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Int. J. Environ. Res. Public Health 2018, 15(4), 768; https://doi.org/10.3390/ijerph15040768

Health-Related Quality of Life in Patients with Arthritis: A Cross-Sectional Survey among Middle-Aged Adults in Chongqing, China

1
School of Public Health and Management, Chongqing Medical University, No. 1 Yixueyuan Road, Yuzhong District, Chongqing 400016, China
2
The Fourth Student Office of the School of Nursing, Chongqing Medical University, No. 1 Yixueyuan Road, Yuzhong District, Chongqing 400016, China
3
Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
4
The Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China
5
Department of Preventive Medicine, Loma Linda University Medical Center, 24785 Stewart Street, Suite 204, Loma Linda, CA 92354, USA
6
Department of Educational Psychology, University of Nebraska-Lincoln, P.O. Box 880345, Lincoln, NE 68588, USA
7
School of Public Health, Soochow University, Suzhou 215000, China
8
Department of Behavioral and Environmental Health, Jackson State University, Jackson, MS 39213, USA
9
School of Health Sciences, Walden University, 100 Washington Avenue South, Suite 900, Minneapolis, MS 55401, USA
*
Author to whom correspondence should be addressed.
Received: 28 November 2017 / Revised: 29 March 2018 / Accepted: 12 April 2018 / Published: 16 April 2018
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
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Abstract

Background: Arthritis is a common disease in China, but few studies have been conducted to explore the associated health-related quality of life (HRQoL) and its influencing factors in Chongqing, China. This study aimed to explore the association of arthritis and HRQoL and probe factors affecting HRQoL among arthritis patients. Methods: A cross-sectional survey was conducted in Chongqing, China. A total of 1224 adults were included in the analysis. Medical Outcomes Study Short Form 36 Health Survey (SF-36) was used to measure HRQoL. Multiple linear regression models (stepwise) and covariance analysis models were used to examine the association of arthritis with HRQoL and analyze factors associated with HRQoL among arthritis patients. Results: Participants with arthritis had poorer HRQoL than those without. Among arthritis patients, the female was associated with a poorer state of physical functioning (p < 0.05); unemployed patients had a poorer state of role-physical than employed patients (p < 0.05); low average monthly income was associated with a poorer state of physical functioning (p < 0.01); childhood non-breastfeeding history was associated with a poorer state of social functioning (p < 0.01); average or dissatisfied attitude to current living conditions was associated with a poorer state of vitality and mental health (p < 0.05 for all); moreover, poor or general appetite was associated with a poorer state of role-physical, general health, social functioning, bodily pain, and role-emotional (p < 0.01 for all). Conclusions: Arthritis patients have worse HRQoL than those without in the Chinese population. Female, low socioeconomic status, childhood non-breastfeeding history, average or dissatisfied attitude to current living conditions and poor or general appetite were associated with poorer state of HRQoL among Chinese arthritis patients. View Full-Text
Keywords: arthritis; quality of life; gender; lifestyle; adulthood arthritis; quality of life; gender; lifestyle; adulthood
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Rao, Y.; Xu, X.; Liu, D.; Reis, C.; Newman, I.M.; Qin, L.; Sharma, M.; Shen, J.; Zhao, Y. Health-Related Quality of Life in Patients with Arthritis: A Cross-Sectional Survey among Middle-Aged Adults in Chongqing, China. Int. J. Environ. Res. Public Health 2018, 15, 768.

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