摘要
目的:应用中国大样本人群调查的EQ-5D量表,对中国城乡居民的生命质量进行多维测量与比较分析。方法:按年龄和性别配额进行抽样,对沈阳、北京、成都和南京睦个地区的城乡居民进行生命质量相关问卷的入户调查。使用基于中国人群偏好的效用值积分体系,将测量的健康结果转换成健康效用值,对不同类别居民的健康效用值、EQ-5D量表及其天花板效应进行系统分析。结果:描述统计显示,样本地居民的健康效用均值为0.951,区间为[0.364,1];其中,城市居民和农村居民的健康效用均值分别为0.955和0.948。在全样本中,城乡居民分别有20.0%和12.7%的人具有不同程度的疼痛或不舒服和焦虑或抑郁问题。在16岁~34岁亚组人群中,最主要的健康问题是焦虑或抑郁,35岁及以上的人群逐渐面临疼痛或不舒服的健康问题。进一步的计量模型分析显示,在控制其他影响因素后,农村居民比城市居民处于完全健康的概率高5.4个百分点,农村居民在疼痛或不舒服和焦虑或抑郁两个维度处于健康的概率也高于城市居民,但在行动、自我照顾和日常生活3个维度上,农村居民的健康概率低于城市居民。结论:样本地城乡居民的健康效用均值相近,但农村居民在疼痛或不舒服、焦虑或抑郁维度处于优势,城市居民在行动、自我照顾和日常生活维度处于优势。
Objective:Health related quality of life(HRQo L) for China urban and rural residents were performed multidimensionalmeasurement and comparison analysis by applying EQ-5D scale investigated among Chinese large samples.Methods:Investigation ofHROo L were performed among urban and rural residents from Shenyang, Beijing, Chengdu and Nanjing sampling by age and gender.Health utility was computed using the social value set based on Chinese population preference. Descriptive analyses by socio-demo-graphic status were conducted using the health utility, EQ-VAS, and EQ-5D five dimensions, and ceiling effects of EQ-5D descrip-tive system were evaluated.Results:The descriptive analysis demonstrated that the mean health utility of residents from the samplecities was 0.951, ranging from 0.364 to 1. The mean health utilities of urban and rural urban and rural residents were 0.955 and 0.948 respectively. For the full sample, there existed 20% and 12.7% residents with health problems in dimensions of pain or discomfort andanxiety or depression respectively. The health problem mainly fastened on anxiety or depression among 16-34 age groups but it turnedto pain or discomfort after 35 years old. The profit model showed that the probability being in the optimal health state of rural popula-tion was 5.4 % higher than that of urban population. In addition, health status of rural residents in pain or discomfort and anxiety ordepression dimensions were better than that of urban counterparts, while mobility, aelf-care and usual activities dimensions of ruralpopulation were worse than that of urban ones.Conclusion:The mean health utility values were similar between urban and rural resi-dents of the sample cities. However, rural residents performed better than urban residents on dimensions of pain or discomfort and anx-iety or depression, while urban residents performed better than rural residents on dimensions of mobility, self-care and usual activities.
出处
《中国卫生经济》
北大核心
2015年第2期5-12,共8页
Chinese Health Economics
基金
国家自然科学基金(71273015)
