Evaluation Of The Health States And The Health Equality Of Rural Residents In China By Using EQ-5D

Objectives: To evaluate the health-related quality of life (HRQoL) and health equality of rural people in China and analyze potential health-related influence factors.Methods: The health states of rural residents were measured by the scale of EQ-5D. And use VAS scoring as the health state indicator as well as use pseudo Lorenz curve and pseudo coefficient to evaluate the health equality of people with different incomes.Results:â‘ General population:Single factor analysis show that women's health was worse than that of men; with the aging,health rapidly deteriorates; widowed people have poorer health; people with higher education get more health benefits; unemployed people have poorer health states; people who have social security are in poor health than those who have not; low-income people meet more health-related problems; obviously, people's health in east, middle and west China are different; more people had problems at the dimensions of"Pain/Discomfort"and"Anxiety/Depression". Multiple Linear Regression :F value is 1844,P value is 0.000,the equation is statistically significant.Gender,age,marital status,employment,education,five class of income,whether the rural resident have two-week prevalence,chronic disease prevalence and annual hospitalization rates have statistical significance,they can influence the rural resident's VAS of 40 counties.â‘¡Married women of childbearing age: the overall health state of married women of childbearing age was better than the others of general population. Gynecological diseases became the women's main health problem. HRQoL of those women with higher level education and without gynecological diseases was better than others.â‘¢Elderly people: The overall HRQoL of the elderly in rural areas was significantly lower than that of the general population. The elderly people with spouse, family members living together or better economy states might have better health. The elderly people under 70 years old had higher HRQoL than who was over 70 years. The elderly with chronic diseases had worse health.Policy recommendations:â‘ Health policy-making should be given more attention to rural resident's main health problems. Groups such as women, the elderly,the jobless,low-education people,low-income people,people who have two-week prevalence,chronic disease,annual hospitalization should be protected as priority so as to improve equity in health.â‘¡We should pay more attention to the health problems of married women in childbearing age. Married women in childbearing age should increase their awareness of health and well deal with the pressure from family and work. The Government should carry out the census and treatment on women's diseases periodically and pay more attention to women's education. Relevant policies should be made to improve women's health.â‘¢Elderly people have more health problems. To improve the elderly people, HRQoL need joint efforts from families, governments and society. Particularly we should focus on those groups such as the old-old people (over 70 years), solitary people and widowed elderly people. Apart from medical and living assistance to low-income elderly people, governments should pay attention to elderly people's health care to increase their HRQoL.