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Health-Related Quality of Life as Measured with EQ-5D among Populations with and without Specific Chronic Conditions: A Population-Based Survey in Shaanxi Province, China

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  • Zhijun Tan
  • Ying Liang
  • Siming Liu
  • Wenjun Cao
  • Haibo Tu
  • Lingxia Guo
  • Yongyong Xu

Abstract

Introduction: The aim of this study was to examine health-related quality of life (HRQoL) as measured by EQ-5D and to investigate the influence of chronic conditions and other risk factors on HRQoL based on a distributed sample located in Shaanxi Province, China. Methods: A multi-stage stratified cluster sampling method was performed to select subjects. EQ-5D was employed to measure the HRQoL. The likelihood that individuals with selected chronic diseases would report any problem in the EQ-5D dimensions was calculated and tested relative to that of each of the two reference groups. Multivariable linear regression models were used to investigate factors associated with EQ VAS. Results: The most frequently reported problems involved pain/discomfort (8.8%) and anxiety/depression (7.6%). Nearly half of the respondents who reported problems in any of the five dimensions were chronic patients. Higher EQ VAS scores were associated with the male gender, higher level of education, employment, younger age, an urban area of residence, access to free medical service and higher levels of physical activity. Except for anemia, all the selected chronic diseases were indicative of a negative EQ VAS score. The three leading risk factors were cerebrovascular disease, cancer and mental disease. Increases in age, number of chronic conditions and frequency of physical activity were found to have a gradient effect. Conclusion: The results of the present work add to the volume of knowledge regarding population health status in this area, apart from the known health status using mortality and morbidity data. Medical, policy, social and individual attention should be given to the management of chronic diseases and improvement of HRQoL. Longitudinal studies must be performed to monitor changes in HRQoL and to permit evaluation of the outcomes of chronic disease intervention programs.

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  • Zhijun Tan & Ying Liang & Siming Liu & Wenjun Cao & Haibo Tu & Lingxia Guo & Yongyong Xu, 2013. "Health-Related Quality of Life as Measured with EQ-5D among Populations with and without Specific Chronic Conditions: A Population-Based Survey in Shaanxi Province, China," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-10, July.
    • Handle: RePEc:plo:pone00:0065958
    DOI: 10.1371/journal.pone.0065958
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    1. Evelina Pappa & Nick Kontodimopoulos & Angelos Papadopoulos & Dimitris Niakas, 2009. "Assessing the socio-economic and demographic impact on health-related quality of life: evidence from Greece," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(4), pages 241-249, August.
    2. William J Furlong & David H. Feeny & George W. Torrance & Ronald D. Barr, 2001. "The Health Utilities Index (HUI®) System for Assessing Health-Related Quality of Life in Clinical Studies," Centre for Health Economics and Policy Analysis Working Paper Series 2001-02, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
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    1. Zhongliang Zhou & Yu Fang & Zhiying Zhou & Dan Li & Dan Wang & Yanli Li & Li Lu & Jianmin Gao & Gang Chen, 2017. "Assessing Income-Related Health Inequality and Horizontal Inequity in China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 132(1), pages 241-256, May.
    2. Xinrui Wu & Qian Liu & Qi Li & Zhengwen Tian & Hongzhuan Tan, 2019. "Health-Related Quality of Life and Its Determinants among Criminal Police Officers," IJERPH, MDPI, vol. 16(8), pages 1-12, April.
    3. Mikyung Ryu & Sol Lee & Ho Kim & Weon-Chil Baek & Heejin Kimm, 2020. "Effect of Aerobic Physical Activity on Health-Related Quality of Life in Middle Aged Women with Osteoarthritis: Korea National Health and Nutrition Examination Survey (2016–2017)," IJERPH, MDPI, vol. 17(2), pages 1-11, January.
    4. Sha Lai & Jianmin Gao & Zhongliang Zhou & Xiaowei Yang & Yongjian Xu & Zhiying Zhou & Gang Chen, 2018. "Prevalences and trends of chronic diseases in Shaanxi Province, China: Evidence from representative cross-sectional surveys in 2003, 2008 and 2013," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-16, August.
    5. Manuel B. Huber & Julia Felix & Martin Vogelmann & Reiner Leidl, 2017. "Health-Related Quality of Life of the General German Population in 2015: Results from the EQ-5D-5L," IJERPH, MDPI, vol. 14(4), pages 1-12, April.
    6. James Rufus John & Amanda Jones & A. Munro Neville & Shima Ghassempour & Federico Girosi & W. Kathy Tannous, 2020. "Cohort Profile: Effectiveness of a 12-Month Patient-Centred Medical Home Model Versus Standard Care for Chronic Disease Management among Primary Care Patients in Sydney, Australia," IJERPH, MDPI, vol. 17(6), pages 1-21, March.
    7. Qiang Yao & Chaojie Liu & Yaoguang Zhang & Ling Xu, 2019. "Health-Related Quality of Life of People with Self-Reported Hypertension: A National Cross-Sectional Survey in China," IJERPH, MDPI, vol. 16(10), pages 1-24, May.

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