Skip to main content

Advertisement

Log in

Health-Related Quality of Life of Young Chinese Civil Servants Working in Local Government: Comparison of SF-12 and EQ5D

  • Published:
Applied Research in Quality of Life Aims and scope Submit manuscript

Abstract

As the occupational group that delivers public services, civil servants confront a particular working property and environment. Previous studies indicate that this professional group suffers from issues of occupational health, especially mental problems. This study investigates the group’s general health condition from the perspective of health-related quality of life (HRQOL). The samples of the study consist of young civil servants working in the local government agencies of six relatively economically developed cities in eastern China. The five-dimensional European quality of health scale (EQ5D) and the twelve-item Short Form Health Survey (SF-12) are employed. We will compare the measuring differences between two measurements and discussed the feasibility of combing two. Results indicate that 75.5 % of the respondents have an undergraduate-level educational degree and below and that 72.7 % of the job position consists of the township staff level and below. The participants report unfavorable HRQOL measurement scores, particularly in the dimension of mental health. Low education and employment grade are two important negative factors. The dimensions of SF-12 and EQ5D are significantly correlated. EQ5D is more sensitive to the gender factor, whereas SF-12 has a higher sensitivity to the employment grade factor. We suggest that the results of these two scales are comparable and that they complement each other.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Notes

  1. According to the Civil Servant Law of the People’s Republic of China, the employment grade of China’s civil servants is also called cadre personnel institution. It can be divided into five levels: national, provincial/ministerial, department/bureaucracy, county/division, and township/section staff level. Each level has chief and deputy positions. Therefore, in the classification of positions in local governmental agencies, the highest is the county/division chief level, followed by the county/division deputy, township/section chief, with the township/section staff as the lowest level (Zhang and Zhou 2010).

References

  • Aaronson, N. K., Meyerowitz, B. E., Bard, M., Bloom, J. R., Fawzy, F. I., Feldstein, M., et al. (1991). Quality of life research in oncology. Past achievements and future priorities. Cancer, 67(S3), 839–843.

    Article  Google Scholar 

  • Beijing City Government (2002). Opinions on further strengthening the construction of the city’s grass-roots civil servants, retrieved Nov 23, 2015, from http://www.chinacourt.org/law/detail/2002/01/id/83821.shtml

  • Bodde, D. (2015). China: A Teaching Workbook, Columbia University, East Asian Curriculum Project, retrieved Dec 16, 2015, from http://afe.easia.columbia.edu/song/readings/inventions_ideas.htm%23civil

  • Bogg, J., & Cooper, C. L. (1994). An examination of gender differences for job satisfaction, mental health, and occupational stress among senior UK civil servants. International Journal of Stress Management, 1(2), 159–172.

    Article  Google Scholar 

  • Bogg, J., & Cooper, C. (1995). Job satisfaction, mental health, and occupational stress among senior civil servants. Human Relations, 48(3), 327–341.

    Article  Google Scholar 

  • Brunner, E. J., Marmot, M. G., Nanchahal, K., Shipley, M. J., Stansfeld, S. A., Juneja, M., & Alberti, K. G. M. M. (1997). Social inequality in coronary risk: central obesity and the metabolic syndrome. Evidence from the Whitehall II Study. Diabetologia, 40(11), 1341–1349.

    Article  Google Scholar 

  • Bunker, C. H., Ukoli, F. A., Nwankwo, M. U., Omene, J. A., Currier, G. W., Holifield-Kennedy, L., & Kuller, L. H. (1992). Factors associated with hypertension in Nigerian civil servants. Preventive Medicine, 21(6), 710–722.

    Article  Google Scholar 

  • Burns, J. P. (2007). Civil service reform in China. Journal on Budgeting, 7(1), 1–26.

    Article  Google Scholar 

  • Burns, J. P., & Wang, X. Q. (2010). Civil service reform in China: impacts on civil servants’ behavior. China Quarterly, 201, 58–78.

    Article  Google Scholar 

  • Chai, H., & Song, X. (2013). The adaptive state—understanding political reform in China. Policy Studies, 34(1), 73–88.

    Article  Google Scholar 

  • Chan, H. S., & Suizhou, E. L. (2007). Civil service law in the People’s Republic of China: a return to cadre personnel management. Public Administration Review, 67(3), 383–398.

    Article  Google Scholar 

  • China.com.cn (2015). The administrative institution of China’s local governments, retrieved Nov 23, 2015, from http://www.china.com.cn/ch-zhengzhi/zhengzhi6.htm

  • Chou, B. K. (2007). Does “good governance” matter? Civil service reform in China. International Journal of Public Administration, 31(1), 54–75.

    Article  Google Scholar 

  • Chuang, L. H., & Kind, P. (2009). Converting the SF-12 into the EQ-5D. PharmacoEconomics, 27(6), 491–505.

    Article  Google Scholar 

  • Cindy, L. K., Lam, L. C. K., Tse, E. E. Y., & Gandek, B. (2005). Is the standard SF-12 health survey valid and equivalent for a Chinese population? Quality of Life Research, 14(2), 539–547.

    Article  Google Scholar 

  • Claudia, S. L., Ricardo, A., Guilherme, L. W., Do’ra, C., & Eduardo, F. (2010). Job strain and other work conditions: relationships with psychological distress among civil servants in Rio de Janeiro, Brazil. Social Psychiatric Epidemiology, 45, 345–354.

    Article  Google Scholar 

  • Cunillera, O., Tresserras, R., Rajmil, L., Vilagut, G., Brugulat, P., Herdman, M., & Ferrer, M. (2010). Discriminative capacity of the EQ-5D, SF-6D, and SF-12 as measures of health status in population health survey. Quality of Life Research, 19(6), 853–864.

    Article  Google Scholar 

  • Ferrie, J. E., Shipley, M. J., Stansfeld, S. A., & Marmot, M. G. (2002). Effects of chronic job insecurity and change in job security on self reported health, minor psychiatric morbidity, physiological measures, and health related behaviours in British civil servants: the Whitehall II Study. Journal of Epidemiology and Community Health, 56(6), 450–454.

    Article  Google Scholar 

  • Franks, P., Lubetkin, E. I., Gold, M. R., Tancredi, D. J., & Jia, H. (2004). Mapping the SF-12 to the EuroQol EQ-5D Index in a national US sample. Medical Decision Making, 24(3), 247–254.

    Article  Google Scholar 

  • Ghislandi, S., Apolone, G., Garattini, L., & Ghislandi, I. (2002). Is EQ-5D a valid measure of HRQoL in patients with movement disorders? A comparison with SF-36 and FIM questionnaires. The European Journal of Health Economics, 3(2), 125–130.

    Article  Google Scholar 

  • Goldbourt, U., Yaari, S., & Medalie, J. H. (1993). Factors predictive of long-term coronary heart disease mortality among 10,059 male Israeli civil servants and municipal employees. Cardiology, 82(2–3), 100–121.

    Article  Google Scholar 

  • Gong, T., & Wu, A. M. (2012). Does increased civil service pay deter corruption? Evidence from China. Review of Public Personnel Administration, 32(2), 192–204.

    Article  Google Scholar 

  • Gray, A. M., Rivero-Arias, O., & Clarke, P. M. (2006). Estimating the association between SF-12 responses and EQ-5D utility values by response mapping. Medical Decision Making, 26(1), 18–29.

    Article  Google Scholar 

  • Hansen, A. M., Thomsen, J. F., Kaergaard, A., Kolstad, H. A., Kaerlev, L., Mors, O., Rugulies, R., Bonde, J. P., Andersen, J. H., & Mikkelsen, S. (2012). Salivary cortisol and sleep problems among civil servants. Psychoneuroendocrinology, 37, 1086–1095.

    Article  Google Scholar 

  • Hao, S. W., Hong, W., Xu, H. H., Zhou, L. L., & Xie, Z. Y. (2015). Relationship between resilience, stress and burnout among civil servants in Beijing, China: mediating and moderating effect analysis. Personality and Individual Differences, 83, 65–71.

    Article  Google Scholar 

  • Hurst, N. P., Kind, P., Ruta, D., Hunter, M., & Stubbings, A. (1997). Measuring health-related quality of life in rheumatoid arthritis: validity, responsiveness and reliability of EuroQol (EQ-5D). Rheumatology, 36(5), 551–559.

    Article  Google Scholar 

  • Jia, Y. N., Gao, J. L., Dai, J. M., Zheng, P. P., Wu, X. Y., Li, G. Y., & Fu, H. (2014). Difference of the associations between self-rated health and demographic characteristics, lifestyle, and psychosocial work environment between two types of Chinese worksite. BMC Public Health, 14(851), 1–12.

    Google Scholar 

  • Jing, J., & Sun, W. (2013). Health status and its risk factor among civil servants in seven Chinese cities. Chinese Journal of Public Health, 29(6), 788–791.

    Google Scholar 

  • Jing, Y. J., & Zhu, Q. W. (2012). Civil service reform in China: an unfinished task of value balancing. Review of Public Personnel Administration, 32(2), 134–148.

    Article  Google Scholar 

  • Johnson, J. A., & Coons, S. J. (1998). Comparison of the EQ-5D and SF-12 in an adult US sample. Quality of Life Research, 7(2), 155–166.

    Article  Google Scholar 

  • Johnson, J. A., & Pickard, A. S. (2000). Comparison of the EQ-5D and SF-12 health surveys in a general population survey in Alberta, Canada. Medical Care, 38(1), 115–121.

    Article  Google Scholar 

  • Lallukka, T., Lahelma, E., Rahkonen, O., Roos, E., Laaksonen, E., Martikainen, P., & Kagamimori, S. (2008). Associations of job strain and working overtime with adverse health behaviors and obesity: evidence from the Whitehall II Study, Helsinki Health Study, and the Japanese Civil Servants Study. Social Science & Medicine, 66(8), 1681–1698.

    Article  Google Scholar 

  • Lawrence, W. F., & Fleishman, J. A. (2004). Predicting EuroQoL EQ-5D preference scores from the SF-12 Health Survey in a nationally representative sample. Medical Decision Making, 24(2), 160–169.

    Article  Google Scholar 

  • Li, Y. K. (2014). Analysis of reasons for Chinese civil servants resigning from office. International Integration for Regional Public Management, 14, 265–274.

    Google Scholar 

  • Li, M., & Luo, N. (2009). Application of Chinese version of EQ-5D. China Journal of Pharmaceutical Economics, 1, 49–58.

    Google Scholar 

  • Liang, Y. (2015a). Satisfaction with economic and social rights and quality of life in a post-disaster zone in China: evidence from earthquake-prone Sichuan. Disaster Medicine and Public Health Preparedness, 9(02), 111–118.

    Article  Google Scholar 

  • Liang, Y (2015b). Trust in Chinese government and quality of life (QOL) of Sichuan earthquake survivors: does trust in government help to promote QOL?. Social Indicators Research, 1–24. doi: 10.1007/s11205-015-0967-9.

  • Liang, Y., & Cao, R. (2014). Is the health status of female victims poorer than males in the post-disaster reconstruction in China: a comparative study of data on male victims in the first survey and double tracking survey data. BMC Womens Health, 14(1), 18.

    Article  Google Scholar 

  • Liang, Y., & Cao, R. (2015). Employment assistance policies of Chinese government play positive roles! The impact of post-earthquake employment assistance policies on the health-related quality of life of Chinese earthquake populations. Social Indicators Research, 120(3), 835–857.

    Article  Google Scholar 

  • Liang, Y., & Li, S. (2014). Landless female peasants living in resettlement residential areas in China have poorer quality of life than males: results from a household study in the Yangtze River Delta region. Health and Quality of Life Outcomes, 12(1), 1–17.

    Article  Google Scholar 

  • Liang, Y., & Lu, P. (2014). Health-related quality of life and the adaptation of residents to harsh post-earthquake conditions in China. Disaster Medicine and Public Health Preparedness, 8(05), 390–396.

    Article  Google Scholar 

  • Liang, Y., & Wang, X. (2013). Developing a new perspective to study the health of survivors of Sichuan earthquakes in China: a study on the effect of post-earthquake rescue policies on survivors’ health-related quality of life. Health Research Policy and Systems, 11, 41.

    Article  Google Scholar 

  • Liang, Y., & Wu, W. (2014). Exploratory analysis of health-related quality of life among the empty-nest elderly in rural China: an empirical study in three economically developed cities in eastern China. Health and Quality of Life Outcomes, 12(1), 59.

    Article  Google Scholar 

  • Liou, K. T., Xue, L., & Dong, K. Y. (2012). China’s administration and civil service reform: an introduction. Review of Public Personnel Administration, 32(2), 108–114.

    Article  Google Scholar 

  • Liu, X., & Dong, K. Y. (2012). Development of the civil servants performance appraisal system in China: challenge and improvement. Review of Public Personnel Administration, 15(1), 1–20.

    Google Scholar 

  • Liu, Y., & Liu, Y. (2006). Current researches on civil servants’ mental health. Journal of Linyi Teachers’ University, 28(4), 83–86.

    Google Scholar 

  • Marmot, M. G., Rose, G., Shipley, M., & Hamilton, P. J. (1978). Employment grade and coronary heart disease in British civil servants. Journal of Epidemiology and Community Health, 32(4), 244–249.

    Article  Google Scholar 

  • Marmot, M. G., Stansfeld, S., Patel, C., North, F., Head, J., White, I., & Smith, G. D. (1991). Health inequalities among British civil servants: the Whitehall II Study. Lancet, 337(8754), 1387–1393.

    Article  Google Scholar 

  • Nian, C. (2004). Standards and countermeasures of civil servants’ mental health. Science of Social Psychology, 4, 95–98.

    Google Scholar 

  • Nishi, N., Makino, K., Fukuda, H., & Tatara, K. (2004). Effects of socioeconomic indicators on coronary risk factors, self-rated health and psychological well-being among urban Japanese civil servants. Social Science & Medicine, 58(6), 1159–1170.

    Article  Google Scholar 

  • North, F. M., Syme, S. L., Feeney, A., Shipley, M., & Marmot, M. (1996). Psychosocial work environment and sickness absence among British civil servants: the Whitehall II Study. American Journal of Public Health, 86(3), 332–340.

    Article  Google Scholar 

  • Osborne, D. (1993). Reinventing government. Public Productivity & Management Review, 16(4), 349–356.

    Article  Google Scholar 

  • Ozaki, N., Ono, Y., Ito, A., & Rosenthal, N. E. (1995). Prevalence of seasonal difficulties in mood and behavior among Japanese civil servants. The American Journal of Psychiatry, 152(8), 1225.

    Article  Google Scholar 

  • Palazzo, L. D. S., Carlotto, M. S., & Aerts, D. R. G. D. C. (2012). Burnout Syndrome: population-based study on public servants. Revista de Saúde Pública, 46(6), 1066–1073.

    Article  Google Scholar 

  • Pan, L., She, S., Li, S., & Dai, Y. (2007). The relationship between job stress and mental health of civil servants. Journal of Sichuan Administration College, 2, 98–101.

    Google Scholar 

  • Patrick, D. L., & Erickson, P. (1993). Assessing health-related quality of life for clinical decision-making. In Quality of life assessment: Key issues in the 1990s (pp. 11-63). Netherlands: Springer Netherlands.

  • Raphael, D., Renwick, R., Brown, I., & Rootman, I. (1996). Quality of life indicators and health: current status and emerging conceptions. Social Indicators Research, 39(1), 65–88.

  • Romero, M., Vivas-Consuelo, D., & Alvis-Guzman, N. (2013). Is health related quality of life (HRQoL) a valid indicator for health systems evaluation? Springer Plus, 2(664), 1–7.

    Google Scholar 

  • Sekine, M., Chandola, T., Martikainen, P., Marmot, M., & Kagamimori, S. (2006). Socioeconomic inequalities in physical and mental functioning of Japanese civil servants: explanations from work and family characteristics. Social Science & Medicine, 63(2), 430–445.

    Article  Google Scholar 

  • Sekine, M., Chandola, T., Martikainen, P., Marmot, M., & Kagamimori, S. (2009). Socioeconomic inequalities in physical and mental functioning of British, Finnish, and Japanese civil servants: role of job demand, control, and work hours. Social Science & Medicine, 69, 1417–1425.

    Article  Google Scholar 

  • Song, L. (2012). The research on basic unit civil servants’ psychological health problems during transformation period (pp. 47–66). Changcun: Jilin University.

    Google Scholar 

  • State Council of China (1993). Provisional regulations on state civil servants, issued by August 14, 1993, Beijing: Order of the State Council of the People’s Republic of China.

  • Sullivan, P. W., & Ghushchyan, V. (2006). Mapping the EQ-5D index from the SF-12: US general population preferences in a nationally representative sample. Medical Decision Making, 26(4), 401–409.

    Article  Google Scholar 

  • Sun, W., & Liu, M. (2013). Analysis of health status and its influencing factors among civil servants. Medicine and Society, 26(5), 47–50.

    Google Scholar 

  • Tao, M. (2012). Pros and cons of Chinese public servant career temptation—consideration on the hot phenomenon of civil service examinations. Canadian Social Science, 8(5), 117–120.

    Google Scholar 

  • Van Der Vijver, L. P., Van Der Waal, M. A., Weterings, K. G., Dekker, J. M., Schouten, E. G., & Kok, F. (1992). Calcium intake and 28-year cardiovascular and coronary heart disease mortality in Dutch civil servants. International Journal of Epidemiology, 21(1), 36–39.

    Article  Google Scholar 

  • Wang, Y. (2008). The influential factors and intervention mechanism of public servant’s occupational health psychology. Chinese Public Administration, 9, 61–64.

    Google Scholar 

  • Wang, B., & Huang, L. (2013). Study on relationship between individual work value and work performance of civil servants-based on the research in China. Canadian Social Science, 9(2), 68–72.

    Google Scholar 

  • Wang, H. M., Patrick, D. L., Edwards, T. C., Skalicky, A. M., Zeng, H. Y., & Gu, W. W. (2012). Validation of the EQ-5D in a general population sample in urban China. Quality of Life Research, 21(1), 155–160.

    Article  Google Scholar 

  • Wang, W., Liu, L., & Jiang, Q. (2013). Application of EQ- 5D and SF- 12 scales in assessment of the quality of life in patients with diabetes in rural areas in Anhui Province. Chinese Journal of Disease Control & Prevention, 17(4), 287–290.

    Google Scholar 

  • Ware, J. E., Kosinski, M., & Keller, S. D. (1995). How to score the SF-12 Physical and Mental Health Summary Scales. Boston: The Health Institute, New England Medical Center.

    Google Scholar 

  • Ware, J. E., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.

    Article  Google Scholar 

  • Xu, J., Qiu, J. C., Chen, J. L., Zou, L. A., Feng, L. Y., Lu, Y., Wei, Q., & Zhang, J. H. (2012). Lifestyle and health-related quality of life: a cross-sectional study among civil servants in China. BMC Public Health, 12(330), 1–9.

    Google Scholar 

  • Xue, L., & Liou, K. T. (2012). Government reform in China concepts and reform cases. Review of Public Personnel Administration, 32(2), 115–133.

    Article  Google Scholar 

  • Xue, L., & Zhong, K. (2012). Domestic reform and global integration: public administration reform in China over the last 30 years. International Review of Administrative Sciences, 78(2), 284–304.

    Article  Google Scholar 

  • Yang, R., & Ruan, J. H. (2007). The E-learning system used in the civil servants’ job-training. International Federation for Information Processing, 252, 574–581.

    Google Scholar 

  • Yu, K. (2008). China’s political reform towards good governance from 1978 to 2008. Jilin University Journal Social Sciences Edition, 48(3), 5–17.

    Google Scholar 

  • Yusuf, A. F., & Adeoye, E. A. (2011). Prevalence and causes of depression among civil servants in Osun State: implications for counselling. Edo Journal of Counselling, 4(1), 92–102.

    Google Scholar 

  • Zhang, M, & Zhou, W (2010). Civil service reforms in Mainland China. EM Berman, MJ Moon, & H. Choi (Edits.), Public Administration in East Asia. Mainland China, Japan, South Korea, and Taiwan, NW: CRC Press, 145–163.

  • Zhou, Y., Zhou, L., Fu, C., Wang, Y., Liu, Q., Wu, H., & Zheng, L. (2015). Socio-economic factors related with the subjective well-being of the rural elderly people living independently in China. International Journal for Equity in Health, 14(1), 1–9.

    Article  Google Scholar 

  • Zhu, C. Y., Chen, L., Ou, L. M., Geng, Q. S., & Jiang, W. (2014). Relationships of mental health problems with stress among civil servants in Guangzhou, China. Community Mental Health Journal, 50, 991–996.

    Article  Google Scholar 

Download references

Acknowledgments

This paper is supported by the General Program of National Natural Science Foundation of China: Health related quality of life (HRQOL) and professional social work intervention model for earthquake survivors of post disaster reconstruction: a follow-up survey of six earthquake hit areas in Lushan (71473117), and Research on the interaction between local government ecological management and the development of green community volunteer organization – A Study on the construction of green ecological city in Yangtze River Delta (71173099), and the key project of the National Social Science Fund (14AZZ001). The authors also want to thank Lei Wang (College of sciences, Northeastern University) for his contribution to this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ying Liang.

Ethics declarations

Conflict of Interest

The authors declare that they have no competing interests.

Additional information

Peiyi Lu and Ying Liang are co-first authors.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lu, P., Liang, Y. Health-Related Quality of Life of Young Chinese Civil Servants Working in Local Government: Comparison of SF-12 and EQ5D. Applied Research Quality Life 11, 1445–1464 (2016). https://doi.org/10.1007/s11482-015-9446-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11482-015-9446-3

Keywords

Navigation