Evaluation of health-related quality of life using EQ-5D in Takamatsu, Japan
Evaluation of health-related quality of life using EQ-5D in Takamatsu, Japan
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DOI：
10.1007/s12199-010-0162-1
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发表时间：
2011-01-01
影响因子：
4.7
通讯作者：
Hirao, Tomohiro
中科院分区：
文献类型：
--
作者：
Fujikawa, Ai;Suzue, Takeshi;Hirao, Tomohiro
“21世纪健康日本”（21世纪日本国民健康促进计划）于2000年启动，旨在促进延长健康预期寿命和改善与健康有关的生活质量。本研究采用EuroQol问卷（EQ-5D）对日本人的HRQOL进行描述，并以日本高松市为研究对象，探讨社会背景、健康相关行为和慢性疾病对HRQOL的影响。该研究的数据来自2005年高松市的一项健康调查，该调查随机选择了2500名日本人邮寄给中等城市高松市。我们研究了915名日本成年人的数据。问卷涉及社会背景、健康相关行为、慢性病、EQ-5D项目和自评健康。社会背景、健康相关行为和慢性病对日本人HRQOL的影响通过多变量回归进行检验，并对年龄和性别进行调整。EQ-5D得分随着年龄的增长而下降，尤其是失业或退休的受访者。调整性别和年龄后，结果显示年龄、失业/退休、感觉严重压力、肌肉骨骼和胃肠道疾病与HRQOL下降显著相关。相反，充足的睡眠（每天7-8小时）和有一个爱好与HRQOL的增加显著相关。关于日本人口的HRQOL信息缺乏。本研究利用日本高松地区的EQ-5D进一步了解了影响日本人HRQOL的一些重要因素。我们的结果也与其他国家类似研究的一些发现相似。我们希望通过EQ-5D与其他健康调查问卷一起收集更多关于日本人HRQOL的数据。
Healthy Japan 21 (Japanese National Health Promotion in the 21st Century) was started in 2000 to promote extension of healthy life expectancy and improve health-related quality of life (HRQOL). The present study aims to describe HRQOL of Japanese subjects using the EuroQol questionnaire (EQ-5D) and investigate the influence of social background, health-related behaviors, and chronic conditions on HRQOL using representatives in Takamatsu, Japan.Data were obtained from a 2005 Takamatsu City health survey mailed to 2,500 randomly selected Japanese individuals in Takamatsu, a medium-sized city. We examined data from 915 Japanese adults. The questionnaire addressed social background, health-related behaviors, chronic conditions, EQ-5D items, and self-rated health. The impact of social background, health-related behaviors, and chronic conditions on Japanese HRQOL was examined through multivariate regression, adjusting for age and sex.EQ-5D scores decreased with age, particularly for respondents who were unemployed or retired. Adjusting for sex and age, the results showed that age, unemployment/retirement, feeling severe stress, and musculoskeletal and gastrointestinal diseases were significantly associated with decreased HRQOL. Conversely, sufficient sleep (7-8 h/day) and having a hobby were significantly associated with increased HRQOL.Information is lacking regarding HRQOL in Japanese populations. This study furthers our understanding of some important determinants influencing Japanese HRQOL, using the EQ-5D in Takamatsu, Japan. Our results also resembled some findings from similar studies in other countries. We hope to use the EQ-5D with other health survey questionnaires to gather more data about HRQOL of Japanese people.