The Relationship Between the Number of Chronic Diseases and Health
The Relationship Between the Number of Chronic Diseases and Health-Related Quality of Life Among Middle-Aged and Older Adults in Rural Areas of Yunnan Province, China: moderating Effect of Health Lifestyle
Journal of Multidisciplinary Healthcare ( IF 2.4 ) Pub Date : 2024-05-19 , DOI: 10.2147/jmdh.s463640
Jie Chen 1 , Yan Xiao 2 , Chaofang Yan 1 , Xiaoju Li 1 , Yafang Zhang 1 , Ying Chen 1 , Yuan Huang 1 , Rui Deng 1
Purpose: With population aging, individuals in underdeveloped areas may experience a higher prevalence of chronic non-communicable diseases (NCDs), a lower level of health-related quality of life (HRQoL), and distinct lifestyles. However, this triadic association remains inadequately studied, particularly regarding the role of health lifestyle. This study aims to examine the relationship between the number of NCDs and HRQoL, while considering the moderating effect of health lifestyle among middle-aged and older adults residing in resource-limited areas.
Methods: This cross-sectional study was conducted in Yunnan Province from July to December 2022. Participants completed a self-report questionnaire related to socio-demographic information, NCDs conditions, health lifestyle status, and HRQoL, which was assessed using the EuroQol five-dimension five-level (EQ-5D-5L) scale. Hierarchical regression and simple slope tests were used to examine the moderating effect of health lifestyle.
Results: Out of the total 2704 participants, 57.91% presented at least one NCD. The mean scores for health lifestyle and health utility value were 11.109 and 0.944 respectively. The number of NCDs was negatively associated with health utility value, while positively correlated with the health lifestyle score (P< 0.001). The results of hierarchical regression indicated that health lifestyle exerted a negative moderating effect on the relationship between the number of NCDs and HRQoL (β=0.006, P< 0.001), which was also observed for specific health-related behaviors such as sleep duration (β=0.013, P< 0.001), physical examination attendance (β=0.006, P< 0.05) and physical activity (β=0.013, P< 0.001).
Conclusion: These findings highlight the crucial role of a healthy lifestyle in attenuating the association between the number of NCDs and HRQoL. Recognizing the potential modulating influence of a healthy lifestyle in this relationship could be pivotal for developing effective interventions for this population, even within resource-constrained rural settings.
Keywords: chronic non-communicable diseases, health-related quality of life, health lifestyle, health-related behavior, rural, moderating effect
更新日期：2024-05-18
相关知识
Research progress on the relationship between dietary patterns and common noninfectious chronic diseases
Chronic Diseases, Health Status and Health Service Utilization among Koreans
Chronic health conditions: changing prevalence in an aging population and some implications for the delivery of health care services
Discussion on the relationship between social support and psychological health status of migrant children
Anxiety and Depression in Patients with Chronic Health Problems and the Mode of Response
The relationship between health literacy and health
Prevention,control and treatment of chronic diseases
Law of the People's Republic of China on Basic Medical and Health Care and the Promotion of Health
The Impact of Continuing Health Education for Patients with Chronic Viral Hepatitis
[Associations of lifestyles with major chronic diseases in Chinese adults: evidence from the China Kadoorie Biobank]
网址: The Relationship Between the Number of Chronic Diseases and Health https://m.trfsz.com/newsview1559840.html
