Key result
Hypertension was associated with a significantly lower health-related quality of life compared to non-hypertension among rural adults, with pain/discomfort being the most common problem.
Why the study?
Previous reports regarding HRQoL of hypertensive individuals commonly concentrated on urban populations, leaving HRQoL and its influencing factors in rural populations less explored.
Cross-Sectional (n=23,485)
Hypertension is associated with significantly reduced health-related quality of life in rural populations, a burden that is exacerbated by aging and comorbidities but potentially mitigated by higher socioeconomic status and healthy lifestyles.
Answers are grounded in this paper and cite their sources.
HRQoL determinants in rural hypertension may differ from urban; leaves open need for longitudinal studies before guiding care.
BACKGROUND: Previous reports regarding health-related quality of life (HRQoL) of hypertensive individuals commonly concentrated on urban population. This study focused on rural population and aimed to explore the influencing factors of HRQoL. METHODS: Date were derived from Henan Rural Cohort study. The HRQoL of participants were assessed via European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) instrument. Tobit regression model and generalized linear model were employed to explore the influencing factors of HRQoL. Another binary logistic regression was utilized to examine the robustness of our results. RESULTS: Among 23,485 rural population, 8128 participants were identified with hypertension. The mean (SD) utility index and VAS score of non-hypertension group were 0.96 (0.09) and 79.66 (14.20), respectively, while in hypertension group were 0.94 (0.14) and 75.88 (15.50), respectively. Pain/discomfort was the most common self-reported problem (23.05%) for patients. Aging and suffering with other diseases were negatively associated with HRQoL among rural patients, while high socioeconomic status and healthy lifestyles corresponded with high HRQoL. CONCLUSIONS: Hypertension did push considerable pressures on patients' HRQoL. Maintaining healthy lifestyles and improving the socioeconomic status of patients were advisable ways to reduce this burden. Trial registration The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). http://www.chictr.org.cn/showproj.aspx?proj=11375.
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Sang et al. (2021) conducted a cross-sectional in Hypertension (n=23,485). Hypertension vs. Non-hypertension was evaluated on EQ-5D-5L utility index (p=<0.001). Hypertension was associated with a significantly lower health-related quality of life compared to non-hypertension among rural adults, with pain/discomfort being the most common problem.
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