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Health-related quality of life assessed by EQ-5D-5L and its determinants among rural adults: result from the Henan rural cohort study

Shengxiang Sang, Wei Liao, Ning Kang, Xueyan Wu, Ze Hu, Xiaotian Liu, Hongjian Zhang () and Chongjian Wang ()
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Shengxiang Sang: Zhengzhou University
Wei Liao: Zhengzhou University
Ning Kang: Zhengzhou University
Xueyan Wu: Zhengzhou University
Ze Hu: Zhengzhou University
Xiaotian Liu: Zhengzhou University
Hongjian Zhang: Zhengzhou University
Chongjian Wang: Zhengzhou University

The European Journal of Health Economics, 2024, vol. 25, issue 1, No 3, 30 pages

Abstract: Abstract Objectives Evidence on the health-related quality of life (HRQoL) among Chinese rural populations and its influence factors were limited. This study aimed to describe the distribution of HRQoL assessed by EQ-5D-5L and its determinants among a Chinese rural population. Methods A total of 23,510 eligible participants (9542 men and 13,968 women) from the Henan rural cohort study were included. Tobit regression and generalized linear models were performed to investigate the associations between demographic characteristics, lifestyle factors, common chronic diseases, and HRQoL. Results Of all respondents, the most frequently reported problem was pain/discomfort dimension (23.05%), followed by mobility (12.72%), anxiety/depression (7.77%), and usual activities (6.45%), while the least reported was the self-care dimension (3.84%). The more problems reported in all dimensions with age increased except anxiety/depression. The mean (standard deviation) utility index and VAS score were 0.954 (0.111) and 78.34 (14.80), respectively. The regression analysis indicated that increasing age, former drinkers, poor sleep quality, and suffering from common chronic diseases were significantly associated with low HRQoL, while high education level, average monthly income, and physical activity were significantly associated with high HRQoL. Conclusion This study described the distribution of HRQoL and its influence factors among the Chinese rural population, which was helpful for medical institutions and policymakers to allocate medical resources and better understand HRQoL among the Chinese rural population.

Keywords: EQ-5D-5L; Distribution; Determinants; Health-related quality of life; Chinese rural population (search for similar items in EconPapers)
JEL-codes: I10 (search for similar items in EconPapers)
Date: 2024
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DOI: 10.1007/s10198-023-01565-y

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