Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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The Age and Sex-specific Quality of Life by Chronic Disease Using the EQ-5D Index : Based on the 2017-2019 Korea National Health and Nutrition Examination Survey

EQ-5D 지수를 활용한 만성질환별 삶의 질의 성별 및 연령에 따른 변화: 2017~2019년 국민건강영양조사 자료를 이용하여

  • Gyung-Jun Chae (Department of Medicine, Catholic Kwandong University) ;
  • Se-Ho Park (Department of Medicine, Catholic Kwandong University) ;
  • Seung-A Song (Department of Medicine, Catholic Kwandong University) ;
  • Jun-Kyu Lee (Department of Medicine, Catholic Kwandong University) ;
  • Jong-min Hong (Department of Medicine, Catholic Kwandong University) ;
  • Jae Seok Song (Department of Preventive Medicine & Public Health, College of Medicine, Catholic Kwandong University) ;
  • Nam Jun Kim (College of Medicine, Catholic Kwandong University)
  • 채경준 (가톨릭관동대학교 의학과) ;
  • 박세호 (가톨릭관동대학교 의학과) ;
  • 송승아 (가톨릭관동대학교 의학과) ;
  • 이준규 (가톨릭관동대학교 의학과) ;
  • 홍종민 (가톨릭관동대학교 의학과) ;
  • 송재석 (가톨릭관동대학교 의과대학 예방의학교실) ;
  • 김남준 (가톨릭관동대학교 의과대학)
  • Received : 2022.12.14
  • Accepted : 2023.06.16
  • Published : 2023.06.30
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Abstract

Objectives: This study analyzed the decline in quality of life according to age in the chronic disease patient group, quantified it as a quantitative index, and compared it by sex and chronic disease. Methods: In the 2017-2019 Korea National Health and Nutrition Examination Survey database, 11,473 adults aged 19 years or older, excluding cancer patients, were analyzed for age-specific changes in the EQ-5D Index by chronic disease. The decline in quality of life according to age in patients with chronic diseases was analyzed by linear regression analysis while controlling for general characteristics. Then, linear regression analysis was performed according to sex. Results: In the case of the control group, the quality of life decreased by 0.0004 for every 1-year increase in age(P<0.001). By chronic disease, asthma(β=0.0019, P<0.001), arthritis(β=0.0017, P=0.002), thyroid dis- ease(β=0.0016, P=0.015), dyslipidemia(β=0.0011, P=0.020), and hypertension(β=0.0009, P=0.027) mostly showed a greater decrease in quality of life than the control group. In addition, when divided into two groups by sex, hypertension(β=0.0012, P=0.029), thyroid disease(β=0.0041, P=0.038), and arthritis(β=0.0022, P<0.001) showed a significant decrease in quality of life only in male. Diabetes(β=0.0056, P=0.038), dyslipi- demia(β=0.0022, P=0.001) significantly decreased quality of life only in female. Conclusions: Chronic disease had a negative impact on patients perception of quality of life, and the more severe the pain and activity limitation due to the chronic disease, the more severe it was. It also showed different patterns according to sex. Therefore, it is necessary to allocate more medical resources and provide policy support to prevent chronic diseases, which are serious social problems.

Keywords

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