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Social Determinants of Health-Related Quality of Life among Residents in Zhejiang and Qinghai, China

Social determinants are closely related to health and play a significant role in shaping the quality of life of a population. This study aimed to explore the differences in HRQoL (health-related quality of life) scores of residents in the eastern province of Zhejiang and the western province of Qing...

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Autores principales: Gu, Yuxuan, Zhang, Hao, Ali, Shahmir H., Huang, Minzhuo, Wei, Jingming, Gu, Shuyan, Zhen, Xuemei, Hu, Xiaoqian, Sun, Xueshan, Dong, Hengjin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6518005/
https://www.ncbi.nlm.nih.gov/pubmed/31013704
http://dx.doi.org/10.3390/ijerph16081314
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author Gu, Yuxuan
Zhang, Hao
Ali, Shahmir H.
Huang, Minzhuo
Wei, Jingming
Gu, Shuyan
Zhen, Xuemei
Hu, Xiaoqian
Sun, Xueshan
Dong, Hengjin
author_facet Gu, Yuxuan
Zhang, Hao
Ali, Shahmir H.
Huang, Minzhuo
Wei, Jingming
Gu, Shuyan
Zhen, Xuemei
Hu, Xiaoqian
Sun, Xueshan
Dong, Hengjin
author_sort Gu, Yuxuan
collection PubMed
description Social determinants are closely related to health and play a significant role in shaping the quality of life of a population. This study aimed to explore the differences in HRQoL (health-related quality of life) scores of residents in the eastern province of Zhejiang and the western province of Qinghai and probe factors affecting the HRQoL among the two populations. A sample of 4210 residents from a cross-sectional survey was included in the analysis. The EQ-5D-3L instrument was used to measure the HRQoL of residents. A Chi-square test and a t-test were used to examine the differences between different variables and analysis of variance (ANOVA) with interaction effects was used to analyze factors associated with the HRQoL between the two provinces. Residents’ EQ-5D index score (EQ VAS score) was 0.963 (82.71) and 0.962 (81.51), respectively, in Zhejiang and Qinghai. Generally, residents in Qinghai displayed significantly worse HRQoL scores than those in Zhejiang. The differences between the two regions lay on mobility, pain/discomfort, and anxiety/depressions. In both regions, an increased education level and being employed were most strongly associated with a positive HRQoL; increased age and presence of chronic diseases were most strongly associated with a negative HRQoL. When formulating health policies, the significant health disparities between western and eastern provinces must be given greater consideration. The health of vulnerable groups should be particularly focused on to improve the observed health disparities.
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spelling pubmed-65180052019-05-31 Social Determinants of Health-Related Quality of Life among Residents in Zhejiang and Qinghai, China Gu, Yuxuan Zhang, Hao Ali, Shahmir H. Huang, Minzhuo Wei, Jingming Gu, Shuyan Zhen, Xuemei Hu, Xiaoqian Sun, Xueshan Dong, Hengjin Int J Environ Res Public Health Article Social determinants are closely related to health and play a significant role in shaping the quality of life of a population. This study aimed to explore the differences in HRQoL (health-related quality of life) scores of residents in the eastern province of Zhejiang and the western province of Qinghai and probe factors affecting the HRQoL among the two populations. A sample of 4210 residents from a cross-sectional survey was included in the analysis. The EQ-5D-3L instrument was used to measure the HRQoL of residents. A Chi-square test and a t-test were used to examine the differences between different variables and analysis of variance (ANOVA) with interaction effects was used to analyze factors associated with the HRQoL between the two provinces. Residents’ EQ-5D index score (EQ VAS score) was 0.963 (82.71) and 0.962 (81.51), respectively, in Zhejiang and Qinghai. Generally, residents in Qinghai displayed significantly worse HRQoL scores than those in Zhejiang. The differences between the two regions lay on mobility, pain/discomfort, and anxiety/depressions. In both regions, an increased education level and being employed were most strongly associated with a positive HRQoL; increased age and presence of chronic diseases were most strongly associated with a negative HRQoL. When formulating health policies, the significant health disparities between western and eastern provinces must be given greater consideration. The health of vulnerable groups should be particularly focused on to improve the observed health disparities. MDPI 2019-04-12 2019-04 /pmc/articles/PMC6518005/ /pubmed/31013704 http://dx.doi.org/10.3390/ijerph16081314 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gu, Yuxuan
Zhang, Hao
Ali, Shahmir H.
Huang, Minzhuo
Wei, Jingming
Gu, Shuyan
Zhen, Xuemei
Hu, Xiaoqian
Sun, Xueshan
Dong, Hengjin
Social Determinants of Health-Related Quality of Life among Residents in Zhejiang and Qinghai, China
title Social Determinants of Health-Related Quality of Life among Residents in Zhejiang and Qinghai, China
title_full Social Determinants of Health-Related Quality of Life among Residents in Zhejiang and Qinghai, China
title_fullStr Social Determinants of Health-Related Quality of Life among Residents in Zhejiang and Qinghai, China
title_full_unstemmed Social Determinants of Health-Related Quality of Life among Residents in Zhejiang and Qinghai, China
title_short Social Determinants of Health-Related Quality of Life among Residents in Zhejiang and Qinghai, China
title_sort social determinants of health-related quality of life among residents in zhejiang and qinghai, china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6518005/
https://www.ncbi.nlm.nih.gov/pubmed/31013704
http://dx.doi.org/10.3390/ijerph16081314
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