Ayatollahi Seyed Mohammad Taghi, Zare Najaf, Dehesh Tania
Department of Biostatistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Womens Health. 2015 Feb 10;7:213-8. doi: 10.2147/IJWH.S73373. eCollection 2015.
The evaluation of health-related quality of life (HRQOL) is increasingly growing to be of much significance. In an attempt to improve the agricultural conditions and to prevent the rural-urban migration, analyzing HRQOL in rural communities has gained significant governmental attention. The purpose of this study was initially to investigate rural women's HRQOL, and then to assess the influence of some specific covariates on four domains of rural women's HRQOL via multivariate analysis (MA) and multivariate multilevel analysis (MMA), and finally to compare the results.
Out of 146 active health centers in villages around Shiraz, Iran, ten health centers were selected, using a multistage random sampling process. These ten health centers covered 18 villages. In this cross-sectional study, all women over the age of 15 in a sample of 1,128 rural residents were interviewed using a brief version of the World Health Organization HRQOL (the WHOQOL-BREF) questionnaire. Assessing the influence of some specific covariates on the four domains of rural women's HRQOL was conducted by MA and MMA.
The average range for all four domain scores was between 12.53 and 14.27, which indicates that HRQOL for rural women is acceptable on the whole. The social relations domain and the environmental domain received the highest (14.3±2.5 SD) and the lowest (12.5±2.3 SD) scores respectively. Marital status did not indicate any significant effects on MA, but it presented an important influence on MMA. Furthermore, age and chronic diseases showed indifferent levels of significance in the two analytical methods.
Rural women are in need of more heedfulness during their lives, especially about facilities and health. MMA is a more accurate procedure in exploring the important covariates in HRQOL.
健康相关生活质量（HRQOL）的评估日益重要。为改善农业条件并防止农村人口向城市迁移，对农村社区的HRQOL进行分析已获得政府的高度关注。本研究的目的首先是调查农村女性的HRQOL，然后通过多变量分析（MA）和多变量多层次分析（MMA）评估一些特定协变量对农村女性HRQOL四个领域的影响，最后比较结果。
在伊朗设拉子周边村庄的146个活跃健康中心中，采用多阶段随机抽样方法选取了10个健康中心。这10个健康中心覆盖了18个村庄。在这项横断面研究中，使用世界卫生组织HRQOL简版问卷（WHOQOL - BREF）对1128名农村居民样本中所有15岁以上的女性进行了访谈。通过MA和MMA评估一些特定协变量对农村女性HRQOL四个领域的影响。
所有四个领域得分的平均范围在12.53至14.27之间，这表明农村女性的HRQOL总体上是可以接受的。社会关系领域得分最高（14.3±2.5标准差），环境领域得分最低（12.5±2.3标准差）。婚姻状况在MA中未显示出任何显著影响，但在MMA中呈现出重要影响。此外，年龄和慢性病在两种分析方法中的显著水平不同。
农村女性在生活中需要更多关注，尤其是在设施和健康方面。MMA是探索HRQOL中重要协变量的更准确方法。
