Evidence map›Paper›PMID 26346987›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2016

Is bad living better than good death? Impact of demographic and cultural factors on health state preference.

Xuejing Jin, Gordon Guoen Liu, Nan Luo, Hongchao Li, Haijing Guan, Feng Xie

Abstract readMulticenter Study
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In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Preferences for health-related quality of life: do they vary by age? A systematic literature review on the EQ-5D measure.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
    Pooled it
  2. Trial
  3. Factors associated with health state valuations: a secondary analysis of an EQ-5D-3L valuation study from Jordan.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  4. Article
  5. Article
  6. Chinese utility weights for the EORTC cancer-specific utility instrument QLU-C10D.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  7. What Makes the Time Tradeoff Tick? A Sociopsychological Explanation.Medical decision making : an international journal of the Society for Medical Decision Making · 2024
    Article
  8. Urban/rural differences in preferences for EQ-5D-5L health states: a study of a multi-ethnic region in China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  9. Disutility of injectable therapies in obesity and type 2 diabetes mellitus: general population preferences in the UK, Canada, and China.The European journal of health economics : HEPAC : health economics in prevention and care · 2023
    Article
  10. Review
  11. Article
  12. Article
  13. Comparing EQ-5D-3L and EQ-5D-5L performance in common cancers: suggestions for instrument choosing.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
  14. EORTC QLU-C10D value sets for Austria, Italy, and Poland.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020
    Article
  15. Article
  16. Influence of elicitation procedure and phrasing on health state valuations in experience-based time trade-off tasks among diabetes patients in China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020
    Article
  17. EQ-5D-5L norms for the urban Chinese population in China.Health and quality of life outcomes · 2018
    Article
  18. Quality versus quantity in end-of-life choices of cancer patients and support persons: a discrete choice experiment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  19. Article
  20. Elements of healthy death: a thematic analysis.Medical journal of the Islamic Republic of Iran
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xuejing JinDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
Gordon Guoen LiuChina Center for Health Economic Research, Peking University, Beijing, China.
Nan LuoSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Hongchao LiSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China.
Haijing GuanChina Center for Health Economic Research, Peking University, Beijing, China.
Feng XieDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada. fengxie@mcmaster.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to examine the impact of demographic and cultural factors on health preferences among Chinese general population.

methodsThe Chinese EQ-5D-5L valuation study was conducted between December 2012 and January 2013. A total of 1296 participants were recruited from the general public at Beijing, Chengdu, Guiyang, Nanjing, and Shenyang. Each participant was interviewed to measure preferences for ten EQ-5D-5L health states using composite time trade-off and seven pairs of states using discrete choice experiment (data were not included in this study). At the end of the interview, each participant was also asked to provide their demographic information and answers to two questions about their attitudes towards whether bad living is better than good death (LBD) and whether they believe in an afterlife. Generalized linear model and random effects logistic models were used to examine the impact of demographic and cultural factors on health preferences.

resultsParticipants who had serious illness experience received college or higher education, or agree with LBD were more likely to value health states positively and have a narrower score range. Participants at Beijing were more likely to be non-traders, value health states positively, less likely to reach the lowest possible score, and have narrower score range compared with all other four cities after controlling for all other demographic and culture factors.

conclusionsHealth state preference is significantly affected by factors beyond demographics. These factors should be considered in achieving a representative sample in valuation studies in China.

Indexed as

Choice BehaviorHealth StatusSurveys and QuestionnairesAdolescentAdultBeijingBuddhismChinaFemaleHumansLinear ModelsLogistic ModelsMaleMiddle AgedPatient PreferenceQuality-Adjusted Life YearsComposite time trade-offCulturalDemographicEQ-5DHealth state preference

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.