Department of Health Sciences, Medical School, University of Catanzaro Magna Græcia, Catanzaro, Italy.
Health Qual Life Outcomes. 2013 Jun 10;11:93. doi: 10.1186/1477-7525-11-93.
The primary aim of this study was to measure HRQOL of primary care patients in one of the poorest areas of Italy, using SF-12, whereas the secondary aim was to identify subgroups of this population, according to socio-demographics, clinical characteristics, behavioural risk factors, and health services utilization, that manifest poorer HRQOL. These data may be helpful to policy makers to implement health care policies and social interventions for improving HRQOL.
A cross-sectional survey was conducted in Southern Italy on primary care patients aged 18 and over. SF-12 was used to measure perceived health status. Physical component and mental summary scores were obtained. We performed univariate and multivariate analysis to evaluate eventual significant differences of mean PCS-12 and MCS-12 according to various characteristics (demographics, presence of chronic diseases, behavioral risk factors, and utilization of health services).
Of the 1467 participating in our survey, more than one third evaluated their health as unsatisfactory, noted significant limitations and reported problems on all SF-12-scales. Physical and mental summary scores showed an overall mean of 45.9 (SD ± 10.8) and 44.9 (SD ± 11.6), respectively. Statistical analysis showed significant differences in perceived health status by socio-demographic characteristics, such as gender, age, education level and employment status, by behavioral risk factors, chronic diseases and health services utilization.
Our findings seem to indicate that primary care patients in Southern Italy have a poor HRQOL and this perception is even poorer in subgroups of the population, according to several sociodemographic, clinical characteristics, and behavioural risk factors. These results may have significant implications for health care policymakers, since they emphasize the need of developing effective and targeted strategies to improve HRQOL in Southern Italy.
本研究的主要目的是使用 SF-12 衡量意大利最贫困地区之一的初级保健患者的健康相关生活质量（HRQOL），次要目的是根据社会人口统计学、临床特征、行为风险因素和卫生服务利用情况，确定该人群中表现出较差 HRQOL 的亚组。这些数据可能有助于政策制定者实施改善 HRQOL 的医疗保健政策和社会干预措施。
在意大利南部进行了一项横断面调查，对象为 18 岁及以上的初级保健患者。使用 SF-12 来衡量感知健康状况。获得生理成分和心理综合评分。我们进行了单变量和多变量分析，以评估根据各种特征（人口统计学、慢性疾病、行为风险因素和卫生服务利用情况），PCS-12 和 MCS-12 的平均差异是否具有统计学意义。
在参加我们调查的 1467 人中，超过三分之一的人认为自己的健康状况不佳，他们在所有 SF-12 量表上都有显著的限制和问题。生理和心理综合评分的总体平均值分别为 45.9（SD ± 10.8）和 44.9（SD ± 11.6）。统计分析显示，在感知健康状况方面，存在性别、年龄、教育程度和就业状况等社会人口统计学特征、行为风险因素、慢性疾病和卫生服务利用情况方面存在显著差异。
我们的研究结果表明，意大利南部的初级保健患者的 HRQOL 较差，而在人口的亚组中，这种认知更为严重，这与多种社会人口统计学、临床特征和行为风险因素有关。这些结果可能对医疗保健政策制定者具有重要意义，因为它们强调需要制定有效和有针对性的策略，以改善意大利南部的 HRQOL。
