Full
Outline
To investigate the health-related quality of life (HRQoL) and its determinants among adults aged 18-69 in three Chinese provinces, providing evidence for targeted health management strategies.
Based on the salt reduction action study conducted from 2022 to 2023 in three provinces of China, a total of 1 440 permanent residents aged 18-69 years were selected as survey participants through multi-stage random sampling. The Five-level EuroQoL five-dimensions (EQ-5D-5L) was used to assess health-related quality of life. Tobit regression and ordinary least squares (OLS) regression were employed to analyze factors influencing the utility scores.
This study included a total of 1 426 participants. The health utility value was 1.00 (-0.20, 1.00), and the Visual Analogue Scale (VAS) score was 88 (80, 94), indicating a generally favorable health status. The Tobit regression analysis revealed that age ≥45 years (β=-0.044, 95% CI: -0.080~-0.009), junior high school education (β=0.045, 95% CI: 0.009-0.081), high school education or above (β=0.095, 95% CI: 0.049-0.141), comorbidities (β=-0.125, 95% CI: -0.187~-0.063), salt intake of 5~<10 g (β=-0.067, 95% CI: -0.114~-0.020), and salt intake ≥10 g (β=-0.085,95% CI: -0.133~-0.038) were significant determinants of health utility values (P<0.05). The OLS regression analysis indicated that age ≥45 years (β=-2.227, 95% CI: -3.601~-0.853), high school education or above (β=2.273, 95% CI: 0.561~3.985),medication use (β=-3.716, 95% CI: -5.833~-1.600), presence of cardiometabolic diseases (β=-1.960, 95% CI: -3.557~-0.363), comorbidities (β=-4.686, 95% CI: -7.514~-1.859), and salt intake of 5~<10g (β=-1.656, 95% CI: -3.290~-0.022)significantly influenced VAS scores (P<0.05).
The overall HRQoL among the study participants was generally favorable. However, HRQoL was significantly reduced in individuals with cardiometabolic multimorbidity. Hence, greater emphasis should be placed on the prevention and management of multimorbidity in health administration. Additionally, more attention is needed for residents who are of advanced age, have lower educational attainment, or consume excessive amounts of salt.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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