Abstracts
Aim
To clarify the difference of health-related quality of life (HRQoL) between hypertensive and non-hypertensive patients, and further explore the difference of predictors of HRQoL among the elderly in Liyang City, Jiangsu Province.
Subjects and methods
Data used came from the Liyang Study. 2750 older subjects were of interest for the study, of whom 1127 suffered from hypertension. EQ-5D-5L questionnaire was employed to measure the HRQoL. Multivariate Logistic regression and Tobit regression model were used to evaluate HRQoL between hypertensive and non-hypertensive subjects.
Result
The mean utility scores for hypertensive and non-hypertensive participants was 0.945±0.129 and 0.965±0.085, respectively. Pain or discomfort was the most frequently reported health problem in both groups. Regressive model revealed that aging, low income, cognitive dysfunction, family history of high blood pressure, and chronic non-communicable diseases were associated with worse HRQoL in the elderly with and without hypertension. Moreover, low education level, unpaid employment and physical inactivity were independent risk factors of HRQoL in hypertensive individuals.
Conclusion
Compared with non-hypertensive respondents, hypertensive patients performed worse in all aspects of HRQoL. In addition to focusing on common health risk factors (e.g. cognitive impairment and NCDs), more care should also be prior to giving to older hypertensive patients with low socioeconomic status and encouraging them to engage in regular physical activity.
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Data availability
The research database contains sensitive information and therefore is not yet freely available in the public domain. However, upon reasonable request researchers may contact the corresponding author via email (shenyueping@suda.edu.cn) for cooperation.
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Funding
This work was supported by the National Natural Science Foundation of China (project number 81973143) and the Liyang Chronic Disease Risk Factor Monitoring Cohort Study (project number P113911618).
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Study design: W.H., L.Z., YP.S. Data collection and management: W.H., L.Z., JD.C., YP.S., N.S. Data analyses: WH, L.Z. Guarantor: YP.S. All authors were involved in manuscript preparation, and all authors read and approved the final manuscript. All authors meet the ICMJE criteria for authorship. All authors have participated actively in this study and agree to the content of the manuscript.
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This study was approved by the Ethics Review Committee of Soochow University (SUDA20211025H02) and all respondents provided written informed consent.
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Hu, W., Zhou, L., Chu, J. et al. Evaluation of health-related quality of life among the older adults with and without hypertension: results of a cross-sectional study. J Public Health (Berl.) (2023). https://doi.org/10.1007/s10389-023-02077-y
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DOI: https://doi.org/10.1007/s10389-023-02077-y