基于EQ-5D-5L量表的安徽省居民健康相关生命质量研究

Investigation on the health-related quality of life in residents in Anhui Province based on EQ-5D-5L

目的:了解安徽省居民健康相关生命质量现况,并分析其影响因素。方法:使用欧洲五维五水平健康量表(EQ-5D-5L)对安徽省普通居民进行问卷调查,并采用t检验、χ2检验、二元多因素Logistic回归分析、多重线性回归分析等统计学方法分析居民健康相关生命质量及其影响因素。结果:样本人群的EQ-5D-5L效用值为0.96±0.11。样本人群存在健康问题最多的是“疼痛或不适”和“焦虑或抑郁”两个维度,分别占比22.5%、16.2%。多因素分析结果显示,患有慢性病、离异/丧偶/分居、吸烟以及年龄增长等是居民健康相关生命质量的主要危险因素(P<0.05)。结论:安徽省居民生命质量总体良好。积极加强慢性病防治,重点关注家庭结构不稳定群体的健康需求,积极控烟,引导居民参加体育锻炼是提高安徽省居民生命质量的关键。

Objective:To understand the health-related quality of life(HRQoL)in residents in Anhui areas,and analyze the factors affecting HRQoL.Methods:European Quality of Life Five Dimension Five Level Scale(EQ-5D-5L)was employed in a questionnaire survey among general residents of Anhui Province,China.The t-test,Pearsonχ2 test,binary logistic regression model,and multiple linear regression model were used to analyze the HRQoL in the particiants and the factors affecting HRQoL.Results:EQ-5D-5L utility value was 0.96±0.11.Major health problems in the sample population were"pain or discomfort"and"anxiety or depression",respectively accounted for 22.5%,16.2%.Multivariate analyses showed that chronic diseases,divorced/widowed/separated couple,smoking and increasing age were the main risk factors affecting HRQoL of residents(P<0.05).Conclusion:HRQoL appears generally good in the residents in Anhui Province.Actively strengthening the prevention and treatment of chronic diseases,focusing on the health needs in population with unstable family structure,actively guiding residents to participate in physical exercise and control use of tobacco are the key to improve HRQoL of residents.