Health-Related Quality of Life in Patients with Arthritis: A Cross-Sectional Survey among Middle-Aged Adults in Chongqing, China

Authors

Yunshuang Rao, Chongqing Medical UniversityFollow
Xianglong Xu, Chongqing Medical UniversityFollow
Dengyuan Liu, Chongqing Medical UniversityFollow
Cesar Reis, Loma Linda UniversityFollow
Ian M. Newman, University of Nebraska - LincolnFollow
Liqiang Qin, Soochow UniversityFollow
Manoj Sharma, Jackson State UniversityFollow
Jun Shen, Chongqing Medical UniversityFollow
Yong Zhao, Chongqing Medical UniversityFollow

ORCID IDs

0000-0003-1873-4734

0000-0002-7839-5730

0000-0002-4669-7064

0000-0002-4624-2414

Date of this Version

2018

Citation

Int. J. Environ. Res. Public Health 2018, 15, 768

Comments

© 2018 by the authors.

Open access

doi:10.3390/ijerph15040768

Abstract

Background: Arthritis is a common disease in China, but few studies have been conducted to explore the associated health-related quality of life (HRQoL) and its influencing factors in Chongqing, China. This study aimed to explore the association of arthritis and HRQoL and probe factors affecting HRQoL among arthritis patients. Methods: A cross-sectional survey was conducted in Chongqing, China. A total of 1224 adults were included in the analysis. Medical Outcomes Study Short Form 36 Health Survey (SF-36) was used to measure HRQoL. Multiple linear regression models (stepwise) and covariance analysis models were used to examine the association of arthritis with HRQoL and analyze factors associated with HRQoL among arthritis patients. Results: Participants with arthritis had poorer HRQoL than those without. Among arthritis patients, the female was associated with a poorer state of physical functioning (p < 0.05); unemployed patients had a poorer state of role-physical than employed patients (p < 0.05); low average monthly income was associated with a poorer state of physical functioning (p < 0.01); childhood non-breastfeeding history was associated with a poorer state of social functioning (p < 0.01); average or dissatisfied attitude to current living conditions was associated with a poorer state of vitality and mental health (p < 0.05 for all); moreover, poor or general appetite was associated with a poorer state of role-physical, general health, social functioning, bodily pain, and role-emotional (p < 0.01 for all). Conclusions: Arthritis patients have worse HRQoL than those without in the Chinese population. Female, low socioeconomic status, childhood non-breastfeeding history, average or dissatisfied attitude to current living conditions and poor or general appetite were associated with poorer state of HRQoL among Chinese arthritis patients.