommodation, poverty, unemployment, and lack of regular physical activities. Older respondents and those who were unemployed, had chronic conditions, and lived in poverty were more likely to report problems in all of the five health dimensions. Higher educational attainment was associated with lower odds of reporting health problems in mobility, pain/discomfort, and anxiety/depression. Low socioeconomic status is associated with poor HRQOL. Regional population norms for EQ-5D-3L are needed for health economic studies due to great socioeconomic disparities across regions in China. Overall, the Heilongjiang population has a similar level of HRQOL compared with the national average.