Current status of quality of life and its influencing factors among community-dwelling middle-aged and elderly residentsin Shenzhen City based on EQ-5D scales
WANG Ling1, TUERSUNJIANG Yasen2, CHEN Wei-wen1, HE Zhi-ming1, HUANG Chu-yi2, ALINUER Abulimiti2, LI Lei2, ZHANG Nai-qi2, LUO Hong2, FENG Xiao-li2, ZHANG Cai-xia2, WU Neng-jian1
1. Pingshan District Center for Disease Control and Prevention, Shenzhen, Guangdong 518118, China; 2. School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong 510080, China
Abstract：Objective To explore the health-related quality of life (HRQOL) and its influencing factors among middle-aged and elderly people in Pingshan District of Shenzhen City by using the European Quality of Life 5-dimensions (EQ-5D)Questionnaire. Methods A questionnaire survey was conducted in the research subjects. Multiple linear regression was performed to analyze the influencing factors of HRQOL. Results A total of 942 middle-aged and elderly residents were enrolled in this study, and 932 valid questionnaires were retrieved. The EQ-5D index and EQ-VAS scores were (0.81±0.06) and (77.49±13.93), respectively. Multiple linear regression analysis showed that residents or their first-degree relatives without chronic disease, males and residents with physical exercises, having no change in appetite, aged ≥ 70 years, with mental labour, and with daily sleeping hours ≥ 6 had higher scores of EQ-5D indexes, and the β was -0.019, -0.011, 0.010, 0.014, -0.015, -0.016, 0.014 and 0.011, respectively. Residents without chronic diseases, with physical exercises, having a habit of drinking tea, having no change in appetite, with daily sleeping hours ≥ 8 and with urban resident basic medical insurance had higher EQ-VAS scores, and the β was -6.199, 3.533, 2.600, -2.898, 2.578 and 2.909, respectively (all P<0.05). Conclusions Health-related quality of life of the middle-aged and elderly in Pingshan District of Shenzhen City is generally good. More attention and care should be given to the middle-aged and elderly with chronic diseases, women and residents without physical exercise and drinking tea, having changes in eating habits, aged > 70 years, engaging in manual labour and with daily sleeping hours < 6 so as to improve their HRQOL.
王玲, 图尔荪江·亚森, 陈伟文, 何志明, 黄楚怡, 阿丽努尔·阿布力米提, 李蕾, 张乃琪, 罗红, 冯小丽, 张彩霞, 吴能简. 基于欧洲五维健康量表的深圳市中老年社区居民生命质量现状及影响因素研究[J]. 实用预防医学, 2021, 28(2): 175-179.
WANG Ling, TUERSUNJIANG Yasen, CHEN Wei-wen, HE Zhi-ming, HUANG Chu-yi, ALINUER Abulimiti, LI Lei, ZHANG Nai-qi, LUO Hong, FENG Xiao-li, ZHANG Cai-xia, WU Neng-jian. Current status of quality of life and its influencing factors among community-dwelling middle-aged and elderly residentsin Shenzhen City based on EQ-5D scales. , 2021, 28(2): 175-179.
[1] 中华人民共和国国家统计局.2017年经济运行稳中向好、好于预期[EB/OL].(2018-01-18)[2020-04-20].http://www.gov.cn/xinwen/2018-01/18/content_5257967.htm. [2] 赵冰.都市养老服务体制机制改革探析-以深圳为例[J].特区实践与理论,2018,33(4):88-93. [3] 刘文燕.老年人生命质量评价及影响因素研究[D].上海:华东交通大学, 2015. [4] 孙硕,卓琳,刘佳佳,等.联合分析法探索EQ-5D量表积分体系[J].中国卫生统计, 2015, 32(6):1031-1033,1036. [5] 李明晖,罗南.欧洲五维健康量表(EQ-5D)中文版应用介绍[J].中国药物经济学,2009,4(1):49-57. [6] 中国肥胖问题工作组.中国成人超重和肥胖症预防与控制指南(节录)[J].营养学报,2004,26(1):1-4. [7] 张继萍,秘玉清,刘一鋆,等.山东省4地市社区老年人生命质量及影响因素[J].中国老年学杂志,2019,39(8):1983-1987. [8] 黄晓晓,麻志恒,宋慧,等.上海市崇明地区百岁老人生命质量调查分析[J].海南医学院学报,2019,25(18):1425-1431. [9] 张春华,丁贤彬,毛德强,等.60岁及以上老年2型糖尿病患者自我效能与生命质量评价[J].中国慢性病预防与控制,2017,25(2):118-121. [10] 王绵珍,兰亚佳,王治明,等.退休职工生命质量评价及其影响因素[J].职业卫生与病伤,1999,14(1):6-8. [11] 杨宇迪,徐郁,赵金利,等.基于欧洲五维健康评价量表对居民健康相关生命质量的研究[J].中国全科医学, 2018, 21(6):724-728. [12] Mangen MJ, Bolkenbaas M, Huijts SM, et al. Quality of life in community-dwelling Dutch elderly measured by EQ-5D-3L[J].Health Qual Life Outcomes, 2017, 15(1):3. [13] 张琴,兰亚佳,陈红梅.职业紧张与职业生命质量的关系研究[J].四川大学学报(医学版),2011,42(4):540-543. [14] 周忠良,苏敏,司亚飞.城镇基本医疗保险制度对居民健康相关生命质量公平性的影响研究——基于广义精确匹配方法(CEM)对陕西省的调查[J].北京行政学院学报,2017,19(6):1-9. [15] 王玲,武轶群,唐迅,等.北京房山中老年冠心病人生命质量调查[J].中华疾病控制杂志, 2015, 19(4):323-326. [16] 徐琼琼,郭晓雷,楚洁,等.山东省2型糖尿病患者健康相关生命质量及其影响因素[J].山东大学学报(医学版), 2019, 57(3):96-103. [17] 王俊,王丽丹,江启成.基于欧洲五维度健康评定量表的安徽省某农村地区糖尿病患者生命质量研究[J].中华疾病控制杂志, 2017, 21(11):1106-1110. [18] Nanri H, Yamada Y, Itoi A, et al.Consumption of green tea but not coffee is associated with the oral health-related quality of life among an older Japanese population: Kyoto-Kameoka cross-sectional study[J].Eur J Clin Nutr,2019,73 (4):577-584. [19] Weisburger JH.Tea and health: a historical perspective[J].Cancer Letters, 1997, 114(1-2):315-317. [20] 章宝丹,郑卫军,王晓蕾,等.杭州市中高端社区老年人健康管理现状及其对生命质量的影响[J].中国老年学杂志,2019,39(3):694-698. [21] 杜进林,孙铭薇,黄志刚.东莞市外来工生理健康生存质量现状及其影响因素[J].实用预防医学,2019,26(6):659-662. [22] 徐海峰,吴武鑫,汤海英,等.上海市奉贤区中青年脑卒中患者生存质量及其影响因素研究[J].实用预防医学,2019,26(10):1162-1165. [23] 杨中华,李顺平,扎西达娃,等.西藏居民健康相关生命质量:基于3国EQ-5D-3L量表效用值积分体系[J].中国药物经济学,2019,14(6):13-17,22.
2021, Vol. 28 
