北京市癌症相关5类人群健康相关生活质量分析

Analysis on Health Related Quality of Life Among 5 Subgroups in Urban Populations in Beijing City

目的:分析北京市癌症相关5类人群(普通人群、接受单一筛查高危人群、接受两种及以上筛查高危人群、癌前病变患者、癌症患者)生活质量及人群的差异性。方法:运用欧洲五维健康量表(EQ-5D)对5类人群的健康相关生活质量进行调查,并进行描述性统计分析。结果:5类人群的健康生活质量的问题主要是疼痛和焦虑,癌症患者高达58.40%和42.78%;普通人群和接受单一筛查的高危人群,接受两种及以上筛查的高危人群和癌前病变患者的健康效用值相似,都高于癌症患者人群。结论:疼痛和焦虑是5类人群健康生活质量最突出的问题,尤以癌症患者为甚。健康生活质量随患癌风险增大而显著下降,可作为癌症早诊、早治和干预效果的重要评价指标。

Objective： To analyze health-related quality-of-life of five groups（ general population,high-risk population with single cancer screening,high-risk population with multiple screenings,patients with precancerous lesions and patients with cancer） in relation to several cancers in Beijing urban areas. Methods： A cross-sectional survey was carried out to interview participants by applying EQ-5 D scale.Descriptive analyses of health statuses of five dimensions,health utility and EQ-VAS score were conducted among those five groups. Results： The major health problems in EQ-5 D five dimensions among five groups were pain and anxiety,which were prominent in cancer patients with reported rates of 58.40% and 42.78%. The health utility scores between general population and high-risk population with single cancer screening,high-risk population with multiple screenings and patients with precancerous lesions were similar,which were all higher than patients with cancer. Conclusion： Pain and anxiety were the major health problems of five groups,especially for patients with cancer. With the increasing risk of having cancer,health-related quality-of-life was decreasing,indicating that health-related quality-of-life should be an important evaluation index for cancer screening and early diagnosis and treatment.