School of Management, Hainan Medical University, Hainan, China.
School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.
Front Public Health. 2024 Jan 15;11:1300404. doi: 10.3389/fpubh.2023.1300404. eCollection 2023.
This study explores the health-related quality of life (HRQoL) scores of Chinese older adults with Cardiovascular Disease(CVD) using the EQ-5D-3L, the aim of this study is to investigate the association between health and HRQoL in older adults with CVD.
The data for this study were obtained from a cross-sectional study involving older adults residing in Chinese communities The EQ-5D-3L is used to measure the HRQoL scores in the older adults with CVD. One-way analyses were conducted using the Wilcoxon rank sum test and the Kruskal-Wallis H test to assess differences between groups. A binary logistic regression model was employed to analyze the influence each variable has on the presence of "any problem" on each dimension of EQ-5D-3L in older adults with CVD. An ordinal least squares (OLS) model is used to assess the relationship between older adults with CVD and HRQoL.
The mean EQ-5D-3L score for older adults with CVD is 0.774. 40.0% of older adults with CVD reported problems with pain/discomfort, followed by Mobility (35.9%), Self-care (31.5%), and Anxiety/depression (17.0%). Binary logistic regression models show that financial resources were the main factor influencing the five dimensions of EQ-5D-3L. The OLS model further indicates that younger age, financial resources, and a lower number of chronic conditions among older adults with CVD are associated with higher HRQoL scores.
Chinese older adults with CVD have low HRQoL scores. Variousfactors influence both overall HRQoL scores and scores on each EQ-5D-3L dimension. This study is helpful in enhancing society's attention to the HRQoL of older adults with CVD and taking targeted measures to improve them.
本研究使用 EQ-5D-3L 评估中国老年心血管疾病（CVD）患者的健康相关生活质量（HRQoL）评分，旨在探讨 CVD 老年患者健康与 HRQoL 的关系。
本研究数据来自一项涉及中国社区老年居民的横断面研究。使用 EQ-5D-3L 评估 CVD 老年患者的 HRQoL 评分。采用 Wilcoxon 秩和检验和 Kruskal-Wallis H 检验进行单向分析，以评估组间差异。采用二元逻辑回归模型分析每个变量对 CVD 老年患者 EQ-5D-3L 各维度“存在任何问题”的影响。采用有序最小二乘法（OLS）模型评估 CVD 老年患者与 HRQoL 的关系。
CVD 老年患者的 EQ-5D-3L 评分均值为 0.774。40.0%的 CVD 老年患者报告存在疼痛/不适问题，其次是行动能力（35.9%）、自我照顾（31.5%）和焦虑/抑郁（17.0%）。二元逻辑回归模型显示，财务资源是影响 EQ-5D-3L 五个维度的主要因素。OLS 模型进一步表明，年龄较小、财务资源较好和慢性疾病数量较少的 CVD 老年患者 HRQoL 评分较高。
中国 CVD 老年患者 HRQoL 评分较低。各种因素均会影响总体 HRQoL 评分和 EQ-5D-3L 各维度的评分。本研究有助于提高社会对 CVD 老年患者 HRQoL 的关注，并采取针对性措施加以改善。
