Comparison of inequity in health-related quality of life among unemployed and employed individuals in China

Abstract Background In China, achieving health equity has been regarded as a key issue for reform and development in the current context. It is well known that unemployment negative effect on health. However, few studies have addressed association between inequity health-related quality of life (HRQOL). This study aims to compare inequality HRQOL unemployed employed China. Methods The material regarding this was derived from Chinese National Health Services Survey Shaanxi Province 2013. We controlled confounding factors by utilizing coarsened exact matching method. Finally, 7524 individuals 283 who were 15 64 years old urban areas included study. used outcome variable, which evaluated using version EQ-5D-3L. concentration index, decomposition analysis based Tobit model, horizontal index compute socioeconomic-related contribution various factors. Results After matching, people tended poorer EQ-5D utility scores than people. There statistically pro-rich inequalities among both people, substantially higher Economic status, age, education, smoking insurance influencing individuals. Education status basic reduced Conclusion suggested intensifies HRQOL. According policymakers, still critical policy improving unemployed. Intervention initiatives aiming tackle long-term through active labour market programmes, narrow economic gaps, improve educational promote should be considered government achieve equity.