Abstract
PurposeHypertension is a growing public health problem in China; however, little is known about health-related quality of life (HRQoL) especially health state utility (HSU) of patients with hypertension in rural China. This study aimed to examine the HSU as measured by SF-6D and to investigate its associated factors among middle and old aged patients with hypertension in rural China.MethodsData were collected from twelve villages in Shandong Province in 2016. SF-36 was administrated to measure HRQoL of middle and old aged patients with hypertension and was got to the SF-6D values using Hong Kong’s tariff. Descriptive analyses, such as demographic characteristics, socio-economic status, and utility, were stratified by hypertension classification. Multiple linear regression models were applied to assess the associated factors of HSU.ResultsA total of 933 (response rate:86.4%) middle and old aged patients (69.1 ± 8.2 years) with hypertension participated in the study. 39.4% of participants were male; 44.2% had stage I hypertension; 26.4% had stage II and above. The mean score of SF-6D utility score was 0.743 (SD: 0.14, range: 0.32–1.00, median: 0.756, Interquartile range:0.634–0.859). Being female (β = −0.046), having two or more comorbidities (2 vs. 1 β = −0.066; > 3 vs. 1 β = −0.098) and the health expenditure higher than 2000 RMB (2000–3999 vs.< 2000 β = −0.042; 4000–5999 vs. < 2000 β = −0.046; > 6000 vs. < 2000 β = −0.071) were significantly associated with lower SF-6D overall score; while being farmer (β = 0.032), having high household income (10,000–14,999 vs. < 5000 β = 0.045; > 15,000 vs. < 5000 β = 0.064) and having stage I and above hypertension (stage I vs. Normotensive β = 0.047; stage II vs. Normotensive β = 0.079; stage III vs. Normotensive β = 0.095) were significantly associated with higher SF-6D overall score.ConclusionSF-6D was capable to measure quality of life middle and old aged patients with hypertension in China. And multiple factors were demonstrated to be significantly associated with quality of life.
Highlights
Hypertension is the strongest risk factor of cardiovascular and cerebrovascular diseases as well as the related disabilities and mortality in worldwide [1]
Health-related quality of life (HRQOL) of individuals with hypertension was lower than normotensive individuals [4,5,6,7]
Statistical analysis We described the frequencies of options of each item of SF-6D answered by participants
Summary
Hypertension is the strongest risk factor of cardiovascular and cerebrovascular diseases as well as the related disabilities and mortality in worldwide [1]. [3]; more than two-thirds of the survey population were not treated, and fewer than one in twelve were in control of their blood pressure. Health-related quality of life (HRQOL) of individuals with hypertension was lower than normotensive individuals [4,5,6,7]. Rural people were less likely to be aware of, treated for, and controlled for hypertension [3, 9]. As a chronic non-communicable disease, hypertension has unsatisfactory morbidity and control in China rural, influencing seriously hypertension patients’ quality of life, which warranted further research
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