Research On The Health Related Quality Of Life Among Rural Residents And Relevant Influence Factors In Anhui Province

Objectives: To obtain the characteristic of the health related quality of life among rural residents in Anhui province, and clear the relevant influence factor. Then giving specific suggestion based on it to instruct the scientific evaluation of health technology and intervening measure.Methods: Adopting EQ- 5D- 5L to analysis the health related quality of life among rural residents in Anhui province, and we select 3500 effective samples totally. 5D scale using single factor and multi-factors ordinal regression analysis, and EQ- VAS score using variance analysis and multiple linear stepwise regression analysis.Results and analysis:(1) 33.43% respondent had no problems in 5D scale; while the problem proportion from high to low in the remaining interviewees was: pain/discomfort(55.11%), anxiety/depression(38.40%), usual activities(30.26%), mobility(24.20%), self-care(14.34%). And the average score of EQ-VAS was(71.35±18.21).(2) The ratio of chronic diseases, two-week sickness, and one-year hospitalization was 52.00%, 46.60%, and 14.74%. And the proportion of chronic diseases and two-week sickness increased along age, while the tendency of one-year hospitalization presented V shape, however among them 35~44 years old group hospitalization ratio was lowest.(3) Multiple factors analysis indicates age was the effect factor of pain/discomfort, anxiety/depression and EQ-VAS. The main health problem of 15- 45 years old group was anxiety/depression, while pain/discomfort in above 45 years old group. The peak proportion of anxiety/depression occured in 55~64 years old, while pain/discomfort, usual activities, mobility and self-care peaked in above 65 years old group. However, there is no statistical significance between health related life quality and gender, maritalstatus, medical insurance and endowment insurance.(4) The higher education experiment and more skillful in mobility, self-care and usual activities and less pain/discomfort, the higher EQ-VAS score. And the risk of decreasing one level in mobility, self-care and usual activities in unemployed group was 1.92, 2.25 and 2.51 multiple than the employed, and EQ-VAS was lower 5.47. The risk of decreasing one level in self-care in the retired was 2.03 multiple than the employed. However, the risk of anxiety/depression and pain/discomfort was very low, and EQ-VAS was high in high income family.(5) Multiple factors analysis indicates drinker was better than un-drinkers in self-care, usual activities and pain/discomfort, and EQ-VAS score was higher 4.34 than un-drinkers. However, it is contradicted to the conclusion “drinking and smoking were harmful to health”. We think this may be caused by cross-sectional investigation and insufficient of questionnaire design, and it need to be farther survey that the relationship between smoking, drinking and health relative life quality. And physical exerciser show better in self-care and usual activities, and lower risk in pain/discomfort, and anxiety/depression.(6) Except the anxiety/depression risk was higher in sicken in near two weeks than non-sicken, chronic diseases, sicken in near two weeks, and one-year hospitalization people had higher risk in 5D scale than no chronic diseases, sicken in near two weeks, and one-year hospitalization people, however EQ-VAS score was lower 5.45, 5.81, 8.04 than no chronic disease, non-sicken in near two weeks, and non-hospitalization in near one year respectively.(7) High leveled objective supporting was the protection factor of mobility and anxiety/depression, while high level subjective supporting was the protection factor of mobility, self-care and usual activities, and EQ-VAS score was 2.96 more than low level subjective supporting people. The higher usage of society supporting, the less anxiety/depression occurred.Conclusions and Suggestions: According to our survey in Anhui province, the problem of rural residents is severe, and basic medical healthcare demand is high. In order to improve the health quality of life in rural of Anhui province, we suggest the relative government department to enhance the establishment of grassroots health care services system, and the coverage of basic healthcare service; enlarge the protection of the healthcare of rural old people, and attent the psychological health of the spouses loss; optimize the resource allocation, and improve the equlity of rural healthcare; accelerate the healthcare knowledge spread, and optimize the health mobility of rural residents; reinforce the screening of chronic diseases, and improve the management of chronic diseases and service level; mobilize the society power, consummate the establishment of rural residents supporting network.