气候变化领域集成服务门户(CCPortal): Health-related quality of life and its changes of the Tibetan population in China: based on the 2013 and 2018 National Health Services Surveys

CCPortal

DOI	10.1136/bmjopen-2023-072854
	Health-related quality of life and its changes of the Tibetan population in China: based on the 2013 and 2018 National Health Services Surveys
	Dou, Lei; Shi, Zhao; Cuomu, Zhaxi; Zhuoga, Cidan; Li, Chaofan; Dawa, Zhaxi; Li, Shunping
发表日期	2023
ISSN	2044-6055
卷号	13 期号:11
英文摘要	ObjectiveHealth-related quality of life (HRQoL) was an important health outcome measure for evaluating an individual's overall health status. However, there was limited in the literature on HRQoL and its long-term changes of the Tibetan population. This study aimed to assess HRQoL of Tibetan and its changes over time, and explore the differences in HRQoL for residents at different altitudes.DesignData for the cross-sectional study were extracted from the fifth and sixth waves of the National Health Services Surveys which were conducted in 2013 and 2018. A multistage stratified cluster random sampling strategy was used to select representative participants.SettingTibet Autonomous Region in China.ParticipantsThis study recruited 14 752 participants in 2013 and 13 106 participants in 2018, and after excluding observations with missing values for key variables, 10 247 in 2013 and 6436 in 2018 were included in the study analysis.Primary and secondary outcome measuresThe EQ-5D-3L was used to measure participants' HRQoL.ResultsThe mean health state utility scores of the participants were 0.969 +/- 0.078 and 0.966 +/- 0.077 in 2013 and 2018, respectively. Pain/discomfort was the most frequently prevalent issue reported in 18.1% and 17.9% of the participants in 2013 and 2018, respectively. Tibetans living 3500-4000 m altitude had the best HRQoL. Age, sex, employment status, educational attainment, chronic disease and weekly physical exercise were influencing factors associated with HRQoL.ConclusionsThe HRQoL of the Tibetan population was lower than the general Chinese population, and decreased over time between 5 years. There were differences in HRQoL among Tibetan at different altitudes, with residents living at 3500-4000 m having the best quality of life. More attention should be paid to those Tibetans who are older, female, unemployed and without formal education.
关键词	PUBLIC HEALTH Quality of Life China
英文关键词	HIGH-ALTITUDE; CARDIOVASCULAR HEALTH; TOURISM; EQ-5D; HYPERTENSION; STATE; PERCEPTIONS; PREVALENCE; HYPOXIA; EUROQOL
WOS研究方向	Medicine, General & Internal
WOS记录号	WOS:001107379900031
来源期刊	BMJ OPEN
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/283603
作者单位	Shandong University; Shandong University; Shandong University; Tibet University; Tibet University
推荐引用方式 GB/T 7714	Dou, Lei,Shi, Zhao,Cuomu, Zhaxi,et al. Health-related quality of life and its changes of the Tibetan population in China: based on the 2013 and 2018 National Health Services Surveys[J],2023,13(11).
APA	Dou, Lei.,Shi, Zhao.,Cuomu, Zhaxi.,Zhuoga, Cidan.,Li, Chaofan.,...&Li, Shunping.(2023).Health-related quality of life and its changes of the Tibetan population in China: based on the 2013 and 2018 National Health Services Surveys.BMJ OPEN,13(11).
MLA	Dou, Lei,et al."Health-related quality of life and its changes of the Tibetan population in China: based on the 2013 and 2018 National Health Services Surveys".BMJ OPEN 13.11(2023).