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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2016

Open Access 01-12-2016 | Research

Influence of culture, residential segregation and socioeconomic development on rural elderly health-related quality of life in Guangxi, China

Authors: Tai Zhang, Wuxiang Shi, Zhaoquan Huang, Dong Gao, Zhenyou Guo, Jianying Liu, Virasakdi Chongsuvivatwong

Published in: Health and Quality of Life Outcomes | Issue 1/2016

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Abstract

Background

This study aimed to assess ethnic differences in health-related quality of life (HRQoL) among the rural elderly, and to examine the influence of ethnic culture, residential segregation and socioeconomic development on HRQoL.

Methods

A total of 6,511 rural elderly aged 60 years and older from 5,541 households in 116 villages across eight ethnic groups in Guangxi Zhuang Autonomous region were selected and assessed for HRQoL. The EQ-5D index values were calculated based on the Chinese Time Trade-Off values set. The EQ-5D descriptive system scores, visual analogue scale scores, and index values were described by ethnic group. The EQ-5D index was modeled against ethnic culture, residential segregation and socioeconomic development using villages as random effects.

Results

The median (IQR) of HRQoL among all the ethnic groups was 0.88 (0.80, 0.96). Pain/discomfort was the most prevalent problem, followed by anxiety/depression. After controlling for sociodemographic characteristics, a significant difference in HRQoL among ethnic groups persisted, but this was not true for residential segregation.

Conclusion

Social welfare and health policies designed to improve the health of the rural elderly should focus more on older, female, less-educated, Yao minority individuals as well as lower-income households.
Literature
1.
McNicoll G. World Population Ageing 1950–2050. Popul Dev Rev. 2002;28:814–6.
2.
3.
Sun S, Chen J, Johannesson M, et al. Regional differences in health status in China: Population health-related quality of life results from the National Health Services Survey 2008. Health Place. 2011;17:671–80.CrossRefPubMed
4.
5.
Acquadro C, Jambon B, Ellis D, Marquis P. Quality of Life and Pharmacoeconomics in Clinical Trials. Pharmaceut Med. 1996;10:45–6.
6.
Kagawa-Singer M, Padilla GV, Ashing-Giwa K. Health-related quality of life and culture. Semin Oncol Nurs. 2010;26:59–67.CrossRefPubMed
7.
Harper A. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28:551–8.CrossRef
8.
Ashing-Giwa KT. The contextual model of HRQoL: A paradigm for expanding the HRQoL framework. Qual Life Res. 2005;14:297–307.CrossRefPubMed
9.
Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46:1417–32.CrossRefPubMed
10.
11.
Wang P, Li MH, Liu GG, Thumboo J, Luo N. Do Chinese have similar health-state preferences? A comparison of mainland Chinese and Singaporean Chinese. Eur J Health Econ. 2014;16:857–63.CrossRefPubMed
12.
Lai DW. Impact of culture on depressive symptoms of elderly Chinese immigrants. Can J Psychiatry. 2004;49:820–7.PubMed
13.
Chen Y, Hicks A, While AE. Quality of life of older people in China: A systematic review. Rev Clin Gerontol. 2013;23:88–100.CrossRef
14.
15.
Gustafsson B, Ding S. Villages where China’s ethnic minorities live. China Econ Rev. 2009;20:193–207.CrossRef
16.
Szende A, Janssen B, Cabases J. Self-reported population health: an international perspective based on EQ-5D. New York: Springer; 2014.CrossRef
17.
Wang HM, Patrick DL, Edwards TC, et al. Validation of the EQ-5D in a general population sample in urban China. Qual Life Res. 2012;21:155–60.CrossRefPubMed
18.
Chang TJ, Tarn YH, Hsieh CL, et al. Taiwanese version of the EQ-5D: validation in a representative sample of the Taiwanese population. J Formos Med Assoc. 2007;106:1023–31.CrossRefPubMed
19.
Sun S, Chen J, Johannesson M, et al. Population health status in China: EQ-5D results, by age, sex and socio-economic status, from the National Health Services Survey 2008. Qual Life Res. 2011;20:309–20.CrossRefPubMed
20.
Liu GG, Wu H, Li M, Gao C, Luo N. Chinese Time Trade-Off Values for EQ-5D Health States. Value Health. 2014;17:597–604.CrossRefPubMed
21.
Hoi LV, Chuc NT, Lindholm L. Health-related quality of life, and its determinants, among older people in rural Vietnam. BMC Public Health. 2010;10:549.CrossRefPubMedPubMedCentral
22.
Wang H, Kindig DA, Mullahy J. Variation in Chinese population health related quality of life: results from a EuroQol study in Beijing, China. Qual Life Res. 2005;14:119–32.CrossRefPubMed
23.
Walters SJ, Brazier JE. Comparison of the minimally important difference for two health state utility measures: EQ-5D and SF-6D. Qual Life Res. 2005;14:1523–32.CrossRefPubMed
24.
Frick KD, Jones AS. Gender bias in economic evaluation methods: quality of life and family role effects. Womens Health Issues. 2008;18:4–6.CrossRefPubMed
25.
Wang C, Li H, Li L, Xu D, Kane RL, Meng Q. Health literacy and ethnic disparities in health-related quality of life among rural women: results from a Chinese poor minority area. Health Qual Life Outcomes. 2013;11:153.CrossRefPubMedPubMedCentral
26.
Furnée CA, Groot W, Van den Brink HM. The health effects of education: a meta-analysis. Eur J Public Health. 2008;18:417–21.CrossRefPubMed
27.
Lubetkin EI, Jia H, Franks P, Gold MR. Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: examining the EQ-5D in the US general population. Qual Life Res. 2005;14:2187–96.CrossRefPubMed
28.
29.
Li H, Wei X, Ma A, Chung RY. Inequalities in health status among rural residents: EQ-5D findings from household survey China. Int J Equity Health. 2014;13:41–8.CrossRefPubMedPubMedCentral
30.
Liu LJ, Guo Q. Loneliness and health-related quality of life for the empty nest elderly in the rural area of a mountainous county in China. Qual Life Res. 2007;16:1275–80.CrossRefPubMed
31.
Dai H, Jia G, Liu K. Health-related quality of life and related factors among elderly people in Jinzhou, China: a cross-sectional study. Public Health. 2015;129:667–73.CrossRefPubMed
32.
33.
Kawachi I, Berkman LF. Neighborhoods and health. New York: Oxford University Press; 2003.CrossRef
34.
Lee MA, Ferraro KF. Neighborhood residential segregation and physical health among Hispanic Americans: Good, bad, or benign? J Health Soc Behav. 2007;48:131–48.CrossRefPubMed
35.
Acevedo-Garcia D, Lochner KA, Osypuk TL, Subramanian SV. Future directions in residential segregation and health research: a multilevel approach. Am J Public Health. 2003;93:215–21.CrossRefPubMedPubMedCentral
36.
37.
Subramanian SV, Acevedo-Garcia D, Osypuk TL. Racial residential segregation and geographic heterogeneity in black/white disparity in poor self-rated health in the US: a multilevel statistical analysis. Soc Sci Med. 2005;60:1667–79.CrossRefPubMed
38.
Wang RP, Ren Y, Zhang JH, Ren H. The way of life and the actions on health keeping and body building in the activities of minority folk in Gansu Province. J Northwest Normal Univ (Natural Science). 2008;44:115–7.
39.
Shaw JW, Johnson JA, Chen S, Levin JR, Coons SJ. Racial/ethnic differences in preferences for the EQ-5D health states: results from the U.S. valuation study. J Clin Epidemiol. 2007;60:479–90.CrossRefPubMed
40.
Sun W, Aodeng S, Tanimoto Y, et al. Quality of life (QOL) of the community-dwelling elderly and associated factors: a population-based study in urban areas of China. Arch Gerontol Geriatr. 2015;60:311–6.CrossRefPubMed
41.
Avis NE, Ory M, Matthews KA, Schocken M, Bromberger J, Colvin A. Health-related quality of life in a multiethnic sample of middle-aged women: Study of Women’s Health Across the Nation (SWAN). Med Care. 2003;41:1262–76.CrossRefPubMed
Metadata
Title
Influence of culture, residential segregation and socioeconomic development on rural elderly health-related quality of life in Guangxi, China
Authors
Tai Zhang
Wuxiang Shi
Zhaoquan Huang
Dong Gao
Zhenyou Guo
Jianying Liu
Virasakdi Chongsuvivatwong
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2016
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-016-0499-2

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