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菲律宾使用 EQ-5D-5L 进行健康相关生活质量决定因素的横断面研究。

A cross-sectional study on the determinants of health-related quality of life in the Philippines using the EQ-5D-5L.

机构信息

Social Science Department, Maxwell School of Citizenship and Public Affairs, Syracuse University, Syracuse, NY, USA.

Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

出版信息

Qual Life Res. 2021 Aug;30(8):2137-2147. doi: 10.1007/s11136-021-02799-0. Epub 2021 Mar 7.

Abstract

PURPOSE

The purpose of this study was to identify the determinants of Filipinos' health-related quality of life (HRQoL).

METHODS

Data were collected from 1000 Filipinos across the nation who reported that they did not have known active disease or disability. HRQoL was measured through EuroQoL's (EQ) 5-level tool (EQ-5D-5L) and the EQ Visual Analog Scale (EQ-VAS). Both were implemented via the EQ Valuation Technology software. HRQoL was regressed on socioeconomic characteristics (age, sex, marital status, educational attainment, employment, poverty status, and availability of savings), social support factors (religion, religious attendance, and caregiving status), community- or societal-level factors (type and major island group of residence), and disease status.

RESULTS

Majority of respondents reported that they did not have any problems across all EQ-5D-5L dimensions, namely mobility, self-care, usual activity, pain or discomfort, and anxiety or depression. Pain or discomfort had the highest rate of respondents reporting slight to extreme problems followed by anxiety or depression. Having savings was positively associated with HRQoL, while religious attendance, caregiver status, living in an urban area, living in Visayas or Mindanao, and having a diagnosed disease were negatively associated with HRQoL.

CONCLUSION

This current study confirms that HRQoL varied across socioeconomic statuses and communities in the Philippines.

摘要

目的

本研究旨在确定菲律宾人健康相关生活质量(HRQoL)的决定因素。

方法

本研究在全国范围内收集了 1000 名菲律宾人的数据,这些人报告自己没有已知的活动性疾病或残疾。通过 EuroQoL 的(EQ)5 级工具(EQ-5D-5L)和 EQ 视觉模拟量表(EQ-VAS)来衡量 HRQoL。这两个工具都是通过 EQ 估值技术软件来实施的。HRQoL 回归于社会经济特征(年龄、性别、婚姻状况、教育程度、就业、贫困状况和储蓄可用性)、社会支持因素(宗教、宗教参与和照顾状况)、社区或社会层面因素(居住的类型和主要岛屿群)以及疾病状况。

结果

大多数受访者报告说,他们在所有 EQ-5D-5L 维度上都没有任何问题,即行动、自理、日常活动、疼痛或不适以及焦虑或抑郁。疼痛或不适是报告有轻微到严重问题的受访者比例最高的维度,其次是焦虑或抑郁。有储蓄与 HRQoL 呈正相关,而宗教参与、照顾者身份、居住在城市地区、居住在米沙鄢群岛或棉兰老岛以及被诊断出患有疾病与 HRQoL 呈负相关。

结论

本研究证实,菲律宾的 HRQoL 因社会经济地位和社区而异。

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