Quality of life profile of general Vietnamese population using EQ-5D-5L

• Published in: Health and quality of life outcomes Vol. 15; no. 1; p. 199
• Main Authors: Nguyen, Long Hoang, Tran, Bach Xuan, Hoang Le, Quynh Ngoc, Tran, Tung Thanh, Latkin, Carl A
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 11.10.2017; BioMed Central; BMC
• Subjects: Acquired immune deficiency syndrome; Activities of daily living; Adult; Aged; AIDS; Analysis; Cross-Sectional Studies; Dependent variables; Economic conditions; EQ-5D-5L; Family income; Female; Health policy; Health Status; Health-related quality of life; Higher education; Humans; Male; Mental depression; Middle Aged; Norms; Outcome Assessment (Health Care) - statistics & numerical data; Patient Acceptance of Health Care - statistics & numerical data; Population; Public health; Quality of Life; Self Report; Studies; Vietnam; Young Adult; Young adults; Vietnam; Norms; Health-related quality of life; Population; Vietnam; EQ-5D-5L
• ISSN: 1477-7525; 1477-7525
• DOI: 10.1186/s12955-017-0771-0

Health-related quality of life (HRQOL) is a vital benchmark to assess the effects of health interventions and policies. Measuring HRQOL of the general population is essential to establish a reference for health outcomes evaluations. However, evidence on HRQOL of general populations in low and middle income countries is very limited. This study aimed to measure HRQOL of the Vietnamese population by using the EuroQol-5 dimensions-5 levels (EQ-5D-5L) instrument and determine its associated factors. A cross-sectional study was performed in Hanoi with 1571 residences in Hanoi, the capital city of Vietnam. EQ-5D-5L and EQ- visual analogue scale (EQ-VAS) were used to assess HRQOL. Potential covariates included socio-demographic characteristics, having acute symptoms in the last four weeks, chronic diseases in the last three months, having multiple health issues, and health service utilisation in the last twelve months. A generalized linear model was employed to identify the association between HRQOL and covariates. Overall, the mean EQ-5D utility index was 0.91 (SD = 0.15), and the mean EQ-VAS score was 87.4 (SD = 14.3). The highest proportion of respondents reporting any problems was in Usual activities (24.3%), followed by Anxiety/Depression (15.2%) and Pain/Discomfort (10.0%), while the lowest percentage was in Self-care (2.5%). Lower HRQOL composite scores were related to unemployment, lower income, higher education, living in urban areas, having chronic diseases, having multiple health issues and using health service. For any health problem self-reported by respondents, the health utility reduced by 0.02 (respiratory diseases) to 0.15 (musculoskeletal diseases). Health utility of the general population and reductions for self-reported health problems in this study are useful for future population health evaluations and comparisons. It also informs the development of interventions to reduce health problems of the general population.