POSA364 Inequity in Health-Related Quality of Life Among Chinese Patients with Hip Fracture

Abstract

The study aimd to investigate inequity in health-related quality of life (HRQoL) among Chinese patients with hip fracture across different socioeconomic groups. Data was from the 2013, 2015 and 2018 three waves of the China Health and Retirement Longitudinal Study, a nationwide longitudinal survey. Participants were asked if they had a clinically diagnosed hip fracture since the last intervie. HRQoL was evaluated in each wave, including depression, body pain, physical activity, and activity of daily living (ADL). Demographic and socioeconomic information including age, sex, income, educational level, marital status and residence of participants was collected. The t-test, chi-square test and pooled regression were conducted and a two-tailed p-value of 0.05 was considered statistically significant. A total of 375 participants were included with a mean age of 62.21 years and 50.27% of them were male. HRQoL in all domains in patients after the fracture were significantly lower than their HRQoL before fracture. Among all included factors, age and education level were found with significant impact on all HRQoL domains. Patients with higher school education had a lower level of depression (95% confidence interval, CI, of β: -3.59 to -1.43), higher basic ADL (95% CI of β: -2.05 to -1.07), higher instrumental ADL (95% CI of β: -1.74 to -1.15), higher ability of physical activity (95% CI of β: -3.68 to -2.04) and lower prevalence of body pain (95% CI of odds ratio: 0.30 to 0.57). On the contrary, an older age was negatively associated with HRQoL (p<0.05). Hip fracture had a negative impact on all aspects of HRQoL in Chinese patients irrespective of their socioeconomic status. Marked disparities of HRQoL are evidenced across patients with different school education levels and ages.