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Gepubliceerd in: Quality of Life Research 8/2019

04-03-2019

Health-related quality of life among rural men and women with hypertension: assessment by the EQ-5D-5L in Jiangsu, China

Auteurs: Zhuoru Liang, Tiantian Zhang, Tengfei Lin, Lishun Liu, Binyan Wang, Alex Z. Fu, Xiaobin Wang, Xiping Xu, Nan Luo, Jie Jiang

Gepubliceerd in: Quality of Life Research | Uitgave 8/2019

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Abstract

Purpose

Hypertension is a major global public health problem, including rural China. However, studies examining health-related quality of life (HRQoL) for patients with hypertension have been mostly conducted in urban populations. This study aimed to use the EuroQol five-dimensional-five-level (EQ-5D-5L) and its recently developed Chinese value set to analyze HRQoL and its influencing factors among hypertensive population in rural China.

Methods

This is a cross-sectional population-based survey. Standard interview of participants was conducted from July to September 2016 in Donghai County’s 334 villages of Jiangsu Province, China. Data collection included the EQ-5D-5L, along with sociodemographic characteristics and disease-related factors such as duration of hypertension, antihypertensive treatment and comorbid conditions. The Tobit regression model was employed to analyze potential influencing factors on HRQoL.

Results

A total of 16,596 adults (18 years and older) with hypertension participated in this study. 62.4% were women. The mean utility score was 0.85 (standard deviation [SD] = 0.23). The proportion of participants reporting pain/discomfort problems was highest, while least patients reported problems in self-care dimension. Females, elderly, illiterate patients, ex-smokers and patients with longer duration of hypertension or comorbidities scored lower on HRQoL than others. Stroke, heart failure and coronary heart disease were associated with a larger negative impact on HRQoL among all comorbidities.

Conclusions

The HRQoL was lower in this rural hypertensive population than previously reported urban counterparts. To improve the HRQoL of hypertensive patients in rural areas, it is important to control hypertension and prevent its associated co-morbidities. More attention needs to be directed to elderly female patients with less education who scored much lower HRQoL than their male counterparts.
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Metagegevens
Titel
Health-related quality of life among rural men and women with hypertension: assessment by the EQ-5D-5L in Jiangsu, China
Auteurs
Zhuoru Liang
Tiantian Zhang
Tengfei Lin
Lishun Liu
Binyan Wang
Alex Z. Fu
Xiaobin Wang
Xiping Xu
Nan Luo
Jie Jiang
Publicatiedatum
04-03-2019
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 8/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02139-3