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

Bibliographic Data

ID15494685
AuthorsYuxuan Gu (0000-0002-5967-7492, Zhejiang University), Hao Zhang (0000-0003-0232-5565, Hangzhou Normal University), Shahmir H Ali (0000-0002-0360-3507, Johns Hopkins University), Minzhuo Huang (Zhejiang University), Jingming Wei (Zhejiang University), Shuyan Gu (0000-0002-2362-1251, Zhejiang University), Xuemei Zhen (0000-0002-1071-7326, Zhejiang University), Xiaoqian Hu (0000-0002-6975-4068, Zhejiang University), Xueshan Sun (0000-0002-1115-6815, Zhejiang University), Hengjin Dong (0000-0002-5064-7297, Zhejiang University, corresponding author)
Year2019
Volume16
Issue8
Pages1314-1314
Publication date2019-04-12
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16081314
PMID31013704
OpenAlexW2939522783
LanguageEN
Citations received4
References cited24

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

Analysis of variance · China · Disease · Environmental health · Geography · Health related quality of life · Public health · Quality of life (healthcare · Social determinants of health · Test (biology · Demography · Global Health Care Issues · Health disparities and outcomes · Health Systems, Economic Evaluations, Quality of Life · Medicine · Gerontology

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