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Zhu Y, Liu J, Qu B, Yi Z. Quality of life, loneliness and health-related characteristics among older people in Liaoning province, China: a cross-sectional study. BMJ Open 2018; 8:e021822. [PMID: 30429143 PMCID: PMC6252650 DOI: 10.1136/bmjopen-2018-021822] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2018] [Revised: 08/09/2018] [Accepted: 10/02/2018] [Indexed: 01/12/2023] Open
Abstract
OBJECTIVES The aim of the study was to examine the relations among quality of life (QOL), loneliness and health-related characteristics in a sample of Chinese older people. DESIGN Cross-sectional study. SETTING Communities in Dandong city, Liaoning province, China. PARTICIPANTS Sample of 732 older people aged 60 and older who were living in Dandong, Liaoning province, China. METHODS A questionnaire was administered to the participants face-to-face. The questionnaire contained four sections: demographic characteristics, health-related characteristics, the EQ-5D Scale and the UCLA Loneliness Scale. The t-test, F-test and multivariable linear regression analyses were performed to individually test associations between the demographic data, health-related characteristics, loneliness and QOL. RESULTS Chronic diseases, loneliness, age and smoking status were negatively associated with QOL (p<0.05). Satisfaction with health services, income and physical activity were positively associated with QOL (p<0.05). CONCLUSIONS Loneliness, chronic diseases and health service satisfaction were important factors related to low QOL among older people in China. The findings indicate that reducing loneliness, managing chronic diseases and improving the health service may help to improve the QOL for older people.
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Affiliation(s)
- Yaxin Zhu
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, People’s Republic of China
| | - Jie Liu
- Department of Health Statistics, School of Public Health, China Medical University, Shenyang, People’s Republic of China
| | - Bo Qu
- Department of Health Statistics, School of Public Health, China Medical University, Shenyang, People’s Republic of China
| | - Zhe Yi
- Department of Prothodontics, School of Stomatology, China Medical University, Shenyang, People’s Republic of China
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Jin X, Liu GG, Gerstein HC, Levine MAH, Guan H, Li H, Xie F. Minimally important difference and predictors of change in quality of life in type 2 diabetes: A community-based survey in China. Diabetes Metab Res Rev 2018; 34:e3053. [PMID: 30064154 DOI: 10.1002/dmrr.3053] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2017] [Revised: 07/10/2018] [Accepted: 07/20/2018] [Indexed: 01/25/2023]
Abstract
BACKGROUND To identify the minimally important difference (MID) of the EQ-5D-3L and determinants of change in quality of life (QoL) as measured by the EQ-5D-3L over 1 year for Chinese type 2 diabetic patients (T2DPs). METHODS Clinically diagnosed T2DPs were recruited from 66 community health centres in five Chinese cities using a multistage quota sampling method between December 2010 and October 2011. Demographics, diabetes-related information, and health-related behaviours were collected at baseline. The EQ-5D-3L was administered at baseline and at 12 months. Anchor-based and distribution-based approaches were employed to estimate MIDs. Using the MIDs as cut-points, we identified the change in EQ-5D-3L-measured QoL into "worsening," "no change," and "bettering." Logistic and ordered logistic regressions were conducted for those who reported best possible EQ-5D health state ("best possible HS") and impaired EQ-5D health states ("impaired HS") at baseline, respectively. Explanatory variables included demographics, diabetes-related information, and health-related behaviours. RESULTS A total of 1958 patients (54.9% female, mean age 61.2 years, mean diabetes duration 7.9 years) were included in our analysis. MIDs of the EQ-5D-3L for deterioration and improvement were estimated as -0.066 to -0.003, and 0.049 to 0.077, respectively. For the impaired HS group, older age, lower education, and less exercise were significant predictors for worsening in QoL; whereas, those predictors were older age, female gender, and lower income for the best possible HS group. CONCLUSIONS Minimally important differences for deterioration and improvement were estimated for the EQ-5D-3L. Age, gender, education, income, and exercise were significant determinants of QoL change for Chinese T2DPs.
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Affiliation(s)
- Xuejing Jin
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
- China Center for Health Economic Research, Peking University, Beijing, China
- School of Public Health, University of Alberta, Edmonton, Alberta, Canada
| | - Gordon G Liu
- China Center for Health Economic Research, Peking University, Beijing, China
- National School of Development, Peking University, Beijing, China
| | | | - Mitchell A H Levine
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Haijing Guan
- China Center for Health Economic Research, Peking University, Beijing, China
- School of Pharmaceutical Science, Peking University, Beijing, China
| | - Hongchao Li
- School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China
| | - Feng Xie
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
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Samiei Siboni F, Alimoradi Z, Atashi V. Health-Promoting Lifestyle: A Considerable Contributing Factor to Quality of Life in Patients With Hypertension. Am J Lifestyle Med 2018; 15:191-199. [PMID: 33786035 DOI: 10.1177/1559827618803853] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2018] [Revised: 08/02/2018] [Accepted: 09/10/2018] [Indexed: 11/16/2022] Open
Abstract
Aim: Investigating the relationship between health promoting behaviors and quality of life in patients with hypertension. Methods: In this cross-sectional study, health-promoting behaviors and quality of life in patients with hypertension were assessed in a cardiology clinic of a university hospital in an urban area of Iran. The sample consisted of 93 patients with hypertension who were recruited using a convenience sampling method. Demographic data, Health Promoting Lifestyle Behaviors Profile (HPLP II) and World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaires were used to gather data. Data were analyzed using SPSS software version 21. Results: The mean score of health promoting behaviors was moderate (2.51 ± 0.47) with highest and lowest scores in nutritional (2.80 ± 0.52) and physical activity (1.78 ± 0.62) dimension, respectively. There was a statistically significant relationship between health-promoting behaviors and quality of life. The relationship between health-promoting behaviors and quality of life had the highest power in psychological health dimension (β = 5.353, P < .001) and lowest power in the environmental dimension (β = 0.365, P < .001). Conclusion: Improving quality of life of patients requires paying attention to educational interventions for creating changes in the lifestyle to improve all aspects of quality of life.
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Affiliation(s)
- Fatemeh Samiei Siboni
- Faculty of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.,Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.,School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Zainab Alimoradi
- Faculty of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.,Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.,School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Vajihe Atashi
- Faculty of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.,Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.,School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
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Socioeconomic Inequalities in Health-Related Quality of Life among Patients with Cardiovascular Diseases in Vietnam. BIOMED RESEARCH INTERNATIONAL 2018; 2018:2643814. [PMID: 30356405 PMCID: PMC6178168 DOI: 10.1155/2018/2643814] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Accepted: 09/06/2018] [Indexed: 12/13/2022]
Abstract
Purpose This study aims to explore the sociodemographic differences in health-related quality of life (HRQOL) among Vietnamese patients with cardiovascular diseases (CVD). Methods A cross-sectional survey of 600 cardiovascular disease patients (300 inpatients and 300 outpatients) being treated at the Hanoi Heart Hospital was completed between July and December 2016. Data about HRQOL were collected by using the EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) and EuroQOL-visual analogue scale (VAS). Sociodemographic characteristics were collected. A multivariate Tobit regression was used to detect the correlations between HRQOL and sociodemographic factors. Results Our sample had an average EQ-5D index of 0.82 (SD=0.21) and VAS score of 77.8 (SD=13.6). Participants were most likely to report problems in pain/discomfort (38.8%) and anxiety/depression (35.2%) and were least likely to report problems related to self-care (19.8%). Age and sex were strongly associated with the EQ-5D index and the VAS. Having health insurance and the number of hospital visits were negatively associated with HRQOL, while participation in the chronic disease management program had the positive relationship. Conclusions HRQOL among patients with CVD was moderately lower compared to the Vietnamese general population. Sociodemographic characteristics were strongly associated with HRQOL suggesting that addressing these inequalities should be prioritized in delivering services. Patients should also be encouraged to participate in the chronic disease management program due to its positive effects on quality of life.
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Impact of hypertension on health-related quality of life among different age subgroups in Shanghai: the subpopulation treatment effect pattern plot analysis. J Hum Hypertens 2018; 33:78-86. [PMID: 30082691 DOI: 10.1038/s41371-018-0092-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 07/09/2018] [Accepted: 07/11/2018] [Indexed: 12/31/2022]
Abstract
The aim of our study was to investigate the effect of hypertension on health-related quality of life (HRQoL) among different age subgroups of people in Shanghai using subpopulation treatment effect pattern plot (STEPP) methodology. We utilized data from the fifth Health Service Survey of Shanghai, 2013, which utilizes a cross-sectional study design. The participants were selected into the survey by using a three-stage, stratified, random sampling method. HRQoL was evaluated by the EuroQol five-dimensional 3 level (EQ-5D-3L) questionnaire, and the EuroQol-visual analog scales (EQ-VAS) score was the main outcome. A generalized estimating equations (GEE) model adjusted for socio-demographic covariates was used to determine the effect of hypertension on HRQoL. STEPP analysis was performed to explore the effect of hypertension within overlapping age subpopulations. Subgroup analyses for gender were conducted for the main outcome. A total of 28,730 residents who were 18 years or older were included in our study. The results of the multivariate GEE model showed that hypertension negatively affected HRQoL in the study population (estimate = -1.85, p < 0.0001). According to the STEPP analysis, we found that the EQ-VAS score in the hypertension group was lower than that in non-hypertension group for every age group. Additionally, the results of subgroup analyses indicated that the difference of score between two groups was larger among young women. When compared to respondents without hypertension, respondents with hypertension experienced lower HRQoL regardless of gender or any range of age. Furthermore, the impact of hypertension on HRQoL of young women might be more obvious.
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Hong JT, Kim JH, Kim KS, Lee CS, Shin HC, Kim WK, Kim JH, Lee JK, Kim IS, Ha Y, Im SB, Kim SW, Han IH, Shin JJ, Rim B, Suk KS, Kim JH, Park YS, Chang BS, Jun DS, Kim YH, Lee JH, Min WK, Lee JS, Park SY, Oh IS, Hong JY, Seo BJ, Kim YJ, Lee J. Pharmacological target therapy of neuropathic pain and patient-reported outcomes in patients with chronic low back pain in Korea: Results from the NLBP Outcomes Research. Medicine (Baltimore) 2018; 97:e11919. [PMID: 30170385 PMCID: PMC6393114 DOI: 10.1097/md.0000000000011919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
A number of studies have demonstrated an association of neuropathic pain and chronic low back pain (CLBP), but the outcome difference in each medical management is poorly understood. This study is aimed to investigate treatment patterns of neuropathic pain in CLBP patients and to explore patient-reported outcomes (PROs) including quality of life (QoL) and functional disability by treatment patterns.Data were extracted from the neuropathic low back pain (NLBP) outcomes research. It was a multicenter and cross-sectional study in which 1200 patients were enrolled at 27 general hospitals, from 2014 to 2015. Of total, 478 patients classified as neuropathic pain were used for this subgroup analysis. The patients were divided into 2 groups according to treatment patterns (with vs. without the targeted therapy [TT] of neuropathic pain). Demographic and clinical features were collected by chart reviews and PROs were measured by patient's survey. QoL was assessed by EuroQoL 5-dimension (EQ-5D) questionnaire. Functional disability was measured by the Quebec Back Pain Disability Scale (QBPDS). Multiple linear regression analyses were conducted to compare the PROs between TT group and non-targeted therapy (nTT) group.Among the NLBP patients (mean age 63years, female 62%), EQ-5D index, EuroQoL-Visual Analog Scale (EQ-VAS), and QBPDS Scores (mean ± standard deviation) were 0.40 ± 0.28, 54.98 ± 19.98, and 46.03 ± 21.24, respectively. Only 142 (29.7%) patients had pharmacological TT of neuropathic pain. Univariate analyses revealed no significant mean differences between TT group and nTT group in the EQ-5D index (0.41 ± 0.27 and 0.39 ± 0.28), EQ-VAS (56.43 ± 18.17 and 54.37 ± 20.69), and QBPDS (45.31 ± 21.32 and 46.31 ± 21.24). After adjustment with covariates, TT group had higher scores of EQ-5D index (β = 0.07; P < 0.01) and EQ-VAS (β = 4.59; P < 0.05) than the nTT group. The TT group's QBPDS score was lower than the nTT group, although its statistical significance still has not been reached (β = -4.13; P = 0.07).We found that considerable proportion of the NLBP patients remains untreated or undertreated. Although TT group had significantly better QoL than nTT group, only 29.7% of NLBP patients had pharmacological TT. Therefore, clinicians should consider using TT for better QoL of neuropathic pain patients.
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Affiliation(s)
- Jae Taek Hong
- Department of Neurosurgery, The catholic university of Korea, St. Vincent's hospital & Eunpyung St. Mary's Hospital, Suwon
| | - Jin-Hwan Kim
- Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Gyeonggi-do
| | - Keun-Su Kim
- Department of Neurosurgery, Gangnam Severance Hospital, Yonsei University Health System
| | - Chong-Suh Lee
- Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine
| | - Hyun-Chul Shin
- Department of Neurosurgery, Kangbuk Samsung Hospital, Seoul
| | - Woo-Kyung Kim
- Department of Neurosurgery, Gachon University Gil Medical Center, Incheon
| | - Joo-Han Kim
- Department of Neurosurgery, Korea University Guro Hospital, Seoul
| | - Jung-Kil Lee
- Department of Neurosurgery, Chonnam National University Hospital, Kwangju
| | - In-Soo Kim
- Department of Neurosurgery, Keimyung University Dongsan Hospital, Daegu
| | - Yoon Ha
- Department of Neurosurgery, Severance Hospital, Yonsei University Health System, Seoul
| | - Soo-Bin Im
- Department of Neurosurgery, Soonchunhyang University Hospital Bucheon, Gyeonggi-do
| | - Sang Woo Kim
- Department of Neurosurgery, Yeungnam university Hospital, Daegu
| | - In-Ho Han
- Department of Neurosurgery, Pusan National University Hospital, Busan
| | - Jun-Jae Shin
- Department of Neurosurgery, Inje University Industry Academic Cooperation Foundation, Wonju, Korea
| | - ByeongCheol Rim
- Department of Neurosurgery, Sun Medical Center, Kerala, India
| | - Kyung-Soo Suk
- Department of Orthopedic Surgery, Gangnam Severance Hospital, Yonsei University Health System
| | - Jin-Hyok Kim
- Department of Orthopedic Surgery, Inje University Sanggye Paik Hospital, Seoul
| | - Ye-Soo Park
- Department of Orthopedic Surgery, Guri Hospital, Hanyang University College of Medicine, Gyeonggi-do
| | - Bong-Soon Chang
- Department of Orthopedic Surgery, Seoul National University Hospital, Seoul
| | - Deuk Soo Jun
- Department of Orthopedic Surgery, Gachon University Gil Medical Center, Incheon
| | - Young-Hoon Kim
- Department of Orthopedic Surgery, Seoul St. Mary's Hospital of the Catholic University of Korea
| | - Jung-Hee Lee
- Department of Orthopedic Surgery, Kyung Hee University Hospital, Seoul
| | - Woo-Kie Min
- Department of Orthopedic Surgery, Kyungpook National University Hospital, Daegu
| | - Jung Sub Lee
- Department of Orthopedic Surgery, Pusan National University Hospital, Busan
| | - Si-Young Park
- Department of Orthopedic Surgery, Korea University Anam Hospital, Seoul
| | - In-Soo Oh
- Department of Orthopedic Surgery, Incheon St. Mary's Hospital of the Catholic University of Korea, Incheon
| | - Jae-Young Hong
- Department of Orthopedic Surgery, Korea University Ansan Hospital, Gyeonggi-do
| | - Bo-Jeong Seo
- Outcomes Research/Real World Data, Corporate Affairs & Health and Value, Pfizer Pharmaceuticals Korea Ltd
| | - Young-Joo Kim
- Outcomes Research/Real World Data, Corporate Affairs & Health and Value, Pfizer Pharmaceuticals Korea Ltd
| | - Juneyoung Lee
- Department of Biostatistics, College of Medicine, Korea University, Seoul, Republic of Korea
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GuimarãesSá AM, Ferreira PAM, Souza MT, Nascimento GC, da Silva Pereira Damianse S, de Carvalho Rocha VC, dos Santos Faria M, de Souza Paiva Ferreira A. Higher Income and Integration into the Workforce Are the Main Factors Associated with Quality of Life in Acromegalic Patients in Northeastern Brazil. Int J Endocrinol 2018; 2018:6135080. [PMID: 29681935 PMCID: PMC5848138 DOI: 10.1155/2018/6135080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Revised: 12/14/2017] [Accepted: 01/10/2018] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE To identify the factors associated with quality of life in patients with acromegaly with follow-up at the referral service in neuroendocrinology of the state of Maranhão, northeast Brazil. METHODS The Acromegaly Quality of Life Questionnaire (Acro-QoL) was used. Factors independently associated with quality of life were identified using multivariate linear regression, with p values < 0.05 considered significant. RESULTS The multivariate linear regression analysis indicated a positive association between being integrated into the job market and quality of life scores in the overall domain (β = 0.288, p = 0.003), psychological domain (β = 0.291, p = 0.032), and personal relationship domain (β = 0.314, p = 0.019). We also observed a positive association with income and the quality of life scores in all domains as follows: overall domain (β = 0.037, p = 0.003), physical domain (β = 0.988, p = 0.001), psychological domain (β = 0.342, p = 0.008), physical appearance domain (β = 0.270, p = 0.049), and personal relationship domain (β = 0.315, p = 0.012). CONCLUSION For patients with acromegaly living in one of the least developed regions of Brazil, integration into the job market and a higher income were associated with a better quality of life.
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Affiliation(s)
- Adriana Maria GuimarãesSá
- Graduate Program in Public Health, Department of Public Health, The Federal University of Maranhão (UFMA), São Luís, MA, Brazil
| | | | | | - Gilvan Cortês Nascimento
- Presidente Dutra University Hospital of The Federal University of Maranhão (HUUPD-UFMA), São Luís, MA, Brazil
| | | | | | - Manuel dos Santos Faria
- Graduate Program in Child and Adult Health, Department of Medicine, UFMA, São Luís, MA, Brazil
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Effect of multimorbidity on quality of life in adult with cardiovascular disease: a cross-sectional study. Health Qual Life Outcomes 2017; 15:240. [PMID: 29221456 PMCID: PMC5723093 DOI: 10.1186/s12955-017-0820-8] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2017] [Accepted: 12/01/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The aim of present study was to describe the effect of multimorbidity on Health-Related Quality of Life (HRQoL) in patients with coronary artery disease (CAD). METHODS A cross-sectional study with a simple sampling method of 296 patients undergoing coronary artery bypass surgery in a referral hospital of the northern part of Iran was conducted between April, 2015 and September, 2016. Multimorbidity was defined as the presence of at least two chronic diseases based on self-reporting and medical records. HRQoL was measured using the 36-item short form (SF-36) health status survey. We used analysis of variance (ANOVA) to assess the effect of multimorbidity on mental and physical component of HRQoL. RESULTS Approximately, 69% of CAD patients had at least one other disease like diabetes or hypertension. Patients without multimorbidity compared with patients with multimorbidity were significantly older (p = 0.012) and more educated (p = 0.002). Both physical and mental component score of HRQoL was better in patients without any morbidity (48.82 vs. 43.93 with 95%CI of mean difference: 3.37-6.42 and 54.85 vs. 50.44 with 95% CI of mean difference: 1.68-7.15, respectively). Both physical and mental component score was significantly lower in female and lower educated patients (physical mean score 43.07 vs. 46.54 with P = .001 and 42.53 vs. 46.82 with P < .001 and mental mean score 49.98 vs. 52.65 with P = .055 and 49.80 vs. 52.75 with P = .022 for sex and education, respectively). Also, two-way ANOVA showed that regards to morbidity, physical component score was grater in patients with lower education level than higher education level (P < .001). CONCLUSION The findings of this study suggest that women, lower education level and overweight reported lower quality of life. HRQoL is affected by multimorbidity among CAD patients specially in less educated.
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Health-related quality of life among adults with and without hypertension: A population-based survey using EQ-5D in Shandong, China. Sci Rep 2017; 7:14960. [PMID: 29097724 PMCID: PMC5668325 DOI: 10.1038/s41598-017-15083-4] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2017] [Accepted: 10/20/2017] [Indexed: 12/15/2022] Open
Abstract
Previous studies have focused on health-related quality of life (HRQoL) in hypertensive individuals, but few studies have attempted to compare HRQoL between hypertensive and normotensive individuals using the EQ-5D in China. Based on a survey of 3509 adults aged 18 + years, we compared HRQoL between hypertensive and normotensive individuals using a chi-square test, t-test and multi-linear regression model. The results indicated that HRQoL in hypertensive individuals was poorer than that of normotensive individuals in all domains of the EQ-5D and its utility index. In addition, education, complications, household income, and family history of HBP were associated with HRQoL among the hypertensive patients. Factors including age, education, household income, health expenditure, place of residence, and family history of high blood pressure (HBP) were found to be associated with HRQoL in normotensive individuals. Interventions targeting at-risk subgroups, such as modifying existing health insurance schemes to improve them for poor individuals, might be helpful to improve HRQoL.
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Liu L, Li M, Song S, Shi A, Cheng S, Dang X, Chen H, Zhang H, Ziguli A, Cao L, Wang P, Luan H, Ma Y, Zhang S, Wang Z, Wang X, Gao R, Tian G. Effects of long-term psychological intervention on blood pressure and health-related quality of life in patients with hypertension among the Chinese working population. Hypertens Res 2017; 40:999-1007. [DOI: 10.1038/hr.2017.80] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2017] [Revised: 03/17/2017] [Accepted: 04/06/2017] [Indexed: 01/22/2023]
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Wang X, Guo G, Zhou L, Zheng J, Liang X, Li Z, Luo H, Yang Y, Yang L, Tan T, Yu J, Lu L. Health-related quality of life in pregnant women living with HIV: a comparison of EQ-5D and SF-12. Health Qual Life Outcomes 2017; 15:158. [PMID: 28851384 PMCID: PMC5575929 DOI: 10.1186/s12955-017-0731-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2016] [Accepted: 07/28/2017] [Indexed: 11/16/2022] Open
Abstract
Background This paper investigates the properties and performance of the two generic measures, EQ-5D and SF-12, for Health-Related Quality of Life (HRQoL) assessments of pregnant women living with HIV in Kunming City, Yiliang County, Daguan County, Longchuan County, Tengchong County, Longling County and Fengqing County in Yunnan Province, China. Methods As part of a screening programme for the prevention of mother-to-child transmission of HIV (PMTCT), a retrospective cross-sectional survey was conducted in the seven Maternal and Infant Health Care centers in Yunnan Province, China, between April and June of 2016. The demographic and HIV infection-related information used in the study was collected through questionnaires designed by the study’s staff. HRQoL information was collected using two generic scales: EQ-5D and SF-12. Results A total sample of one hundred and one pregnant women with a mean age of 30.4 ± 5.1 years was investigated. Average time elapsed since infection diagnoses was 5.8 ± 3.4 years. Only one infant (1.0%) was HIV positive, and 56 (55.4%) infants were HIV negative. The HIV status of 44 (43.6%) infants was unknown. The relationship between the EQ-5D functional dimensions and the PCS-12 and the relationship between the EQ-5D anxiety/depression dimension and the MCS-12 were stronger. Those whose PCS-12 and MCS-12 scores were at the median or lower were classified as being in worse health, while those over the median were classified as being in better health. Respondents who reported no problem on each of the EQ-5D dimensions was divided according to the median SF-12 component scores. Those who scored at the median or lower than the median were classified as being in worse health, while those higher than the median were classified as being in better health. The VAS scores were also significantly different than the median split of the SF-12 scores for these subjects. Conclusion EQ-5D and SF-12 showed a discrimination ability in measuring the HRQoL of pregnant women living with HIV. The construct validity was identified for EQ-5D and SF-12 in the study. The respective constructs of EQ-5D and EQ-VAS may not overlap. Pregnant women living with HIV in the study gave more weight to their mental health when they provided a total health rating in EQ-VAS. EQ-VAS could explain the limitations of the EQ-5D dimension scores with ceiling effects in the survey. The results of our study could help to determine the suitable HRQoL instruments for pregnant women living with HIV and provide evidence for the proper comparison of EQ-5D and SF-12.
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Affiliation(s)
- Xiaowen Wang
- Department of Public Health, Kunming Medical University, Yunnan, China.,Yunnan Centers for Disease Control and Prevention, Yunnan, China
| | - Guangping Guo
- Yunnan Maternal and Child Health Care hospital, Yunnan, China
| | - Ling Zhou
- Yunnan Maternal and Child Health Care hospital, Yunnan, China
| | - Jiarui Zheng
- Yunnan Maternal and Child Health Care hospital, Yunnan, China
| | - Xiumin Liang
- Yiliang County Centers for Disease Control and Prevention, Yunnan, China
| | - Zhanqin Li
- Longling County Centers for Disease Control and Prevention, Yunnan, China
| | - Hongzhuan Luo
- Fengqing County Centers for Disease Control and Prevention, Yunnan, China
| | - Yuyan Yang
- Longchuan County Maternal and Child Health Care hospital, Yunnan, China
| | - Liyuan Yang
- Longling County Maternal and Child Health Care hospital, Yunnan, China
| | - Ting Tan
- Department of Public Health, Kunming Medical University, Yunnan, China
| | - Jun Yu
- Department of Public Health, Kunming Medical University, Yunnan, China
| | - Lin Lu
- Department of Public Health, Kunming Medical University, Yunnan, China. .,Health and Family Planning Commission of Yunnan Province, No. 309, Guomao Street, Kunming, Yunnan Province, China.
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Silva MT, Caicedo Roa M, Galvao TF. Health-related quality of life in the Brazilian Amazon: a population-based cross-sectional study. Health Qual Life Outcomes 2017; 15:159. [PMID: 28807027 PMCID: PMC5556350 DOI: 10.1186/s12955-017-0734-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2017] [Accepted: 08/02/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To analyze perceptions of health-related quality of life and associated factors in populations from the Manaus Metropolitan Region. METHODS We conducted a population-based cross-sectional study from May to August 2015. Adults aged 18 years and older were selected using probabilistic three-phase cluster sampling and stratified by sex and age, based on official estimates. Quality of life data were collected using the European Quality of Life 5-Dimensions 3-Levels (EQ-5D-3L) along with socioeconomic, demographic, and health perception data. Utility scores were calculated using the Brazilian version of the EQ-5D-3L. Descriptive statistics were derived, and a multivariate Tobit regression model with correction for complex sampling was performed to identify the variables that influence utility levels. RESULTS A total of 4001 participants were included. The average utility score was 0.886 (95% confidence interval [CI]: 0.881-0.890) with significant differences according to living area (the capital (0.882 ± 0.144) or inner cities (0.908 ± 0.122; p < 0.001)). The dimension for which the highest proportion of people reported moderate to severe problems was pain/discomfort (39%), followed by anxiety/depression (18%). Men had a higher quality of life than women (β = 0.041, p < 0.001). Not working was a factor that increased quality of life compared with being formally employed (β = 0.031, p = 0.037). The poorest people had a lower quality of life than the richest people (β = -0.118, p < 0.001). Better health perceptions increased utility scores (p < 0.001), while being separated decreased the scores (β = -0.052, p = 0.001). CONCLUSION Health-related quality of life in the Manaus Metropolitan Region was high, as expected for the general population, and was higher among individuals who lived in the inner cities, men and those in higher social classes. Gender discrepancies and differences in quality of life between the capital and inner cities should be further investigated.
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Affiliation(s)
- Marcus Tolentino Silva
- Faculty of Medicine, Federal University of Amazonas, Rua Afonso Pena, 1053, Manaus, Amazonas, CEP: 69020-160, Brazil.
| | - Monica Caicedo Roa
- Faculty of Medicine, Clinical Research Institute, National University of Colombia, Calle 30 No. 45-03 Ciudad Universitaria, Bogotá, Colombia
| | - Tais Freire Galvao
- Faculty of Pharmaceutical Sciences, University of Campinas, Rua Cândido Portinari, 200, Cidade Universitária, Campinas, São Paulo, CEP: 13083-871, Brazil
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Wang X, Guo G, Liang X, Zhou L, Zheng J, Li S, Luo H, Yang Y, Yang L, Tan T, Yu J, Lu L. Health Utility of Pregnant Women Living with HIV/AIDS: Prevention of Mother-to-Child Transmission of HIV (PMTCT) Programs in Yunnan Province: A Cross-Sectional Study. Value Health Reg Issues 2017; 15:27-33. [PMID: 29474175 DOI: 10.1016/j.vhri.2017.05.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2016] [Revised: 04/17/2017] [Accepted: 05/01/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND Health utility (HU) is essential to understanding the effects of HIV infection as a chronic disease. No HU data on pregnant women living with human immunodeficiency virus (HIV) in Yunnan Province are available. This study aims to construct a database on HU and explore factors associated with HU by pregnant women living with HIV/acquired immunodeficiency syndrome (AIDS) who were enrolled in the Prevention of mother-to-child transmission of HIV (PMTCT) programs in Yunnan Province. METHODS A cross-sectional study was conducted in Yunnan Province on pregnant women living with HIV who were selected by convenience sampling. Sociodemographic, HIV-related, social support, and HU data were collected through face-to-face interviews. The European quality of life five-dimensional three-level (EQ-5D-3L) questionnaire and the social support rate scale (SSRS) were applied. RESULTS One hundred and one pregnant women (mean age of 30.4 ± 5.1 years) participated in the survey. The mean EQ-5D index score and the EQ visual analogue scale (EQ-VAS) score of participants were 0.77 (95% confidence interval [CI] 0.74-0.79) and 75.77 (95% CI 75.00-80.00), respectively. The effect of social support on HU was maintained significant difference even after adjusting for such factors as education level, household income per year, and HIV disclosure, demonstrating a significant difference within EQ-5D index scores and EQ-VAS scores. CONCLUSIONS Pregnant women living with HIV/AIDS who were enrolled in PMTCT programs reported the same level of HU as other patients living with HIV/AIDS. Integrating measurements of HU by using the EQ-5D-3L questionnaire could be helpful for economic evaluation of the PMTCT program. This study also suggests a potential benefit of appropriate social support.
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Affiliation(s)
- Xiaowen Wang
- Yunnan Centers for Disease Control and Prevention, Kunming, Yunnan, China; Department of Public Health, Kunming Medical University, Kunming, Yunnan, China
| | - Guangping Guo
- Yunnan Maternal and Child Health Care hospital, Kunming, Yunnan, China
| | - Xiumin Liang
- Yiliang County Centers for Disease Control and Prevention, Zhaotong, Yunnan, China
| | - Ling Zhou
- Yunnan Maternal and Child Health Care hospital, Kunming, Yunnan, China
| | - Jiarui Zheng
- Yunnan Maternal and Child Health Care hospital, Kunming, Yunnan, China
| | - Shaoqin Li
- Longling County Centers for Disease Control and Prevention, Baoshan, Yunnan, China
| | - Hongzhuan Luo
- Fengqing County Centers for Disease Control and Prevention, Lincang, Yunnan, China
| | - Yuyan Yang
- Longchuan County Maternal and Child Health Care hospital, Dehong, Yunnan, China
| | - Liyuan Yang
- Longling County Maternal and Child Health Care hospital, Baoshan, Yunnan, China
| | - Ting Tan
- Department of Public Health, Kunming Medical University, Kunming, Yunnan, China
| | - Jun Yu
- Department of Public Health, Kunming Medical University, Kunming, Yunnan, China
| | - Lin Lu
- Department of Public Health, Kunming Medical University, Kunming, Yunnan, China; Health and Family Planning Commission of Yunnan Province, Kunming, Yunnan, China.
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64
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Huong NT, Ha LTH, Tien TQ. Determinants of Health-Related Quality of Life Among Elderly: Evidence From Chi Linh Town, Vietnam. Asia Pac J Public Health 2017; 29:84S-93S. [PMID: 28425322 DOI: 10.1177/1010539517704041] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
As Vietnam confronts with the challenge of an aging population, the importance of quality of life for elderly people becomes apparent. This article aims to assess health-related quality of life (HRQoL) and its correlates for the elderly, using a cross-sectional study design. A total of 1599 adults, aged 60 years and older, were drawn from the 2016 baseline survey of Chi Linh Health and Demographic Surveillance System (CHILILAB HDSS), which incorporated the EQ-5D, to measure HRQoL. Data were analyzed using multivariate linear regression analyses. The EQ-5D index of the elderly was found to be 0.871 (95% confidence interval = 0.862-0.880). After controlling for covariates, there were statistically significant associations between lower HRQoL and older age (≥80 years), lower education, no pension, chronic disease(s), and health insurance schemes targeting poor/near poor/priority groups. Current and future policies for improving HRQoL in old age should be extended to cover the most vulnerable groups.
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65
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Delcourt C, Zheng D, Chen X, Hackett M, Arima H, Hata J, Heeley E, Al-Shahi Salman R, Woodward M, Huang Y, Robinson T, Lavados PM, Lindley RI, Stapf C, Davies L, Chalmers J, Anderson CS, Sato S. Associations with health-related quality of life after intracerebral haemorrhage: pooled analysis of INTERACT studies. J Neurol Neurosurg Psychiatry 2017; 88:70-75. [PMID: 27919055 DOI: 10.1136/jnnp-2016-314414] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Revised: 09/04/2016] [Accepted: 09/27/2016] [Indexed: 11/03/2022]
Abstract
BACKGROUND AND PURPOSE Limited data exist on health-related quality of life (HRQoL) after intracerebral haemorrhage (ICH). We aimed to determine baseline factors associated with HRQoL among participants of the pilot and main phases of the Intensive Blood Pressure Reduction in Acute Cerebral Haemorrhage Trials (INTERACT 1 and 2). METHODS The INTERACT studies were randomised controlled trials of early intensive blood pressure (BP) lowering in patients with ICH (<6 hours) and elevated systolic BP (150-220 mm Hg). HRQoL was determined using the European Quality of Life Scale (EQ-5D) at 90 days, completed by patients or proxy responders. Binary logistic regression analyses were performed to identify factors associated with poor overall HRQoL. RESULTS 2756 patients were included. Demographic, clinical and radiological factors associated with lower EQ-5D utility score were age, randomisation outside of China, antithrombotic use, high baseline National Institutes of Health Stroke Scale (NIHSS) score, larger ICH, presence of intraventricular extension and use of proxy responders. High (≥14) NIHSS score, larger ICH and proxy responders were associated with low scores in all five dimensions of the EQ-5D. The NIHSS score had a strong association with poor HRQoL (p<0.001). Female gender and antithrombotic use were associated with decreased scores in dimensions of pain/discomfort and usual activity, respectively. CONCLUSIONS Poor HRQoL was associated with age, comorbidities, proxy source of assessment, clinical severity and ICH characteristics. The strongest association was with initial clinical severity defined by high NIHSS score. TRIAL REGISTRATION NUMBERS NCT00226096 and NCT00716079; Post-results.
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Affiliation(s)
- Candice Delcourt
- The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia.,Neurology Department, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
| | - Danni Zheng
- The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Xiaoying Chen
- The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Maree Hackett
- The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia.,The University of Central Lancashire, Lancashire, UK
| | - Hisatomi Arima
- The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia.,Department of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University, Fukuoka, Japan
| | - Jun Hata
- Center for Cohort Studies, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Emma Heeley
- Centre for Health Record Linkage, NSW Ministry of Health, Sydney, New South Wales, Australia
| | | | - Mark Woodward
- The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia.,Nuffield Department of Population Health, The George Institute for Global Health, Oxford University, Oxford, UK
| | - Yining Huang
- Department of Neurology, Peking University First Hospital, Beijing, China
| | - Thompson Robinson
- Department of Cardiovascular Sciences and NIHR Biomedical Research Unit for Cardiovascular Diseases, University of Leicester, Leicester, UK
| | - Pablo M Lavados
- Clínica Alemana de Santiago, Facultad de Medicina Clínica Alemana Universidad del Desarrollo, Universidad de Chile, Santiago, Chile
| | - Richard I Lindley
- The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia.,Westmead Hospital Clinical School, Westmead, New South Wales, Australia
| | - Christian Stapf
- Department of Neuroscience, CRCHUM, University of Montreal, Montreal, Quebec, Canada
| | - Leo Davies
- The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia.,Neurology Department, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
| | - John Chalmers
- The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia.,Neurology Department, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
| | - Craig S Anderson
- The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia.,Neurology Department, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.,The George Institute for Global Health China at Peking University Health Sciences Center, Beijing, China
| | - Shoichiro Sato
- The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia.,Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan
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Schmieder RE, Jumar A, Fronk EM, Alexandre AF, Bramlage P. Quality of life and emotional impact of a fixed-dose combination of antihypertensive drugs in patients with uncontrolled hypertension. J Clin Hypertens (Greenwich) 2016; 19:126-134. [DOI: 10.1111/jch.12936] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2016] [Revised: 08/19/2016] [Accepted: 08/22/2016] [Indexed: 11/27/2022]
Affiliation(s)
- Roland E. Schmieder
- Department for Nephrology and Hypertension; University Hospital Erlangen; Erlangen Germany
| | - Agnes Jumar
- Department for Nephrology and Hypertension; University Hospital Erlangen; Erlangen Germany
| | | | | | - Peter Bramlage
- Institute for Pharmacology and Preventive Medicine; Mahlow Germany
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67
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Zhang L, Xue C, Wang Y, Zhang L, Liang Y. Family characteristics and the use of maternal health services: a population-based survey in Eastern China. ASIA PACIFIC FAMILY MEDICINE 2016; 15:5. [PMID: 27795694 PMCID: PMC5081876 DOI: 10.1186/s12930-016-0030-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2016] [Accepted: 10/12/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND AND OBJECTIVES Despite the benefits of maternal health services, these services are often underutilized, especially in the developing countries. The aim of the present study is to provide insight regarding factors affecting maternal health services use from the family perspective. METHODS We use data from the fourth National Health Services Survey in Jiangsu province of Eastern China to investigate the effect of family characteristics on the use of maternal health services. Family characteristics included whether or not living with parents, age of husband, husband's education, and husband's work status as well as family economic status. Demographic variables, social and environmental factors, and previous reproductive history were taken as potential confounders. Multiple logistic regression models were used to examine the independent effects of the family characteristic variables on maternal health service utilization. RESULTS The data indicate that the percentages of prenatal care, postnatal visits and hospital delivery were 85.44, 65.12 and 99.59 % respectively. Living with parents was associated with less use of prenatal care and husband's age, education and employment status had no effect on the use of prenatal care after adjusting for potential confounding variables. CONCLUSIONS Our findings suggest that maternal health education (especially the role of prenatal care) needs to be extended beyond the expectant mothers themselves to their parents and husbands. The difference of health care delivery as a result of traditional family culture may highlight the differences in factors influencing the use of postnatal visits and those influencing the use of prenatal care; which may be worthy of further study.
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Affiliation(s)
- Ling Zhang
- Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Chengbing Xue
- Health Statistic and Data Center of Jiangsu Province, Nanjing, China
| | - Youjie Wang
- Public Health School, Tongji Medical College, Huazhong University of Science and Technology, Hangkong Road 13, Wuhan, Hubei China
| | - Liuyi Zhang
- Public Health School, Tongji Medical College, Huazhong University of Science and Technology, Hangkong Road 13, Wuhan, Hubei China
| | - Yuan Liang
- Public Health School, Tongji Medical College, Huazhong University of Science and Technology, Hangkong Road 13, Wuhan, Hubei China
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