西部内陆与沿海地区中年人群生存质量及影响因素的比较分析

Comparision of the life quality of the middle-aged and its influencing factors in Western inland and coastal regions

目的探讨经济发达地区与内陆经济欠发达地区中年人群生存质量状况之间是否存在差异,影响两地中年人群生存质量的因素是否存在差别。方法采用健康调查量表(SF-36)及自编相关因素问卷按自填方式进行调查,获得数据,进行描述性和有序回归分析。结果西部地区中年人群4个维度生存质量(RP、VT、RE、MH)均较沿海地区高,差异有统计学意义(P<0．05),有序回归分析Regresion结果提示:地区、年龄、家庭收支、吸烟、饮茶、早餐习惯、锻炼、健康自评、慢性病及两周患病率与生存质量有关。结论内陆与沿海地区中年人群的生存质量存在差异,不良的生活、行为习惯可能降低生存质量,饮茶和锻炼有助于健康和提高生存质量,对中年人群应提倡健康的生活行为习惯和预防保健意识。

Objective To investigate and compare the life quality （LQ） of the middle--aged who live in the developed coastal regions as well as who live in the underdeveloped inland regions, and study the relevant influencing factors. Methods The data was gained by health investigation forms （SF-- 36） and self--made questionnaire of relative factors, then analyzed the data by descriptive analysis and ordinal regression analysis. Results Compared with the Guangzhou group, the middle--aged group in Guiyang has higher grades in four dimensions of the LQ variables （RP, VT, RE, MIni）, and the discrepancy shows statistical significance. The outcome of the ordinal regression analysis indicates that factors including living region, age, family income, smoking, tea drinking, breakfast habit, physical exercises, self--assessment of health, chronic diseases and the two--week morbidity rate have influence on the LQ situation. Conclusion The LQ of the middle--aged differs in the inland and coastal regions. Bad living or behavior habits may decrease life quality, while tea drinking and physical exercises are good for health and improving life quality. Therefore healthy living and behavior habits and the consciousness of prevention and health care should be advocated in the middle--aged.