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Health-related quality of life assessed by EQ-5D-5L and its determinants among rural adults: result from the Henan rural cohort study

Author

Listed:
  • Shengxiang Sang

    (Zhengzhou University
    Shandong Cancer Hospital affiliated to Shandong First Medical University)

  • Wei Liao

    (Zhengzhou University)

  • Ning Kang

    (Zhengzhou University)

  • Xueyan Wu

    (Zhengzhou University)

  • Ze Hu

    (Zhengzhou University)

  • Xiaotian Liu

    (Zhengzhou University)

  • Hongjian Zhang

    (Zhengzhou University)

  • Chongjian Wang

    (Zhengzhou University)

Abstract

Objectives Evidence on the health-related quality of life (HRQoL) among Chinese rural populations and its influence factors were limited. This study aimed to describe the distribution of HRQoL assessed by EQ-5D-5L and its determinants among a Chinese rural population. Methods A total of 23,510 eligible participants (9542 men and 13,968 women) from the Henan rural cohort study were included. Tobit regression and generalized linear models were performed to investigate the associations between demographic characteristics, lifestyle factors, common chronic diseases, and HRQoL. Results Of all respondents, the most frequently reported problem was pain/discomfort dimension (23.05%), followed by mobility (12.72%), anxiety/depression (7.77%), and usual activities (6.45%), while the least reported was the self-care dimension (3.84%). The more problems reported in all dimensions with age increased except anxiety/depression. The mean (standard deviation) utility index and VAS score were 0.954 (0.111) and 78.34 (14.80), respectively. The regression analysis indicated that increasing age, former drinkers, poor sleep quality, and suffering from common chronic diseases were significantly associated with low HRQoL, while high education level, average monthly income, and physical activity were significantly associated with high HRQoL. Conclusion This study described the distribution of HRQoL and its influence factors among the Chinese rural population, which was helpful for medical institutions and policymakers to allocate medical resources and better understand HRQoL among the Chinese rural population.

Suggested Citation

  • Shengxiang Sang & Wei Liao & Ning Kang & Xueyan Wu & Ze Hu & Xiaotian Liu & Hongjian Zhang & Chongjian Wang, 2024. "Health-related quality of life assessed by EQ-5D-5L and its determinants among rural adults: result from the Henan rural cohort study," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(1), pages 21-30, February.
    • Handle: RePEc:spr:eujhec:v:25:y:2024:i:1:d:10.1007_s10198-023-01565-y
    DOI: 10.1007/s10198-023-01565-y
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    References listed on IDEAS

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    1. Mathieu F. Janssen & Gouke J. Bonsel & Nan Luo, 2018. "Is EQ-5D-5L Better Than EQ-5D-3L? A Head-to-Head Comparison of Descriptive Systems and Value Sets from Seven Countries," PharmacoEconomics, Springer, vol. 36(6), pages 675-697, June.
    2. Thomas Grochtdreis & Judith Dams & Hans-Helmut König & Alexander Konnopka, 2019. "Health-related quality of life measured with the EQ-5D-5L: estimation of normative index values based on a representative German population sample and value set," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(6), pages 933-944, August.
    3. Peter C. Austin, 2002. "Bayesian Extensions of the Tobit Model for Analyzing Measures of Health Status," Medical Decision Making, , vol. 22(2), pages 152-162, April.
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    More about this item

    Keywords

    EQ-5D-5L; Distribution; Determinants; Health-related quality of life; Chinese rural population;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General

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