Health-related quality of life and health utility among patients with diabetes: in Zabol, Southeast Iran

Seyed Pouria Hedayati, Hassan Haghparast-Bidgoli, Aliasghar A. Kiadaliri, Fatemeh Mohabati
2020 Journal of Contemporary Medical Sciences  
Objective: The current study aimed to assess the factors associated with HRQoL and HU among Patients with diabetes in Zabol, Southeast Iran. Methods: Among patients referred to Zabol city diabetes clinic, a total of 213 consecutive patients 18 years and older consent to participate in the study in 2015. The Persian version of EuroQol-5D-3L (EQ-5D-3L) using the UK preference weights was applied to derive HU. Logistic regression and ordinary least squares were used for data analysis. The STATA
more » ... lysis. The STATA version 13 (StataCorp LP, College Station, TX, USA) was used for statistical analysis. Results: The highest and lowest proportions of "some or extreme problems" were seen in pain/discomfort (86.6%) and self-care (27.8%) dimensions of the EQ-5D-3L, respectively. About 33% of women and 14% of men rated their health worse than death (p=0.002). The mean EQ-5D-3L index score and visual analogue scale were 0.37 (95% CI: 0.31-0.42) and 51.6 (95% CI: 48.7-54.5), respectively. Older age at diagnosis, longer duration of diabetes, lower education, and history of macrovascular complications were associated with lower HRQoL and HU. Conclusion: This study highlights the importance of education and diabetes-related complications in HRQoL/HU of diabetes people. The findings suggest that urgent interventions are required to improve HRQoL/HU of diabetes patients in Zabol. Moreover, our results provide inputs for future economic evaluation studies among diabetes patients with similar socioeconomic status in Iran.
doi:10.22317/jcms.v6i2.727 fatcat:mfmi7qtkkvebbk74svsuvvap7q