The Study Of Health Related Quality Of Life And Its Impact Factors Of People In Minority Areas

ObjectivesTo measure the Health Related Quality of Life (HRQOL) of minority people in Yunnan province and to describe systematically the health status, chronic diseases and the VAS (Visual Analogue Scale) of these people. And to identify the main factors influencing Health Related Quality of Life (HRQOL).MethodsThe data of our study is come from Household Health Survey (HHS) of the fifth National Health Service Survey in Yunnan province carried by National Health and Family Planning Commission (NHFPC) carried on2013. There were10counties (cities or districts) were randomly selected using a multi-stage stratified random cluster sampling method. EuroQol-5D questionnaire were used in Household Health Survey (HHS) to measure respondent’s Health Related Quality of Life (HRQOL). Then a ED-5Q Comprehensive Health Index was calculated by Health utilities index conversion table using the time-trade off (TTO) methods. Taking into account data censored due to ceiling effect of EQ-5D, the study used Tobit Model to analyze the impact of five dimensions of EQ-5D on VAS in minority people group and to analyze the main factors influencing Health Related Quality of Life (HRQOL) on minority people and Han population.ResultsThe data set of the study contains12820residents from10sample areas in Yunnan province.1. The five dimensions of EQ-5D scale generates total of243answers. Our study finds the study subjects produced91of243answers. The largest proportion of the study subjects, answer to health status is no problems in all five dimensions. 2. The average VAS of the study Population is82.29. Of them. the average score for the minority Population was82.29and80.84for the Han population. Among the minority population, the VAS of Meng minority is the highest, the second highest is Man population.3. ED-5Q Comprehensive Health Index of Yunnan minority people were0.884(UK conversion method) and0.957(Japan conversion method), they were all higher than Han nationality.4. Health related quality of life decreases with age, educational levels, employment status, and medical insurance also have impact on health related quality of life.Conclusions1. Evaluation of health related quality of life in minority residents using the EQ-SD scale showed that two most frequent health Problems are’Pain/discomfort’, and ’anxiety/depression’.2. Health related quality of life has different distribution Pattern in different population groups. Overall, minority population’s health related quality of life is better than that in Han population. The understanding of health of the minority people is not scientific enough.3. Health related quality of life decreases with age, educational levels, employment status, and medical insurance also have impact on health related quality of life. People with healthier life style such as not smoking, drinkingless, and physic exercise regularly have better status of health related quality of life.4. Tobit regression method is an suitable method to analyze the celling data.