中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2017, Vol. 39 ›› Issue (2): 261-265.doi: 10.3881/j.issn.1000-503X.2017.02.016

• 论著 • 上一篇    下一篇

基于2013年吉林省卫生服务调查的居民健康相关生命质量影响因素分析

陈正超1, 汪颖1, 张启军2, 王秋艳2, 冯星淋1()   

  1. 1北京大学 公共卫生学院,北京 100191
    2吉林省卫生统计信息中心,长春 130061
  • 收稿日期:2016-01-04 出版日期:2017-04-20 发布日期:2017-04-20
  • 作者简介:

    通信作者:冯星淋 电话:010-82805394,电子邮件:fxl@bjmu.edu.cn

  • 基金资助:
    国家自然科学基金青年科学基金(71303010)和国家自然科学基金优秀青年科学基金(71422009)

Influencing Factors of Health-related Quality of Life:An Analysis Based on the National Health Services Survey in Jilin Province,2013

Zhengchao CHEN1, Ying WANG1, Qijun ZHANG2, Qiuyan WANG2, Xinglin FENG1()   

  1. 1School of Public Health,Peking University,Beijing 100191,China
    2the Hygiene Information Statistics Center in Jilin Province,Changchun 130061,China
  • Received:2016-01-04 Online:2017-04-20 Published:2017-04-20
  • Supported by:
    Supported by the National Natural Sciences Foundation of China for Youth Fund (71303010) and China National Natural Sciences Foundation for Outstanding Youth Fund (71422009)

摘要:

目的 分析吉林省居民自报生命质量情况及其影响因素并比较两种生命质量度量方法。方法 利用吉林省2013年卫生服务调查数据,共纳入15岁以上居民13 700人,分别采用自评健康得分和欧洲五维度健康量表健康效用值评价生命质量,通过多元线性回归对影响两种生命质量的影响因素进行分析。结果 全省15岁及以上居民自评健康得分为81.26±15.73,健康效用值为0.959±0.124。吉林省城乡居民健康质量的影响因素包括年龄、居住地、受教育程度、收入、医疗保险类型、慢性病和两周患病。自评健康得分更易受45岁以下年龄组年龄、收入、慢性病和两周患病的影响。健康效用值更容易受居住地区和参加基本医疗保险类型的影响。结论 吉林省居民健康相关生命质量较高,两种生命质量度量方法各有利弊,应选择适合研究目的的度量方法。

关键词: 生命质量, 欧洲五维度健康量表, 自评健康得分

Abstract:

Objective To understand the health-related quality of life (HRQoL) and its influencing factors in Jilin province and compare two life quality measurement methods. Methods The data of 13 700 people aged above 15 years in Jilin province were extracted from the National Health Services Survey 2013. Self-rated health scores and EuroQol 5-dimension utility values were used to evaluate the HRQoL. Multivariable linear regression model was used to analyze the influencing factors. Results The self-rated health score was 81.26±15.73 in Jilin province,while utility values of health status were 0.959±0.124. The influencing factors of HRQoL included age,residency,education,income,type of health insurance,having non-communicable chronic disease and having disease in last two weeks. The age under 45,income,having non-communicable chronic disease,and having disease in last two weeks had stronger effect on self-rated health,whereas residency and type of health insurance had more effect on utility values of health status. Conclusion People in Jilin province have good quality of life. Both methods have their advantages and weakness. It is important to choose the right evaluation method depended on the objective of a specific study.

Key words: quality of life, EuroQol 5-dimension, self-rated health score

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