Babić-Banaszak Andreja, Kovacić Luka, Kovacević Lana, Vuletić Gorka, Mujkić Aida, Ebling Zdravko
Andrija Stampar School of Public Health, Zagreb University School of Medicine, Rockefellerova 4, 10000 Zagreb, Croatia.
Croat Med J. 2002 Aug;43(4):396-402.
To present health-related quality of life in post-war Croatia, focusing on the population as a whole rather than on the specific group of people.
The study was conducted in six Croatian counties in the 1997-1999 period. Three of those counties had been directly affected by the 1991-1995 war. The sample consisted of 1,297 randomly selected respondents aged 18 years and older. The questionnaire was anonymous, consisting of questions on sociodemographic characteristics of respondents and Medical Outcome Study 36-item short-form health survey (SF-36). SF-36 comprised the following nine subscales: physical functioning (PF), role-physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role-emotional (RE), mental health (MH), and health transition (HT).
Mean subscale scores for the areas directly affected by war were PF 64.21; RP 52.70; BP 59.35; GH 49.02; VT 49.52; SF 68.29; RE 63.02; MH 57.95; HT 41.28; and for the areas not affected by war were PF 65.35; RP 62.01; BP 61.79; GH 50.45; VT 49.40; SF 71.41; RE 74.11; MH 60.33; HT 45.14. The two areas differed significantly in RP (p<0.001), SF (p=0.035), RE (p<0.001), MH (p=0.038), and HT (p=0.003). Respondents living in the areas directly affected by war achieved lower total health-related quality of life scores. Younger respondents, respondents with secondary education, and those with lower income were the groups mostly affected by war.
War affects self-perceived health, physical ability, and emotional and mental health of the entire population affected by war, especially younger age groups, those with lower education, and lower income.
呈现战后克罗地亚与健康相关的生活质量，关注的是全体人口而非特定人群。
该研究于1997年至1999年在克罗地亚的六个县开展。其中三个县曾在1991年至1995年战争中受到直接影响。样本由1297名年龄在18岁及以上的随机选取的受访者组成。问卷为匿名形式，包含有关受访者社会人口学特征的问题以及医学结局研究36项简短健康调查问卷（SF - 36）。SF - 36包括以下九个分量表：身体功能（PF）、角色 - 身体（RP）、身体疼痛（BP）、总体健康（GH）、活力（VT）、社会功能（SF）、角色 - 情感（RE）、心理健康（MH）以及健康转变（HT）。
受战争直接影响地区的分量表平均得分分别为：PF 64.21；RP 52.70；BP 59.35；GH 49.02；VT 49.52；SF 68.29；RE 63.02；MH 57.95；HT 41.28；未受战争影响地区的分量表平均得分分别为：PF 65.35；RP 62.01；BP 61.79；GH 50.45；VT 49.40；SF 71.41；RE 74.11；MH 60.33；HT 45.14。这两个地区在RP（p<0.001）、SF（p = 0.035）、RE（p<0.001）、MH（p = 0.038）和HT（p = 0.003）方面存在显著差异。生活在受战争直接影响地区的受访者在与健康相关的总体生活质量得分上较低。较年轻的受访者、接受中等教育的受访者以及收入较低的受访者是受战争影响最大的群体。
战争会影响受战争影响的全体人口的自我认知健康、身体能力以及情感和心理健康，尤其是较年轻的年龄组、教育程度较低者和收入较低者。
