高血压患者与非高血压患者的健康相关生活质量：基于中国山东人群的 EQ-5D 问卷调查
Health-related quality of life among adults with and without hypertension: A population-based survey using EQ-5D in Shandong, China.
机构信息
Department of Social Medicine and Health Service Management, School of Public Health, Shandong University, Jinan, China.
Shandong Center for Disease Control and Prevention, Jinan, China.
出版信息
Sci Rep. 2017 Nov 2;7(1):14960. doi: 10.1038/s41598-017-15083-4.
Abstract
Previous studies have focused on health-related quality of life (HRQoL) in hypertensive individuals, but few studies have attempted to compare HRQoL between hypertensive and normotensive individuals using the EQ-5D in China. Based on a survey of 3509 adults aged 18 + years, we compared HRQoL between hypertensive and normotensive individuals using a chi-square test, t-test and multi-linear regression model. The results indicated that HRQoL in hypertensive individuals was poorer than that of normotensive individuals in all domains of the EQ-5D and its utility index. In addition, education, complications, household income, and family history of HBP were associated with HRQoL among the hypertensive patients. Factors including age, education, household income, health expenditure, place of residence, and family history of high blood pressure (HBP) were found to be associated with HRQoL in normotensive individuals. Interventions targeting at-risk subgroups, such as modifying existing health insurance schemes to improve them for poor individuals, might be helpful to improve HRQoL.
摘要
先前的研究主要集中在高血压患者的健康相关生活质量（HRQoL）上，但很少有研究试图使用 EQ-5D 在国内比较高血压患者和血压正常者的 HRQoL。基于对 3509 名 18 岁及以上成年人的调查，我们使用卡方检验、t 检验和多元线性回归模型比较了高血压患者和血压正常者的 HRQoL。结果表明，在 EQ-5D 的所有领域及其效用指数中，高血压患者的 HRQoL 均差于血压正常者。此外，教育程度、并发症、家庭收入和高血压家族史与高血压患者的 HRQoL 相关。在血压正常者中，年龄、教育程度、家庭收入、健康支出、居住地点和高血压家族史等因素与 HRQoL 相关。针对高危亚组的干预措施，例如修改现有的健康保险计划以改善贫困人口的保险，可能有助于提高 HRQoL。
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