糖尿病患者健康行为对其生命质量的影响评价——基于江苏省第五次卫生服务调查的实证研究

Effect of health behaviors of diabetics on quality of life: An empirical study of the 5th health services survey in Jiangsu Province

目的：评价糖尿病患者健康行为对其健康相关生命质量的影响。方法：利用第五次国家卫生服务调查中的江苏省家庭健康询问调查资料．对其中全部糖尿病患者的社会经济学特征、生命质量、健康行为和体重指数进行分析。逐步回归法构建OLS回归模型研究健康行为和体重指数对生命质量的影响。结果：2013年江苏省糖尿病患病率为4.19％。在控制了社会经济学因素后，体重过低对糖尿病患者生命质量的负效应最强。每周锻炼3～5次和锻炼6次及以上对生命质量的正效应基本一致。每周饮酒至少3次则与生命质量具有正相关性。结论：增加锻炼频次对改善糖尿病患者生命质量具有正效应：体重过低会增加糖尿病患者生命质量降低的风险：糖尿病患者饮酒频次对其生命质量的影响需进一步研究确认。

Objective： To explore the effect of health behaviors of diabetics on health-related quality of life Methods：Alldiabetes patients from the household health survey in Jiangsu Province front the 5th National Health Services Survey were included in this study. Socioeconomicstatus, quality of life, health behaviors and body mass index were analyzed. The effects of health behaviors and body mass indexon quality of life were analyzed by stepwise OLS regressions. Results： The prevalence of diabetes in Jiangsu Province was 4.19%. After socioeconomic statusvariables controlled for, low weight had the strongest negative effect on diabetics＇ quality of life. Exercising 3-5 times per week had the same effect size with those exercising 6 time and more, both positively associated with quality of life. Drinking at least 3 times weekly had significant positive relationship with diabetics＇ quality of life. Conclusion：Enhancing exercise frequency has positive effect on improving the quality of life of diabetes patients. Diabetics with low weight are more likely to have lower level of quality of life. And the association between drinking and quality of life among diabetics need further studies.