ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2023
Urban/rural differences in preferences for EQ-5D-5L health states: a study of a multi-ethnic region in China.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Population norms of health-related quality of life in Iran: findings from a national EQ-5D-5L study.Health and quality of life outcomes · 2025Article
- Health state utility values and associated complication-related difference in community-based adults with type 2 diabetes in Nanjing China: a cross-sectional study.Frontiers in medicine · 2025Article
- Australian population norms for health-related quality of life measured using the EQ-5D-5L, and relationships with sociodemographic characteristics.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Relationship between three dietary indices and health-related quality of life among rural elderly in China: a cross-sectional study.Frontiers in nutrition · 2023Article
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Authors and funding
4 authors.
Funding
Abstract
objectivesThis study aimed to compare health preferences for EQ-5D-5L health states between urban and rural populations in China.
methodsThis study used pooled secondary data from two EQ-5D-5L valuation studies. Participants were recruited from Guizhou province and Chongqing municipality, China using quota sampling. Each participant was interviewed face-to-face to value a set of 15 or 16 out of 30 EQ-5D-5L health states using time trade-off (TTO) methods including composite TTO and other two variants. Regression analysis was used to compare health state preferences between urban and rural participants.
resultsA total of 597 participants (urban: 55.44%; rural: 44.56%) completed the valuation interviews. Both univariate and multivariable linear regression analyses showed that rural participants tended to value health states lower than urban participants regardless of severity of health states. The unadjusted and adjusted overall mean differences between the two groups were - 0.041 (95% confidence interval [CI] - 0.077, - 0.004, p-value = 0.031) and - 0.040 (95% CI - 0.078, - 0.002, p-value = 0.038), respectively. Predictions for the 3125 health states based on rural participants' health preferences were lower than those based on urban participants' health preferences.
conclusionThere were small, yet statistically significant, differences in EQ-5D-5L health states preferences between urban and rural populations in China. Future study aiming at establishing a national value set should pay more attention to the sample representativeness.
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