Esmaeilzadeh Seddigheh, Delavar Mouloud Agajani, Delavar Mohammad Hadi Aghajani
Fatemezahra Infertility and Reproductive Health Research Center, Babol University of Medical Sciences, Babol, Iran.
Glob J Health Sci. 2013 May 13;5(4):182-8. doi: 10.5539/gjhs.v5n4p182.
It is important how women describe their quality of life. The aim of this study was to evaluate the effects of rural residence on quality of life of the married women. The Wellness and Quality of Life Questionnaire (WHOQOL) was used to assess QOL rural residence in Iranian married women. A total of 1,140 (577 urban and 563 rural) women aged 20-45 years were selected using standard cluster sampling technique in Babol, Iran. The questionnaire with 55 items consists of five domains: physical state, mental/emotional state, stress evaluation, life enjoyment, and overall quality of life. Lower scores in three domains: physical state, mental/emotional state, and stress evaluation mean better QOL. Higher scores in life enjoyment and overall quality of life mean better QOL. Rural residences smoke more and have a lower level of education, higher level physical activity, higher level of good self reported dietary, and lower long term health problems than urban residents. After adjusting confounding variables, logistic regression indicated living in rural settings statistically decrease the probability of having worse quality of life related to physical health (OR 0.67; CI 0.50-0.91), higher life enjoyment (OR 0.44; CI 0.32-0.61), and better overall QOL (OR 0.44; CI 0.37-0.61). The results have been suggested to be useful in order to anticipate greater health care needs of the rural married women and improve their quality of life by providing more opportunities for rural women.
女性如何描述她们的生活质量很重要。本研究的目的是评估农村居住环境对已婚女性生活质量的影响。采用世界卫生组织生活质量问卷(WHOQOL)来评估伊朗已婚女性的农村居住生活质量。在伊朗巴博勒,使用标准整群抽样技术选取了1140名年龄在20 - 45岁的女性(577名城市女性和563名农村女性)。这份包含55个条目的问卷由五个领域组成:身体状况、心理/情绪状况、压力评估、生活乐趣和总体生活质量。在身体状况、心理/情绪状况和压力评估这三个领域得分较低意味着生活质量较好。在生活乐趣和总体生活质量方面得分较高意味着生活质量较好。与城市居民相比,农村居民吸烟更多、受教育程度较低、身体活动水平较高、自我报告的良好饮食水平较高,且长期健康问题较少。在调整混杂变量后,逻辑回归表明生活在农村环境中在统计学上降低了与身体健康相关的生活质量较差的概率(比值比0.67;置信区间0.50 - 0.91)、提高了生活乐趣(比值比0.44;置信区间0.32 - 0.61)以及改善了总体生活质量(比值比0.44;置信区间0.37 - 0.61)。研究结果表明,这对于预测农村已婚女性更大的医疗保健需求以及通过为农村女性提供更多机会来改善她们的生活质量是有用的。