Kivits J, Erpelding M-L, Guillemin F
APEMAC EA 4360, Nancy, université de Lorraine, université Paris-Descartes, 9, avenue de la Forêt-de-Haye, BP184, 54505 Vandœuvre-lès-Nancy cedex, France.
Rev Epidemiol Sante Publique. 2013 Aug;61 Suppl 3:S189-94. doi: 10.1016/j.respe.2013.06.001. Epub 2013 Jul 10.
The concept of health-related quality of life (HRQoL) considers patient's perspective as an essential component of the health care relationship. HRQoL is often assimilated to a set of existing tools aimed at measuring the perspective of patient, more particularly the consequences of ill-health condition on patient's everyday life. Patients' reports of their health is however diverse, as social factors such as age, gender, professional status are likely to impact on health self-perception and reporting. Social aspects of HRQoL are somehow underexplored. This paper presents a secondary analysis of epidemiological HRQoL data issued from two national surveys (Baromètre Santé 2005; Enquête Décennale Santé 2002-2003). The data analysis showed the existence of social determinants of HRQoL. It more specifically demonstrated that four social indicators are determinants of HRQoL namely living in couple, level of education, occupational status and net income per household, independently of age and gender known effect. Social mechanisms governing the impact of social determinants on quality of life could be further explored by adopting a multidisciplinary and mutilevel research approach of HRQoL as well as considering the ability of individuals to engage with social aspect of their health conditions.
健康相关生活质量（HRQoL）的概念将患者视角视为医疗保健关系的一个重要组成部分。HRQoL通常等同于一套现有的工具，旨在衡量患者的视角，更具体地说是健康状况不佳对患者日常生活的影响。然而，患者对自身健康的报告各不相同，因为年龄、性别、职业地位等社会因素可能会影响健康自我认知和报告。HRQoL的社会层面在某种程度上尚未得到充分探索。本文对两项全国性调查（2005年健康晴雨表；2002 - 2003年十年健康调查）发布的流行病学HRQoL数据进行了二次分析。数据分析表明存在HRQoL的社会决定因素。它更具体地表明，四个社会指标是HRQoL的决定因素，即已婚、教育水平、职业地位和每户家庭净收入，独立于已知有影响的年龄和性别。通过采用多学科和多层次的HRQoL研究方法，以及考虑个体参与其健康状况社会层面的能力，可以进一步探索社会决定因素对生活质量影响的社会机制。
