A cross-sectional study on the determinants of health-related quality of life in the Philippines using the EQ-5D-5L

Cheng, Kent Jason G.; Rivera, Adovich S.; Miguel, Red Thaddeus D.; Lam, Hilton Y.

doi:10.1007/s11136-021-02799-0

Cited by 6 publications

(5 citation statements)

References 37 publications

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“…The EQ-5D-5L scale consists of two parts:(1) five dimensions of mobility, self-care, usual activity, pain/discomfort, and anxiety/depression, which have five levels of response from no problems (code 1) to extreme problems (code 5), and (2) the EQ visual analogue scale, which can be used to assess the self-rated health of respondents using a 100-mm scale with a score ranging from 0 (the worst health you can imagine) to 100 (the best health you can imagine) [ 23 ].…”

Section: Methodsmentioning

confidence: 99%

RETRACTED ARTICLE: Health-related quality of life among ethnic minority residents in remote Western China: a cross-sectional study

Dong

Fan

et al. 2023

BMC Public Health

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Background Paying attention to the health-related quality of life (HRQOL) of rural residents in poverty-stricken areas is an important part of China's poverty alleviation, but most studies on health-related quality of life have focused on rural residents, elderly individuals, and patients; evidence on the HRQOL of rural minority residents is limited. Thus, this study aimed to assess the HRQOL of rural Uighur residents in remote areas of Xinjiang, China, and determine its influencing factors to provide policy opinions for realizing a healthy China strategy. Methods A cross-sectional study was performed on 1019 Uighur residents in rural areas. The EQ-5D and self-administered questionnaires were used to assess HRQOL. We applied Tobit and binary logit regression models to analyse the factors influencing HRQOL among rural Uighur residents. Results The health utility index of the 1019 residents was − 0.197,1. The highest proportion of respondents reporting any problem was for mobility (57.5%), followed by usual activity (52.8%). Low levels of the five dimensions were related to age, smoking, sleep time, Daily intake of vegetables and fruit per capita. Gender, age, marital status, physical exercise, sleep duration, daily intake of cooking oil per capita, daily intake of fruit per capita, distance to the nearest medical institution, non-infectious chronic diseases (NCDs), self-rated health score, and participation in community activities were correlated with the health utility index of rural Uighur residents. Conclusions HRQOL was lower for rural Uyghur residents than for the general population. Improving health behavioural lifestyles and reducing the incidence of poverty (return to poverty) due to illness are effective means of promoting the health in Uyghur residents. The region must fulfil the health poverty alleviation policy and focus on vulnerable groups and low-income residents to improve the health, ability, opportunity, and confidence of this population to live well.

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Section: Methodsmentioning

confidence: 99%

RETRACTED ARTICLE: Health-related quality of life among ethnic minority residents in remote Western China: a cross-sectional study

Dong

Fan

et al. 2023

BMC Public Health

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“…Our study population's overall HRQoL as reported using the EQ VAS and EQ index scores were 80 (IQR 60-90) and 0.78 (IQR 0.63-0.90) respectively. Compared to the Philippine value set (Median 97), our population of young adult stroke patients had a lower VAS score (Cheng et al, 2021). These findings are consistent with previous studies that have reported significantly lower scores for self-rated health in stroke survivors compared to individuals who did not suffer from stroke (Xie et al, 2006).…”

Section: Hrqol Of Young Adult Filipino Patients After Strokesupporting

confidence: 89%

“…We also administered the EQ-Visual Analog Scale (EQ-VAS) where patients provide a global assessment of their health on a vertical visual analog scale with values between 0 (worst imaginable health) and 100 (best imaginable health) (EuroQol Research Foundation, 2019). The Filipino versions of the EQ-5D-5L and EQ-VAS have been administered in a previous cross-sectional study on a wide sample of Filipino individuals (Cheng et al, 2021). The tool has also been validated in stroke populations (Hunger et al, 2012;Golicki et al, 2015).…”

Section: Determination Of Health-related Quality Of Lifementioning

confidence: 99%

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Impact of post stroke depression and anxiety on health-related quality of life in young Filipino adults

Ignacio¹,

Medrano²,

Salabi³

et al. 2023

Front. Stroke

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BackgroundHealth-related quality of life (HRQoL) is important to assess in young adults who suffer from various physical and mental consequences after stroke. We aimed to evaluate the HRQoL of young adults after ischemic or hemorrhagic stroke and to determine the association of anxiety and depression with poor HRQoL in this special population.MethodsWe administered the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) to assess the HRQoL in our study population. This tool describes health outcomes in five dimensions. Socio-demographic and clinical data including modified Rankin scale (mRS), Barthel Index and Hospital Anxiety and Depression Scale scores were available from our previous cross-sectional study on young adults with stroke. We performed bivariate analyses to assess the association of psychiatric comorbidities with categorical characteristics and determined risk factors for poor HRQoL using multivariable logistic regression analysis.ResultsWe evaluated HRQoL, psychiatric and functional outcomes in 114 young adult stroke patients. CVD infarct was more common than hemorrhage (58.8 vs. 41.2%). Patients with both anxiety and depression were found to have the lowest ratings on the HRQoL scales, with an EQ VAS of 60 vs. 90 (p = 0.01) and an EQ Index of 0.64 vs. 0.89 (p < 0.01) when compared to those without both conditions. Anxiety and depression were significantly correlated with poor quality of life on all dimensions of the EQ-5D-5L. Similarly, Barthel Index was a significant predictor for problems in HRQoL (OR 0.17, 95% CI 0.03–1.02 on the mobility dimension and OR 0.08, 95% CI 0.01–0.55 on the self-care dimension). Cerebral hemorrhage was an independent predictor for poorer self-care dimension scores (OR 4.99, 95% CI 1.42–17.56).ConclusionsOur study showed that anxiety, depression and poor functional status are associated with poorer HRQoL in young adult Filipinos after stroke. Screening for psychiatric conditions and evaluating mobility are crucial in the management of this special population after stroke.

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“…Urbanicity is associated with a range of health determinants in the Philippines ( 31 ). We used the urbanicity score developed by Dahly and Adair in this population to model this environmental effect ( 32 ).…”

Section: Methodsmentioning

confidence: 99%

Pregnancy is linked to faster epigenetic aging in young women

Ryan,

Lee,

Carba

et al. 2024

Proc. Natl. Acad. Sci. U.S.A.

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A central prediction of evolutionary theory is that energy invested into reproduction comes at the expense of somatic maintenance and repair, accelerating biological aging. Supporting this prediction are findings that high fertility among women predicts shorter lifespan and poorer health later in life. However, biological aging is thought to begin before age-related health declines, limiting the applicability of morbidity and mortality for studying the aging process earlier in life. Here, we examine the relationship between reproductive history and biological aging in a sample of young (20 to 22yo) men and women from the Cebu Longitudinal Health and Nutrition Survey, located in the Philippines (n = 1,735). We quantify biological aging using six measures, collectively known as epigenetic clocks, reflecting various facets of cellular aging, health, and mortality risk. In a subset of women, we test whether longitudinal changes in gravidity between young and early–middle adulthood (25 to 31yo) are associated with changes in epigenetic aging during that time. Cross-sectionally, gravidity was associated with all six measures of accelerated epigenetic aging in women (n = 825). Furthermore, longitudinal increases in gravidity were linked to accelerated epigenetic aging in two epigenetic clocks (n = 331). In contrast, the number of pregnancies a man reported fathering was not associated with epigenetic aging among same-aged cohort men (n = 910). These effects were robust to socioecological, environmental, and immunological factors, consistent with the hypothesis that pregnancy accelerates biological aging and that these effects can be detected in young women in a high-fertility context.

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A cross-sectional study on the determinants of health-related quality of life in the Philippines using the EQ-5D-5L

Cited by 6 publications

References 37 publications

RETRACTED ARTICLE: Health-related quality of life among ethnic minority residents in remote Western China: a cross-sectional study

RETRACTED ARTICLE: Health-related quality of life among ethnic minority residents in remote Western China: a cross-sectional study

Impact of post stroke depression and anxiety on health-related quality of life in young Filipino adults

Pregnancy is linked to faster epigenetic aging in young women

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