身体暴力与健康相关的生活质量：丹麦的横断面分析。
Physical violence and health-related quality of life: Danish cross-sectional analyses.
机构信息
Centre for Applied Health Services Research and Technology Assessment, University of Southern Denmark, J,B, Winsløws Vej 9B, 5000, Odense, Denmark.
出版信息
Health Qual Life Outcomes. 2012 Sep 17;10:113. doi: 10.1186/1477-7525-10-113.
BACKGROUND
The aim of this study was to evaluate the association between experienced physical violence and health-related quality of life (HRQoL) by comparing self-reported health status for individuals with and without experience of physical violence. Our hypothesis was that individuals exposed to violence would experience worse HRQoL than non-exposed individuals. We tested whether men and women and different age groups experience similar reductions in HRQoL, and the extent to which such differences might be associated with social circumstances and lifestyle conditions. Finally, we explored the HRQoL consequences of exposure to violence in a longer time perspective.
METHODS
We used data from self-completed questionnaires in two Danish nationally representative, cross-sectional health interview surveys. Exposure to violence was indicated through specific survey questions (Straus' conflict tactics scale) enquiring about different types of violence during the last 12 months. Health status of respondents was elicited by the EQ-5D and SF-36 questionnaires. The health status profiles were converted to health score indexes using the Danish algorithm for EQ-5D and the revised Brazier algorithm for SF-6D. Differences in score indexes between the exposed and non-exposed individuals were explored separately for men and women using ordinary least square regression with four age categories as explanatory variables.
RESULTS
In the 2000 and 2005 surveys, respectively, 4.9% and 5.7% of respondents indicated that they had been exposed to physical violence within the last 12 months. Exposure to violence was more prevalent in the younger age groups and more prevalent for men than women. Respondents exposed to violence had lower score indexes on both the EQ-5D and the SF-6D compared with the non-exposed. Respondents who reported exposure to violence in both 2000 and 2005 reported lower HRQoL than individuals who only reported exposure in one of the surveys.
CONCLUSIONS
The results of this study provide evidence for an association between exposure to physical violence and reduction in health-related quality of life.
背景
本研究旨在通过比较经历过和未经历过身体暴力的个体的自我报告健康状况，评估经历身体暴力与健康相关生活质量（HRQoL）之间的关联。我们的假设是，暴露于暴力的个体的 HRQoL 会比未暴露于暴力的个体更差。我们检验了男性和女性以及不同年龄组是否经历了相似程度的 HRQoL 降低，以及这种差异在多大程度上可能与社会环境和生活方式条件有关。最后，我们从更长远的时间角度探讨了暴露于暴力对 HRQoL 的影响。
方法
我们使用了来自丹麦两项全国代表性的、横断面健康访谈调查的自我报告问卷数据。通过询问过去 12 个月中不同类型暴力的特定调查问题（斯特劳斯冲突策略量表）来表示暴露于暴力。受访者的健康状况通过 EQ-5D 和 SF-36 问卷来获得。使用丹麦 EQ-5D 算法和修订后的布瑞泽尔 SF-6D 算法将健康状况概况转换为健康评分指数。使用普通最小二乘回归，以四个年龄组为解释变量，分别探讨了男性和女性中暴露组和非暴露组之间评分指数的差异。
结果
在 2000 年和 2005 年的调查中，分别有 4.9%和 5.7%的受访者表示在过去 12 个月内曾遭受过身体暴力。在年轻年龄组中，暴露于暴力的情况更为普遍，且男性比女性更为普遍。与非暴露组相比，暴露于暴力的受访者在 EQ-5D 和 SF-6D 上的评分指数均较低。在 2000 年和 2005 年均报告暴露于暴力的受访者的 HRQoL 比仅在其中一次调查中报告暴露于暴力的个体更低。
结论
本研究结果提供了身体暴力暴露与健康相关生活质量降低之间存在关联的证据。
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