Aghamolaei T, Tavafian S Sadat, Zare Shahram
Dept. of Health Services, School of Public Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Iran J Public Health. 2011;40(3):128-35. Epub 2011 Sep 30.
The relationship between socio demographic status and Health Related Quality of Life (HRQOL) has not been well documented in most population of Asian countries including Iran. This study aimed to investigate the determinants of HRQOL in general population living in Bandar Abbas.
This cross sectional study was conducted among general population living in Bandar Abass, Iran from Jun to Jul, 2007. Using a multistage sampling method, a random sample of individuals aged 15 years and over were interviewed through SF-36 questionnaire .Multiple logistic regression analysis were used to predict determinant factors on health related quality of life.
Overall, 1675 Iranian adults were interviewed. The majority of the participants were female (50.4%), married (70.9%) and employed (36.8%). The range of education years of most participants (56.7%) were from 6 to 12 years. Female participated in this study had significantly poorer HRQOL than male in all aspects of SF-36 except for Role Emotional (P< 0.001). Furthermore there were significant differences between different age groups in all individually scales and two summaries (P< 0.001). After adjusting for the impacts of other socio demographic factors, variable such as older age, female gender and lower educational level could independently decrease both mental and physical aspect of HRQOL (P< 0.01).
Female, older and less educated people are at higher risk of poorer health quality of life in both mental and physical aspects and should be considered as high risk groups in priority health programs.
在包括伊朗在内的大多数亚洲国家的人群中,社会人口学状况与健康相关生活质量(HRQOL)之间的关系尚未得到充分记录。本研究旨在调查居住在阿巴斯港的普通人群中HRQOL的决定因素。
本横断面研究于2007年6月至7月在伊朗阿巴斯港的普通人群中进行。采用多阶段抽样方法,通过SF - 36问卷对15岁及以上的个体进行随机抽样访谈。使用多元逻辑回归分析来预测健康相关生活质量的决定因素。
总体而言,对1675名伊朗成年人进行了访谈。大多数参与者为女性(50.4%)、已婚(70.9%)且就业(36.8%)。大多数参与者(56.7%)的受教育年限在6至12年之间。参与本研究的女性在SF - 36的所有方面(除角色情感外)的HRQOL均显著低于男性(P < 0.001)。此外,不同年龄组在所有单个量表和两个总结量表上均存在显著差异(P < 0.001)。在调整其他社会人口学因素的影响后,年龄较大、女性性别和教育水平较低等变量可独立降低HRQOL的心理和生理方面(P < 0.01)。
女性、年长者和受教育程度较低者在心理和生理方面健康生活质量较差的风险较高,应在优先健康计划中被视为高危人群。