| Sumario: | Aim: To clarify the difference of health-related quality of life (HRQoL) between hypertensive and non-hypertensive patients, and further explore the difference of predictors of HRQoL among the elderly in Liyang City, Jiangsu Province. Subjects and methods: Data used came from the Liyang Study. 2750 older subjects were of interest for the study, of whom 1127 suffered from hypertension. EQ-5D-5L questionnaire was employed to measure the HRQoL. Multivariate Logistic regression and Tobit regression model were used to evaluate HRQoL between hypertensive and non-hypertensive subjects. Result: The mean utility scores for hypertensive and non-hypertensive participants was 0.945±0.129 and 0.965±0.085, respectively. Pain or discomfort was the most frequently reported health problem in both groups. Regressive model revealed that aging, low income, cognitive dysfunction, family history of high blood pressure, and chronic non-communicable diseases were associated with worse HRQoL in the elderly with and without hypertension. Moreover, low education level, unpaid employment and physical inactivity were independent risk factors of HRQoL in hypertensive individuals. Conclusion: Compared with non-hypertensive respondents, hypertensive patients performed worse in all aspects of HRQoL. In addition to focusing on common health risk factors (e.g. cognitive impairment and NCDs), more care should also be prior to giving to older hypertensive patients with low socioeconomic status and encouraging them to engage in regular physical activity.
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