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Evaluating health-related quality of life and subjective wellbeing among infertility patients: a cross-sectional study in mainland China

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单位: [1]Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China [2]NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan 250012, China [3]Center for Health Preference Research, Shandong University, Jinan 250012, China [4]Center for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan 250001, China [5]Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China [6]Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan 030032, China [7]Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China [8]Centre for Health Economics, Monash Business School, Monash University, Melbourne 3145, Australia
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关键词: Infertility Health-related quality of life Subjective wellbeing China

摘要:
This study aimed to explore the health-related quality of life (HRQoL) and subjective wellbeing (SWB) of infertility patients in mainland China and to investigate the relationships between HRQoL and SWB instruments in infertility patients. Methods We conducted this cross-sectional study in the Hospital for Reproductive Medicine Affiliated of Shandong University between April 2019 and November 2019. Participants self-completed the five-level EQ-5D (EQ-5D-5L) questionnaire, the Assessment of Quality of Life (AQoL)-8D, and the WHO-5 wellbeing index (WHO-5). The agreements between EQ-5D-5L and AQoL-8D were assessed employing intraclass correlation coefficient (ICC) and Bland-Altman plots. Exploratory factor analysis (EFA) was conducted to examine the difference in descriptive systems among the three instruments. Results We analyzed a valid sample of 618 infertility patients (84.4%). The mean scores of the total EQ-5D-5L, AQoL-8D, and WHO-5 were 0.96 (95%CI 0.96, 0.96), 0.80 (95%CI 0.79, 0.81), and 16.92 (95%CI 16.52, 17.31), respectively. Patients diagnosed with primary infertility had significantly lower HRQoL and SWB than those with secondary infertility. The ICC of EQ-5D-5L and AQoL-8D was 0.14. The AQoL-8D (r = 0.625) was more strongly correlated with WHO-5 than with the EQ-5D-5L (r = 0.262). The EFA results indicated that HRQoL instruments and the WHO-5 instruments were complementary rather than substitutable. Conclusions Poorer HRQoL and SWB were found that primary than secondary infertility patients. There exists a poor agreement between EQ-5D-5L and AQoL-8D and the difference in the psychosocial components may explain the difference. Measuring both HRQoL and SWB could provide complementary information for infertility patients.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 2 区 公共卫生、环境卫生与职业卫生 2 区 卫生政策与服务 2 区 卫生保健与服务
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 卫生保健与服务 3 区 卫生政策与服务 3 区 公共卫生、环境卫生与职业卫生
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出版当年[2021]版:
Q2 HEALTH CARE SCIENCES & SERVICES Q2 HEALTH POLICY & SERVICES Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版:
Q1 HEALTH CARE SCIENCES & SERVICES Q1 HEALTH POLICY & SERVICES Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者单位: [1]Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China [2]NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan 250012, China [3]Center for Health Preference Research, Shandong University, Jinan 250012, China
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通讯机构: [1]Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China [2]NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan 250012, China [3]Center for Health Preference Research, Shandong University, Jinan 250012, China
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