天津市一般人群健康相关生命质量现状及影响因素分析

Evaluation of Health-related Quality of Life and Associated Factors among General Population in Tianjin, China

目的利用六维健康调查简表第二版(SF-6DV2)测量天津市一般人群的健康相关生命质量,并探究其影响因素。方法研究依据性别、年龄、教育水平三项人口学特征进行配额抽样,选取天津市一般人群代表性样本开展面对面访谈,采用国际通用的SF-6D V2量表进行测量。SF-6D V2量表包括躯体功能、角色限制、社会功能、疼痛、精神健康和活力六个维度。研究通过量表的总得分与各维度得分描述样本受访者的健康相关生命质量,并建立定序Logit回归模型探究其影响因素。结果研究共纳入509位受访者,人口学特征分布与天津市常住人口一致。6.5%的受访者在各个维度均没有问题,而61.3%的受访者存在较为轻微的健康问题。在SF-6D V2各维度中,活力与精神健康是存在问题比例最高的两个维度,分别有79.5%与59.3%的受访者存在不同程度的问题;其次为疼痛、躯体功能和角色限制维度,存在问题的比例分别为51.1%、49.3%和48.9%;而社会功能维度存在问题的比例最低,为36.3%。回归结果显示,女性、有饮酒史、患有慢性疾病的受访者更有可能存在更严重的健康问题。结论天津市一般人群的整体健康状态处于较好水平,存在的健康问题更多地集中在心理与精神健康层面。天津市一般人群的健康水平在不同性别和年龄亚组之间存在较大差异,饮酒史与患有慢性疾病是影响居民健康相关生命质量的主要因素。

Objective To evaluate the health-related quality of life(HRQoL)and its associated factors among general population in Tianjin,China,by using the Short Form of 6-Dimensions Health 2 nd version(SF-6 D V2).Methods The study conducted quota sampling based on 3 demographic characteristics of gender,age,and education level.A representative sample of the general population in Tianjin was selected for face-to-face interviews,and measurements were performed using the internationally accepted SF-6 D V2 scale.The SF-6 D V2 scale includes 6 dimensions:physical function,role limitation,social function,pain,mental health and vitality.The study describes the health-related quality of life of the sample respondents through the total score and scores of each dimension,and establishes a sequential Logit regression model to explore its influencing factors.Results A total of 509 respondents,of which the demographic characteristics were consistent with the Tianjin permanent population,participated in the interviews.6.5%of respondents reported the best health state in all dimensions,and more than 61.3%reported a very mild health condition.Among the dimensions of SF-6 D V2,vitality and mental health are the 2 dimensions with the highest proportion of problems,79.5%and 59.3%of the respondents have different levels of problems,respectively;followed by pain,physical function and role limitation.The proportion of problems is 51.1%,49.3%and 48.9%;The proportion of problems in the social function dimension is the lowest,36.3%.Regression results showed that women,respondents with a history of drinking,and chronic diseases were more likely to have more serious health problems.Conclusion The health-related quality of life of general population in Tianjin is relatively well.Existing health problems are more concentrated on mental and mental health.The health level of the general population in Tianjin varies greatly between different gender and age subgroups.Drinking history and chronic diseases are the main factors affecting residents’health-related quality of life.