摘要
目的采用欧洲五维度健康量表(EQ-5D)量表评价重庆市妇女的生命质量,探索其主要影响因素。方法资料来源于2013年7-9月重庆市第五次国家卫生服务调查,样本覆盖重庆38个区县,研究对象为重庆市≥20岁妇女。采用多阶段分层整群随机抽样的方法,利用家庭健康询问调查问卷(包含EQ-5D量表)获取有效样本4 514例。直观式健康量表(VAS)得分用x珋±s表示,采用单因素方差分析比较不同组别VAS均数的差异。行动、自我照顾、日常活动、身体疼痛或不舒服、焦虑或抑郁的测量结果用百分比表示。利用Logistic回归(逐步回归法)分析行动、自我照顾、日常活动、身体疼痛或不舒服、焦虑或抑郁的影响因素。结果 VAS得分为77.54±16.00,行动、自我照顾、平常活动有问题、身体疼痛或不舒服、自觉焦虑或抑郁分别占10.30%、5.50%、8.2%、20.60%、10.30%。多因素Logistic回归分析显示,行动的影响因素有是否患慢性病、户口性质、家庭年人均收入、年龄。自我照顾、平常活动、身体疼痛或不舒服、焦虑或抑郁的影响因素均为是否患慢性病、2周是否患病、户口性质、家庭年人均收入、年龄。结论家庭年人均收入、年龄、户口性质和是否患有慢性病影响着重庆市妇女健康相关生命质量。
Objective To investigate the quality of life among women in Chongqing and its associated factors by using the Euro QOL five dimensions（ EQ-5D scale） to measure health-related quality of life.Methods The data of this study was based on the fifth National Health Service Investigation which covered the women samples over 20 years old from 38 districts and counties in Chongqing and conducted during July and September 2013. Through multi-stage stratified random sampling,a total of 4 514 women with valid questionnaires of family health and EQ-5D were subjected as participants. Univariate analysis was applied to evaluate the differences between factors of the score of EQ Visual Analogue Scale（ VAS）. Two multiple logistic regression analysis using the stepwise method was employed to assess the influential factors for mobility,self-care,usual activities,pain / discomfort and anxiety / depression. Results The mean score of VAS was 77. 54 ± 16. 00 in the subjects,with 10. 30%,5. 50 %,8. 20%,20. 60% and 10. 20% of the women having difficulty in the first to fifth dimensions respectively（ corresponding to mobility,self-care,usual activities,pain / discomfort and anxiety / depression）. Multivariate logistic regression analysis showed that the associated factors of mobility were age,residence registration,per capita income of household in China,and suffering from chronic diseases or not. The associated factors for self-care,usual activities,pain / discomfort and anxiety / depression were same,that is,age,residence registration,per capita income of household in China,suffering from chronic diseases or not,and suffering from diseases or not in 2 weeks. Conclusion Age,residence registration,per capita income of household in China,and suffering from chronic diseases or not may affect the quality of life among the women in Chongqing.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2016年第16期1895-1899,共5页
Journal of Third Military Medical University
基金
重庆市统筹城乡医疗卫生改革发展区域卫生规划研究(CHSR1)~~
关键词
妇女
生命质量
欧洲五维度健康量表
women
quality of life
Euro QOL five dimensions questionnaire
