Szende Agota, Németh Renáta
University of York, York, Nagy-Britannia.
Orv Hetil. 2003 Aug 24;144(34):1667-74.
The objective of this study was to measure the health-related quality of life of the Hungarian general population. The quality of life survey was part of the National Health Survey (Országos Lakossági Egészségfelmérés, OLEF) conducted in year 2000 on a representative sample of 5503 members of the general population.
Showed that, among the five health-related quality of life dimensions measured by the EQ-5D questionnaire, pain/discomfort had the highest (38%) prevalence. More than 60% of the population over 60 years of age suffer from pain or discomfort. In international comparison, anxiety/depression also had high prevalence in Hungary when compared to other developed countries. More than third of the Hungarian adult population today is depressed or suffer from anxiety. The analysis also highlighted the important association between socio-economic factors and health-related quality of life. According to the applied model, older age, being female, lower education, and lower income are the main determinants of worse health-related quality of life. When quality of life is measured on a 0-100 scale, each additional life year is associated with a decrease of 0.4 units of quality of life, being female is associated with 3 units lower quality of life. Each 10,000 Ft increase in mean household income improves quality of life with 0.5 unit. People with higher education have 5 units higher quality of life than those below medium level education.
Findings of this study provide important baseline data for future burden of illness, health economic, and health policy analyses in Hungary.
本研究的目的是衡量匈牙利普通人群与健康相关的生活质量。生活质量调查是2000年进行的全国健康调查（Országos Lakossági Egészségfelmérés，OLEF）的一部分，该调查以5503名普通人群的代表性样本为对象。
结果显示，在EQ-5D问卷所衡量的五个与健康相关的生活质量维度中，疼痛/不适的患病率最高（38%）。60岁以上的人群中，超过60%患有疼痛或不适。在国际比较中，与其他发达国家相比，匈牙利的焦虑/抑郁患病率也很高。如今，超过三分之一的匈牙利成年人口患有抑郁症或焦虑症。分析还突出了社会经济因素与健康相关生活质量之间的重要关联。根据所应用的模型，年龄较大、女性、教育程度较低和收入较低是健康相关生活质量较差的主要决定因素。当生活质量以0至100分衡量时，每增加一岁，生活质量就会下降0.4个单位，女性的生活质量会低3个单位。平均家庭收入每增加10000福林，生活质量就会提高0.5个单位。受过高等教育的人的生活质量比中等教育水平以下的人高5个单位。
本研究结果为匈牙利未来的疾病负担、健康经济和健康政策分析提供了重要的基线数据。
