PMID- 31100800
OWN - NLM
STAT- MEDLINE
DCOM- 20191213
LR  - 20200309
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 16
IP  - 10
DP  - 2019 May 16
TI  - Health-Related Quality of Life of People with Self-Reported Hypertension: A 
      National Cross-Sectional Survey in China.
LID - 10.3390/ijerph16101721 [doi]
LID - 1721
AB  - This study aimed to determine the health-related quality of life (HRQoL) of 
      people with self-reported diagnosed hypertension and its determinants in China. 
      Data was obtained from the 5th National Health Services Survey. The HRQoL of the 
      respondents who were 15 years or older was assessed with the EQ-5D-3L utility 
      index and visual analogue scale (VAS), and compared between those with (n = 
      30,063) and without (n = 158,657) self-reported hypertension. Multivariate 
      logistic regression, Tobit regression, and linear regression models were 
      established to identify predictors of HRQoL. A difference of half standard 
      deviation was deemed as minimal clinically important difference (MCID) for the 
      utility index (0.03). The respondents with self-reported hypertension were more 
      likely to report problems in the five dimensions (Adjusted Odds Ratio = 
      1.43-1.70) of the EQ-5D-3L, resulting in a significant lower utility index (beta = 
      -0.04) and VAS scores (beta = -3.22) compared with those without self-reported 
      hypertension, and the difference of the utility index exceeded MCID. In the 
      respondents with self-reported hypertension, higher utility index and VAS scores 
      were found in those who were female, younger, married, employed, smoking, 
      drinking, exercising regularly, absent from comorbidity, resided in the eastern 
      developed region, had normal body mass index, higher levels of education, and 
      income. Hypertension management programs were associated with higher utility 
      index (beta = 0.01) and VAS scores (beta = 1.02). Overall, hypertension is associated 
      with lower HRQoL. Higher socioeconomic status and participation in management 
      programs for chronic conditions are independent predictors of higher HRQoL of 
      hypertensive people. This study provides a national representative estimate on 
      the HRQoL of hypertensive people in China, which can be used for calculating the 
      burden of hypertension.
FAU - Yao, Qiang
AU  - Yao Q
AUID- ORCID: 0000-0002-4408-087X
AD  - School of Political Science and Public Administration, Wuhan University, Wuhan 
      430072, China. yaoqiang@whu.edu.cn.
AD  - School of Psychology and Public Health, La Trobe University, Melbourne 3086, 
      Australia. yaoqiang@whu.edu.cn.
AD  - Institute of health Research, Wuhan University, Wuhan 430072, China. 
      yaoqiang@whu.edu.cn.
FAU - Liu, Chaojie
AU  - Liu C
AUID- ORCID: 0000-0003-0877-0424
AD  - School of Psychology and Public Health, La Trobe University, Melbourne 3086, 
      Australia. c.liu@latrobe.edu.au.
FAU - Zhang, Yaoguang
AU  - Zhang Y
AD  - Center for Health Statistics and Information, National Health Commission, Beijing 
      100810, China. zhangyg@nhfpc.gov.cn.
FAU - Xu, Ling
AU  - Xu L
AD  - Health Human Resources Development Center, National Health Commission, Beijing 
      100044, China. xuling@nhfpc.gov.cn.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190516
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Body Mass Index
MH  - China
MH  - Chronic Disease
MH  - Comorbidity
MH  - Cross-Sectional Studies
MH  - Female
MH  - Health Status
MH  - Humans
MH  - Hypertension/*physiopathology
MH  - Linear Models
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Odds Ratio
MH  - *Quality of Life
MH  - *Self Report
MH  - Social Class
MH  - Surveys and Questionnaires
MH  - Visual Analog Scale
MH  - Young Adult
PMC - PMC6572246
OTO - NOTNLM
OT  - China
OT  - EQ-5D-3L
OT  - National Health Services Survey
OT  - health-related quality of life
OT  - hypertension
COIS- The authors declare no conflict of interest.
EDAT- 2019/05/19 06:00
MHDA- 2019/12/18 06:00
PMCR- 2019/05/01
CRDT- 2019/05/19 06:00
PHST- 2019/03/31 00:00 [received]
PHST- 2019/05/12 00:00 [revised]
PHST- 2019/05/14 00:00 [accepted]
PHST- 2019/05/19 06:00 [entrez]
PHST- 2019/05/19 06:00 [pubmed]
PHST- 2019/12/18 06:00 [medline]
PHST- 2019/05/01 00:00 [pmc-release]
AID - ijerph16101721 [pii]
AID - ijerph-16-01721 [pii]
AID - 10.3390/ijerph16101721 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2019 May 16;16(10):1721. doi: 
      10.3390/ijerph16101721.