Evidence map›Paper›PMID 41194061›Full record

ArticleBMC health services research2025

Healthcare accessibility and subjective well-being in Xizang: evidence from a high-altitude region of China.

Chaofan Li, Xiaoyan Wu, Yongzhu Lacuo, Liyong Lu, Gang Chen, Zhaxi Dawa, Shunping Li

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

7 authors.

Chaofan LiDepartment of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China.ORCID http://orcid.org/0000-0001-6238-1257
Xiaoyan WuJiujiang Center for Disease Control and Prevention, Jiujiang, 332000, China.
Yongzhu LacuoMedical College of XiZang University, Lhasa, 850000, China.
Liyong LuDepartment of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China.
Gang ChenMelbourne School of Population and Global Health, University of Melbourne, Victoria, 3000, Australia.
Zhaxi DawaMedical College of XiZang University, Lhasa, 850000, China. zhaxi0891@qq.com.ORCID http://orcid.org/0009-0004-8957-7267
Shunping LiDepartment of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China. lishunping@sdu.edu.cn.ORCID http://orcid.org/0000-0001-8144-6220

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAchieving universal access to healthcare is a specific target of Sustainable Development Goal 3 which seeks to promote health and well-being for all. However, the subjective well-being (SWB) in Xizang and its relationship with healthcare accessibility are inadequately understood. This study aims to assess the magnitude of SWB and examine its relationship with healthcare accessibility in Xizang, China.

methodsData were obtained from the 2018 Sixth National Health Service Survey in Xizang. The SWB was measured using a revised version of the Personal Well-Being Index (PWI). Healthcare accessibility was assessed based on geographical accessibility, while affordability and availability indicators were included as control variables. Descriptive statistics were used to summarize the basic characteristic of participants. After controlling for sex, age, marital status, occupation, education, household income per capita and chronic disease, multiple regression models were used to examine the relationship between SWB and geographical accessibility.

resultsThe PWI score among the 2113 participants in 2018 was 69.04 (SD = 14.97), and the overall life satisfaction score was 7.00 (SD = 2.04). After adjusting for control variables, participants with good geographical accessibility reported significantly higher SWB (β = 1.75, 95% CI: 0.05–3.47).

conclusionThe SWB in Xizang fell within the normative range of China, and better geographical accessibility to healthcare was associated with higher SWB. Future research should delve into potential mechanisms between access to healthcare and SWB.

Indexed as

AltitudeHealth Services AccessibilityAdultAgedChinaFemaleHumansMaleMiddle AgedPsychological Well-BeingSocioeconomic FactorsYoung AdultHealthcare accessibilityHigh-altitude regionSubjective well-beingUniversal health coverageXizang

Identifiers

PMID41194061
PMCPMC12587569

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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.