ArticleScientific reports2026
Independent associations between health-promoting behaviours, healthcare access, and health-related quality of life in Singapore.
Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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5 authors.
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Abstract
Population-level evidence on how health-promoting behaviours and healthcare access affect health-related quality of life (HRQoL) in Singapore’s ageing population remains limited. This cross-sectional study examined their independent associations with HRQoL among community-dwelling adults and identified factors associated with complete adherence to health-promoting behaviours and adequate healthcare access. Using 2022 Population Health Survey data from 2,320 participants, adherence to health-promoting behaviours was classified as complete or partial, and healthcare access as adequate or inadequate. Multiple logistic regressions identified associated factors. HRQoL was measured using EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) and EQ Visual Analogue Scale (EQ-VAS). Two-part models for EQ-5D index and generalised linear models for EQ-VAS examined associations with HRQoL. Complete adherence to health-promoting behaviours and adequate healthcare access prevalence was 19.8% and 90.3%, respectively, with divergent associated factors. After adjustment, both variables were independently associated with higher likelihood of perfect health (odds ratio 1.55 and 2.16, respectively) and higher EQ-VAS scores (beta 3.62 and 2.53, respectively), but not with HRQoL among those with imperfect health. Both health-promoting behaviours and healthcare access are independent factors associated with HRQoL. Their largely distinct socio-demographic correlates suggest public health strategies should adopt a dual-track approach: promoting healthy behaviours alongside addressing access barriers to support healthy ageing.
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