The Impact of Risk Factor Control on Health-Related Quality of Life in Individuals with High Cardiovascular Disease Risk: A Cross-sectional Study Based on EQ-5D Utility Scores in Inner Mongolia, China.

Abstract

OBJECTIVES:

To assess the impact of cardiovascular disease (CVD) risk factor control on health-related quality of life (HRQoL), as well as the other influencing factors of HRQoL among high CVD risk individuals.

METHODS:

From 2015 to 2017, residents of six villages or communities in Inner Mongolia, selected using a multi-stage stratified cluster random sampling method, were invited to complete a questionnaire and undergo physical examination and laboratory testing. We selected participants whose predicted 10-year risk for CVD exceeded 10% as those with high CVD risk. HRQoL in individuals with high CVD risk was investigated based on the EuroQol-5 Dimension (EQ-5D) scale. The Chinese utility value integral system was used to calculate EQ-5D utility scores, and the Tobit regression model was used to analyze the influencing factors of HRQoL among individuals with high CVD risk.

RESULTS:

Of 13,359 participants with high CVD risk, 65.63% reported no problems in any of the five dimensions; the most frequently reported difficulty was pain/discomfort. The median utility score was 1.000 (0.869, 1.000). Participants with hypertension, and uncontrolled glycemic and blood lipids had lower HRQoL. In addition, sex, age, living environment, education level, household income, and medical insurance were influencing factors of HRQoL.

CONCLUSION:

Sex, age, living environment, education level, household income, medical insurance, hypertension, and whether glycemic and blood lipids control or not are related to HRQoL of high CVD risk individuals.

• Authors: Ning Cao, Zhihui Hao, Liwei Niu, Nan Zhang, Hao Zhu, Han Bao, Tao Yan, Xin Fang, Xiaoqian Xu, Lehui Li, Yan Liu, Yuan Xia, Xiong Su, Xingguang Zhang
• Journal: Journal of epidemiology and global health (J Epidemiol Glob Health) Vol. 12 Issue 1 Pg. 133-142 (03 2022) ISSN: 2210-6014 [Electronic] Switzerland
• PMID: 34978710 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: © 2021. The Author(s).

Topics

• Cardiovascular Diseases (diagnosis, epidemiology, prevention & control)
• China (epidemiology)
• Cross-Sectional Studies
• Humans
• Hypertension
• Quality of Life
• Risk Factors
• Surveys and Questionnaires