新加坡多种族公共综合诊所使用者的健康相关生活质量及其相关因素：一项横断面研究

IF 2.7 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Quality of Life Research Pub Date : 2025-09-27 DOI:10.1007/s11136-025-04069-9

Ling Jie Cheng, Justin Guang Jie Lee, Calvin Wei Jie Chern, Jing Ying Cheng, Annushiah Vasan Thakumar, Nan Luo, Gerald Choon Huat Koh, Qin Xiang Ng

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引用次数: 0

摘要

目的：健康相关生活质量（HRQoL）是一项重要的健康结果，反映了临床状态和更广泛的福祉。新加坡面临人口快速老龄化和慢性病发病率上升的双重挑战。然而，关于初级保健中HRQoL的全面数据仍然很少，因为大多数研究侧重于以医院为基础或特定疾病的人群，而不是常规的公共初级保健（综合诊所）用户。本研究旨在描述新加坡公共综合诊所使用者的HRQoL，并确定与HRQoL变化相关的社会人口统计学、临床和患者激活因素。方法：我们对在新加坡两家大型公立综合诊所就诊的成年人进行了横断面研究。参与者完成了EQ-5D-5L、消费者健康激活指数（CHAI）、社会人口学和临床特征调查。我们描述性地总结了HRQoL和参与者特征，并使用EQ- 5d - 5l指数的两部分回归模型和EQ VAS评分的线性回归来确定独立预测因子。结果：572名参与者的平均EQ指数和EQ VAS评分分别为0.89 （SD = 0.16）和77.0 （SD = 12.7）。疼痛/不适和焦虑/抑郁是报告最多的问题（分别为23.1%和18.4%）。较高的CHAI分数（EQ指数：β = 0.002; VAS: β = 5.0）和较好的自评健康（EQ指数：β = 0.09; VAS: β = 14.3）预测较好的HRQoL。马来族和合并症与较低的EQ指数得分有关，而年轻、男性性别和中等收入与较低的EQ VAS得分有关。结论：新加坡综合诊所使用者的HRQoL因社会人口学、临床和激活因素而异，强调了持续的年龄、种族和性别差异。将HRQoL评估和针对不同文化的干预措施纳入初级保健可能有助于减少这些不公平现象。

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Health-related quality of life among multiethnic public polyclinic users in Singapore and associated factors: a cross-sectional study.

Purpose: Health-related quality of life (HRQoL) is a crucial health outcome, reflecting both clinical status and broader well-being. Singapore faces the dual challenge of rapid population ageing and increasing chronic disease prevalence. Yet, comprehensive data on HRQoL in primary care remain scarce, as most research focuses on hospital-based or disease-specific populations rather than routine public primary care (polyclinic) users. This study aimed to describe HRQoL among public polyclinic users in Singapore and identify sociodemographic, clinical, and patient activation factors associated with HRQoL variations.

Methods: We conducted a cross-sectional study among adults attending two large public polyclinics in Singapore. Participants completed the EQ-5D-5L, the Consumer Health Activation Index (CHAI), and surveys on sociodemographic and clinical characteristics. We summarised HRQoL and participant characteristics descriptively and used a two-part regression model for the EQ-5D-5L index and linear regression for the EQ VAS scores to identify independent predictors.

Results: Among the 572 participants, the mean EQ index and EQ VAS scores were 0.89 (SD = 0.16) and 77.0 (SD = 12.7), respectively. Pain/Discomfort and Anxiety/Depression were the dimensions with the most reported problems (23.1% and 18.4%, respectively). Higher CHAI scores (EQ index: β = 0.002; VAS: β = 5.0) and better self-rated health (EQ index: β = 0.09; VAS: β = 14.3) predicted better HRQoL. Malay ethnicity and comorbidities were linked to lower EQ index scores, while younger age, male gender, and moderate income were associated with lower EQ VAS scores.

Conclusions: HRQoL among Singaporean polyclinic users varies by sociodemographic, clinical, and activation factors, underscoring persistent age, ethnic, and gender disparities. Integrating HRQoL assessment and culturally tailored interventions into primary care may help reduce these inequities.

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来源期刊

Quality of Life Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

8.60%

发文量

224

审稿时长

3-8 weeks

期刊介绍： Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.