基于EQ-5D的江苏省某贫困县中老年健康相关生命质量评价研究  

Study on Health-related Quality of Life based on EQ-5D among Middle-aged and the Elderly in a Poor County in Jiangsu Province

作　　者：汪瑾 董佳怡 沈冲[1] 陆慧[1] WANG Jin;DONG Jiayi;SHEN Chong;LU Hui(School of Public Health,Nanjing Medical University,Nanjing,211166,China)

机构地区：[1]南京医科大学公共卫生学院,江苏南京211166

出　　处：《中国社会医学杂志》2022年第1期38-42,共5页Chinese Journal of Social Medicine

基　　金：国家重点研发计划子课题项目(2018YFC1312802)。

摘　　要：目的探讨贫困县弱势中老年人群的健康相关生命质量现况及其影响因素,为精准健康扶贫及改善慢性病管理水平提供证据。方法基于欧洲五维健康评定量表(EQ-5D)和自设问卷,于2019年7月采用多阶段随机抽样的方法抽取江苏省丰县445名中老年人展开调查。运用秩和检验、CLAD回归模型等进行数据统计分析。结果丰县贫困人群健康相关生命质量EQ-5D效应值中位数为0.812(0.728,1),VAS中位数为79(60,90)。纳入单因素分析中有意义的9个变量进行CLAD回归分析,结果显示,年龄、职业、睡眠时间、高血压、其他慢性病、因慢性病多次门诊和住院会对健康效应值产生一定的影响。结论样本地区慢性病人群生命质量低于非慢性病人群,该人群生命质量的影响因素是多方面的,应根据地方人群特点,制定相应的卫生政策以提高贫困人群的健康相关生命质量。Objective This paper aims to explore the health-related quality of life and its influencing factors among vulnerable middle-aged and the elderly in poverty-stricken counties,and to provide evidence for accurate health and poverty alleviation and improvement of chronic disease management.Methods Based on EQ-5D and self-designed questionnaire,a multi-stage random sampling method was used to investigate 445 middle-aged and elderly people in Feng county,Jiangsu province in July 2019.The rank-sum test and CLAD model were used to statistical analyse.Results The median EQ-5D value of poor people in Feng county was 0.812(0.728,1),and the median VAS value was 79(60,90).Nine variables included in the univariate analysis were analyzed by CLAD regression.The factors affecting the health utility values among vulnerable people were age,occupation,sleep time,hypertension,other chronic diseases,multiple outpatients,and hospitalization for chronic diseases.Conclusion The quality of life of people with chronic diseases in poor rural areas is lower than that of the general population and the factors affecting the health utility values among vulnerable people in Feng country were various.Therefore,related medical policy should be formulated based on the characteristics of the vulnerable people in order to improving the health related quality of life of the poor.

关 键 词：生命质量 健康扶贫 欧洲五维度健康量表 健康相关生命质量 最小绝对离差法 

分 类 号：R163[医药卫生—公共卫生与预防医学] C913.6[经济管理]