Huang Weidong, Yu Hongjuan, Liu Chaojie, Liu Guoxiang, Wu Qunhong, Zhou Jin, Zhang Xin, Zhao Xiaowen, Shi Linmei, Xu Xiaoxue
School of Health Management, Harbin Medical University, 157 Baojian Road, Nangang District, Harbin 150086, China.
Department of Hematology, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, China.
Int J Environ Res Public Health. 2017 Feb 23;14(3):224. doi: 10.3390/ijerph14030224.
This study aimed to assess health-related quality of life (HRQOL) of Heilongjiang adult populations by using the EuroQol five-dimension three-level (EQ-5D-3L) questionnaire and to identify factors associated with HRQOL. Data from the National Health Services Survey (NHSS) 2008 in Heilongjiang province were obtained. Results of EQ-5D-3L questionnaires completed by 11,523 adult respondents (18 years or older) were converted to health index scores using a recently developed Chinese value set. Multivariate linear regression and logistic regression models were established to determine demographic, socioeconomic, health, and lifestyle factors that were associated with HRQOL and reported problems in the five dimensions of EQ-5D-3L. The Heilongjiang population had a mean EQ-5D-3L index score of 0.959. Lower EQ-5D-3L index scores were associated with older age, lower levels of education, chronic conditions, temporary accommodation, poverty, unemployment, and lack of regular physical activities. Older respondents and those who were unemployed, had chronic conditions, and lived in poverty were more likely to report problems in all of the five health dimensions. Higher educational attainment was associated with lower odds of reporting health problems in mobility, pain/discomfort, and anxiety/depression. Low socioeconomic status is associated with poor HRQOL. Regional population norms for EQ-5D-3L are needed for health economic studies due to great socioeconomic disparities across regions in China. Overall, the Heilongjiang population has a similar level of HRQOL compared with the national average.
本研究旨在通过使用欧洲五维度健康量表（EQ-5D-3L）问卷评估黑龙江省成年人群的健康相关生活质量（HRQOL），并确定与HRQOL相关的因素。我们获取了2008年黑龙江省国家卫生服务调查（NHSS）的数据。11,523名成年受访者（18岁及以上）完成的EQ-5D-3L问卷结果，使用最近开发的中国价值集转换为健康指数得分。建立了多元线性回归和逻辑回归模型，以确定与HRQOL相关的人口统计学、社会经济、健康和生活方式因素，以及EQ-5D-3L五个维度中报告的问题。黑龙江省人群的EQ-5D-3L指数平均得分为0.959。较低的EQ-5D-3L指数得分与年龄较大、教育水平较低、慢性病、临时住所、贫困、失业以及缺乏定期体育活动有关。年龄较大的受访者以及失业、患有慢性病和生活贫困的人更有可能在所有五个健康维度上报告问题。较高的教育程度与在行动能力、疼痛/不适和焦虑/抑郁方面报告健康问题的较低几率相关。社会经济地位较低与HRQOL较差有关。由于中国各地区社会经济差异巨大，健康经济研究需要EQ-5D-3L的区域人群规范。总体而言，黑龙江省人群的HRQOL水平与全国平均水平相似。
