Association Between Awareness of Hypertension and Health-Related Quality of Life in a Cross-Sectional Population-Based Study in Rural Area of Northwest China. Issue 29 (July 2015)

• Record Type: Journal Article
• Authors: Mi, Baibing; Dang, Shaonong; Li, Qiang; Zhao, Yaling; Yang, Ruihai; Wang, Duolao; Yan, Hong; Jose, Vilela-Martin.
• Is Part Of: Medicine. Volume 94:Issue 29(2015)
• Publication Date: 2015-07
• Subjects: Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000001206
• Languages: English
• ISSNs: 0025-7974

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Abstract</title> <p>Hypertensive patients have more complex health care needs and are more likely to have poorer health-related quality of life than normotensive people. The awareness of hypertension could be related to reduce health-related quality of life. We propose the use of quantile regression to explore more detailed relationships between awareness of hypertension and health-related quality of life.</p> <p>In a cross-sectional, population-based study, 2737 participants (including 1035 hypertensive patients and 1702 normotensive participants) completed the Short-Form Health Survey. A quantile regression model was employed to investigate the association of physical component summary scores and mental component summary scores with awareness of hypertension and to evaluate the associated factors.</p> <p>Patients who were aware of hypertension (N = 554) had lower scores than patients who were unaware of hypertension (N = 481). The median (IQR) of physical component summary scores: 48.20 (13.88) versus 53.27 (10.79), <italic>P</italic> < 0.01; the mental component summary scores: 50.68 (15.09) versus 51.70 (10.65), <italic>P</italic> = 0.03. adjusting for covariates, the quantile regression results suggest awareness of hypertension was associated with most physical component summary scores quantiles (<italic>P</italic> < 0.05 except 10th and 20th quantiles) in which the <italic>β</italic>-estimates from −2.14 (95% CI: −3.80 to −0.48) to −1.45 (95% CI: −2.42 to −0.47), as the same significant trend with some poorer mental component summary scores quantiles in which the <italic>β</italic>-estimates from −3.47 (95% CI: −6.65 to −0.39) to −2.18 (95% CI: −4.30 to −0.06). The awareness of hypertension has a greater effect on those with intermediate physical component summary status: the <italic>β</italic>-estimates were equal to −2.04 (95% CI: −3.51 to −0.57, <italic>P</italic> < 0.05) at the 40th and decreased further to −1.45 (95% CI: −2.42 to −0.47, <italic>P</italic> < 0.01) at the 90th quantile.</p> <p>Awareness of hypertension was negatively related to health-related quality of life in hypertensive patients in rural western China, which has a greater effect on mental component summary scores with the poorer status and on physical component summary scores with the intermediate status.</p> </sec> </abstract>